1
NSG 3100 EXAM FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE 1 EXAM PREP | VERIFIED
Q&A – GALEN
1. A newly admitted adult patient is being assessed by the nurse during the initial
nursing assessment. The patient is alert and oriented but reports that they have
been experiencing increasing fatigue, decreased appetite, and difficulty sleeping
for several days. The nurse needs to establish a comprehensive baseline that can be
used to identify changes in the patient's condition throughout hospitalization.
Which action should the nurse perform first when beginning the assessment?
A. Review the patient's previous medical records
B. Establish a systematic baseline assessment of the patient's current condition
C. Ask the patient's family to describe all previous illnesses
D. Immediately notify the healthcare provider of the patient's symptoms
Answer: B
2. A nurse is preparing to enter the room of a patient who has been admitted with a
suspected infectious respiratory illness. Before providing direct patient care, the
nurse reviews the patient's diagnosis, determines the appropriate precautions, and
prepares the necessary personal protective equipment. Which principle of infection
prevention is the nurse demonstrating?
A. Medical asepsis
B. Surgical asepsis
C. Standardized medication administration
D. Environmental isolation
Answer: A
3. A hospitalized patient tells the nurse, "I am frightened because I don't
understand what is happening to me, and I don't know what all these tests are for."
The nurse sits at the patient's bedside, maintains appropriate eye contact, listens
without interrupting, and encourages the patient to express concerns. Which
communication technique is the nurse primarily demonstrating?
,2
A. Giving advice
B. Therapeutic communication
C. Changing the subject
D. Providing false reassurance
Answer: B
4. A nurse is caring for a patient who has limited mobility following surgery. The
patient spends most of the day in bed and requires assistance when changing
positions. The nurse recognizes that prolonged immobility can contribute to several
complications. Which nursing intervention is most appropriate for reducing the
patient's risk of pressure injury?
A. Reposition the patient regularly and assess the skin frequently
B. Massage reddened areas over bony prominences
C. Keep the patient in one comfortable position throughout the shift
D. Restrict fluid intake to prevent excessive moisture
Answer: A
5. A nurse is preparing to administer an oral medication to an adult patient. Before
giving the medication, the nurse compares the medication label with the
medication administration record and verifies the patient's identity using two
approved identifiers. Which nursing principle is the nurse applying?
A. Safe medication administration
B. Delegation
C. Incident reporting
D. Patient classification
Answer: A
6. A patient who has been prescribed bed rest asks the nurse why the healthcare
team continues to encourage movement and exercises even though the patient is
,3
not permitted to ambulate independently. Which explanation best reflects the
purpose of maintaining mobility during hospitalization?
A. Mobility prevents all postoperative complications
B. Mobility promotes circulation, maintains muscle strength, and decreases
complications of immobility
C. Mobility eliminates the patient's need for pain medication
D. Mobility prevents every type of infection
Answer: B
7. During a morning assessment, the nurse notices that a patient's respiratory rate
has increased from 16 breaths/min to 28 breaths/min. The patient appears anxious
and reports feeling short of breath. Which action should the nurse take first?
A. Document the respiratory rate at the end of the shift
B. Assess the patient's airway, breathing, oxygen saturation, and overall respiratory
status
C. Encourage the patient to walk in the hallway
D. Offer the patient a large meal
Answer: B
8. A nurse is assisting a patient who has weakness on the right side of the body to
transfer from the bed to a chair. The nurse positions the chair appropriately, locks
the wheels, and assists the patient while using proper body mechanics. Which
principle is most important when performing this transfer?
A. Preventing injury to both the patient and nurse
B. Completing the transfer as quickly as possible
C. Allowing the patient to pull on the nurse's neck
D. Keeping the patient's feet off the floor
Answer: A
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9. A patient tells the nurse, "I have been taking several herbal products at home,
but I did not mention them when I was admitted because I thought they were not
medications." Which nursing response is most appropriate?
A. "Herbal products are harmless, so they do not need to be reported."
B. "You should stop taking all herbal products permanently."
C. "Please tell me which products you take so they can be included in your
medication history."
D. "Only prescription medications need to be documented."
Answer: C
10. A nurse is preparing to assess a patient's pain. The patient is awake and able to
communicate clearly. Which assessment method provides the most reliable
information about the patient's pain intensity?
A. The nurse's observation of facial expression
B. The patient's self-report using an appropriate pain scale
C. The patient's heart rate
D. The patient's blood pressure
Answer: B
11. A patient reports pain at a level of 8 out of 10 after surgery. The nurse
administers the prescribed analgesic and plans to reassess the patient. Which
finding best demonstrates that the intervention was effective?
A. The patient reports pain decreased to 3 out of 10
B. The patient's blood pressure increases
C. The patient becomes more restless
D. The patient reports increased nausea
Answer: A
NSG 3100 EXAM FUNDAMENTAL CONCEPTS & SKILLS
FOR NURSING PRACTICE 1 EXAM PREP | VERIFIED
Q&A – GALEN
1. A newly admitted adult patient is being assessed by the nurse during the initial
nursing assessment. The patient is alert and oriented but reports that they have
been experiencing increasing fatigue, decreased appetite, and difficulty sleeping
for several days. The nurse needs to establish a comprehensive baseline that can be
used to identify changes in the patient's condition throughout hospitalization.
Which action should the nurse perform first when beginning the assessment?
A. Review the patient's previous medical records
B. Establish a systematic baseline assessment of the patient's current condition
C. Ask the patient's family to describe all previous illnesses
D. Immediately notify the healthcare provider of the patient's symptoms
Answer: B
2. A nurse is preparing to enter the room of a patient who has been admitted with a
suspected infectious respiratory illness. Before providing direct patient care, the
nurse reviews the patient's diagnosis, determines the appropriate precautions, and
prepares the necessary personal protective equipment. Which principle of infection
prevention is the nurse demonstrating?
A. Medical asepsis
B. Surgical asepsis
C. Standardized medication administration
D. Environmental isolation
Answer: A
3. A hospitalized patient tells the nurse, "I am frightened because I don't
understand what is happening to me, and I don't know what all these tests are for."
The nurse sits at the patient's bedside, maintains appropriate eye contact, listens
without interrupting, and encourages the patient to express concerns. Which
communication technique is the nurse primarily demonstrating?
,2
A. Giving advice
B. Therapeutic communication
C. Changing the subject
D. Providing false reassurance
Answer: B
4. A nurse is caring for a patient who has limited mobility following surgery. The
patient spends most of the day in bed and requires assistance when changing
positions. The nurse recognizes that prolonged immobility can contribute to several
complications. Which nursing intervention is most appropriate for reducing the
patient's risk of pressure injury?
A. Reposition the patient regularly and assess the skin frequently
B. Massage reddened areas over bony prominences
C. Keep the patient in one comfortable position throughout the shift
D. Restrict fluid intake to prevent excessive moisture
Answer: A
5. A nurse is preparing to administer an oral medication to an adult patient. Before
giving the medication, the nurse compares the medication label with the
medication administration record and verifies the patient's identity using two
approved identifiers. Which nursing principle is the nurse applying?
A. Safe medication administration
B. Delegation
C. Incident reporting
D. Patient classification
Answer: A
6. A patient who has been prescribed bed rest asks the nurse why the healthcare
team continues to encourage movement and exercises even though the patient is
,3
not permitted to ambulate independently. Which explanation best reflects the
purpose of maintaining mobility during hospitalization?
A. Mobility prevents all postoperative complications
B. Mobility promotes circulation, maintains muscle strength, and decreases
complications of immobility
C. Mobility eliminates the patient's need for pain medication
D. Mobility prevents every type of infection
Answer: B
7. During a morning assessment, the nurse notices that a patient's respiratory rate
has increased from 16 breaths/min to 28 breaths/min. The patient appears anxious
and reports feeling short of breath. Which action should the nurse take first?
A. Document the respiratory rate at the end of the shift
B. Assess the patient's airway, breathing, oxygen saturation, and overall respiratory
status
C. Encourage the patient to walk in the hallway
D. Offer the patient a large meal
Answer: B
8. A nurse is assisting a patient who has weakness on the right side of the body to
transfer from the bed to a chair. The nurse positions the chair appropriately, locks
the wheels, and assists the patient while using proper body mechanics. Which
principle is most important when performing this transfer?
A. Preventing injury to both the patient and nurse
B. Completing the transfer as quickly as possible
C. Allowing the patient to pull on the nurse's neck
D. Keeping the patient's feet off the floor
Answer: A
, 4
9. A patient tells the nurse, "I have been taking several herbal products at home,
but I did not mention them when I was admitted because I thought they were not
medications." Which nursing response is most appropriate?
A. "Herbal products are harmless, so they do not need to be reported."
B. "You should stop taking all herbal products permanently."
C. "Please tell me which products you take so they can be included in your
medication history."
D. "Only prescription medications need to be documented."
Answer: C
10. A nurse is preparing to assess a patient's pain. The patient is awake and able to
communicate clearly. Which assessment method provides the most reliable
information about the patient's pain intensity?
A. The nurse's observation of facial expression
B. The patient's self-report using an appropriate pain scale
C. The patient's heart rate
D. The patient's blood pressure
Answer: B
11. A patient reports pain at a level of 8 out of 10 after surgery. The nurse
administers the prescribed analgesic and plans to reassess the patient. Which
finding best demonstrates that the intervention was effective?
A. The patient reports pain decreased to 3 out of 10
B. The patient's blood pressure increases
C. The patient becomes more restless
D. The patient reports increased nausea
Answer: A
