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Galen NSG 3100 Exam 1 – Fundamental Concepts & Skills for Nursing
Practice I Advanced/Hard Difficulty | Nursing Students | 100% Pass
Guaranteed | Graded A+
1. A 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: B
☑ Explanation: The assessment phase of the nursing process involves collecting subjective
and objective data about the patient. Vital signs are objective data collected during assessment.
Administering medication is implementation, developing a plan is planning, and evaluating
effectiveness is evaluation.
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2. A nurse is formulating a nursing diagnosis. Which statement correctly describes an actual
nursing diagnosis?
A. "Risk for falls related to unsteady gait"
B. "Impaired skin integrity related to immobility as evidenced by stage 2 pressure injury on the
sacrum"
C. "Readiness for enhanced coping"
D. "Risk for infection related to surgical incision"
☑ Correct Answer: B
☑ Explanation: An actual nursing diagnosis describes a problem that currently exists,
supported by defining characteristics (evidence). It includes the problem, etiology (related to),
and signs/symptoms (as evidenced by). Options A and D are risk diagnoses; C is a health
promotion diagnosis.
3. A nurse is writing goals for a patient's plan of care. Which goal is written correctly using
SMART criteria?
A. "Patient will ambulate in the hallway"
B. "Patient will be more mobile by discharge"
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C. "Patient will ambulate 50 feet with a walker by the end of the shift"
D. "Patient will walk when feeling better"
☑ Correct Answer: C
☑ Explanation: SMART goals are Specific, Measurable, Attainable, Realistic, and Time-
bound. Option C includes a specific activity (ambulate 50 feet with walker), measurable criteria,
and a time frame (by the end of the shift).
4. A patient who is postoperative day 2 after abdominal surgery reports pain at a level of 8 on
a 0–10 scale. The nurse administers morphine 4 mg IV as ordered. Thirty minutes later, the
patient reports pain at a level of 3. Which phase of the nursing process does this represent?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
☑ Correct Answer: D
☑ Explanation: Evaluation is the phase of the nursing process where the nurse determines
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whether the patient's goals have been met and whether interventions were effective. The nurse
is evaluating the effectiveness of the pain medication by reassessing the patient's pain level.
5. The nurse is developing a care plan for a patient with impaired mobility. Which nursing
intervention is considered an independent nursing action?
A. Administering an anticoagulant as prescribed
B. Turning and repositioning the patient every 2 hours
C. Obtaining an order for physical therapy
D. Applying a sequential compression device as ordered
☑ Correct Answer: B
☑ Explanation: Independent nursing interventions are actions that a nurse can legally
perform without a physician's order, based on nursing judgment. Turning and repositioning is an
independent intervention. Administering medications, obtaining orders, and applying devices as
ordered are dependent interventions.
Galen NSG 3100 Exam 1 – Fundamental Concepts & Skills for Nursing
Practice I Advanced/Hard Difficulty | Nursing Students | 100% Pass
Guaranteed | Graded A+
1. A 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: B
☑ Explanation: The assessment phase of the nursing process involves collecting subjective
and objective data about the patient. Vital signs are objective data collected during assessment.
Administering medication is implementation, developing a plan is planning, and evaluating
effectiveness is evaluation.
,2
2. A nurse is formulating a nursing diagnosis. Which statement correctly describes an actual
nursing diagnosis?
A. "Risk for falls related to unsteady gait"
B. "Impaired skin integrity related to immobility as evidenced by stage 2 pressure injury on the
sacrum"
C. "Readiness for enhanced coping"
D. "Risk for infection related to surgical incision"
☑ Correct Answer: B
☑ Explanation: An actual nursing diagnosis describes a problem that currently exists,
supported by defining characteristics (evidence). It includes the problem, etiology (related to),
and signs/symptoms (as evidenced by). Options A and D are risk diagnoses; C is a health
promotion diagnosis.
3. A nurse is writing goals for a patient's plan of care. Which goal is written correctly using
SMART criteria?
A. "Patient will ambulate in the hallway"
B. "Patient will be more mobile by discharge"
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C. "Patient will ambulate 50 feet with a walker by the end of the shift"
D. "Patient will walk when feeling better"
☑ Correct Answer: C
☑ Explanation: SMART goals are Specific, Measurable, Attainable, Realistic, and Time-
bound. Option C includes a specific activity (ambulate 50 feet with walker), measurable criteria,
and a time frame (by the end of the shift).
4. A patient who is postoperative day 2 after abdominal surgery reports pain at a level of 8 on
a 0–10 scale. The nurse administers morphine 4 mg IV as ordered. Thirty minutes later, the
patient reports pain at a level of 3. Which phase of the nursing process does this represent?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
☑ Correct Answer: D
☑ Explanation: Evaluation is the phase of the nursing process where the nurse determines
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whether the patient's goals have been met and whether interventions were effective. The nurse
is evaluating the effectiveness of the pain medication by reassessing the patient's pain level.
5. The nurse is developing a care plan for a patient with impaired mobility. Which nursing
intervention is considered an independent nursing action?
A. Administering an anticoagulant as prescribed
B. Turning and repositioning the patient every 2 hours
C. Obtaining an order for physical therapy
D. Applying a sequential compression device as ordered
☑ Correct Answer: B
☑ Explanation: Independent nursing interventions are actions that a nurse can legally
perform without a physician's order, based on nursing judgment. Turning and repositioning is an
independent intervention. Administering medications, obtaining orders, and applying devices as
ordered are dependent interventions.
