Final Exam: NSG300 / NSG 300 (Latest 2026/2027 Update) Found
OBJECTIVE ASSESSMENT - EXAM
Final Exam: NSG300 / NSG 300 (Latest
2026/2027 Update) Foundations of
Nursing Exam | Questions and
Verified Answers | 100% Correct |
Grade A - GCU 2026/2027
QUESTIONS: 75 VERIFIED ANSWERS: 75 EDITION: 2026/2027 EditionPASSING: 8
TOPICS COVERED
• Nursing Professionalism & Ethics • Isolation Precautions & PPE
• Therapeutic Communication • Patient Safety & Fall Prevention
• Delegation & Scope of Practice • Medication Administration Rights
• Health Assessment & Vital Signs • Dosage Calculations & Conversions
• Physical Examination Techniques • Pharmacology & Drug Interactions
• Neurological & Pain Assessment • Wound Care & Pressure Injuries
• Infection Control & Standard Precautions • Nutrition, Elimination & Hygiene
• Asepsis & Sterile Technique • Mobility, Ostomy & Tracheostomy Care
COVER PAGE - 1
,Section 1: Nursing Fundamentals, Professionalism & Communication
Q1.
A newly licensed RN is preparing to administer morning medications. The nurse notices that the patient's
armband is missing and the patient states their name is different from what is listed on the medication
administration record.
A. The nurse should hold all medications, verify the patient's identity using two identifiers, and notify
the charge nurse about the discrepancy.
B. The nurse should administer the medications based on the room number since that is the most
reliable identifier.
C. The nurse should ask the patient to state their date of birth and proceed with administration if it
matches the MAR.
D. The nurse should skip this patient and return later when the armband has been replaced.
Correct Answer: A
Rationale:
Patient safety requires two reliable identifiers before any medication administration. A missing armband and name
discrepancy are red flags that must be resolved. Option B violates The Joint Commission standards.
Q2.
A nursing student is observing a nurse-client interaction. The client, recently diagnosed with diabetes, says 'I
don't think I can manage this.' The nurse responds, 'Tell me more about what concerns you most.'
A. The nurse is using therapeutic communication by employing an open-ended statement that
encourages the client to express feelings and concerns.
B. The nurse is using a closed-ended question that will yield a simple yes or no response.
C. The nurse is giving false reassurance by minimizing the client's concerns.
D. The nurse is offering advice before fully understanding the client's perspective.
Correct Answer: A
Rationale:
Open-ended questions like 'Tell me more' invite elaboration and build rapport. Option B incorrectly characterizes this as
closed-ended.
,Final Exam: NSG300 / NSG 300 (Latest 2026/2027 Update) Foundations of Nursing Exam | Quest...
Q3.
During a handoff report, the outgoing nurse states that a postoperative patient has a Jackson-Pratt drain with
45 mL of serosanguineous drainage in the past 8 hours. The incoming nurse asks for clarification about the
drainage color.
A. The incoming nurse is ensuring accurate communication by seeking specific details needed for safe
continuity of care during the handoff process.
B. The incoming nurse is demonstrating distrust of the outgoing nurse's assessment abilities.
C. The incoming nurse should accept the report without question to maintain team cohesion.
D. The incoming nurse is wasting time since drainage color is not relevant to postoperative recovery.
Correct Answer: A
Rationale:
ISBAR handoff communication encourages clarification to prevent errors. Option C promotes unsafe acceptance of
incomplete information.
Q4.
A nurse is caring for a patient who speaks limited English. The patient's family member offers to interpret
during the admission assessment.
A. The nurse should request a professional medical interpreter because family members may omit,
add, or alter information due to emotional involvement or lack of medical vocabulary.
B. The family member is the best interpreter because they know the patient personally and can provide
accurate cultural context.
C. The nurse should proceed with the family member interpreting to save time and hospital resources.
D. Using a family interpreter is legally prohibited in all healthcare settings regardless of circumstance.
Correct Answer: A
Rationale:
Professional interpreters ensure accurate, unbiased translation of medical information. Family members may filter
sensitive information. Option B overlooks confidentiality and accuracy concerns.
Q5.
A nurse discovers that a colleague has documented a wound assessment that was not actually performed.
The documentation states the wound is 'healing well' but the dressing has not been removed in 24 hours.
A. The nurse has an ethical obligation to report the falsified documentation to the appropriate
supervisor, as inaccurate records compromise patient safety and violate professional standards.
B. The nurse should confront the colleague privately and ask them to correct the documentation
without involving management.
C. The nurse should add a late entry correcting the wound assessment without addressing the
colleague's actions.
D. Falsified documentation is a minor issue that does not require reporting if the patient appears stable.
, Final Exam: NSG300 / NSG 300 (Latest 2026/2027 Update) Foundations of Nursing Exam | Quest...
Correct Answer: A
Rationale:
Falsification is a serious breach of nursing ethics and legal standards. Option B allows the behavior to continue without
accountability.
Q6.
A patient with terminal cancer tells the nurse, 'I know I am dying, but I need to make sure my daughter
graduates from college first.' The nurse responds, 'You have a lot of hope for your daughter's future.'
A. The nurse is using the therapeutic technique of reflecting, which acknowledges the patient's feelings
and encourages further expression of thoughts about their priorities.
B. The nurse is changing the subject to avoid discussing the patient's terminal diagnosis.
C. The nurse is giving advice about how the patient should focus on their own health instead.
D. The nurse is using silence inappropriately by making the patient feel uncomfortable.
Correct Answer: A
Rationale:
Reflecting restates the patient's message to show understanding and encourage elaboration. Option B mischaracterizes
this as avoidance.
Q7.
A nurse manager is implementing a new evidence-based protocol for fall prevention on the medical-surgical
unit. Several experienced staff nurses resist the change, stating they have always done it the old way.
A. The nurse manager should provide education about the evidence supporting the new protocol,
address concerns, and involve staff in the implementation process to facilitate buy-in.
B. The nurse manager should mandate the protocol without explanation since staff must follow all
management directives.
C. The nurse manager should abandon the new protocol since experienced nurses know best about
unit practices.
D. The nurse manager should transfer resistant nurses to another unit to eliminate opposition.
Correct Answer: A
Rationale:
Change theory supports education, involvement, and addressing concerns to overcome resistance. Option B creates
resentment and noncompliance.
OBJECTIVE ASSESSMENT - EXAM
Final Exam: NSG300 / NSG 300 (Latest
2026/2027 Update) Foundations of
Nursing Exam | Questions and
Verified Answers | 100% Correct |
Grade A - GCU 2026/2027
QUESTIONS: 75 VERIFIED ANSWERS: 75 EDITION: 2026/2027 EditionPASSING: 8
TOPICS COVERED
• Nursing Professionalism & Ethics • Isolation Precautions & PPE
• Therapeutic Communication • Patient Safety & Fall Prevention
• Delegation & Scope of Practice • Medication Administration Rights
• Health Assessment & Vital Signs • Dosage Calculations & Conversions
• Physical Examination Techniques • Pharmacology & Drug Interactions
• Neurological & Pain Assessment • Wound Care & Pressure Injuries
• Infection Control & Standard Precautions • Nutrition, Elimination & Hygiene
• Asepsis & Sterile Technique • Mobility, Ostomy & Tracheostomy Care
COVER PAGE - 1
,Section 1: Nursing Fundamentals, Professionalism & Communication
Q1.
A newly licensed RN is preparing to administer morning medications. The nurse notices that the patient's
armband is missing and the patient states their name is different from what is listed on the medication
administration record.
A. The nurse should hold all medications, verify the patient's identity using two identifiers, and notify
the charge nurse about the discrepancy.
B. The nurse should administer the medications based on the room number since that is the most
reliable identifier.
C. The nurse should ask the patient to state their date of birth and proceed with administration if it
matches the MAR.
D. The nurse should skip this patient and return later when the armband has been replaced.
Correct Answer: A
Rationale:
Patient safety requires two reliable identifiers before any medication administration. A missing armband and name
discrepancy are red flags that must be resolved. Option B violates The Joint Commission standards.
Q2.
A nursing student is observing a nurse-client interaction. The client, recently diagnosed with diabetes, says 'I
don't think I can manage this.' The nurse responds, 'Tell me more about what concerns you most.'
A. The nurse is using therapeutic communication by employing an open-ended statement that
encourages the client to express feelings and concerns.
B. The nurse is using a closed-ended question that will yield a simple yes or no response.
C. The nurse is giving false reassurance by minimizing the client's concerns.
D. The nurse is offering advice before fully understanding the client's perspective.
Correct Answer: A
Rationale:
Open-ended questions like 'Tell me more' invite elaboration and build rapport. Option B incorrectly characterizes this as
closed-ended.
,Final Exam: NSG300 / NSG 300 (Latest 2026/2027 Update) Foundations of Nursing Exam | Quest...
Q3.
During a handoff report, the outgoing nurse states that a postoperative patient has a Jackson-Pratt drain with
45 mL of serosanguineous drainage in the past 8 hours. The incoming nurse asks for clarification about the
drainage color.
A. The incoming nurse is ensuring accurate communication by seeking specific details needed for safe
continuity of care during the handoff process.
B. The incoming nurse is demonstrating distrust of the outgoing nurse's assessment abilities.
C. The incoming nurse should accept the report without question to maintain team cohesion.
D. The incoming nurse is wasting time since drainage color is not relevant to postoperative recovery.
Correct Answer: A
Rationale:
ISBAR handoff communication encourages clarification to prevent errors. Option C promotes unsafe acceptance of
incomplete information.
Q4.
A nurse is caring for a patient who speaks limited English. The patient's family member offers to interpret
during the admission assessment.
A. The nurse should request a professional medical interpreter because family members may omit,
add, or alter information due to emotional involvement or lack of medical vocabulary.
B. The family member is the best interpreter because they know the patient personally and can provide
accurate cultural context.
C. The nurse should proceed with the family member interpreting to save time and hospital resources.
D. Using a family interpreter is legally prohibited in all healthcare settings regardless of circumstance.
Correct Answer: A
Rationale:
Professional interpreters ensure accurate, unbiased translation of medical information. Family members may filter
sensitive information. Option B overlooks confidentiality and accuracy concerns.
Q5.
A nurse discovers that a colleague has documented a wound assessment that was not actually performed.
The documentation states the wound is 'healing well' but the dressing has not been removed in 24 hours.
A. The nurse has an ethical obligation to report the falsified documentation to the appropriate
supervisor, as inaccurate records compromise patient safety and violate professional standards.
B. The nurse should confront the colleague privately and ask them to correct the documentation
without involving management.
C. The nurse should add a late entry correcting the wound assessment without addressing the
colleague's actions.
D. Falsified documentation is a minor issue that does not require reporting if the patient appears stable.
, Final Exam: NSG300 / NSG 300 (Latest 2026/2027 Update) Foundations of Nursing Exam | Quest...
Correct Answer: A
Rationale:
Falsification is a serious breach of nursing ethics and legal standards. Option B allows the behavior to continue without
accountability.
Q6.
A patient with terminal cancer tells the nurse, 'I know I am dying, but I need to make sure my daughter
graduates from college first.' The nurse responds, 'You have a lot of hope for your daughter's future.'
A. The nurse is using the therapeutic technique of reflecting, which acknowledges the patient's feelings
and encourages further expression of thoughts about their priorities.
B. The nurse is changing the subject to avoid discussing the patient's terminal diagnosis.
C. The nurse is giving advice about how the patient should focus on their own health instead.
D. The nurse is using silence inappropriately by making the patient feel uncomfortable.
Correct Answer: A
Rationale:
Reflecting restates the patient's message to show understanding and encourage elaboration. Option B mischaracterizes
this as avoidance.
Q7.
A nurse manager is implementing a new evidence-based protocol for fall prevention on the medical-surgical
unit. Several experienced staff nurses resist the change, stating they have always done it the old way.
A. The nurse manager should provide education about the evidence supporting the new protocol,
address concerns, and involve staff in the implementation process to facilitate buy-in.
B. The nurse manager should mandate the protocol without explanation since staff must follow all
management directives.
C. The nurse manager should abandon the new protocol since experienced nurses know best about
unit practices.
D. The nurse manager should transfer resistant nurses to another unit to eliminate opposition.
Correct Answer: A
Rationale:
Change theory supports education, involvement, and addressing concerns to overcome resistance. Option B creates
resentment and noncompliance.
