NSG 3130 Final Exam – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
NSG 3130 Final Exam – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
EXAM COVERAGE
1. Nursing Process & Clinical Judgment (Assessment, Diagnosis, Planning,
Implementation, Evaluation)
2. Health Promotion, Wellness & Levels of Prevention (Primary, Secondary,
Tertiary)
3. Cultural Competence & Transcultural Nursing Care
4. Fluid, Electrolyte & Acid-Base Balance
5. Cardiovascular Assessment & Heart Failure Management
6. Respiratory Care & Oxygenation (COPD, Tracheostomy, Chest Tubes)
7. Perioperative Nursing Care & Surgical Asepsis
, 8. Medication Administration & IV Therapy Safety
9. Wound Care & Pressure Injury Staging
10. Grief, Loss, Palliative & End-of-Life Care
NSG 3130 Final Exam – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
200 MULTIPLE-CHOICE QUESTIONS WITH ANSWERS
AND RATIONALES
1. A nurse is reviewing a patient's chart and notes the medical diagnosis of
community-acquired pneumonia. Which of the following represents an
appropriate nursing diagnosis for this patient?
A. Prescribe broad-spectrum antibiotics for infection
B. Resolve fever within 48 hours of admission
C. Ineffective airway clearance related to increased sputum production
D. Pneumonia related to bacterial infection of the lung tissue
,Correct Answer: C
Rationale: A nursing diagnosis focuses on the patient's human response to a
health condition that the nurse can independently treat, such as managing
airway clearance. Medical diagnoses (pneumonia) and medical treatments
(antibiotics) are not within the nursing scope of diagnosis.
2. A nurse receives handoff report on four patients and must determine which
patient should be assessed first based on clinical priority.
A. A patient requesting a refill of their routine home blood pressure medication
B. A patient who is two days postoperative and reporting incisional pain rated
four out of ten
C. A patient with asthma who is experiencing new-onset wheezing and a
respiratory rate of 28
D. A patient who needs discharge teaching about a new prescription for oral
antibiotics
, Correct Answer: C
Rationale: Airway and breathing concerns always take priority according to the
ABCs of clinical judgment. New-onset wheezing and tachypnea indicate
respiratory compromise requiring immediate assessment.
3. During the assessment phase of the nursing process, which action by the
nurse is most appropriate for gathering subjective data?
A. Administering a prescribed antiemetic for the patient's nausea
B. Asking the patient to describe the quality and severity of their chest pain
C. Evaluating whether the patient's blood pressure improved after medication
D. Collaborating with the physical therapist to set mobility goals for the patient
Correct Answer: B
Rationale: The assessment phase involves gathering both subjective and
objective data. Asking the patient to describe their pain is collecting subjective
data, which is information the patient reports.
Nursing
NSG 3130 Final Exam – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
EXAM COVERAGE
1. Nursing Process & Clinical Judgment (Assessment, Diagnosis, Planning,
Implementation, Evaluation)
2. Health Promotion, Wellness & Levels of Prevention (Primary, Secondary,
Tertiary)
3. Cultural Competence & Transcultural Nursing Care
4. Fluid, Electrolyte & Acid-Base Balance
5. Cardiovascular Assessment & Heart Failure Management
6. Respiratory Care & Oxygenation (COPD, Tracheostomy, Chest Tubes)
7. Perioperative Nursing Care & Surgical Asepsis
, 8. Medication Administration & IV Therapy Safety
9. Wound Care & Pressure Injury Staging
10. Grief, Loss, Palliative & End-of-Life Care
NSG 3130 Final Exam – Nursing Concepts & Clinical Judgment – Galen College of
Nursing
200 MULTIPLE-CHOICE QUESTIONS WITH ANSWERS
AND RATIONALES
1. A nurse is reviewing a patient's chart and notes the medical diagnosis of
community-acquired pneumonia. Which of the following represents an
appropriate nursing diagnosis for this patient?
A. Prescribe broad-spectrum antibiotics for infection
B. Resolve fever within 48 hours of admission
C. Ineffective airway clearance related to increased sputum production
D. Pneumonia related to bacterial infection of the lung tissue
,Correct Answer: C
Rationale: A nursing diagnosis focuses on the patient's human response to a
health condition that the nurse can independently treat, such as managing
airway clearance. Medical diagnoses (pneumonia) and medical treatments
(antibiotics) are not within the nursing scope of diagnosis.
2. A nurse receives handoff report on four patients and must determine which
patient should be assessed first based on clinical priority.
A. A patient requesting a refill of their routine home blood pressure medication
B. A patient who is two days postoperative and reporting incisional pain rated
four out of ten
C. A patient with asthma who is experiencing new-onset wheezing and a
respiratory rate of 28
D. A patient who needs discharge teaching about a new prescription for oral
antibiotics
, Correct Answer: C
Rationale: Airway and breathing concerns always take priority according to the
ABCs of clinical judgment. New-onset wheezing and tachypnea indicate
respiratory compromise requiring immediate assessment.
3. During the assessment phase of the nursing process, which action by the
nurse is most appropriate for gathering subjective data?
A. Administering a prescribed antiemetic for the patient's nausea
B. Asking the patient to describe the quality and severity of their chest pain
C. Evaluating whether the patient's blood pressure improved after medication
D. Collaborating with the physical therapist to set mobility goals for the patient
Correct Answer: B
Rationale: The assessment phase involves gathering both subjective and
objective data. Asking the patient to describe their pain is collecting subjective
data, which is information the patient reports.
