2026/2027
NSG 3250 Exam 2 Adult Health I
Comprehensive Study Guide,
Practice Questions and Test Bank
Review for Galen College 2026/2027
Question 1:
Which statement best defines medical-surgical nursing?
A. A nursing specialty limited to postoperative hospital care only
B. A specialty area focused exclusively on geriatric rehabilitation
C. A specialty area that provides nursing care to adolescents through end-of-life
patients in a variety of healthcare settings
D. A specialty focused primarily on psychiatric and behavioral disorders
Correct Answer: C. A specialty area that provides nursing care to adolescents
through end-of-life patients in a variety of healthcare settings
Rationale:
Medical-surgical nursing is one of the broadest nursing specialties and involves caring
for patients across the lifespan in settings such as hospitals, clinics, ambulatory
centers, long-term care facilities, and home health agencies. This specialty requires
nurses to manage complex acute and chronic health conditions. Option A is too
narrow because medical-surgical nursing extends beyond postoperative care. Option
B focuses only on rehabilitation, and Option D relates to psychiatric nursing rather
than medical-surgical practice.
Question 2:
A client is readmitted to the hospital 20 days after discharge from a previous
hospitalization. How should this event be classified?
A. Transitional care
B. Ambulatory admission
C. Rehospitalization
D. Observation status
Correct Answer: C. Rehospitalization
Rationale:
Rehospitalization refers to a patient being admitted to the hospital within 30 days of a
previous discharge. This is an important healthcare quality indicator because frequent
rehospitalizations may suggest inadequate discharge planning, poor transitional care,
,2026/2027
or unresolved medical issues. Transitional care refers to coordinated services between
care settings, not the actual readmission event.
Question 3:
Which nursing intervention best reflects the concept of transitional care?
A. Performing surgery preparation in the operating room
B. Coordinating services when a patient transfers from the hospital to a rehabilitation
facility
C. Conducting a postoperative dressing change
D. Monitoring a patient during a diagnostic procedure
Correct Answer: B. Coordinating services when a patient transfers from the
hospital to a rehabilitation facility
Rationale:
Transitional care involves coordinated services and support during movement
between healthcare settings, such as from hospital to rehabilitation or home care. The
goal is to improve continuity of care, reduce complications, and prevent
rehospitalization. The remaining options involve isolated clinical tasks rather than
coordinated transitions between care environments.
Question 4:
A home health nurse is using the Outcome and Assessment Information Set (OASIS)
during a Medicare eligibility evaluation. Which client domain should the nurse
primarily assess?
A. Financial stability
B. Functional status
C. Family dynamics only
D. Educational achievement
Correct Answer: B. Functional status
Rationale:
The OASIS assessment tool evaluates a patient’s functional status, including mobility,
self-care abilities, and capacity to perform activities of daily living. This information
helps determine eligibility for Medicare home health services and guides care
planning. Financial and educational information may be collected separately but are
not the primary focus of OASIS.
Question 5:
Which statement best describes critical care nursing?
,2026/2027
A. Nursing care provided only during emergency surgery
B. A specialty providing care to critically ill patients in acute and expanding
community settings
C. Nursing services limited to trauma centers
D. Rehabilitation-focused care for long-term recovery patients
Correct Answer: B. A specialty providing care to critically ill patients in acute
and expanding community settings
Rationale:
Critical care nursing focuses on caring for critically ill patients across the lifespan in
settings such as intensive care units, virtual care environments, and some community
settings. Nurses in this specialty manage life-threatening conditions requiring
advanced monitoring and interventions. Trauma and surgical care may occur within
critical care but do not fully define the specialty.
Question 6:
What is the primary goal of rehabilitation nursing?
A. Providing emergency surgical stabilization
B. Returning patients to optimal functional ability through holistic, evidence-based
care
C. Preventing all chronic diseases
D. Delivering only long-term custodial care
Correct Answer: B. Returning patients to optimal functional ability through
holistic, evidence-based care
Rationale:
Rehabilitation nursing aims to maximize patient independence and functionality
following illness, injury, or disability. Care is holistic and evidence-based, focusing
on physical, emotional, social, and psychological recovery. Rehabilitation nursing
differs from emergency or custodial care because it emphasizes restoration of function
and quality of life.
Question 7:
Which statement accurately defines home health nursing?
A. Nursing care provided exclusively in hospitals
B. Skilled nursing care delivered in a patient’s home
C. Volunteer care without professional oversight
D. Emergency transport services in the community
Correct Answer: B. Skilled nursing care delivered in a patient’s home
, 2026/2027
Rationale:
Home health nursing involves professional, skilled nursing services provided in a
patient’s residence. Care may include wound management, medication administration,
chronic disease management, and patient education. It supports recovery and
independence while reducing hospitalization needs. The other options do not
accurately describe home health nursing services.
Question 8:
Which activity best exemplifies community-based nursing?
A. Performing surgery in the operating room
B. Promoting health and preventing disease progression in individuals and families
C. Administering anesthesia in a hospital
D. Managing laboratory specimens only
Correct Answer: B. Promoting health and preventing disease progression in
individuals and families
Rationale:
Community-based nursing focuses on maintaining health, preventing disease,
minimizing complications, and improving quality of life within community settings.
Nurses work with individuals and families in homes, schools, clinics, and public
health environments. The remaining options describe hospital-based or procedural
roles.
Question 9:
Which of the following is classified as an activity of daily living (ADL)?
A. Managing finances
B. Grocery shopping
C. Bathing independently
D. Preparing meals
Correct Answer: C. Bathing independently
Rationale:
Activities of daily living (ADLs) are basic self-care tasks necessary for independent
living, including bathing, dressing, eating, toileting, and walking. Instrumental
activities of daily living (IADLs), such as shopping and financial management,
require more complex cognitive functioning and are separate from basic ADLs.
Question 10:
Which task is considered an instrumental activity of daily living (IADL)?
NSG 3250 Exam 2 Adult Health I
Comprehensive Study Guide,
Practice Questions and Test Bank
Review for Galen College 2026/2027
Question 1:
Which statement best defines medical-surgical nursing?
A. A nursing specialty limited to postoperative hospital care only
B. A specialty area focused exclusively on geriatric rehabilitation
C. A specialty area that provides nursing care to adolescents through end-of-life
patients in a variety of healthcare settings
D. A specialty focused primarily on psychiatric and behavioral disorders
Correct Answer: C. A specialty area that provides nursing care to adolescents
through end-of-life patients in a variety of healthcare settings
Rationale:
Medical-surgical nursing is one of the broadest nursing specialties and involves caring
for patients across the lifespan in settings such as hospitals, clinics, ambulatory
centers, long-term care facilities, and home health agencies. This specialty requires
nurses to manage complex acute and chronic health conditions. Option A is too
narrow because medical-surgical nursing extends beyond postoperative care. Option
B focuses only on rehabilitation, and Option D relates to psychiatric nursing rather
than medical-surgical practice.
Question 2:
A client is readmitted to the hospital 20 days after discharge from a previous
hospitalization. How should this event be classified?
A. Transitional care
B. Ambulatory admission
C. Rehospitalization
D. Observation status
Correct Answer: C. Rehospitalization
Rationale:
Rehospitalization refers to a patient being admitted to the hospital within 30 days of a
previous discharge. This is an important healthcare quality indicator because frequent
rehospitalizations may suggest inadequate discharge planning, poor transitional care,
,2026/2027
or unresolved medical issues. Transitional care refers to coordinated services between
care settings, not the actual readmission event.
Question 3:
Which nursing intervention best reflects the concept of transitional care?
A. Performing surgery preparation in the operating room
B. Coordinating services when a patient transfers from the hospital to a rehabilitation
facility
C. Conducting a postoperative dressing change
D. Monitoring a patient during a diagnostic procedure
Correct Answer: B. Coordinating services when a patient transfers from the
hospital to a rehabilitation facility
Rationale:
Transitional care involves coordinated services and support during movement
between healthcare settings, such as from hospital to rehabilitation or home care. The
goal is to improve continuity of care, reduce complications, and prevent
rehospitalization. The remaining options involve isolated clinical tasks rather than
coordinated transitions between care environments.
Question 4:
A home health nurse is using the Outcome and Assessment Information Set (OASIS)
during a Medicare eligibility evaluation. Which client domain should the nurse
primarily assess?
A. Financial stability
B. Functional status
C. Family dynamics only
D. Educational achievement
Correct Answer: B. Functional status
Rationale:
The OASIS assessment tool evaluates a patient’s functional status, including mobility,
self-care abilities, and capacity to perform activities of daily living. This information
helps determine eligibility for Medicare home health services and guides care
planning. Financial and educational information may be collected separately but are
not the primary focus of OASIS.
Question 5:
Which statement best describes critical care nursing?
,2026/2027
A. Nursing care provided only during emergency surgery
B. A specialty providing care to critically ill patients in acute and expanding
community settings
C. Nursing services limited to trauma centers
D. Rehabilitation-focused care for long-term recovery patients
Correct Answer: B. A specialty providing care to critically ill patients in acute
and expanding community settings
Rationale:
Critical care nursing focuses on caring for critically ill patients across the lifespan in
settings such as intensive care units, virtual care environments, and some community
settings. Nurses in this specialty manage life-threatening conditions requiring
advanced monitoring and interventions. Trauma and surgical care may occur within
critical care but do not fully define the specialty.
Question 6:
What is the primary goal of rehabilitation nursing?
A. Providing emergency surgical stabilization
B. Returning patients to optimal functional ability through holistic, evidence-based
care
C. Preventing all chronic diseases
D. Delivering only long-term custodial care
Correct Answer: B. Returning patients to optimal functional ability through
holistic, evidence-based care
Rationale:
Rehabilitation nursing aims to maximize patient independence and functionality
following illness, injury, or disability. Care is holistic and evidence-based, focusing
on physical, emotional, social, and psychological recovery. Rehabilitation nursing
differs from emergency or custodial care because it emphasizes restoration of function
and quality of life.
Question 7:
Which statement accurately defines home health nursing?
A. Nursing care provided exclusively in hospitals
B. Skilled nursing care delivered in a patient’s home
C. Volunteer care without professional oversight
D. Emergency transport services in the community
Correct Answer: B. Skilled nursing care delivered in a patient’s home
, 2026/2027
Rationale:
Home health nursing involves professional, skilled nursing services provided in a
patient’s residence. Care may include wound management, medication administration,
chronic disease management, and patient education. It supports recovery and
independence while reducing hospitalization needs. The other options do not
accurately describe home health nursing services.
Question 8:
Which activity best exemplifies community-based nursing?
A. Performing surgery in the operating room
B. Promoting health and preventing disease progression in individuals and families
C. Administering anesthesia in a hospital
D. Managing laboratory specimens only
Correct Answer: B. Promoting health and preventing disease progression in
individuals and families
Rationale:
Community-based nursing focuses on maintaining health, preventing disease,
minimizing complications, and improving quality of life within community settings.
Nurses work with individuals and families in homes, schools, clinics, and public
health environments. The remaining options describe hospital-based or procedural
roles.
Question 9:
Which of the following is classified as an activity of daily living (ADL)?
A. Managing finances
B. Grocery shopping
C. Bathing independently
D. Preparing meals
Correct Answer: C. Bathing independently
Rationale:
Activities of daily living (ADLs) are basic self-care tasks necessary for independent
living, including bathing, dressing, eating, toileting, and walking. Instrumental
activities of daily living (IADLs), such as shopping and financial management,
require more complex cognitive functioning and are separate from basic ADLs.
Question 10:
Which task is considered an instrumental activity of daily living (IADL)?
