Galen College NSG 3130 Exam 1 (pdf) | 2026/2027 | Fundamental
Concepts & Skills for Nursing Practice II Q&A | Nursing
1. A nurse is preparing to administer a medication to a patient. According to
the nursing process, which step is the nurse performing?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: Implementation
Rationale: Implementation is the step of the nursing process where the nurse
carries out the interventions identified in the care plan. Administering
medication is a direct nursing intervention, placing it in the implementation
phase. Assessment involves data collection, planning involves goal setting,
and evaluation measures outcomes.
2. 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.
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 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, which is essential for identifying
,changes and evaluating the effectiveness of interventions over time. It
includes a health history and a complete head-to-toe physical examination.
5. Which nursing theorist is known for the Theory of Human Caring?
A) Dorothea Orem
B) Jean Watson
C) Martha Rogers
D) Florence Nightingale
Correct Answer: Jean Watson
Rationale: Jean Watson is known for the Theory of Human Caring, which
emphasizes the nurse-patient relationship and the importance of caring as a
central component of nursing practice. Her theory highlights the nurse's role
in promoting health and healing through caring consciousness.
6. The nurse is caring for a patient who is at risk for falls. The nurse places
the call light within the patient's reach and ensures the bed is in the lowest
position. Which phase of the nursing process does this represent?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Implementation
Rationale: Implementation involves executing the nursing interventions
designed to achieve patient goals. Fall prevention measures are
interventions carried out during this phase. The nursing process is cyclical,
with implementation following the planning phase.
, 7. According to Maslow's Hierarchy of Needs, which patient need should the
nurse address first?
A) Self-esteem needs
B) Love and belonging
C) Safety and security
D) Physiological needs
Correct Answer: Physiological needs
Rationale: Maslow's hierarchy prioritizes basic physiological needs such as
breathing, food, water, and shelter as the most fundamental. These must be
met before higher-level needs can be addressed. However, nurses must also
individualize care, as needs can override the hierarchy (e.g., dignity at end of
life).
8. A nurse is providing care to a patient from a different cultural background.
Which action best demonstrates cultural competence?
A) Avoiding discussion of the patient's cultural beliefs
B) Assuming the patient's health practices are based on their culture
C) Asking the patient about their health beliefs and practices
D) Encouraging the patient to adopt the dominant culture's practices
Correct Answer: Asking the patient about their health beliefs and practices
Rationale: Cultural competence involves respecting and incorporating the
patient's cultural beliefs and practices into their care. Asking the patient
directly is the best way to understand their unique perspective and avoid
stereotyping.
Concepts & Skills for Nursing Practice II Q&A | Nursing
1. A nurse is preparing to administer a medication to a patient. According to
the nursing process, which step is the nurse performing?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: Implementation
Rationale: Implementation is the step of the nursing process where the nurse
carries out the interventions identified in the care plan. Administering
medication is a direct nursing intervention, placing it in the implementation
phase. Assessment involves data collection, planning involves goal setting,
and evaluation measures outcomes.
2. 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.
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 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, which is essential for identifying
,changes and evaluating the effectiveness of interventions over time. It
includes a health history and a complete head-to-toe physical examination.
5. Which nursing theorist is known for the Theory of Human Caring?
A) Dorothea Orem
B) Jean Watson
C) Martha Rogers
D) Florence Nightingale
Correct Answer: Jean Watson
Rationale: Jean Watson is known for the Theory of Human Caring, which
emphasizes the nurse-patient relationship and the importance of caring as a
central component of nursing practice. Her theory highlights the nurse's role
in promoting health and healing through caring consciousness.
6. The nurse is caring for a patient who is at risk for falls. The nurse places
the call light within the patient's reach and ensures the bed is in the lowest
position. Which phase of the nursing process does this represent?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Implementation
Rationale: Implementation involves executing the nursing interventions
designed to achieve patient goals. Fall prevention measures are
interventions carried out during this phase. The nursing process is cyclical,
with implementation following the planning phase.
, 7. According to Maslow's Hierarchy of Needs, which patient need should the
nurse address first?
A) Self-esteem needs
B) Love and belonging
C) Safety and security
D) Physiological needs
Correct Answer: Physiological needs
Rationale: Maslow's hierarchy prioritizes basic physiological needs such as
breathing, food, water, and shelter as the most fundamental. These must be
met before higher-level needs can be addressed. However, nurses must also
individualize care, as needs can override the hierarchy (e.g., dignity at end of
life).
8. A nurse is providing care to a patient from a different cultural background.
Which action best demonstrates cultural competence?
A) Avoiding discussion of the patient's cultural beliefs
B) Assuming the patient's health practices are based on their culture
C) Asking the patient about their health beliefs and practices
D) Encouraging the patient to adopt the dominant culture's practices
Correct Answer: Asking the patient about their health beliefs and practices
Rationale: Cultural competence involves respecting and incorporating the
patient's cultural beliefs and practices into their care. Asking the patient
directly is the best way to understand their unique perspective and avoid
stereotyping.
