NSG 3100 Exams 1, 2 & 3 – Nursing Practice –
Actual Questions & Answers (Updated PDF) –
Galen College of Nursing
EXAM 1: FUNDAMENTAL CONCEPTS & SKILLS FOR
NURSING PRACTICE I (Questions 1-85)
QUESTION 1
A new patient is admitted to a medical unit with Clostridium difficile. Which
type of precautions or isolation does the nurse know is appropriate for this
patient?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective isolation
Correct Answer: C. Contact precautions
*Rationale: * Clostridium difficile is a gastrointestinal infection spread by
spores and requires contact precautions. The nurse should use gloves and
gown when entering the patient's room, perform meticulous hand hygiene
(soap and water preferred over alcohol-based hand sanitizer), and maintain
the patient in a private room or cohort with another patient who has the
same infection.
,QUESTION 2
How long should the nurse wash hands during routine hand hygiene?
A. 5-10 seconds
B. 10-15 seconds
C. 20-30 seconds
D. 30-40 seconds
Correct Answer: B. 10-15 seconds
*Rationale: * The recommended time for routine handwashing with soap
and water is 10-15 seconds. If hands are visibly soiled, handwashing should
be done for 20-30 seconds. Proper hand hygiene is the single most
effective way to prevent the spread of infection.
QUESTION 3
A nurse is preparing to administer a medication to a patient. The nurse
recognizes that the "Six Rights" of medication administration include which
of the following?
A. Right drug, right dose, right route, right time, right patient, right
documentation
B. Right drug, right dose, right route, right time, right patient, right
diagnosis
C. Right drug, right dose, right route, right time, right patient, right reason
D. Right drug, right dose, right route, right time, right patient, right provider
,*Correct Answer: A. Right drug, right dose, right route, right time,
right patient, right documentation
*Rationale: * The Six Rights of medication administration are: right patient,
right drug, right dose, right route, right time, and right documentation.
Some facilities include additional rights such as right reason, right response,
and right to refuse. The nurse must verify each right before administering
any medication.
QUESTION 4
A patient is on NPO status. Which statement accurately describes this
order?
A. The patient may have ice chips
B. The patient may have clear liquids
C. The patient may have nothing by mouth
D. The patient may have a full liquid diet
*Correct Answer: C. The patient may have nothing by mouth
*Rationale: * NPO (nil per os) means "nothing by mouth." The patient
should not receive any food, fluids, ice chips, or medications by mouth
unless otherwise ordered by the healthcare provider. NPO status is often
required before surgery or certain diagnostic procedures.
QUESTION 5
, Which of the following is the most appropriate method to prevent skin
breakdown in an immobile patient?
A. Massaging bony prominences vigorously
B. Turning and repositioning the patient every 2 hours
C. Keeping the patient in one position to prevent shearing
D. Applying alcohol-based lotion to the skin
*Correct Answer: B. Turning and repositioning the patient every 2
hours
*Rationale: * Turning and repositioning the patient every 2 hours is the
most effective method to prevent pressure ulcers. Massaging bony
prominences is no longer recommended as it can damage underlying
tissue. Alcohol-based lotions dry the skin and should be avoided. Regular
position changes redistribute pressure and maintain skin integrity.
QUESTION 6
The nurse is preparing to insert a nasogastric (NG) tube. Which position
should the patient be placed in?
A. Supine with head flat
B. High Fowler's position
C. Prone position
D. Left side-lying position
*Correct Answer: B. High Fowler's position
Actual Questions & Answers (Updated PDF) –
Galen College of Nursing
EXAM 1: FUNDAMENTAL CONCEPTS & SKILLS FOR
NURSING PRACTICE I (Questions 1-85)
QUESTION 1
A new patient is admitted to a medical unit with Clostridium difficile. Which
type of precautions or isolation does the nurse know is appropriate for this
patient?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Protective isolation
Correct Answer: C. Contact precautions
*Rationale: * Clostridium difficile is a gastrointestinal infection spread by
spores and requires contact precautions. The nurse should use gloves and
gown when entering the patient's room, perform meticulous hand hygiene
(soap and water preferred over alcohol-based hand sanitizer), and maintain
the patient in a private room or cohort with another patient who has the
same infection.
,QUESTION 2
How long should the nurse wash hands during routine hand hygiene?
A. 5-10 seconds
B. 10-15 seconds
C. 20-30 seconds
D. 30-40 seconds
Correct Answer: B. 10-15 seconds
*Rationale: * The recommended time for routine handwashing with soap
and water is 10-15 seconds. If hands are visibly soiled, handwashing should
be done for 20-30 seconds. Proper hand hygiene is the single most
effective way to prevent the spread of infection.
QUESTION 3
A nurse is preparing to administer a medication to a patient. The nurse
recognizes that the "Six Rights" of medication administration include which
of the following?
A. Right drug, right dose, right route, right time, right patient, right
documentation
B. Right drug, right dose, right route, right time, right patient, right
diagnosis
C. Right drug, right dose, right route, right time, right patient, right reason
D. Right drug, right dose, right route, right time, right patient, right provider
,*Correct Answer: A. Right drug, right dose, right route, right time,
right patient, right documentation
*Rationale: * The Six Rights of medication administration are: right patient,
right drug, right dose, right route, right time, and right documentation.
Some facilities include additional rights such as right reason, right response,
and right to refuse. The nurse must verify each right before administering
any medication.
QUESTION 4
A patient is on NPO status. Which statement accurately describes this
order?
A. The patient may have ice chips
B. The patient may have clear liquids
C. The patient may have nothing by mouth
D. The patient may have a full liquid diet
*Correct Answer: C. The patient may have nothing by mouth
*Rationale: * NPO (nil per os) means "nothing by mouth." The patient
should not receive any food, fluids, ice chips, or medications by mouth
unless otherwise ordered by the healthcare provider. NPO status is often
required before surgery or certain diagnostic procedures.
QUESTION 5
, Which of the following is the most appropriate method to prevent skin
breakdown in an immobile patient?
A. Massaging bony prominences vigorously
B. Turning and repositioning the patient every 2 hours
C. Keeping the patient in one position to prevent shearing
D. Applying alcohol-based lotion to the skin
*Correct Answer: B. Turning and repositioning the patient every 2
hours
*Rationale: * Turning and repositioning the patient every 2 hours is the
most effective method to prevent pressure ulcers. Massaging bony
prominences is no longer recommended as it can damage underlying
tissue. Alcohol-based lotions dry the skin and should be avoided. Regular
position changes redistribute pressure and maintain skin integrity.
QUESTION 6
The nurse is preparing to insert a nasogastric (NG) tube. Which position
should the patient be placed in?
A. Supine with head flat
B. High Fowler's position
C. Prone position
D. Left side-lying position
*Correct Answer: B. High Fowler's position
