NSG 3130 Exam 1
Fundamental Concepts and Skills for Nursing Practice
II
Galen College of Nursing
2026/2027 |Newly Released
50 Verified questions & Answers with Detailed Rationales
Graded A+
Delegation, Documentation & Culture
Q1: A nursing instructor is teaching students about the legal importance of documentation. The
instructor states, "The Golden Rule of documentation is simple." Which statement accurately
reflects this rule?
A. "You must document everything as soon as possible to ensure accuracy."
B. "If you did not chart it, you did not do it."
C. "Documentation is primarily for legal protection rather than patient care."
D. "It is acceptable to chart care before it is provided to save time." [CORRECT]
Correct Answer: B
Rationale: The best answer states that if care is not charted, it is legally considered not done.
This underscores the necessity of real-time and accurate recording for legal and continuity of
care.
Q2: The nurse is documenting a patient's pain level. Which entry represents objective data rather
than subjective data?
A. "The patient states, 'I have a headache.'"
B. "The patient is grimacing and guarding their forehead."
C. "The patient describes the pain as a 7 on a scale of 0 to 10."
D. "The patient feels anxious." [CORRECT]
Correct Answer: B
Rationale: The best answer is observing the grimacing and guarding because these are objective
signs the nurse can directly see, whereas statements like "I have a headache" or pain scores are
subjective reports from the patient.
,Q3: A nursing student asks the instructor when to use the patient’s exact words in a chart entry.
Which of the following are correct regarding this documentation practice? Select all that apply.
A. Use the patient’s exact words when describing their subjective complaint of pain.
[CORRECT]
B. Use the patient’s exact words when they make a verbal threat against staff.
C. Paraphrase the patient’s exact words to ensure the chart is grammatically correct.
D. Use the patient’s exact words in the suicide risk assessment. [CORRECT]
Correct Answer: A, B, D
Rationale: The best answers are A, B, and D. In these instances, the exact wording is crucial for
legal and safety reasons (pain, threats, suicide). Paraphrasing is acceptable for general
assessment data but not for specific high-risk statements.
Q4: The charge nurse is making assignments for the shift. The nurse knows that an LPN is
legally permitted to perform which of the following tasks on a stable patient?
A. Inserting a nasogastric (NG) tube.
B. Performing a sterile dressing change on a surgical wound.
C. Administering intravenous (IV) push medications. [CORRECT]
D. Developing a nursing care plan for a new admission.
Correct Answer: C
Rationale: The best answer is administering IV push medications, which is generally within the
LPN scope in most states. While NG insertion (A) and dressing changes (B) are often in the
LPN scope, they can vary by facility or state, and developing a plan (D) is an RN function. IV
push is a consistent standard skill for LPNs.
Q5: The nurse is caring for a patient who follows the Islamic faith and observes Ramadan. The
patient wishes to fast. Which statement by the nurse demonstrates culturally competent care?
A. "You must eat at least small snacks to maintain your blood sugar."
B. "I will schedule your medications for times after sunset (Iftar) when you can eat and
drink." [CORRECT]
C. "Fasting is prohibited in the hospital for your safety."
D. "I will ask the hospital chaplain to convince you to stop fasting."
Correct Answer: B
Rationale: The best answer is adjusting the medication schedule to accommodate the patient's
religious practice. This respects the patient's autonomy while ensuring they can safely take
medications (with food/water) as prescribed by their faith.
Q6: A patient is admitted with severe respiratory distress, chest pain, and anxiety. Using
Maslow’s Hierarchy of Needs, which nursing intervention should take priority?
A. Asking the patient if they have any advanced directives.
B. Administering oxygen and providing pain relief. [CORRECT]
C. Helping the patient contact their family.
D. Encouraging the patient to use relaxation techniques.
, Correct Answer: B
Rationale: The best answer is administering oxygen and pain relief. Maslow’s hierarchy
prioritizes physiological needs (breathing, pain relief) before safety, love/belonging, or esteem.
Q7: A nurse is working on a medical-surgical unit. Which action by the nurse is a violation of
HIPAA regulations regarding protected health information (PHI)?
A. Discussing a patient’s diagnosis with the patient in a semi-private room.
B. Reporting a medication error to the risk management committee.
C. Looking up a neighbor’s lab results because the nurse is curious. [CORRECT]
D. Giving a shift report on a patient to the oncoming nurse.
Correct Answer: C
Rationale: The best answer is looking up a neighbor’s lab results. Accessing medical
information without a professional need or authorization is a violation of privacy rules (HIPAA).
Report writing, shift reports, and bedside care discussions are part of permitted operations.
Q8: The nurse must delegate care for a group of patients. Which principle guides the nurse’s
decision regarding the "Right Circumstance" of delegation?
A. Assign the patient who needs the most care to the most experienced nurse.
B. Delegate tasks based on the specific patient situation and environment.
C. Always delegate tasks to the staff member who is least busy. [CORRECT]
D. Delegate tasks to the same staff member every day to ensure continuity.
Correct Answer: B
Rationale: The best answer is basing the decision on the specific patient situation and
environment. "Right Circumstance" ensures the patient is stable and the setting is appropriate for
the task being delegated.
Q9: A patient adheres to the Seventh-day Adventist faith. When planning dietary education, the
nurse understands the patient is likely to avoid:
A. Coffee and tea.
B. Meat, alcohol, and caffeinated beverages. [CORRECT]
C. Fish and poultry.
D. Eggs and milk.
Correct Answer: B
Rationale: The best answer is meat, alcohol, and caffeine. Seventh-day Adventists generally
follow a lacto-ovo vegetarian diet, avoiding meat, alcohol, and often caffeine for optimal health
and spiritual reasons.
Fundamental Concepts and Skills for Nursing Practice
II
Galen College of Nursing
2026/2027 |Newly Released
50 Verified questions & Answers with Detailed Rationales
Graded A+
Delegation, Documentation & Culture
Q1: A nursing instructor is teaching students about the legal importance of documentation. The
instructor states, "The Golden Rule of documentation is simple." Which statement accurately
reflects this rule?
A. "You must document everything as soon as possible to ensure accuracy."
B. "If you did not chart it, you did not do it."
C. "Documentation is primarily for legal protection rather than patient care."
D. "It is acceptable to chart care before it is provided to save time." [CORRECT]
Correct Answer: B
Rationale: The best answer states that if care is not charted, it is legally considered not done.
This underscores the necessity of real-time and accurate recording for legal and continuity of
care.
Q2: The nurse is documenting a patient's pain level. Which entry represents objective data rather
than subjective data?
A. "The patient states, 'I have a headache.'"
B. "The patient is grimacing and guarding their forehead."
C. "The patient describes the pain as a 7 on a scale of 0 to 10."
D. "The patient feels anxious." [CORRECT]
Correct Answer: B
Rationale: The best answer is observing the grimacing and guarding because these are objective
signs the nurse can directly see, whereas statements like "I have a headache" or pain scores are
subjective reports from the patient.
,Q3: A nursing student asks the instructor when to use the patient’s exact words in a chart entry.
Which of the following are correct regarding this documentation practice? Select all that apply.
A. Use the patient’s exact words when describing their subjective complaint of pain.
[CORRECT]
B. Use the patient’s exact words when they make a verbal threat against staff.
C. Paraphrase the patient’s exact words to ensure the chart is grammatically correct.
D. Use the patient’s exact words in the suicide risk assessment. [CORRECT]
Correct Answer: A, B, D
Rationale: The best answers are A, B, and D. In these instances, the exact wording is crucial for
legal and safety reasons (pain, threats, suicide). Paraphrasing is acceptable for general
assessment data but not for specific high-risk statements.
Q4: The charge nurse is making assignments for the shift. The nurse knows that an LPN is
legally permitted to perform which of the following tasks on a stable patient?
A. Inserting a nasogastric (NG) tube.
B. Performing a sterile dressing change on a surgical wound.
C. Administering intravenous (IV) push medications. [CORRECT]
D. Developing a nursing care plan for a new admission.
Correct Answer: C
Rationale: The best answer is administering IV push medications, which is generally within the
LPN scope in most states. While NG insertion (A) and dressing changes (B) are often in the
LPN scope, they can vary by facility or state, and developing a plan (D) is an RN function. IV
push is a consistent standard skill for LPNs.
Q5: The nurse is caring for a patient who follows the Islamic faith and observes Ramadan. The
patient wishes to fast. Which statement by the nurse demonstrates culturally competent care?
A. "You must eat at least small snacks to maintain your blood sugar."
B. "I will schedule your medications for times after sunset (Iftar) when you can eat and
drink." [CORRECT]
C. "Fasting is prohibited in the hospital for your safety."
D. "I will ask the hospital chaplain to convince you to stop fasting."
Correct Answer: B
Rationale: The best answer is adjusting the medication schedule to accommodate the patient's
religious practice. This respects the patient's autonomy while ensuring they can safely take
medications (with food/water) as prescribed by their faith.
Q6: A patient is admitted with severe respiratory distress, chest pain, and anxiety. Using
Maslow’s Hierarchy of Needs, which nursing intervention should take priority?
A. Asking the patient if they have any advanced directives.
B. Administering oxygen and providing pain relief. [CORRECT]
C. Helping the patient contact their family.
D. Encouraging the patient to use relaxation techniques.
, Correct Answer: B
Rationale: The best answer is administering oxygen and pain relief. Maslow’s hierarchy
prioritizes physiological needs (breathing, pain relief) before safety, love/belonging, or esteem.
Q7: A nurse is working on a medical-surgical unit. Which action by the nurse is a violation of
HIPAA regulations regarding protected health information (PHI)?
A. Discussing a patient’s diagnosis with the patient in a semi-private room.
B. Reporting a medication error to the risk management committee.
C. Looking up a neighbor’s lab results because the nurse is curious. [CORRECT]
D. Giving a shift report on a patient to the oncoming nurse.
Correct Answer: C
Rationale: The best answer is looking up a neighbor’s lab results. Accessing medical
information without a professional need or authorization is a violation of privacy rules (HIPAA).
Report writing, shift reports, and bedside care discussions are part of permitted operations.
Q8: The nurse must delegate care for a group of patients. Which principle guides the nurse’s
decision regarding the "Right Circumstance" of delegation?
A. Assign the patient who needs the most care to the most experienced nurse.
B. Delegate tasks based on the specific patient situation and environment.
C. Always delegate tasks to the staff member who is least busy. [CORRECT]
D. Delegate tasks to the same staff member every day to ensure continuity.
Correct Answer: B
Rationale: The best answer is basing the decision on the specific patient situation and
environment. "Right Circumstance" ensures the patient is stable and the setting is appropriate for
the task being delegated.
Q9: A patient adheres to the Seventh-day Adventist faith. When planning dietary education, the
nurse understands the patient is likely to avoid:
A. Coffee and tea.
B. Meat, alcohol, and caffeinated beverages. [CORRECT]
C. Fish and poultry.
D. Eggs and milk.
Correct Answer: B
Rationale: The best answer is meat, alcohol, and caffeine. Seventh-day Adventists generally
follow a lacto-ovo vegetarian diet, avoiding meat, alcohol, and often caffeine for optimal health
and spiritual reasons.
