NSG 3100 EXAM 1 COMPREHENSIVE PRACTICE QUESTION
BANK
200 Multiple-Choice Questions Covering Fundamentals of
Nursing: Safety, Infection Control, Skin Integrity, Fall
Prevention, and Wound Care
COMPLETE EXAM REVIEW | GALEN COLLEGE OF NURSING |
2026/2O27 UPDATE
Question 1
The nurse is teaching a patient about fall prevention strategies at home.
Which statement by the patient indicates a need for further teaching?
A) "I will install grab bars in my bathroom near the toilet and shower."
B) "I will remove all throw rugs from my walking paths throughout the
house."
C) "I will keep my walker next to my bed so it is ready when I get up."
D) "I will use a night-light in the hallway and bathroom at night."
E) "I will wear my favorite fuzzy slippers because they are comfortable."
Correct Answer: E) "I will wear my favorite fuzzy slippers because they
are comfortable."
Rationale: Slippers without non-skid soles or with smooth bottoms
increase fall risk. Patients should wear non-skid footwear or sturdy
shoes with good traction to prevent slips on hard surfaces.
,Question 2
The nurse is caring for a patient with a wound infection. Which nursing
diagnosis is most appropriate for this patient?
A) Impaired skin integrity related to surgical incision
B) Risk for infection related to altered immune response
C) Impaired tissue integrity related to pressure ulcer formation
D) Acute pain related to wound drainage
E) Risk for falls related to mobility impairment
Correct Answer: A) Impaired skin integrity related to surgical incision
Rationale: The patient already has a wound infection, indicating actual
skin impairment. "Risk for infection" would be used when infection
has not yet occurred but the patient is susceptible.
Question 3
The nurse is providing teaching about firearm safety to parents of young
children. Which statement by a parent indicates understanding of the
teaching?
A) "I can leave ammunition in the same cabinet as long as the gun is
unloaded."
B) "Children should be taught to never touch firearms and tell an adult
immediately."
C) "Keeping the safety on is sufficient protection if the gun is stored in a
closet."
D) "Firearms should be stored in a visible location so children know they
are there."
E) "Ammunition can be stored in the same drawer as the firearm if it is
locked."
,Correct Answer: B) "Children should be taught to never touch firearms
and tell an adult immediately."
Rationale: Education about firearm safety includes teaching children
that guns are not toys and should never be touched. If they find a gun,
they should leave the area immediately and tell an adult. Firearms
and ammunition should always be stored separately in locked
locations.
Question 4
The nurse is performing a bed bath on a patient. Which action
demonstrates proper technique for bathing the patient's arm?
A) Washing from the axilla toward the wrist
B) Using circular motions to cleanse the skin
C) Washing from the wrist toward the axilla
D) Applying lotion before washing the arm
E) Using friction to remove dead skin cells
Correct Answer: C) Washing from the wrist toward the axilla
Rationale: Washing from distal to proximal (wrist to axilla) promotes
venous return and lymphatic drainage, helping to prevent edema and
improve circulation. This technique supports blood flow back toward
the heart.
Question 5
The nurse is evaluating a patient's understanding of home safety. Which
statement by an elderly patient indicates a correct understanding?
A) "I keep my hallway clear so I can walk safely to the bathroom at
night."
, B) "I use extension cords to plug in my space heater and television."
C) "I store my cleaning supplies under the kitchen sink for easy access."
D) "I have several throw rugs throughout the house to prevent slipping."
E) "I keep my medications on the counter so I remember to take them."
Correct Answer: A) "I keep my hallway clear so I can walk safely to the
bathroom at night."
Rationale: Keeping hallways and walking paths clear of clutter reduces
fall risk. Extension cords should not be used for high-voltage items,
cleaning supplies should be locked away from children, throw rugs are
trip hazards, and medications should be stored safely out of reach of
children.
Question 6
The nurse recognizes that which patient is at highest risk for impaired
skin integrity?
A) A 25-year-old with a broken arm
B) A 45-year-old with hypertension
C) A 70-year-old with urinary incontinence
D) A 30-year-old with diabetes controlled by diet
E) A 50-year-old with mild arthritis
Correct Answer: C) A 70-year-old with urinary incontinence
Rationale: Elderly patients with urinary incontinence are at high risk
for skin breakdown due to prolonged moisture exposure, which
macerates the skin and makes it more susceptible to damage and
infection. Age-related skin changes also decrease skin integrity.
BANK
200 Multiple-Choice Questions Covering Fundamentals of
Nursing: Safety, Infection Control, Skin Integrity, Fall
Prevention, and Wound Care
COMPLETE EXAM REVIEW | GALEN COLLEGE OF NURSING |
2026/2O27 UPDATE
Question 1
The nurse is teaching a patient about fall prevention strategies at home.
Which statement by the patient indicates a need for further teaching?
A) "I will install grab bars in my bathroom near the toilet and shower."
B) "I will remove all throw rugs from my walking paths throughout the
house."
C) "I will keep my walker next to my bed so it is ready when I get up."
D) "I will use a night-light in the hallway and bathroom at night."
E) "I will wear my favorite fuzzy slippers because they are comfortable."
Correct Answer: E) "I will wear my favorite fuzzy slippers because they
are comfortable."
Rationale: Slippers without non-skid soles or with smooth bottoms
increase fall risk. Patients should wear non-skid footwear or sturdy
shoes with good traction to prevent slips on hard surfaces.
,Question 2
The nurse is caring for a patient with a wound infection. Which nursing
diagnosis is most appropriate for this patient?
A) Impaired skin integrity related to surgical incision
B) Risk for infection related to altered immune response
C) Impaired tissue integrity related to pressure ulcer formation
D) Acute pain related to wound drainage
E) Risk for falls related to mobility impairment
Correct Answer: A) Impaired skin integrity related to surgical incision
Rationale: The patient already has a wound infection, indicating actual
skin impairment. "Risk for infection" would be used when infection
has not yet occurred but the patient is susceptible.
Question 3
The nurse is providing teaching about firearm safety to parents of young
children. Which statement by a parent indicates understanding of the
teaching?
A) "I can leave ammunition in the same cabinet as long as the gun is
unloaded."
B) "Children should be taught to never touch firearms and tell an adult
immediately."
C) "Keeping the safety on is sufficient protection if the gun is stored in a
closet."
D) "Firearms should be stored in a visible location so children know they
are there."
E) "Ammunition can be stored in the same drawer as the firearm if it is
locked."
,Correct Answer: B) "Children should be taught to never touch firearms
and tell an adult immediately."
Rationale: Education about firearm safety includes teaching children
that guns are not toys and should never be touched. If they find a gun,
they should leave the area immediately and tell an adult. Firearms
and ammunition should always be stored separately in locked
locations.
Question 4
The nurse is performing a bed bath on a patient. Which action
demonstrates proper technique for bathing the patient's arm?
A) Washing from the axilla toward the wrist
B) Using circular motions to cleanse the skin
C) Washing from the wrist toward the axilla
D) Applying lotion before washing the arm
E) Using friction to remove dead skin cells
Correct Answer: C) Washing from the wrist toward the axilla
Rationale: Washing from distal to proximal (wrist to axilla) promotes
venous return and lymphatic drainage, helping to prevent edema and
improve circulation. This technique supports blood flow back toward
the heart.
Question 5
The nurse is evaluating a patient's understanding of home safety. Which
statement by an elderly patient indicates a correct understanding?
A) "I keep my hallway clear so I can walk safely to the bathroom at
night."
, B) "I use extension cords to plug in my space heater and television."
C) "I store my cleaning supplies under the kitchen sink for easy access."
D) "I have several throw rugs throughout the house to prevent slipping."
E) "I keep my medications on the counter so I remember to take them."
Correct Answer: A) "I keep my hallway clear so I can walk safely to the
bathroom at night."
Rationale: Keeping hallways and walking paths clear of clutter reduces
fall risk. Extension cords should not be used for high-voltage items,
cleaning supplies should be locked away from children, throw rugs are
trip hazards, and medications should be stored safely out of reach of
children.
Question 6
The nurse recognizes that which patient is at highest risk for impaired
skin integrity?
A) A 25-year-old with a broken arm
B) A 45-year-old with hypertension
C) A 70-year-old with urinary incontinence
D) A 30-year-old with diabetes controlled by diet
E) A 50-year-old with mild arthritis
Correct Answer: C) A 70-year-old with urinary incontinence
Rationale: Elderly patients with urinary incontinence are at high risk
for skin breakdown due to prolonged moisture exposure, which
macerates the skin and makes it more susceptible to damage and
infection. Age-related skin changes also decrease skin integrity.
