NSG 3100 Exam 3 | Fundamentals of
Nursing
TEST BANK & SUCCESS GUIDE (2026/2027) - GALEN COLLEGE
(1) A nurse is caring for a client with pulmonary tuberculosis. Which type of isolation
precautions should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Protective Environment
CORRECT ANSWER: C
Clinical Rationale: Airborne precautions are required for pathogens smaller than 5 microns
that remain suspended in the air, such as TB, measles, and varicella. This requires a private,
negative-pressure room and an N95 respirator.
(2) When removing personal protective equipment (PPE), which item should the nurse
remove first to prevent cross-contamination?
A. Mask
B. Gown
C. Gloves
D. Goggles
CORRECT ANSWER: C
Clinical Rationale: According to standard CDC guidelines, gloves are usually the most
contaminated and should be removed first, followed by goggles/face shield, gown, and then
the mask.
,(3) A nurse is assessing a client's blood pressure and finds it to be 160/94 mmHg. What
is the nurse's priority action?
A. Document the finding.
B. Administer an antihypertensive immediately.
C. Re-check the blood pressure in the other arm.
D. Notify the provider immediately.
CORRECT ANSWER: C
Clinical Rationale: A single elevated reading should be verified for accuracy by checking
the other arm or re-measuring after a period of rest before escalation, assuming the client
is not in acute distress.
(4) A nurse is preparing to move a client up in bed. Which body mechanics principle
should the nurse apply?
A. Keep the knees straight and bend at the waist.
B. Position the feet close together for a narrow base.
C. Tighten the abdominal muscles and keep the back straight.
D. Lift using the small muscles of the lower back.
CORRECT ANSWER: C
Clinical Rationale: Proper body mechanics include using a wide base of support, bending
at the knees (not waist), and using large muscle groups (legs/abdomen) to prevent back
injury.
,(5) A client is at high risk for falls. Which nursing intervention is the most appropriate?
A. Keeping all four side rails up at all times.
B. Placing the bed in the highest position for ease of access.
C. Providing non-skid footwear and keeping the call light within reach.
D. Administering a sedative to keep the client in bed.
CORRECT ANSWER: C
Clinical Rationale: Non-skid socks and accessible call lights are standard fall precautions.
Four side rails are often considered a physical restraint, which can increase the risk of injury
if the client tries to climb over them.
(6) The nurse has applied soft wrist restraints to a client. How often must the nurse
remove the restraints to assess skin integrity and range of motion?
A. Every 1 hour
B. Every 2 hours
C. Every 4 hours
D. Once per shift
CORRECT ANSWER: B
Clinical Rationale: Standard policy requires restraints to be removed every 2 hours to
provide skin care, neurovascular assessment, and range of motion to the affected extremity.
, (7) A client who is non-verbal and grimacing is being assessed for pain. Which
assessment tool is most appropriate?
A. Numeric Rating Scale (0-10)
B. Wong-Baker FACES Scale
C. FLACC Scale
D. Visual Analog Scale
CORRECT ANSWER: C
Clinical Rationale: The FLACC (Face, Legs, Activity, Cry, Consolability) scale is designed for
infants and non-verbal clients to assess pain based on observable behaviors.
(8) When performing perineal care for a female client, in which direction should the
nurse wipe?
A. Back to front
B. Front to back
C. Side to side
D. In a circular motion
CORRECT ANSWER: B
Clinical Rationale: Wiping from front to back (pubis to rectum) prevents the transfer of
fecal bacteria into the urinary meatus, reducing the risk of UTIs.
Nursing
TEST BANK & SUCCESS GUIDE (2026/2027) - GALEN COLLEGE
(1) A nurse is caring for a client with pulmonary tuberculosis. Which type of isolation
precautions should the nurse implement?
A. Contact Precautions
B. Droplet Precautions
C. Airborne Precautions
D. Protective Environment
CORRECT ANSWER: C
Clinical Rationale: Airborne precautions are required for pathogens smaller than 5 microns
that remain suspended in the air, such as TB, measles, and varicella. This requires a private,
negative-pressure room and an N95 respirator.
(2) When removing personal protective equipment (PPE), which item should the nurse
remove first to prevent cross-contamination?
A. Mask
B. Gown
C. Gloves
D. Goggles
CORRECT ANSWER: C
Clinical Rationale: According to standard CDC guidelines, gloves are usually the most
contaminated and should be removed first, followed by goggles/face shield, gown, and then
the mask.
,(3) A nurse is assessing a client's blood pressure and finds it to be 160/94 mmHg. What
is the nurse's priority action?
A. Document the finding.
B. Administer an antihypertensive immediately.
C. Re-check the blood pressure in the other arm.
D. Notify the provider immediately.
CORRECT ANSWER: C
Clinical Rationale: A single elevated reading should be verified for accuracy by checking
the other arm or re-measuring after a period of rest before escalation, assuming the client
is not in acute distress.
(4) A nurse is preparing to move a client up in bed. Which body mechanics principle
should the nurse apply?
A. Keep the knees straight and bend at the waist.
B. Position the feet close together for a narrow base.
C. Tighten the abdominal muscles and keep the back straight.
D. Lift using the small muscles of the lower back.
CORRECT ANSWER: C
Clinical Rationale: Proper body mechanics include using a wide base of support, bending
at the knees (not waist), and using large muscle groups (legs/abdomen) to prevent back
injury.
,(5) A client is at high risk for falls. Which nursing intervention is the most appropriate?
A. Keeping all four side rails up at all times.
B. Placing the bed in the highest position for ease of access.
C. Providing non-skid footwear and keeping the call light within reach.
D. Administering a sedative to keep the client in bed.
CORRECT ANSWER: C
Clinical Rationale: Non-skid socks and accessible call lights are standard fall precautions.
Four side rails are often considered a physical restraint, which can increase the risk of injury
if the client tries to climb over them.
(6) The nurse has applied soft wrist restraints to a client. How often must the nurse
remove the restraints to assess skin integrity and range of motion?
A. Every 1 hour
B. Every 2 hours
C. Every 4 hours
D. Once per shift
CORRECT ANSWER: B
Clinical Rationale: Standard policy requires restraints to be removed every 2 hours to
provide skin care, neurovascular assessment, and range of motion to the affected extremity.
, (7) A client who is non-verbal and grimacing is being assessed for pain. Which
assessment tool is most appropriate?
A. Numeric Rating Scale (0-10)
B. Wong-Baker FACES Scale
C. FLACC Scale
D. Visual Analog Scale
CORRECT ANSWER: C
Clinical Rationale: The FLACC (Face, Legs, Activity, Cry, Consolability) scale is designed for
infants and non-verbal clients to assess pain based on observable behaviors.
(8) When performing perineal care for a female client, in which direction should the
nurse wipe?
A. Back to front
B. Front to back
C. Side to side
D. In a circular motion
CORRECT ANSWER: B
Clinical Rationale: Wiping from front to back (pubis to rectum) prevents the transfer of
fecal bacteria into the urinary meatus, reducing the risk of UTIs.
