,Galen NSG 3130 Exam 1 | Fundamental Concepts &
Skills II (2026) Actual Q&A PDF
1. The nurse supports a patient’s decision to decline further cancer treatment
and enter hospice, even though the nurse personally believes the patient should
continue treatment. This action reflects which nursing role?
A) Advocacy
B) Change agent
C) Leader
D) Collaborator
Correct Answer: Advocacy
Rationale: Advocacy involves supporting the patient’s right to
self‑determination, even when the nurse’s personal views differ. The nurse
respects the patient’s autonomy and ensures their wishes are honored.
2. A nurse is caring for a culturally diverse patient with noticeable body odor.
What should the nurse do first?
A) Gather washcloths and towels and offer a bath immediately.
B) Seek information to determine the underlying cause of the body odor.
C) Contact family members to learn about the patient’s hygiene practices.
D) Ask the patient to bathe before the admission assessment continues.
Correct Answer: Seek information to determine the underlying cause of the
body odor.
,Rationale: Cultural practices and personal preferences influence hygiene. The
nurse must first assess the patient’s cultural background and potential causes
before planning any intervention.
3. Immigrants who adopt new technology while continuing to wear traditional
clothing from their home country are demonstrating:
A) Assimilation
B) Ethnocentrism
C) Acculturation
D) Socialization
Correct Answer: Acculturation
Rationale: Acculturation involves incorporating some aspects of the dominant
culture while retaining elements of the original culture. Assimilation is the
complete adoption of the dominant culture.
4. Which action best demonstrates that a nurse understands the needs of a
patient who speaks a different language?
A) Providing written pamphlets in English for the patient to review.
B) Asking a bilingual family member to serve as the interpreter.
C) Speaking slowly and loudly in English to improve comprehension.
D) Using a qualified medical interpreter for all communication.
Correct Answer: Using a qualified medical interpreter for all communication.
, Rationale: A professional interpreter ensures accurate, confidential
communication and meets legal and ethical standards. Family members should
not be used routinely because they may not translate accurately or maintain
confidentiality.
5. The nurse is preparing to delegate tasks. Which task is appropriate to assign
to unlicensed assistive personnel (UAP)?
A) Obtaining vital signs on a stable patient
B) Administering oral medications
C) Assessing a patient’s breath sounds
D) Developing the initial plan of care
Correct Answer: Obtaining vital signs on a stable patient
Rationale: UAPs can perform standardized, non‑invasive tasks such as
measuring vital signs on stable patients. Assessment, medication
administration, and care planning are within the RN’s scope only.
6. According to Maslow’s hierarchy, which need should the nurse address first
when prioritizing care?
A) Self‑esteem
B) Physiological needs
C) Love and belonging
D) Safety and security
Correct Answer: Physiological needs
Skills II (2026) Actual Q&A PDF
1. The nurse supports a patient’s decision to decline further cancer treatment
and enter hospice, even though the nurse personally believes the patient should
continue treatment. This action reflects which nursing role?
A) Advocacy
B) Change agent
C) Leader
D) Collaborator
Correct Answer: Advocacy
Rationale: Advocacy involves supporting the patient’s right to
self‑determination, even when the nurse’s personal views differ. The nurse
respects the patient’s autonomy and ensures their wishes are honored.
2. A nurse is caring for a culturally diverse patient with noticeable body odor.
What should the nurse do first?
A) Gather washcloths and towels and offer a bath immediately.
B) Seek information to determine the underlying cause of the body odor.
C) Contact family members to learn about the patient’s hygiene practices.
D) Ask the patient to bathe before the admission assessment continues.
Correct Answer: Seek information to determine the underlying cause of the
body odor.
,Rationale: Cultural practices and personal preferences influence hygiene. The
nurse must first assess the patient’s cultural background and potential causes
before planning any intervention.
3. Immigrants who adopt new technology while continuing to wear traditional
clothing from their home country are demonstrating:
A) Assimilation
B) Ethnocentrism
C) Acculturation
D) Socialization
Correct Answer: Acculturation
Rationale: Acculturation involves incorporating some aspects of the dominant
culture while retaining elements of the original culture. Assimilation is the
complete adoption of the dominant culture.
4. Which action best demonstrates that a nurse understands the needs of a
patient who speaks a different language?
A) Providing written pamphlets in English for the patient to review.
B) Asking a bilingual family member to serve as the interpreter.
C) Speaking slowly and loudly in English to improve comprehension.
D) Using a qualified medical interpreter for all communication.
Correct Answer: Using a qualified medical interpreter for all communication.
, Rationale: A professional interpreter ensures accurate, confidential
communication and meets legal and ethical standards. Family members should
not be used routinely because they may not translate accurately or maintain
confidentiality.
5. The nurse is preparing to delegate tasks. Which task is appropriate to assign
to unlicensed assistive personnel (UAP)?
A) Obtaining vital signs on a stable patient
B) Administering oral medications
C) Assessing a patient’s breath sounds
D) Developing the initial plan of care
Correct Answer: Obtaining vital signs on a stable patient
Rationale: UAPs can perform standardized, non‑invasive tasks such as
measuring vital signs on stable patients. Assessment, medication
administration, and care planning are within the RN’s scope only.
6. According to Maslow’s hierarchy, which need should the nurse address first
when prioritizing care?
A) Self‑esteem
B) Physiological needs
C) Love and belonging
D) Safety and security
Correct Answer: Physiological needs
