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NSG 3100 FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING EXAM 3
ACTUAL 2026/2027 COMPREHENSIVE PRACTICE QUESTIONS AND
LATEST UPDATED
1. A nurse is caring for an older adult who has been prescribed several
medications and reports difficulty remembering which medications should
be taken at different times of the day. During medication reconciliation, the
nurse notices that one medication is listed twice under different brand and
generic names. What is the nurse’s priority action before administering the
medications?
A. Ask the client to identify which medication should be discontinued
B. Hold the duplicate medication and clarify the prescription with the
prescribing provider or pharmacist
C. Administer both medications because they appear under different names
D. Document the medication discrepancy after all scheduled medications
have been given
Answer: B
2. A postoperative client suddenly becomes restless, has a respiratory rate of
30 breaths/min, and reports increasing shortness of breath. The oxygen
saturation has decreased from 97% to 88% on room air. Which intervention
should the nurse implement first?
A. Encourage the client to ambulate to improve circulation
B. Administer the prescribed opioid medication
C. Place the client in a position that promotes maximum lung expansion and
apply prescribed oxygen
D. Obtain a complete dietary history before intervening
Answer: C
3. A nurse is preparing to administer an intramuscular medication to an adult
client with a moderate amount of adipose tissue over the selected injection
site. Which action is most appropriate to ensure the medication is delivered
into the muscle?
A. Select an appropriate needle length based on the client’s body habitus
,2
and prescribed medication
B. Use the shortest available needle regardless of the client’s body
composition
C. Massage the injection site vigorously immediately after administration
D. Insert the needle only into the superficial subcutaneous tissue
Answer: A
4. A hospitalized client who has been receiving oxygen through a nasal
cannula becomes increasingly drowsy and difficult to arouse. The client’s
respiratory rate is 8 breaths/min and respirations are shallow. What should
the nurse do first?
A. Increase the oxygen flow rate without assessing the client
B. Leave the client to rest because drowsiness is expected after oxygen
therapy
C. Reassess the client later after completing other assigned tasks
D. Assess airway and breathing immediately and initiate appropriate
emergency interventions
Answer: D
5. A nurse is changing a sterile dressing on a surgical wound. After opening the
sterile supplies, the nurse accidentally allows the sterile glove to touch the
bed sheet. Which action should the nurse take?
A. Continue because the glove still appears clean
B. Replace the contaminated glove before continuing the sterile procedure
C. Wipe the glove with antiseptic solution and continue
D. Cover the glove with a clean examination glove
Answer: B
6. A client receiving enteral nutrition through a nasogastric tube begins
coughing forcefully and develops difficulty breathing during feeding. What
is the nurse’s priority action?
A. Increase the rate of the feeding to complete it quickly
B. Flush the tube with additional formula
C. Stop the feeding and assess the client’s airway and respiratory status
, 3
D. Place the client flat and continue monitoring
Answer: C
7. A nurse is assisting a weak client from the bed to a chair. The client has an
unsteady gait and requires substantial assistance. Which action best
promotes safety during the transfer?
A. Position the chair close to the bed, lock the wheels, and use an
appropriate transfer device or gait belt
B. Ask the client to stand independently before the nurse approaches
C. Place the chair several feet away to encourage the client to walk farther
D. Pull the client upward by the arms during the transfer
Answer: A
8. A client with limited mobility is at increased risk for pressure injury. Which
nursing intervention is most appropriate for preventing skin breakdown?
A. Massage reddened bony prominences vigorously every shift
B. Keep the client in the same position to avoid disturbing fragile skin
C. Apply heat directly to areas exposed to prolonged pressure
D. Reposition the client regularly and use pressure-redistributing surfaces as
indicated
Answer: D
9. A nurse is caring for a client who has a newly inserted indwelling urinary
catheter. Which finding requires immediate nursing attention?
A. Clear yellow urine draining into the collection bag
B. The collection bag hanging below the level of the bladder
C. New onset of severe bladder discomfort with no urine draining into the
collection bag
D. A small amount of urine present in the tubing after repositioning
Answer: C
10. A client reports severe pain 30 minutes after receiving a prescribed
analgesic. The nurse observes that the client is resting quietly but reports
pain as 9 out of 10. Which response is most appropriate?
A. Tell the client that the medication should work because the client
NSG 3100 FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING EXAM 3
ACTUAL 2026/2027 COMPREHENSIVE PRACTICE QUESTIONS AND
LATEST UPDATED
1. A nurse is caring for an older adult who has been prescribed several
medications and reports difficulty remembering which medications should
be taken at different times of the day. During medication reconciliation, the
nurse notices that one medication is listed twice under different brand and
generic names. What is the nurse’s priority action before administering the
medications?
A. Ask the client to identify which medication should be discontinued
B. Hold the duplicate medication and clarify the prescription with the
prescribing provider or pharmacist
C. Administer both medications because they appear under different names
D. Document the medication discrepancy after all scheduled medications
have been given
Answer: B
2. A postoperative client suddenly becomes restless, has a respiratory rate of
30 breaths/min, and reports increasing shortness of breath. The oxygen
saturation has decreased from 97% to 88% on room air. Which intervention
should the nurse implement first?
A. Encourage the client to ambulate to improve circulation
B. Administer the prescribed opioid medication
C. Place the client in a position that promotes maximum lung expansion and
apply prescribed oxygen
D. Obtain a complete dietary history before intervening
Answer: C
3. A nurse is preparing to administer an intramuscular medication to an adult
client with a moderate amount of adipose tissue over the selected injection
site. Which action is most appropriate to ensure the medication is delivered
into the muscle?
A. Select an appropriate needle length based on the client’s body habitus
,2
and prescribed medication
B. Use the shortest available needle regardless of the client’s body
composition
C. Massage the injection site vigorously immediately after administration
D. Insert the needle only into the superficial subcutaneous tissue
Answer: A
4. A hospitalized client who has been receiving oxygen through a nasal
cannula becomes increasingly drowsy and difficult to arouse. The client’s
respiratory rate is 8 breaths/min and respirations are shallow. What should
the nurse do first?
A. Increase the oxygen flow rate without assessing the client
B. Leave the client to rest because drowsiness is expected after oxygen
therapy
C. Reassess the client later after completing other assigned tasks
D. Assess airway and breathing immediately and initiate appropriate
emergency interventions
Answer: D
5. A nurse is changing a sterile dressing on a surgical wound. After opening the
sterile supplies, the nurse accidentally allows the sterile glove to touch the
bed sheet. Which action should the nurse take?
A. Continue because the glove still appears clean
B. Replace the contaminated glove before continuing the sterile procedure
C. Wipe the glove with antiseptic solution and continue
D. Cover the glove with a clean examination glove
Answer: B
6. A client receiving enteral nutrition through a nasogastric tube begins
coughing forcefully and develops difficulty breathing during feeding. What
is the nurse’s priority action?
A. Increase the rate of the feeding to complete it quickly
B. Flush the tube with additional formula
C. Stop the feeding and assess the client’s airway and respiratory status
, 3
D. Place the client flat and continue monitoring
Answer: C
7. A nurse is assisting a weak client from the bed to a chair. The client has an
unsteady gait and requires substantial assistance. Which action best
promotes safety during the transfer?
A. Position the chair close to the bed, lock the wheels, and use an
appropriate transfer device or gait belt
B. Ask the client to stand independently before the nurse approaches
C. Place the chair several feet away to encourage the client to walk farther
D. Pull the client upward by the arms during the transfer
Answer: A
8. A client with limited mobility is at increased risk for pressure injury. Which
nursing intervention is most appropriate for preventing skin breakdown?
A. Massage reddened bony prominences vigorously every shift
B. Keep the client in the same position to avoid disturbing fragile skin
C. Apply heat directly to areas exposed to prolonged pressure
D. Reposition the client regularly and use pressure-redistributing surfaces as
indicated
Answer: D
9. A nurse is caring for a client who has a newly inserted indwelling urinary
catheter. Which finding requires immediate nursing attention?
A. Clear yellow urine draining into the collection bag
B. The collection bag hanging below the level of the bladder
C. New onset of severe bladder discomfort with no urine draining into the
collection bag
D. A small amount of urine present in the tubing after repositioning
Answer: C
10. A client reports severe pain 30 minutes after receiving a prescribed
analgesic. The nurse observes that the client is resting quietly but reports
pain as 9 out of 10. Which response is most appropriate?
A. Tell the client that the medication should work because the client
