,NSG3130/NSG 3130 Exam 1 | Fundamental Concepts & Skills for
Nursing Practice II | Galen College | Q & A | 2026/2027 Edition (PDF)
1. Which of the following best describes the primary purpose of the nursing process?
A) To provide a framework for nursing documentation
B) To establish a systematic method for delivering patient-centered care
C) To determine the medical diagnosis of a patient
D) To evaluate the cost-effectiveness of nursing interventions
Correct Answer: To establish a systematic method for delivering patient-centered care
Rationale: The nursing process is a systematic, problem-solving framework that guides nurses in
delivering patient-centered care through assessment, diagnosis, planning, implementation, and
evaluation. While documentation is important, the primary purpose is to provide organized,
individualized care. Medical diagnosis is outside the nursing scope, and cost-effectiveness is not the
central focus.
2. A nurse is performing a comprehensive admission assessment on a newly admitted patient. What is
the primary purpose of this type of assessment?
A) To establish a baseline for future comparisons
B) To diagnose medical conditions
C) To evaluate the effectiveness of treatment
D) To obtain information for billing purposes
Correct Answer: To establish a baseline for future comparisons
Rationale: A comprehensive admission assessment provides a complete baseline of the patient's health
status at the time of admission. This baseline allows the nurse to track changes, evaluate interventions,
and identify deterioration or improvement over time. Medical diagnosis is beyond the nursing scope,
and billing is not the purpose of clinical assessment.
,3. A patient's laboratory results show a decreased hemoglobin level, and the patient reports feeling tired
and weak. The nurse formulates a nursing diagnosis of "Fatigue related to decreased oxygen-carrying
capacity of the blood." Which type of data is the patient's report of fatigue?
A) Objective data
B) Subjective data
C) Assessment data
D) Diagnostic data
Correct Answer: Subjective data
Rationale: Subjective data consists of information provided by the patient that cannot be independently
verified by the nurse. The patient's report of fatigue is subjective, while laboratory results are objective.
Both types of data are used to formulate nursing diagnoses.
4. A nurse is evaluating a patient's response to pain medication. The patient reports that their pain has
decreased from 8 to 3 on a 0-10 scale. This action represents which step of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: Evaluation
Rationale: Evaluation is the final step of the nursing process, where the nurse determines whether the
patient's goals have been met. Reassessing pain after an intervention is a key part of evaluation. This
data is then used to determine if the care plan should be continued, modified, or terminated.
5. According to Maslow's hierarchy of needs, which of the following needs must be met first for a
patient?
A) Self-esteem
B) Love and belonging
C) Physiological needs
, D) Safety and security
Correct Answer: Physiological needs
Rationale: Physiological needs are the most basic and vital to survival, including air, food, water, sleep,
and temperature control. According to Maslow's hierarchy, these needs must be met before higher-level
needs such as safety, love, and self-esteem can be addressed.
6. A nurse is caring for a patient who is dying and refuses food and fluids. According to Maslow's
hierarchy, which need is most likely taking priority for this patient?
A) Physiological needs
B) Self-esteem
C) Love and belonging
D) Self-actualization
Correct Answer: Self-esteem
Rationale: When patients face end-of-life issues, emotional and self-esteem needs may outweigh
physiologic needs. The need for dignity, spiritual guidance, and comfort from loved ones often takes
priority over nutrition and fluid needs. A fixed hierarchical order is not always the most accurate method
for predicting patient behavior.
7. Which model focuses on how patients' attitudes and beliefs predict health behavior?
A) Health Promotion Model
B) Health Belief Model
C) Transtheoretical Model
D) Holistic Health Model
Correct Answer: Health Belief Model
Nursing Practice II | Galen College | Q & A | 2026/2027 Edition (PDF)
1. Which of the following best describes the primary purpose of the nursing process?
A) To provide a framework for nursing documentation
B) To establish a systematic method for delivering patient-centered care
C) To determine the medical diagnosis of a patient
D) To evaluate the cost-effectiveness of nursing interventions
Correct Answer: To establish a systematic method for delivering patient-centered care
Rationale: The nursing process is a systematic, problem-solving framework that guides nurses in
delivering patient-centered care through assessment, diagnosis, planning, implementation, and
evaluation. While documentation is important, the primary purpose is to provide organized,
individualized care. Medical diagnosis is outside the nursing scope, and cost-effectiveness is not the
central focus.
2. A nurse is performing a comprehensive admission assessment on a newly admitted patient. What is
the primary purpose of this type of assessment?
A) To establish a baseline for future comparisons
B) To diagnose medical conditions
C) To evaluate the effectiveness of treatment
D) To obtain information for billing purposes
Correct Answer: To establish a baseline for future comparisons
Rationale: A comprehensive admission assessment provides a complete baseline of the patient's health
status at the time of admission. This baseline allows the nurse to track changes, evaluate interventions,
and identify deterioration or improvement over time. Medical diagnosis is beyond the nursing scope,
and billing is not the purpose of clinical assessment.
,3. A patient's laboratory results show a decreased hemoglobin level, and the patient reports feeling tired
and weak. The nurse formulates a nursing diagnosis of "Fatigue related to decreased oxygen-carrying
capacity of the blood." Which type of data is the patient's report of fatigue?
A) Objective data
B) Subjective data
C) Assessment data
D) Diagnostic data
Correct Answer: Subjective data
Rationale: Subjective data consists of information provided by the patient that cannot be independently
verified by the nurse. The patient's report of fatigue is subjective, while laboratory results are objective.
Both types of data are used to formulate nursing diagnoses.
4. A nurse is evaluating a patient's response to pain medication. The patient reports that their pain has
decreased from 8 to 3 on a 0-10 scale. This action represents which step of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: Evaluation
Rationale: Evaluation is the final step of the nursing process, where the nurse determines whether the
patient's goals have been met. Reassessing pain after an intervention is a key part of evaluation. This
data is then used to determine if the care plan should be continued, modified, or terminated.
5. According to Maslow's hierarchy of needs, which of the following needs must be met first for a
patient?
A) Self-esteem
B) Love and belonging
C) Physiological needs
, D) Safety and security
Correct Answer: Physiological needs
Rationale: Physiological needs are the most basic and vital to survival, including air, food, water, sleep,
and temperature control. According to Maslow's hierarchy, these needs must be met before higher-level
needs such as safety, love, and self-esteem can be addressed.
6. A nurse is caring for a patient who is dying and refuses food and fluids. According to Maslow's
hierarchy, which need is most likely taking priority for this patient?
A) Physiological needs
B) Self-esteem
C) Love and belonging
D) Self-actualization
Correct Answer: Self-esteem
Rationale: When patients face end-of-life issues, emotional and self-esteem needs may outweigh
physiologic needs. The need for dignity, spiritual guidance, and comfort from loved ones often takes
priority over nutrition and fluid needs. A fixed hierarchical order is not always the most accurate method
for predicting patient behavior.
7. Which model focuses on how patients' attitudes and beliefs predict health behavior?
A) Health Promotion Model
B) Health Belief Model
C) Transtheoretical Model
D) Holistic Health Model
Correct Answer: Health Belief Model
