,Galen NSG 3100 Exam 1,2,3,4 | Fundamental
Concepts & Skills I (2026) Actual Q&A PDF
Exam 1
1. Which action would the nurse undertake first when beginning to formulate a
patient's plan of care?
A) List possible treatment options.
B) Identify realistic outcome indicators.
C) Consult with healthcare team members.
D) Rank patient concerns from assessment data.
Correct Answer: Rank patient concerns from assessment data.
Rationale: Before planning, the nurse must analyze assessment data and
prioritize concerns using frameworks like Maslow or ABCs. Identifying outcomes
and consulting the team occur after priorities are established. Assessment
precedes all other phases.
2. A patient is exhibiting signs of fatigue, acute pain, lack of knowledge, and
disturbed body image. Which nursing diagnosis should the nurse address first
while planning care?
A) Fatigue
B) Acute pain
C) Lack of knowledge
D) Disturbed body image
Correct Answer: Acute pain
,Rationale: Maslow's hierarchy prioritizes physiological needs over safety or
psychosocial concerns. Acute pain threatens physical well-being and must be
managed before addressing fatigue, knowledge deficits, or body image.
3. The nurse is preparing to administer oral medications to a client. Which
action demonstrates best practice for preventing medication errors?
A) Administer all medications at the same time.
B) Compare the medication label with the MAR at the bedside.
C) Verify the client's name using two identifiers before administration.
D) Ask the client if they recognize the medication.
Correct Answer: Verify the client's name using two identifiers before
administration.
Rationale: Using two patient identifiers, such as name and date of birth, ensures
correct patient identification and is a standard medication safety practice.
Comparing labels and asking the patient are secondary.
4. Which of the following is the most effective way to break the chain of
infection?
A) Wearing gloves for all patient contact.
B) Proper hand hygiene before and after patient care.
C) Using disposable equipment only.
D) Placing all patients on contact precautions.
Correct Answer: Proper hand hygiene before and after patient care.
, Rationale: Hand hygiene is the single most important measure to prevent
transmission of pathogens. Gloves and isolation precautions supplement but do
not replace handwashing.
5. The nurse is admitting a patient to the medical-surgical unit. Which action
represents the assessment phase of the nursing process?
A) The nurse administers pain medication as ordered.
B) The nurse obtains the patient's blood pressure, heart rate, and respiratory
rate.
C) The nurse develops a plan of care for the patient.
D) The nurse evaluates the effectiveness of the pain medication.
Correct Answer: The nurse obtains the patient's blood pressure, heart rate, and
respiratory rate.
Rationale: Assessment involves collecting subjective and objective data.
Obtaining vital signs is objective data collection. Administering medication is
implementation; developing a care plan is planning; evaluating effectiveness is
evaluation.
6. When communicating with an older adult who has a hearing impairment,
which strategy is most appropriate?
A) Speak loudly and directly into the patient's ear.
B) Face the patient and speak clearly at a normal volume.
C) Use a high-pitched voice to improve sound clarity.
D) Write everything down to avoid miscommunication.
Concepts & Skills I (2026) Actual Q&A PDF
Exam 1
1. Which action would the nurse undertake first when beginning to formulate a
patient's plan of care?
A) List possible treatment options.
B) Identify realistic outcome indicators.
C) Consult with healthcare team members.
D) Rank patient concerns from assessment data.
Correct Answer: Rank patient concerns from assessment data.
Rationale: Before planning, the nurse must analyze assessment data and
prioritize concerns using frameworks like Maslow or ABCs. Identifying outcomes
and consulting the team occur after priorities are established. Assessment
precedes all other phases.
2. A patient is exhibiting signs of fatigue, acute pain, lack of knowledge, and
disturbed body image. Which nursing diagnosis should the nurse address first
while planning care?
A) Fatigue
B) Acute pain
C) Lack of knowledge
D) Disturbed body image
Correct Answer: Acute pain
,Rationale: Maslow's hierarchy prioritizes physiological needs over safety or
psychosocial concerns. Acute pain threatens physical well-being and must be
managed before addressing fatigue, knowledge deficits, or body image.
3. The nurse is preparing to administer oral medications to a client. Which
action demonstrates best practice for preventing medication errors?
A) Administer all medications at the same time.
B) Compare the medication label with the MAR at the bedside.
C) Verify the client's name using two identifiers before administration.
D) Ask the client if they recognize the medication.
Correct Answer: Verify the client's name using two identifiers before
administration.
Rationale: Using two patient identifiers, such as name and date of birth, ensures
correct patient identification and is a standard medication safety practice.
Comparing labels and asking the patient are secondary.
4. Which of the following is the most effective way to break the chain of
infection?
A) Wearing gloves for all patient contact.
B) Proper hand hygiene before and after patient care.
C) Using disposable equipment only.
D) Placing all patients on contact precautions.
Correct Answer: Proper hand hygiene before and after patient care.
, Rationale: Hand hygiene is the single most important measure to prevent
transmission of pathogens. Gloves and isolation precautions supplement but do
not replace handwashing.
5. The nurse is admitting a patient to the medical-surgical unit. Which action
represents the assessment phase of the nursing process?
A) The nurse administers pain medication as ordered.
B) The nurse obtains the patient's blood pressure, heart rate, and respiratory
rate.
C) The nurse develops a plan of care for the patient.
D) The nurse evaluates the effectiveness of the pain medication.
Correct Answer: The nurse obtains the patient's blood pressure, heart rate, and
respiratory rate.
Rationale: Assessment involves collecting subjective and objective data.
Obtaining vital signs is objective data collection. Administering medication is
implementation; developing a care plan is planning; evaluating effectiveness is
evaluation.
6. When communicating with an older adult who has a hearing impairment,
which strategy is most appropriate?
A) Speak loudly and directly into the patient's ear.
B) Face the patient and speak clearly at a normal volume.
C) Use a high-pitched voice to improve sound clarity.
D) Write everything down to avoid miscommunication.
