NSG 100 Final Exam - Nursing Foundations 2026/202… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NSG 100 Final Exam - Nursing Foundations 2026/2027
UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NSG 100 Final Exam - Nursing Foundations 2026/202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is preparing to administer an intramuscular injection to an obese patient. Which
action should the nurse take to ensure the medication reaches the muscle tissue?
A. Use a 1-inch needle at a 45-degree angle.
B. Select a 5/8-inch needle and use the Z-track method.
C. Use a 1.5 to 3-inch needle at a 90-degree angle.
D. Pinch the skin and use a 1-inch needle.
Answer: C
Rationale: Obese patients require longer needles (1.5 to 3 inches) to penetrate the subcutaneous
layer and reach the muscle tissue at a 90-degree angle. Exam questions often test whether you can
pick the most practical and safe choice for the client in real situations. Focus on what the nurse can
actually do right now. This is important because the nurse must choose the action that keeps the client
safest while still meeting their basic needs. Always think about safety first when answering these
questions.
2. When assessing a patient for orthostatic hypotension, which finding indicates the
condition is present?
A. A decrease in systolic blood pressure of 10 mmHg when standing.
B. An increase in heart rate of 5 beats per minute when sitting.
C. An increase in diastolic blood pressure of 10 mmHg when standing.
D. A decrease in systolic blood pressure of 20 mmHg when moving from supine to standing.
Answer: D
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg or diastolic
BP of at least 10 mmHg within 3 minutes of standing. Exam questions often test whether you can pick
the most practical and safe choice for the client in real situations. Focus on what the nurse can actually
do right now. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NSG 100 Final Exam - Nursing Foundations 2026/202… 2026/2027 • Verified • Assured Grade A+
3. A nurse is caring for a patient with a prescription for ‘restraints PRN.’ What is the nurse’s
most appropriate action?
A. Apply the restraints when the patient becomes agitated.
B. Contact the provider to clarify the order, as PRN restraint orders are not permitted.
C. Ask the family for permission before applying the restraints.
D. Document the patient’s behavior and apply the restraints for safety.
Answer: B
Rationale: Restraints cannot be ordered on a PRN (as needed) basis; they require a specific
time-limited order based on a current assessment. This knowledge supports safe care and helps the
nurse teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety. Exam questions often test whether you can pick the most practical and safe choice for the
client in real situations. Focus on what the nurse can actually do right now.
4. Which nursing action best demonstrates the ethical principle of Autonomy?
A. Supporting a patient’s decision to refuse chemotherapy despite a poor prognosis.
B. Keeping a promise to return to a patient’s room in 10 minutes.
C. Providing the same quality of care to all patients regardless of their background.
D. Performing a procedure correctly to ensure no harm comes to the patient.
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions, including the
right to refuse treatment. Remembering this point will help you decide the best nursing action when
similar questions appear on the exam. Link the answer to the client’s current condition and risk level.
Exam questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NSG 100 Final Exam - Nursing Foundations 2026/2027
UPDATE
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,NSG 100 Final Exam - Nursing Foundations 2026/202… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A nurse is preparing to administer an intramuscular injection to an obese patient. Which
action should the nurse take to ensure the medication reaches the muscle tissue?
A. Use a 1-inch needle at a 45-degree angle.
B. Select a 5/8-inch needle and use the Z-track method.
C. Use a 1.5 to 3-inch needle at a 90-degree angle.
D. Pinch the skin and use a 1-inch needle.
Answer: C
Rationale: Obese patients require longer needles (1.5 to 3 inches) to penetrate the subcutaneous
layer and reach the muscle tissue at a 90-degree angle. Exam questions often test whether you can
pick the most practical and safe choice for the client in real situations. Focus on what the nurse can
actually do right now. This is important because the nurse must choose the action that keeps the client
safest while still meeting their basic needs. Always think about safety first when answering these
questions.
2. When assessing a patient for orthostatic hypotension, which finding indicates the
condition is present?
A. A decrease in systolic blood pressure of 10 mmHg when standing.
B. An increase in heart rate of 5 beats per minute when sitting.
C. An increase in diastolic blood pressure of 10 mmHg when standing.
D. A decrease in systolic blood pressure of 20 mmHg when moving from supine to standing.
Answer: D
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg or diastolic
BP of at least 10 mmHg within 3 minutes of standing. Exam questions often test whether you can pick
the most practical and safe choice for the client in real situations. Focus on what the nurse can actually
do right now. In practice, this guides the nurse to set priorities and protect the client from harm. Safety,
nutrition, and clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 2
, NSG 100 Final Exam - Nursing Foundations 2026/202… 2026/2027 • Verified • Assured Grade A+
3. A nurse is caring for a patient with a prescription for ‘restraints PRN.’ What is the nurse’s
most appropriate action?
A. Apply the restraints when the patient becomes agitated.
B. Contact the provider to clarify the order, as PRN restraint orders are not permitted.
C. Ask the family for permission before applying the restraints.
D. Document the patient’s behavior and apply the restraints for safety.
Answer: B
Rationale: Restraints cannot be ordered on a PRN (as needed) basis; they require a specific
time-limited order based on a current assessment. This knowledge supports safe care and helps the
nurse teach the client and family clearly and simply. Clear teaching improves cooperation and reduces
anxiety. Exam questions often test whether you can pick the most practical and safe choice for the
client in real situations. Focus on what the nurse can actually do right now.
4. Which nursing action best demonstrates the ethical principle of Autonomy?
A. Supporting a patient’s decision to refuse chemotherapy despite a poor prognosis.
B. Keeping a promise to return to a patient’s room in 10 minutes.
C. Providing the same quality of care to all patients regardless of their background.
D. Performing a procedure correctly to ensure no harm comes to the patient.
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions, including the
right to refuse treatment. Remembering this point will help you decide the best nursing action when
similar questions appear on the exam. Link the answer to the client’s current condition and risk level.
Exam questions often test whether you can pick the most practical and safe choice for the client in real
situations. Focus on what the nurse can actually do right now.
Exam (Elaborations) • Detailed Rationales Page 3
