Fundamental Concepts & Skills for
Nursing Practice I (NSG3100) – Galen
College of Nursing – Exam 2 Review
(2024/2025)
Part I: Multiple-Choice Questions
1. What is the purpose of taking vital signs?
a) Diagnose medical conditions
b) Monitor body system function
c) Assess pain levels
d) Evaluate nutritional status
Answer: b) Monitor body system function
Rationale: Vital signs (e.g., pulse, respiration, blood pressure) reflect the function of
cardiovascular, respiratory, and thermoregulatory systems, providing baseline data for
assessment.
2. Which factor increases a patient’s risk for falls?
a) Young age
b) History of falls
c) High fluid intake
d) Regular exercise
Answer: b) History of falls
Rationale: A history of falls is a significant risk factor, as it indicates previous balance or
mobility issues.
3. How long should a nurse lather hands during handwashing?
a) 5–10 seconds
b) 15–20 seconds
c) 30–40 seconds
d) 60 seconds
Answer: b) 15–20 seconds
Rationale: Lathering for 15–20 seconds creates friction to remove microorganisms
effectively.
4. When should alcohol-based hand sanitizer not be used?
a) After patient contact
b) When hands are visibly soiled
c) Before entering a patient’s room
d) After glove removal
Answer: b) When hands are visibly soiled
Rationale: Visibly soiled hands (e.g., with blood or stool) require washing with
antimicrobial soap, as sanitizer is less effective.
, 5. A client reports dyspnea when ambulating. What is the nurse most likely to assess?
a) Shallow respirations
b) Wheezing
c) Shortness of breath
d) Coughing up blood
Answer: c) Shortness of breath
Rationale: Dyspnea refers to difficult or labored breathing, often experienced as
shortness of breath during activity.
6. What is the normal urinary output for an adult per hour?
a) 10 mL/hour
b) 20 mL/hour
c) 30 mL/hour
d) 50 mL/hour
Answer: c) 30 mL/hour
Rationale: Normal adult urinary output is approximately 30 mL/hour, indicating
adequate renal function.
7. Which PPE is required for contact precautions?
a) Mask and goggles
b) Gloves and gown
c) N95 respirator
d) Face shield only
Answer: b) Gloves and gown
Rationale: Contact precautions for infections like MRSA require gloves and a gown to
prevent skin or clothing transmission.
8. What is a classic sign of infection?
a) Decreased WBC count
b) Redness at the site
c) Hypothermia
d) Reduced pain
Answer: b) Redness at the site
Rationale: Redness is a hallmark of localized infection due to inflammation and
increased blood flow.
9. Which type of protein promotes wound healing?
a) Animal fat protein
b) Lean-fat protein
c) Saturated fat protein
d) Trans fat protein
Answer: b) Lean-fat protein
Rationale: Lean proteins (e.g., chicken, fish) provide amino acids essential for tissue
repair and wound healing.
10. A client with type 1 diabetes reports frequent urination. What does this suggest?
a) Normal hydration
b) Non-compliance with treatment
c) Urinary tract infection
d) Kidney stones
Answer: b) Non-compliance with treatment
Nursing Practice I (NSG3100) – Galen
College of Nursing – Exam 2 Review
(2024/2025)
Part I: Multiple-Choice Questions
1. What is the purpose of taking vital signs?
a) Diagnose medical conditions
b) Monitor body system function
c) Assess pain levels
d) Evaluate nutritional status
Answer: b) Monitor body system function
Rationale: Vital signs (e.g., pulse, respiration, blood pressure) reflect the function of
cardiovascular, respiratory, and thermoregulatory systems, providing baseline data for
assessment.
2. Which factor increases a patient’s risk for falls?
a) Young age
b) History of falls
c) High fluid intake
d) Regular exercise
Answer: b) History of falls
Rationale: A history of falls is a significant risk factor, as it indicates previous balance or
mobility issues.
3. How long should a nurse lather hands during handwashing?
a) 5–10 seconds
b) 15–20 seconds
c) 30–40 seconds
d) 60 seconds
Answer: b) 15–20 seconds
Rationale: Lathering for 15–20 seconds creates friction to remove microorganisms
effectively.
4. When should alcohol-based hand sanitizer not be used?
a) After patient contact
b) When hands are visibly soiled
c) Before entering a patient’s room
d) After glove removal
Answer: b) When hands are visibly soiled
Rationale: Visibly soiled hands (e.g., with blood or stool) require washing with
antimicrobial soap, as sanitizer is less effective.
, 5. A client reports dyspnea when ambulating. What is the nurse most likely to assess?
a) Shallow respirations
b) Wheezing
c) Shortness of breath
d) Coughing up blood
Answer: c) Shortness of breath
Rationale: Dyspnea refers to difficult or labored breathing, often experienced as
shortness of breath during activity.
6. What is the normal urinary output for an adult per hour?
a) 10 mL/hour
b) 20 mL/hour
c) 30 mL/hour
d) 50 mL/hour
Answer: c) 30 mL/hour
Rationale: Normal adult urinary output is approximately 30 mL/hour, indicating
adequate renal function.
7. Which PPE is required for contact precautions?
a) Mask and goggles
b) Gloves and gown
c) N95 respirator
d) Face shield only
Answer: b) Gloves and gown
Rationale: Contact precautions for infections like MRSA require gloves and a gown to
prevent skin or clothing transmission.
8. What is a classic sign of infection?
a) Decreased WBC count
b) Redness at the site
c) Hypothermia
d) Reduced pain
Answer: b) Redness at the site
Rationale: Redness is a hallmark of localized infection due to inflammation and
increased blood flow.
9. Which type of protein promotes wound healing?
a) Animal fat protein
b) Lean-fat protein
c) Saturated fat protein
d) Trans fat protein
Answer: b) Lean-fat protein
Rationale: Lean proteins (e.g., chicken, fish) provide amino acids essential for tissue
repair and wound healing.
10. A client with type 1 diabetes reports frequent urination. What does this suggest?
a) Normal hydration
b) Non-compliance with treatment
c) Urinary tract infection
d) Kidney stones
Answer: b) Non-compliance with treatment
