NSG 3100 Exams 1, 2 & 3 — Fundamental
Concepts & Skills for Nursing Practice
(Galen College of Nursing)
2025–2026 — 200 Verified Q&A with Detailed Rationales
Format: Three practice exams (Exam 1, Exam 2, Exam 3). Each question has four options
(A–D), the correct answer, and a brief rationale.
Exam 1 — Basic Concepts, Safety, Infection Control,
Communication (Questions 1–67)
1. A nurse is preparing to administer oral medications to a client. Which action
demonstrates the best practice for preventing medication errors?
A. Administer all medications at the same time.
B. Compare the medication label with the MAR at the bedside.
C. Verify the client's name using two identifiers before administration.
D. Ask the client if they recognize the medication.
Answer: C. Verify the client's name using two identifiers before administration.
Rationale: Using two patient identifiers (e.g., name and DOB) is a standard safety practice to
ensure correct patient and reduce medication errors.
2. Which of the following is the most effective way to break the chain of infection?
A. Wearing gloves for all patient contact.
B. Proper hand hygiene before and after patient care.
C. Using disposable equipment only.
D. Placing all patients on contact precautions.
Answer: B. Proper hand hygiene before and after patient care.
Rationale: Hand hygiene is the single most effective measure to prevent transmission of
pathogens in healthcare settings.
3. A client with suspected tuberculosis is admitted. The nurse should place the client
in which type of room?
, A. Private room with negative-pressure airflow.
B. Private room with positive-pressure airflow.
C. Semi-private room with curtains.
D. Open ward with standard ventilation.
Answer: A. Private room with negative-pressure airflow.
Rationale: TB is airborne; negative-pressure rooms prevent contaminated air from escaping
into corridors.
4. Which statement by a nursing student indicates correct understanding of
standard precautions?
A. "Standard precautions are only used for patients with known infections."
B. "Standard precautions apply to blood and body fluids only."
C. "Standard precautions should be used for all patients regardless of diagnosis."
D. "Standard precautions replace the need for transmission-based precautions."
Answer: C. "Standard precautions should be used for all patients regardless of diagnosis."
Rationale: Standard precautions are applied to all patients to minimize risk of transmission of
infectious agents.
5. A client who is postoperative has an order for incentive spirometry every hour
while awake. The best rationale for the nurse to implement this is to:
A. Prevent deep vein thrombosis.
B. Promote lung expansion and prevent atelectasis.
C. Decrease postoperative pain.
D. Facilitate early ambulation.
Answer: B. Promote lung expansion and prevent atelectasis.
Rationale: Incentive spirometry encourages deep breathing, increases lung volumes, and
helps prevent atelectasis.
6. When communicating with an older adult who has hearing impairment, which
strategy is most appropriate?
A. Speak quickly to finish the conversation.
B. Stand in front of a bright light while speaking.
C. Face the client and speak clearly at a normal volume.
D. Raise your voice to a loud volume and shout.
Answer: C. Face the client and speak clearly at a normal volume.
Rationale: Facing the client and clear articulation facilitates lip reading and comprehension
without shouting which can distort speech.
Concepts & Skills for Nursing Practice
(Galen College of Nursing)
2025–2026 — 200 Verified Q&A with Detailed Rationales
Format: Three practice exams (Exam 1, Exam 2, Exam 3). Each question has four options
(A–D), the correct answer, and a brief rationale.
Exam 1 — Basic Concepts, Safety, Infection Control,
Communication (Questions 1–67)
1. A nurse is preparing to administer oral medications to a client. Which action
demonstrates the best practice for preventing medication errors?
A. Administer all medications at the same time.
B. Compare the medication label with the MAR at the bedside.
C. Verify the client's name using two identifiers before administration.
D. Ask the client if they recognize the medication.
Answer: C. Verify the client's name using two identifiers before administration.
Rationale: Using two patient identifiers (e.g., name and DOB) is a standard safety practice to
ensure correct patient and reduce medication errors.
2. Which of the following is the most effective way to break the chain of infection?
A. Wearing gloves for all patient contact.
B. Proper hand hygiene before and after patient care.
C. Using disposable equipment only.
D. Placing all patients on contact precautions.
Answer: B. Proper hand hygiene before and after patient care.
Rationale: Hand hygiene is the single most effective measure to prevent transmission of
pathogens in healthcare settings.
3. A client with suspected tuberculosis is admitted. The nurse should place the client
in which type of room?
, A. Private room with negative-pressure airflow.
B. Private room with positive-pressure airflow.
C. Semi-private room with curtains.
D. Open ward with standard ventilation.
Answer: A. Private room with negative-pressure airflow.
Rationale: TB is airborne; negative-pressure rooms prevent contaminated air from escaping
into corridors.
4. Which statement by a nursing student indicates correct understanding of
standard precautions?
A. "Standard precautions are only used for patients with known infections."
B. "Standard precautions apply to blood and body fluids only."
C. "Standard precautions should be used for all patients regardless of diagnosis."
D. "Standard precautions replace the need for transmission-based precautions."
Answer: C. "Standard precautions should be used for all patients regardless of diagnosis."
Rationale: Standard precautions are applied to all patients to minimize risk of transmission of
infectious agents.
5. A client who is postoperative has an order for incentive spirometry every hour
while awake. The best rationale for the nurse to implement this is to:
A. Prevent deep vein thrombosis.
B. Promote lung expansion and prevent atelectasis.
C. Decrease postoperative pain.
D. Facilitate early ambulation.
Answer: B. Promote lung expansion and prevent atelectasis.
Rationale: Incentive spirometry encourages deep breathing, increases lung volumes, and
helps prevent atelectasis.
6. When communicating with an older adult who has hearing impairment, which
strategy is most appropriate?
A. Speak quickly to finish the conversation.
B. Stand in front of a bright light while speaking.
C. Face the client and speak clearly at a normal volume.
D. Raise your voice to a loud volume and shout.
Answer: C. Face the client and speak clearly at a normal volume.
Rationale: Facing the client and clear articulation facilitates lip reading and comprehension
without shouting which can distort speech.
