G A L E N CO L L E G E O F N U R S I N G
Bachelor of Science in Nursing (BSN)
NSG 3130 Fundamental Concepts & Skills for Nursing Practice II
Academic Year: 2026/2027 Exam 1 · Comprehensive Question Bank
Question 1 NCLEX
The nurse is caring for a patient for the first time and needs background information
such as history, medications taken at home, etc. What is the best central location for
the nurse to obtain this information?
A. Admission summary
B. Progress notes
C. MAR
D. Flow sheets
CORRECT ANSWER: A. Admission summary
RATIONALE: Correct: A. The admission summary contains comprehensive background
information including history and home medications. B. Progress notes are ongoing. C.
MAR contains medication administration. D. Flow sheets contain specific data.
,Question 2 NCLEX
The nurse knows the World Health Organization defines health in which of the
following terms?
A. Complete well-being
B. Absence of disease
C. Ability to function independently
D. Physical fitness only
CORRECT ANSWER: A. Complete well-being
RATIONALE: Correct: A. The WHO defines health as a state of complete physical, mental,
and social well-being, not merely the absence of disease. B, C, D. These are incomplete
definitions.
Question 3 NCLEX
What does the nursing student learn about race?
A. It is a social construct
B. It is biologically determined
C. It is the same as ethnicity
D. It is based on genetics
CORRECT ANSWER: A. It is a social construct
RATIONALE: Correct: A. Race is a social construct rather than a biological reality. B. Race
is not biologically determined. C. Race and ethnicity are different. D. Genetics do not
determine race.
,Question 4 NCLEX
The nurse recognizes which statement to be accurate regarding what should be
documented?
A. Document facts and subjective data from the patient
B. Document only objective data
C. Document only subjective data
D. Document only positive findings
CORRECT ANSWER: A. Document facts and subjective data from the patient
RATIONALE: Correct: A. Documentation should include both objective facts and
subjective data from the patient. B, C, D. These are incomplete.
Question 5 NCLEX
A patient in the emergency department needs an emergency operation. The patient
refuses to consent and wants the nurse to call a respected elder in the community for
consent. What action by the nurse is best?
A. Call the elder to get consent for the operation
B. Inform the patient that only the patient can consent
C. Proceed with the surgery without consent
D. Contact the hospital ethics committee
CORRECT ANSWER: A. Call the elder to get consent for the operation
RATIONALE: Correct: A. In some cultures, elders make healthcare decisions; respecting
this is culturally congruent care. B. This ignores cultural norms. C. Surgery without consent
is illegal. D. This is not the immediate best action.
, Question 6 NCLEX
The nurse is caring for a patient from a different culture. After assessing the patient
and formulating the care plan, what action by the nurse is best?
A. Review the care plan for acceptance by the patient
B. Implement the care plan without patient input
C. Assume the patient agrees with the plan
D. Document the plan without discussion
CORRECT ANSWER: A. Review the care plan for acceptance by the patient
RATIONALE: Correct: A. The care plan should be reviewed with the patient to ensure
acceptance and cultural congruence. B, C, D. These actions do not involve the patient in
their care.
Question 7 NCLEX
The nurse knows that paper records are being replaced by other forms of record
keeping for what reason?
A. Paper is fragile and susceptible to damage
B. Paper is more expensive
C. Paper is easier to use
D. Paper is more secure
CORRECT ANSWER: A. Paper is fragile and susceptible to damage
RATIONALE: Correct: A. Paper records are fragile and can be damaged by water, fire, or
wear. B. Paper is generally less expensive. C. Paper is not necessarily easier. D. Paper is less
secure.
Bachelor of Science in Nursing (BSN)
NSG 3130 Fundamental Concepts & Skills for Nursing Practice II
Academic Year: 2026/2027 Exam 1 · Comprehensive Question Bank
Question 1 NCLEX
The nurse is caring for a patient for the first time and needs background information
such as history, medications taken at home, etc. What is the best central location for
the nurse to obtain this information?
A. Admission summary
B. Progress notes
C. MAR
D. Flow sheets
CORRECT ANSWER: A. Admission summary
RATIONALE: Correct: A. The admission summary contains comprehensive background
information including history and home medications. B. Progress notes are ongoing. C.
MAR contains medication administration. D. Flow sheets contain specific data.
,Question 2 NCLEX
The nurse knows the World Health Organization defines health in which of the
following terms?
A. Complete well-being
B. Absence of disease
C. Ability to function independently
D. Physical fitness only
CORRECT ANSWER: A. Complete well-being
RATIONALE: Correct: A. The WHO defines health as a state of complete physical, mental,
and social well-being, not merely the absence of disease. B, C, D. These are incomplete
definitions.
Question 3 NCLEX
What does the nursing student learn about race?
A. It is a social construct
B. It is biologically determined
C. It is the same as ethnicity
D. It is based on genetics
CORRECT ANSWER: A. It is a social construct
RATIONALE: Correct: A. Race is a social construct rather than a biological reality. B. Race
is not biologically determined. C. Race and ethnicity are different. D. Genetics do not
determine race.
,Question 4 NCLEX
The nurse recognizes which statement to be accurate regarding what should be
documented?
A. Document facts and subjective data from the patient
B. Document only objective data
C. Document only subjective data
D. Document only positive findings
CORRECT ANSWER: A. Document facts and subjective data from the patient
RATIONALE: Correct: A. Documentation should include both objective facts and
subjective data from the patient. B, C, D. These are incomplete.
Question 5 NCLEX
A patient in the emergency department needs an emergency operation. The patient
refuses to consent and wants the nurse to call a respected elder in the community for
consent. What action by the nurse is best?
A. Call the elder to get consent for the operation
B. Inform the patient that only the patient can consent
C. Proceed with the surgery without consent
D. Contact the hospital ethics committee
CORRECT ANSWER: A. Call the elder to get consent for the operation
RATIONALE: Correct: A. In some cultures, elders make healthcare decisions; respecting
this is culturally congruent care. B. This ignores cultural norms. C. Surgery without consent
is illegal. D. This is not the immediate best action.
, Question 6 NCLEX
The nurse is caring for a patient from a different culture. After assessing the patient
and formulating the care plan, what action by the nurse is best?
A. Review the care plan for acceptance by the patient
B. Implement the care plan without patient input
C. Assume the patient agrees with the plan
D. Document the plan without discussion
CORRECT ANSWER: A. Review the care plan for acceptance by the patient
RATIONALE: Correct: A. The care plan should be reviewed with the patient to ensure
acceptance and cultural congruence. B, C, D. These actions do not involve the patient in
their care.
Question 7 NCLEX
The nurse knows that paper records are being replaced by other forms of record
keeping for what reason?
A. Paper is fragile and susceptible to damage
B. Paper is more expensive
C. Paper is easier to use
D. Paper is more secure
CORRECT ANSWER: A. Paper is fragile and susceptible to damage
RATIONALE: Correct: A. Paper records are fragile and can be damaged by water, fire, or
wear. B. Paper is generally less expensive. C. Paper is not necessarily easier. D. Paper is less
secure.
