Exam 1: NSG3130 / NSG 3130 (Latest 2026 /
2027) Fundamental Concepts & Skills for
Nursing Practice II | 100% Correct Questions
& Answers - Galen
NSG3130 Fundamental Concepts & Skills for Nursing Practice
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Exam 1 (Latest Curriculum)
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Instructions: Choose the single best answer for each question.
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1. A nurse is caring for a client who is post-
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operative day 1 following abdominal surgery. The client reports pain at a level of 7 out o
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f 10. Which of the following actions should the nurse take first?
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• A) Administer the prescribed PRN analgesic.
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• B) Reposition the client to promote comfort.
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• C) Assess the characteristics of the pain and the surgical incision.
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• D) Notify the healthcare provider of the client's pain level.
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2. Which of the following is the priority action for a nurse to prevent the spread of infect
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ion when performing a sterile dressing change?
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• A) Donning sterile gloves before opening the sterile field.
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• B) Performing hand hygiene before and after the procedure.
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• C) Using sterile forceps to handle the old dressing.
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• D) Applying a face mask to the client to prevent droplet transmission.
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3. A nurse is providing teaching to a client with hypertension about a low-
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sodium diet. Which of the following statements by the client indicates a need for further
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teaching?
• A) "I can use lemon juice and herbs to flavor my food."
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• B) "I will avoid processed meats like bacon and deli turkey."
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• C) "I should use salt substitutes that contain potassium."
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, • D) "I can have canned soups occasionally as a quick meal."
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4. The nurse is preparing to administer an intramuscular (IM) injection in the ventroglute
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al site. Which of the following is the most accurate landmarking technique?
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• A) Placing the palm of the hand on the greater trochanter and the index finger on the a
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nterior superior iliac spine.
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• B) Locating the site by drawing a line from the acromion process to the antecubital spac
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e.
• C) Placing the palm of the hand over the iliac crest and the index finger on the posterior
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superior iliac spine.
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• D) Measuring two to three fingerbreadths below the acromion process.
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5. A client refuses to take their prescribed oral medication. The nurse's best initial respon
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se is to:
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• A) Crush the medication and mix it with applesauce to ensure it is taken.
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• B) Hide the medication in a glass of orange juice.
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• C) Withhold the medication, document the refusal, and explore the reason for refusal.
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• D) Insist the client must take the medication as prescribed by the provider.
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6. The nurse is assessing a client's peripheral intravenous (IV) site. Which of the following
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findings indicates that the IV is infusing properly?
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• A) Edema and pallor around the insertion site.
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• B) A blood return (flashback) when the IV bag is lowered below the insertion site.
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• C) Pain and burning sensation upon infusion.
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• D) A palpable cord along the vein path.
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7. According to Maslow's Hierarchy of Needs, which of the following client needs should
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the nurse prioritize first?
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• A) The need for self-esteem.
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• B) The need for love and belonging.
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• C) The need for adequate oxygenation and circulation.
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• D) The need for a sense of accomplishment.
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8. A nurse is performing a neurological assessment on a client. Which cranial nerve is bei
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ng tested when the client is asked to stick out their tongue and move it side to side?
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, • A) Cranial Nerve VII (Facial)
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• B) Cranial Nerve IX (Glossopharyngeal)
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• C) Cranial Nerve X (Vagus)
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• D) Cranial Nerve XII (Hypoglossal)
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9. The nurse is preparing to insert a nasogastric (NG) tube. The client is alert and oriente
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d. What is the safest and most appropriate action to determine the correct length of tub
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e to insert?
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• A) Measure from the tip of the nose to the earlobe to the xiphoid process.
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• B) Estimate the distance by measuring from the client's mouth to the umbilicus.
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• C) Insert the tube 10 cm (4 inches) initially, then advance it 20 cm.
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• D) Use a standard predetermined length of 45 cm for all adults.
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10. A client is on fall precautions. Which of the following interventions is most effective i
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n reducing the risk of falls?
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• A) Applying wrist restraints for client safety.
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• B) Keeping all four bed rails up and locked at all times.
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• C) Placing the call light and frequently used items within the client's reach.
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• D) Ambulating the client only once per shift.
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11. A nurse is assessing a client's wound. The wound has a foul odor, copious green drain
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
age, and is surrounded by erythema. The nurse should document this drainage as:
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• A) Serous.
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• B) Sanguineous.
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• C) Serosanguineous.
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• D) Purulent.
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12. What is the primary purpose of using the Braden Scale in nursing practice?
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• A) To assess a client's risk for developing pressure injuries.
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• B) To evaluate a client's risk for falls.
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• C) To measure a client's level of consciousness.
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• D) To assess a client's nutritional status.
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, 13. The nurse is preparing to administer an enema to an adult client. In which position sh
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
ould the nurse place the client for optimal flow and comfort?
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• A) Supine with head elevated.
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• B) Prone with head turned to the side.
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• C) Left Sims' position (left side-lying).
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• D) Right Sims' position (right side-lying).
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14. Which of the following is a clinical manifestation of fluid volume deficit (dehydration
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) that the nurse should anticipate?
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• A) Bounding pulse and hypertension.
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• B) Jugular vein distention and peripheral edema.
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• C) Tachycardia and poor skin turgor.
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• D) Crackles in the lungs and weight gain.
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15. A nurse is caring for a client with an indwelling urinary catheter. Which of the followi
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ng actions is appropriate to prevent catheter-
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associated urinary tract infections (CAUTIs)? bv bv bv bv
• A) Empty the drainage bag by disconnecting it from the tubing.
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• B) Keep the drainage bag below the level of the bladder at all times.
bv bv bv bv bv bv bv bv bv bv bv bv bv
• C) Irrigate the catheter daily with sterile normal saline.
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• D) Change the catheter every 24 hours to prevent infection.
bv bv bv bv bv bv bv bv bv
16. A client expresses anxiety about an upcoming surgical procedure. The nurse responds
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by saying, "Everything will be fine." This is an example of which type of communication
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
barrier?
• A) Giving false reassurance.
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• B) Changing the subject.
bv bv bv
• C) Providing a defensive response.
bv bv bv bv
• D) Making a stereotyped comment.
bv bv bv bv
17. The nurse is teaching a client how to perform active range-of-
bv bv bv bv bv bv bv bv bv bv bv
motion (ROM) exercises. The client is moving their arm away from the midline of their b
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
ody. This movement is known as:
bv bv bv bv bv
• A) Adduction.
bv
2027) Fundamental Concepts & Skills for
Nursing Practice II | 100% Correct Questions
& Answers - Galen
NSG3130 Fundamental Concepts & Skills for Nursing Practice
bv bv bv bv bv bv bv
Exam 1 (Latest Curriculum)
bv bv bv
Instructions: Choose the single best answer for each question.
bv bv bv bv bv bv bv bv
1. A nurse is caring for a client who is post-
bv bv bv bv bv bv bv bv bv bv
operative day 1 following abdominal surgery. The client reports pain at a level of 7 out o
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
f 10. Which of the following actions should the nurse take first?
bv bv bv bv bv bv bv bv bv bv bv
• A) Administer the prescribed PRN analgesic.
bv bv bv bv bv
• B) Reposition the client to promote comfort.
bv bv bv bv bv bv
• C) Assess the characteristics of the pain and the surgical incision.
bv bv bv bv bv bv bv bv bv bv
• D) Notify the healthcare provider of the client's pain level.
bv bv bv bv bv bv bv bv bv
2. Which of the following is the priority action for a nurse to prevent the spread of infect
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
ion when performing a sterile dressing change?
bv bv bv bv bv bv
• A) Donning sterile gloves before opening the sterile field.
bv bv bv bv bv bv bv bv
• B) Performing hand hygiene before and after the procedure.
bv bv bv bv bv bv bv bv
• C) Using sterile forceps to handle the old dressing.
bv bv bv bv bv bv bv bv
• D) Applying a face mask to the client to prevent droplet transmission.
bv bv bv bv bv bv bv bv bv bv bv
3. A nurse is providing teaching to a client with hypertension about a low-
bv bv bv bv bv bv bv bv bv bv bv bv bv
sodium diet. Which of the following statements by the client indicates a need for further
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
teaching?
• A) "I can use lemon juice and herbs to flavor my food."
bv bv bv bv bv bv bv bv bv bv bv
• B) "I will avoid processed meats like bacon and deli turkey."
bv bv bv bv bv bv bv bv bv bv
• C) "I should use salt substitutes that contain potassium."
bv bv bv bv bv bv bv bv
, • D) "I can have canned soups occasionally as a quick meal."
bv bv bv bv bv bv bv bv bv bv
4. The nurse is preparing to administer an intramuscular (IM) injection in the ventroglute
bv bv bv bv bv bv bv bv bv bv bv bv bv
al site. Which of the following is the most accurate landmarking technique?
bv bv bv bv bv bv bv bv bv bv bv
• A) Placing the palm of the hand on the greater trochanter and the index finger on the a
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
nterior superior iliac spine.
bv bv bv
• B) Locating the site by drawing a line from the acromion process to the antecubital spac
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
e.
• C) Placing the palm of the hand over the iliac crest and the index finger on the posterior
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv b
superior iliac spine.
v bv bv
• D) Measuring two to three fingerbreadths below the acromion process.
bv bv bv bv bv bv bv bv bv
5. A client refuses to take their prescribed oral medication. The nurse's best initial respon
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
se is to:
bv bv
• A) Crush the medication and mix it with applesauce to ensure it is taken.
bv bv bv bv bv bv bv bv bv bv bv bv bv
• B) Hide the medication in a glass of orange juice.
bv bv bv bv bv bv bv bv bv
• C) Withhold the medication, document the refusal, and explore the reason for refusal.
bv bv bv bv bv bv bv bv bv bv bv bv
• D) Insist the client must take the medication as prescribed by the provider.
bv bv bv bv bv bv bv bv bv bv bv bv
6. The nurse is assessing a client's peripheral intravenous (IV) site. Which of the following
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
findings indicates that the IV is infusing properly?
bv bv bv bv bv bv bv bv
• A) Edema and pallor around the insertion site.
bv bv bv bv bv bv bv
• B) A blood return (flashback) when the IV bag is lowered below the insertion site.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
• C) Pain and burning sensation upon infusion.
bv bv bv bv bv bv
• D) A palpable cord along the vein path.
bv bv bv bv bv bv bv
7. According to Maslow's Hierarchy of Needs, which of the following client needs should
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
the nurse prioritize first?
bv bv bv
• A) The need for self-esteem.
bv bv bv bv
• B) The need for love and belonging.
bv bv bv bv bv bv
• C) The need for adequate oxygenation and circulation.
bv bv bv bv bv bv bv
• D) The need for a sense of accomplishment.
bv bv bv bv bv bv bv
8. A nurse is performing a neurological assessment on a client. Which cranial nerve is bei
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
ng tested when the client is asked to stick out their tongue and move it side to side?
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
, • A) Cranial Nerve VII (Facial)
bv bv bv bv
• B) Cranial Nerve IX (Glossopharyngeal)
bv bv bv bv
• C) Cranial Nerve X (Vagus)
bv bv bv bv
• D) Cranial Nerve XII (Hypoglossal)
bv bv bv bv
9. The nurse is preparing to insert a nasogastric (NG) tube. The client is alert and oriente
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
d. What is the safest and most appropriate action to determine the correct length of tub
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
e to insert?
bv bv
• A) Measure from the tip of the nose to the earlobe to the xiphoid process.
bv bv bv bv bv bv bv bv bv bv bv bv bv bv
• B) Estimate the distance by measuring from the client's mouth to the umbilicus.
bv bv bv bv bv bv bv bv bv bv bv bv
• C) Insert the tube 10 cm (4 inches) initially, then advance it 20 cm.
bv bv bv bv bv bv bv bv bv bv bv bv bv
• D) Use a standard predetermined length of 45 cm for all adults.
bv bv bv bv bv bv bv bv bv bv bv
10. A client is on fall precautions. Which of the following interventions is most effective i
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
n reducing the risk of falls?
bv bv bv bv bv
• A) Applying wrist restraints for client safety.
bv bv bv bv bv bv
• B) Keeping all four bed rails up and locked at all times.
bv bv bv bv bv bv bv bv bv bv bv
• C) Placing the call light and frequently used items within the client's reach.
bv bv bv bv bv bv bv bv bv bv bv bv
• D) Ambulating the client only once per shift.
bv bv bv bv bv bv bv
11. A nurse is assessing a client's wound. The wound has a foul odor, copious green drain
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
age, and is surrounded by erythema. The nurse should document this drainage as:
bv bv bv bv bv bv bv bv bv bv bv bv
• A) Serous.
bv
• B) Sanguineous.
bv
• C) Serosanguineous.
bv
• D) Purulent.
bv
12. What is the primary purpose of using the Braden Scale in nursing practice?
bv bv bv bv bv bv bv bv bv bv bv bv bv
• A) To assess a client's risk for developing pressure injuries.
bv bv bv bv bv bv bv bv bv
• B) To evaluate a client's risk for falls.
bv bv bv bv bv bv bv
• C) To measure a client's level of consciousness.
bv bv bv bv bv bv bv
• D) To assess a client's nutritional status.
bv bv bv bv bv bv
, 13. The nurse is preparing to administer an enema to an adult client. In which position sh
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
ould the nurse place the client for optimal flow and comfort?
bv bv bv bv bv bv bv bv bv bv
• A) Supine with head elevated.
bv bv bv bv
• B) Prone with head turned to the side.
bv bv bv bv bv bv bv
• C) Left Sims' position (left side-lying).
bv bv bv bv bv
• D) Right Sims' position (right side-lying).
bv bv bv bv bv
14. Which of the following is a clinical manifestation of fluid volume deficit (dehydration
bv bv bv bv bv bv bv bv bv bv bv bv bv
) that the nurse should anticipate?
bv bv bv bv bv
• A) Bounding pulse and hypertension.
bv bv bv bv
• B) Jugular vein distention and peripheral edema.
bv bv bv bv bv bv
• C) Tachycardia and poor skin turgor.
bv bv bv bv bv
• D) Crackles in the lungs and weight gain.
bv bv bv bv bv bv bv
15. A nurse is caring for a client with an indwelling urinary catheter. Which of the followi
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
ng actions is appropriate to prevent catheter-
bv bv bv bv bv bv
associated urinary tract infections (CAUTIs)? bv bv bv bv
• A) Empty the drainage bag by disconnecting it from the tubing.
bv bv bv bv bv bv bv bv bv bv
• B) Keep the drainage bag below the level of the bladder at all times.
bv bv bv bv bv bv bv bv bv bv bv bv bv
• C) Irrigate the catheter daily with sterile normal saline.
bv bv bv bv bv bv bv bv
• D) Change the catheter every 24 hours to prevent infection.
bv bv bv bv bv bv bv bv bv
16. A client expresses anxiety about an upcoming surgical procedure. The nurse responds
bv bv bv bv bv bv bv bv bv bv bv bv
by saying, "Everything will be fine." This is an example of which type of communication
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
barrier?
• A) Giving false reassurance.
bv bv bv
• B) Changing the subject.
bv bv bv
• C) Providing a defensive response.
bv bv bv bv
• D) Making a stereotyped comment.
bv bv bv bv
17. The nurse is teaching a client how to perform active range-of-
bv bv bv bv bv bv bv bv bv bv bv
motion (ROM) exercises. The client is moving their arm away from the midline of their b
bv bv bv bv bv bv bv bv bv bv bv bv bv bv bv
ody. This movement is known as:
bv bv bv bv bv
• A) Adduction.
bv
