Galen NSG 3100 Exam 3 | Fundamental Concepts & Skills
(2026/2027) – Verified Q&A | Grade A
Nursing Fundamentals & Core Skills III | Key Domains: Medication Administration Principles,
Wound Care & Skin Integrity, Perioperative Nursing Concepts, Urinary Elimination & Catheter Care,
Oxygenation & Respiratory Care, and Advanced Documentation & Communication | Expert-Aligned
Structure | Exam-Ready Format
Introduction
This structured Galen NSG 3100 Exam 3 for 2026/2027 provides a focused set of high-quality
exam-style questions with Grade A verified answers and rationales. It emphasizes the application of
fundamental nursing concepts and essential psychomotor skills required for safe patient care,
including clinical decision-making within the scope of practice and adherence to established safety
and procedural standards.
Exam Structure:
• Exam 3: (70 QUESTIONS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the foundational nursing principle, the correct step in a nursing procedure, the rationale
for a safety intervention, or the appropriate documentation standard, and why alternative options
are incorrect, unsafe, or violate core nursing practice.
Verified Grade A Questions (1–70)
,1. Before administering a medication, the nurse verifies the “Six Rights.” Which of the following is
NOT one of the Six Rights?
A. Right patient
B. Right drug
C. Right documentation
D. Right diagnosis
Rationale (Grade A): The Six Rights of Medication Administration are: right patient, right drug, right
dose, right route, right time, and right documentation. “Right diagnosis” is not included—while
understanding the indication is important, the Six Rights focus on safe delivery, not clinical indication.
Galen NSG 3100 emphasizes that adherence to these rights prevents medication errors, a core safety
standard.
2. A client has a stage 2 pressure injury on the sacrum. Which intervention is most appropriate?
A. Massage the reddened area to improve circulation
B. Apply a heating pad to promote healing
C. Cleanse with normal saline and apply a moisture-retentive dressing
, D. Pack the wound with dry gauze
Rationale (Grade A): Stage 2 pressure injuries involve partial-thickness skin loss. Moist wound healing
with saline cleansing and moisture-retentive dressings (e.g., hydrocolloid) promotes epithelialization.
Massage (A) and heat (B) can cause further tissue damage. Dry gauze (D) adheres to the wound and
disrupts healing. Galen wound care guidelines stress evidence-based interventions that protect tissue
integrity.
3. A client is scheduled for surgery. Which action is the nurse’s responsibility during the
preoperative phase?
A. Obtaining surgical consent
B. Administering anesthesia
C. Confirming the client has been NPO since midnight
D. Performing the surgical time-out
Rationale (Grade A): The nurse verifies NPO status to prevent aspiration during anesthesia—a key
preoperative safety check. The surgeon obtains consent (A); the anesthesiologist administers anesthesia
(B); the entire team performs the time-out (D) in the OR. Galen perioperative concepts assign clear roles
to ensure client safety at each phase.
4. When inserting an indwelling urinary catheter in a female client, the nurse should cleanse the
urethral meatus using which technique?
, A. Circular motion from the meatus outward
B. Back-to-front motion with one swipe
C. Front-to-back motion with separate swabs for each side and the meatus
D. Vigorous scrubbing to remove all bacteria
Rationale (Grade A): Proper cleansing prevents introducing bacteria into the bladder. The correct
technique uses three swabs: one for each labial fold (front to back) and one for the meatus (front to
back), using a clean area of the swab for each stroke. Circular motion (A) may carry contaminants
inward. Vigorous scrubbing (D) can cause microtrauma. Galen catheter care protocols align with CDC
guidelines to prevent CAUTIs.
5. A client with COPD is receiving 2 L/min of oxygen via nasal cannula. The nurse notes the client’s
respiratory rate has decreased from 24 to 12 breaths/min and is shallow. What should the nurse do
first?
A. Increase oxygen to 4 L/min
B. Encourage deep breathing and coughing
C. Assess oxygen saturation and level of consciousness
D. Administer a bronchodilator
(2026/2027) – Verified Q&A | Grade A
Nursing Fundamentals & Core Skills III | Key Domains: Medication Administration Principles,
Wound Care & Skin Integrity, Perioperative Nursing Concepts, Urinary Elimination & Catheter Care,
Oxygenation & Respiratory Care, and Advanced Documentation & Communication | Expert-Aligned
Structure | Exam-Ready Format
Introduction
This structured Galen NSG 3100 Exam 3 for 2026/2027 provides a focused set of high-quality
exam-style questions with Grade A verified answers and rationales. It emphasizes the application of
fundamental nursing concepts and essential psychomotor skills required for safe patient care,
including clinical decision-making within the scope of practice and adherence to established safety
and procedural standards.
Exam Structure:
• Exam 3: (70 QUESTIONS)
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the foundational nursing principle, the correct step in a nursing procedure, the rationale
for a safety intervention, or the appropriate documentation standard, and why alternative options
are incorrect, unsafe, or violate core nursing practice.
Verified Grade A Questions (1–70)
,1. Before administering a medication, the nurse verifies the “Six Rights.” Which of the following is
NOT one of the Six Rights?
A. Right patient
B. Right drug
C. Right documentation
D. Right diagnosis
Rationale (Grade A): The Six Rights of Medication Administration are: right patient, right drug, right
dose, right route, right time, and right documentation. “Right diagnosis” is not included—while
understanding the indication is important, the Six Rights focus on safe delivery, not clinical indication.
Galen NSG 3100 emphasizes that adherence to these rights prevents medication errors, a core safety
standard.
2. A client has a stage 2 pressure injury on the sacrum. Which intervention is most appropriate?
A. Massage the reddened area to improve circulation
B. Apply a heating pad to promote healing
C. Cleanse with normal saline and apply a moisture-retentive dressing
, D. Pack the wound with dry gauze
Rationale (Grade A): Stage 2 pressure injuries involve partial-thickness skin loss. Moist wound healing
with saline cleansing and moisture-retentive dressings (e.g., hydrocolloid) promotes epithelialization.
Massage (A) and heat (B) can cause further tissue damage. Dry gauze (D) adheres to the wound and
disrupts healing. Galen wound care guidelines stress evidence-based interventions that protect tissue
integrity.
3. A client is scheduled for surgery. Which action is the nurse’s responsibility during the
preoperative phase?
A. Obtaining surgical consent
B. Administering anesthesia
C. Confirming the client has been NPO since midnight
D. Performing the surgical time-out
Rationale (Grade A): The nurse verifies NPO status to prevent aspiration during anesthesia—a key
preoperative safety check. The surgeon obtains consent (A); the anesthesiologist administers anesthesia
(B); the entire team performs the time-out (D) in the OR. Galen perioperative concepts assign clear roles
to ensure client safety at each phase.
4. When inserting an indwelling urinary catheter in a female client, the nurse should cleanse the
urethral meatus using which technique?
, A. Circular motion from the meatus outward
B. Back-to-front motion with one swipe
C. Front-to-back motion with separate swabs for each side and the meatus
D. Vigorous scrubbing to remove all bacteria
Rationale (Grade A): Proper cleansing prevents introducing bacteria into the bladder. The correct
technique uses three swabs: one for each labial fold (front to back) and one for the meatus (front to
back), using a clean area of the swab for each stroke. Circular motion (A) may carry contaminants
inward. Vigorous scrubbing (D) can cause microtrauma. Galen catheter care protocols align with CDC
guidelines to prevent CAUTIs.
5. A client with COPD is receiving 2 L/min of oxygen via nasal cannula. The nurse notes the client’s
respiratory rate has decreased from 24 to 12 breaths/min and is shallow. What should the nurse do
first?
A. Increase oxygen to 4 L/min
B. Encourage deep breathing and coughing
C. Assess oxygen saturation and level of consciousness
D. Administer a bronchodilator
