EXAM 1 PRACTICE EXAM
NSG 3130
Fundamentals II
125-Question Exam 1 Practice Exam
Original mixed-topic nursing practice covering foundational assessment, safety, communication,
clinical judgment, prioritization, and core patient-care concepts.
125 A-D 125
Practice Questions Multiple Choice Explained Answers
PassPoint Pro • Original study and revision material • Clean print-ready format
Page 1 of 33
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 125 original multiple-choice questions for NSG 3130. Questions emphasize application, prioritization, safety,
and nursing judgment rather than simple memorization.
Answer format: answer and rationale immediately after each question. For best results, answer each item before reviewing the
rationale and keep a list of concepts that need focused review.
Scoring suggestion: 90%+ strong readiness; 80-89% targeted review; below 80% return to the study guide and repeat missed
concepts.
1. Which team member is most appropriate for the task: Reinforce previously taught incentive spirometry?
A. Unit secretary
B. LPN/LVN
C. RN
D. UAP
Answer: B
Explanation: Reinforcement of established teaching may be assigned according to scope and facility policy. The safest response is the
one that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The
other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
2. The nurse identifies impaired skin integrity. Which step of the nursing process is the nurse performing?
A. planning
B. assessment
C. diagnosis
D. implementation
Answer: C
Explanation: This action belongs to diagnosis because nurses analyze assessment data and identify nursing responses during this step.
The safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
3. During a sterile procedure, A sterile glove touches the nurse's scrub top. What should the nurse do?
A. Ask a UAP to decide whether the field is contaminated
B. Continue because the field remains sterile
C. Discard the glove and apply a new sterile glove
D. Cover the area with a clean towel and continue
Answer: C
Explanation: Contact with a nonsterile object contaminates the sterile glove. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 2
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
4. The nurse sets a goal for pain to decrease to 3/10 within 1 hour. Which step of the nursing process is the nurse
performing?
A. assessment
B. diagnosis
C. planning
D. implementation
Answer: C
Explanation: This action belongs to planning because nurses set measurable outcomes and choose interventions during this step. The
safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
5. During a sterile procedure, Moisture soaks through a sterile drape from a nonsterile surface. What should the nurse
do?
A. Continue because the field remains sterile
B. Cover the area with a clean towel and continue
C. Replace the field because strike-through contamination has occurred
D. Ask a UAP to decide whether the field is contaminated
Answer: C
Explanation: Moisture can carry microorganisms through the drape by capillary action. The safest response is the one that addresses the
client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either
delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
6. A client with diabetes is shaky, diaphoretic, and confused before lunch. What is the nurse's priority action?
A. Complete routine documentation before intervening
B. Ask the unlicensed assistive personnel to continue monitoring the client
C. Check blood glucose immediately and treat hypoglycemia if confirmed
D. Reassess the client in 30 minutes
Answer: C
Explanation: The symptoms are classic for hypoglycemia and can deteriorate to seizure or coma. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
7. Which team member is most appropriate for the task: Assist a stable client with bathing and toileting?
A. RN
B. UAP
C. Unit secretary
D. LPN/LVN
Answer: B
Explanation: Activities of daily living for a stable client are appropriate for UAP. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 3
, PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
8. A client asks, "Do you think I am going to die?" Which response by the nurse is most therapeutic?
A. "Everything will be fine, so try not to worry."
B. "You should stay positive."
C. "What have the healthcare team and you discussed about your condition?"
D. "Why are you thinking that way?"
Answer: C
Explanation: This response assesses understanding and opens a truthful conversation without giving unsupported predictions. The safest
response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
9. "I am afraid this surgery will go badly." Which response by the nurse is most therapeutic?
A. "What worries you most about the surgery?"
B. "Everything will be fine, so try not to worry."
C. "You should stay positive."
D. "Why are you thinking that way?"
Answer: A
Explanation: Exploring the client's concern supports therapeutic communication without false reassurance. The safest response is the one
that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
10. A nurse is planning care that includes stroke rehabilitation. This intervention is an example of which level of
prevention?
A. secondary prevention
B. primary prevention
C. restorative prevention
D. tertiary prevention
Answer: D
Explanation: Stroke rehabilitation is tertiary prevention because it is intended to maximize function after an established condition. The
safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
11. A client refuses a medication. Which documentation action is correct?
A. Document opinions about why the client behaved this way
B. Document the refusal, relevant assessment data, education provided, and provider notification if indicated
C. Ask another nurse to chart the event without direct knowledge
D. Delete the original information so it cannot be seen
Answer: B
Explanation: Documentation should be objective and include actions taken after the refusal. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 4
NSG 3130
Fundamentals II
125-Question Exam 1 Practice Exam
Original mixed-topic nursing practice covering foundational assessment, safety, communication,
clinical judgment, prioritization, and core patient-care concepts.
125 A-D 125
Practice Questions Multiple Choice Explained Answers
PassPoint Pro • Original study and revision material • Clean print-ready format
Page 1 of 33
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
How to use this practice exam
This set contains 125 original multiple-choice questions for NSG 3130. Questions emphasize application, prioritization, safety,
and nursing judgment rather than simple memorization.
Answer format: answer and rationale immediately after each question. For best results, answer each item before reviewing the
rationale and keep a list of concepts that need focused review.
Scoring suggestion: 90%+ strong readiness; 80-89% targeted review; below 80% return to the study guide and repeat missed
concepts.
1. Which team member is most appropriate for the task: Reinforce previously taught incentive spirometry?
A. Unit secretary
B. LPN/LVN
C. RN
D. UAP
Answer: B
Explanation: Reinforcement of established teaching may be assigned according to scope and facility policy. The safest response is the
one that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The
other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
2. The nurse identifies impaired skin integrity. Which step of the nursing process is the nurse performing?
A. planning
B. assessment
C. diagnosis
D. implementation
Answer: C
Explanation: This action belongs to diagnosis because nurses analyze assessment data and identify nursing responses during this step.
The safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
3. During a sterile procedure, A sterile glove touches the nurse's scrub top. What should the nurse do?
A. Ask a UAP to decide whether the field is contaminated
B. Continue because the field remains sterile
C. Discard the glove and apply a new sterile glove
D. Cover the area with a clean towel and continue
Answer: C
Explanation: Contact with a nonsterile object contaminates the sterile glove. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 2
,PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
4. The nurse sets a goal for pain to decrease to 3/10 within 1 hour. Which step of the nursing process is the nurse
performing?
A. assessment
B. diagnosis
C. planning
D. implementation
Answer: C
Explanation: This action belongs to planning because nurses set measurable outcomes and choose interventions during this step. The
safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
5. During a sterile procedure, Moisture soaks through a sterile drape from a nonsterile surface. What should the nurse
do?
A. Continue because the field remains sterile
B. Cover the area with a clean towel and continue
C. Replace the field because strike-through contamination has occurred
D. Ask a UAP to decide whether the field is contaminated
Answer: C
Explanation: Moisture can carry microorganisms through the drape by capillary action. The safest response is the one that addresses the
client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either
delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
6. A client with diabetes is shaky, diaphoretic, and confused before lunch. What is the nurse's priority action?
A. Complete routine documentation before intervening
B. Ask the unlicensed assistive personnel to continue monitoring the client
C. Check blood glucose immediately and treat hypoglycemia if confirmed
D. Reassess the client in 30 minutes
Answer: C
Explanation: The symptoms are classic for hypoglycemia and can deteriorate to seizure or coma. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
7. Which team member is most appropriate for the task: Assist a stable client with bathing and toileting?
A. RN
B. UAP
C. Unit secretary
D. LPN/LVN
Answer: B
Explanation: Activities of daily living for a stable client are appropriate for UAP. The safest response is the one that addresses the client's
immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other options either delay the
priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 3
, PASSPOINT PRO | NSG 3130 - FUNDAMENTAL CONCEPTS & SKILLS FOR NURSING PRACTICE II
8. A client asks, "Do you think I am going to die?" Which response by the nurse is most therapeutic?
A. "Everything will be fine, so try not to worry."
B. "You should stay positive."
C. "What have the healthcare team and you discussed about your condition?"
D. "Why are you thinking that way?"
Answer: C
Explanation: This response assesses understanding and opens a truthful conversation without giving unsupported predictions. The safest
response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
9. "I am afraid this surgery will go badly." Which response by the nurse is most therapeutic?
A. "What worries you most about the surgery?"
B. "Everything will be fine, so try not to worry."
C. "You should stay positive."
D. "Why are you thinking that way?"
Answer: A
Explanation: Exploring the client's concern supports therapeutic communication without false reassurance. The safest response is the one
that addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
10. A nurse is planning care that includes stroke rehabilitation. This intervention is an example of which level of
prevention?
A. secondary prevention
B. primary prevention
C. restorative prevention
D. tertiary prevention
Answer: D
Explanation: Stroke rehabilitation is tertiary prevention because it is intended to maximize function after an established condition. The
safest response is the one that addresses the client's immediate physiologic or safety need while staying within nursing scope and
evidence-based practice. The other options either delay the priority action, introduce avoidable risk, or do not directly correct the problem
described.
11. A client refuses a medication. Which documentation action is correct?
A. Document opinions about why the client behaved this way
B. Document the refusal, relevant assessment data, education provided, and provider notification if indicated
C. Ask another nurse to chart the event without direct knowledge
D. Delete the original information so it cannot be seen
Answer: B
Explanation: Documentation should be objective and include actions taken after the refusal. The safest response is the one that
addresses the client's immediate physiologic or safety need while staying within nursing scope and evidence-based practice. The other
options either delay the priority action, introduce avoidable risk, or do not directly correct the problem described.
Original practice material for study and self-assessment Page 4
