NSG 3100 FUNDAMENTAL CONCEPTS AND
SKILLS FOR NURSING PRATICE /GALEN 3100
EXAM 4 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALE ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED A+|NEWEST
|2026-2027
A patient consuming excess simple sugars is at risk for which long-term complication?
A. Increased HDL
B. Insulin resistance
C. Decreased triglycerides
D. Reduced gastric motility
B. Insulin resistance
Which clinical manifestation BEST indicates possible micronutrient deficiency?
A. Weight gain
B. Hair loss
C. High blood pressure
D. Tachycardia
B. Hair loss
A patient with dysphagia coughs during meals. Which action is PRIORITY?
A. Offer water between bites
B. Stop the meal immediately
C. Encourage small bites
D. Add thicker liquids
B. Stop the meal immediately
1|Page
,A nurse suspects malnutrition in an elderly patient. Which assessment is the MOST
reliable indicator?
A. Muscle tone
B. Prealbumin
C. BMI
D. Daily intake report
B. Prealbumin
A patient significantly increases fiber intake rapidly. Which outcome is expected?
A. Reduced gastric motility
B. Increased constipation
C. Abdominal cramping and bloating
D. Increased hemoglobin
C. Abdominal cramping and bloating
A patient requires a high-protein diet. Which meal best meets the requirement?
A. Peanut butter sandwich
B. Chicken breast and quinoa
C. Oatmeal with fruit
D. Salad with vinaigrette
B. Chicken breast and quinoa
Which finding BEST indicates inadequate carbohydrate intake?
A. Edema
B. Ketone production
C. Hyperglycemia
D. Constipation
B. Ketone production
Which patient is MOST at risk for vitamin B12 deficiency?
A. A patient who avoids dairy
B. A patient taking diuretics
2|Page
,C. A strict vegan
D. A patient with GERD
C. A strict vegan
A patient receiving enteral tube feedings suddenly develops diarrhea. Which cause is
MOST likely?
A. Fluid retention
B. Too rapid feeding rate
C. High sodium formula
D. Tube placed too high
B. Too rapid feeding rate
Which patient statement indicates correct understanding of triglycerides?
A. "They are a form of carbohydrates."
B. "They store excess energy in my body."
C. "They reduce inflammation."
D. "They build muscle tissue."
B. "They store excess energy in my body."
A nurse assesses a malnourished patient with delayed wound healing. What nutrient is
MOST likely deficient?
A. Fiber
B. Protein
C. Sodium
D. Potassium
B. Protein
A patient with severe nausea is at highest risk for which imbalance?
A. Hyperkalemia
B. Hyponatremia
C. Metabolic alkalosis
D. Metabolic acidosis
3|Page
, C. Metabolic alkalosis
Which finding is MOST consistent with iron deficiency anemia?
A. Jaundice
B. Spoon-shaped nails
C. Tachypnea
D. Dark stools
B. Spoon-shaped nails
A patient with high alcohol intake is most likely deficient in which nutrient?
A. Vitamin D
B. Magnesium
C. B vitamins (Thiamine)
D. Vitamin K
C. B vitamins (Thiamine)
A patient on TPN reports sudden chills and fever. What is the priority?
A. Check blood pressure
B. Stop the TPN immediately
C. Start D10
D. Increase the infusion rate
B. Stop the TPN immediately
The nurse recognizes that which factor MOST significantly increases BMR?
A. Starvation
B. Fever
C. Sedation
D. Aging
B. Fever
A patient receiving continuous tube feeding has a gastric residual of 425 mL. What
should the nurse do FIRST?
A. Increase the feeding rate
4|Page
SKILLS FOR NURSING PRATICE /GALEN 3100
EXAM 4 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
RATIONALE ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED A+|NEWEST
|2026-2027
A patient consuming excess simple sugars is at risk for which long-term complication?
A. Increased HDL
B. Insulin resistance
C. Decreased triglycerides
D. Reduced gastric motility
B. Insulin resistance
Which clinical manifestation BEST indicates possible micronutrient deficiency?
A. Weight gain
B. Hair loss
C. High blood pressure
D. Tachycardia
B. Hair loss
A patient with dysphagia coughs during meals. Which action is PRIORITY?
A. Offer water between bites
B. Stop the meal immediately
C. Encourage small bites
D. Add thicker liquids
B. Stop the meal immediately
1|Page
,A nurse suspects malnutrition in an elderly patient. Which assessment is the MOST
reliable indicator?
A. Muscle tone
B. Prealbumin
C. BMI
D. Daily intake report
B. Prealbumin
A patient significantly increases fiber intake rapidly. Which outcome is expected?
A. Reduced gastric motility
B. Increased constipation
C. Abdominal cramping and bloating
D. Increased hemoglobin
C. Abdominal cramping and bloating
A patient requires a high-protein diet. Which meal best meets the requirement?
A. Peanut butter sandwich
B. Chicken breast and quinoa
C. Oatmeal with fruit
D. Salad with vinaigrette
B. Chicken breast and quinoa
Which finding BEST indicates inadequate carbohydrate intake?
A. Edema
B. Ketone production
C. Hyperglycemia
D. Constipation
B. Ketone production
Which patient is MOST at risk for vitamin B12 deficiency?
A. A patient who avoids dairy
B. A patient taking diuretics
2|Page
,C. A strict vegan
D. A patient with GERD
C. A strict vegan
A patient receiving enteral tube feedings suddenly develops diarrhea. Which cause is
MOST likely?
A. Fluid retention
B. Too rapid feeding rate
C. High sodium formula
D. Tube placed too high
B. Too rapid feeding rate
Which patient statement indicates correct understanding of triglycerides?
A. "They are a form of carbohydrates."
B. "They store excess energy in my body."
C. "They reduce inflammation."
D. "They build muscle tissue."
B. "They store excess energy in my body."
A nurse assesses a malnourished patient with delayed wound healing. What nutrient is
MOST likely deficient?
A. Fiber
B. Protein
C. Sodium
D. Potassium
B. Protein
A patient with severe nausea is at highest risk for which imbalance?
A. Hyperkalemia
B. Hyponatremia
C. Metabolic alkalosis
D. Metabolic acidosis
3|Page
, C. Metabolic alkalosis
Which finding is MOST consistent with iron deficiency anemia?
A. Jaundice
B. Spoon-shaped nails
C. Tachypnea
D. Dark stools
B. Spoon-shaped nails
A patient with high alcohol intake is most likely deficient in which nutrient?
A. Vitamin D
B. Magnesium
C. B vitamins (Thiamine)
D. Vitamin K
C. B vitamins (Thiamine)
A patient on TPN reports sudden chills and fever. What is the priority?
A. Check blood pressure
B. Stop the TPN immediately
C. Start D10
D. Increase the infusion rate
B. Stop the TPN immediately
The nurse recognizes that which factor MOST significantly increases BMR?
A. Starvation
B. Fever
C. Sedation
D. Aging
B. Fever
A patient receiving continuous tube feeding has a gastric residual of 425 mL. What
should the nurse do FIRST?
A. Increase the feeding rate
4|Page
