GALEN NSG3130 FUNDAMENTALS & SKILLS FOR NURSING PRACTICE II EXAM 1
— 2025/2026 | 50 QUESTIONS | PRACTICE QUESTIONS & VERIFIED ANSWERS |
100% CORRECT | GRADED A+
NSG3130 – Fundamentals & Skills for Nursing Practice II Exam 1 (Galen College of Nursing) |
Core Domains: Advanced Medication Administration (Oral, Topical, Ophthalmic, Otic, Nasal,
Inhalation, Rectal, Vaginal Routes; Dosage Calculations; High-Alert Medications), Sterile
Technique & Wound Care (Surgical Asepsis, Dressing Changes, Wound Assessment, Drain
Management), IV Therapy Fundamentals (Peripheral IV Insertion, Infusion Pump Programming,
Complication Recognition: Infiltration, Phlebitis, Extravasation), Infection Control & Isolation
Precautions (Standard/Transmission-Based Precautions, PPE Sequence, Hand Hygiene, C.
diff/MDRO Protocols), Patient Safety & Risk Reduction (Fall Prevention, Restraint Alternatives,
Medication Reconciliation, Error Reporting), Clinical Judgment & Nursing Process Application
(ADPIE Framework, Priority Setting, SBAR Communication), Documentation Standards (Legal
Requirements, Electronic Health Records, Charting by Exception), Patient Education & Health
Promotion (Teach-Back Method, Health Literacy, Cultural Competence), Specimen Collection &
Diagnostic Testing (Blood Glucose, Urinalysis, Sputum, Stool, Culture Techniques), and Scenario-
Based Clinical Decision-Making Aligned with NGN Clinical Judgment Model | Galen Nursing–
Aligned Format
Exam Structure
• 50 multiple-choice questions (standard NSG3130 Exam 1 count per commonly cited Galen
College of Nursing course syllabi and student reports)
• Questions must be presented in bold
• Single-best-answer, select-all-that-apply (SATA), ordered response, and scenario-based clinical
skills items
• Focus on evidence-based nursing interventions, Galen skills lab protocols, and clinical judgment
aligned with Next Generation NCLEX (NGN) standards
• Total testing time: Approximately 75–90 minutes (computer-based, proctored format via Galen
learning management system)
• Passing score: Typically 78–80% required per Galen College of Nursing course policy for
progression
Introduction
This NSG3130 Fundamentals & Skills for Nursing Practice II Exam 1 practice format for
2025/2026 reflects a comprehensive competency assessment designed to evaluate proficiency in
intermediate nursing skills principles for pre-licensure nursing students at Galen College of
Nursing. The exam measures knowledge of advanced medication administration techniques,
sterile wound care procedures, IV therapy fundamentals, infection control protocols, patient
safety strategies, clinical judgment frameworks, documentation standards, patient education
methods, specimen collection techniques, and scenario-based decision-making essential for safe,
effective nursing practice in clinical settings. The 50-question format provides extensive coverage
of high-yield Exam 1 domains for study, preparation, and skills mastery purposes, aligned with
Galen curriculum objectives and current evidence-based practice guidelines.
Answer Format
,All correct answers must be presented in bold and green, each question must appear in bold, and
all rationales explaining nursing interventions, skills protocols, safety standards, and scenario-
based clinical reasoning must be written in italic font.
1. A nurse is preparing to administer an oral medication to a client. Which action is
most appropriate to ensure client safety?
A. Ask the client to state their name and date of birth.
B. Check the medication label against the MAR three times.
C. Administer the medication with a sip of water.
D. Document the administration immediately after preparing the medication.
Correct Answer: B. Check the medication label against the MAR three times.
Rationale: The "three checks" of medication administration (before preparing, after preparing,
and at the bedside) are crucial for preventing medication errors and ensuring client safety.
2. When administering ophthalmic medication, the nurse should instruct the client
to look in which direction?
A. Upward toward the ceiling.
B. Downward toward their feet.
C. Straight ahead.
D. To the side.
Correct Answer: A. Upward toward the ceiling.
Rationale: Looking upward helps expose the conjunctival sac and minimizes the risk of the
medication dropping directly onto the cornea, which can cause discomfort.
3. A client is prescribed a rectal suppository. The nurse should position the client in
which position for insertion?
A. Supine position.
B. Fowler\`s position.
C. Left Sims\` position.
D. Prone position.
Correct Answer: C. Left Sims\` position.
Rationale: The left Sims\` position (left side-lying with the right knee flexed) facilitates the
passage of the suppository into the rectum by following the natural curve of the colon.
4. Which action is essential when performing a sterile dressing change?
, A. Wearing clean gloves throughout the procedure.
B. Opening sterile packages away from the body first.
C. Touching only the outer 1-inch border of the sterile field.
D. Reusing sterile gloves if they remain visibly clean.
Correct Answer: B. Opening sterile packages away from the body first.
Rationale: Opening sterile packages away from the body first prevents contamination of the
sterile field by reaching over it. The outer 1-inch border is considered contaminated.
5. The nurse notes redness, swelling, and pain at a client\`s peripheral IV site.
Which complication does this indicate?
A. Infiltration.
B. Phlebitis.
C. Extravasation.
D. Air embolism.
Correct Answer: B. Phlebitis.
Rationale: Phlebitis is inflammation of the vein, characterized by redness, warmth, swelling,
and pain along the vein path. Infiltration involves fluid leaking into surrounding tissue, and
extravasation is infiltration with a vesicant solution.
6. A client requires isolation precautions for Clostridium difficile (C. diff). Which
type of precautions should the nurse implement?
A. Droplet precautions.
B. Airborne precautions.
C. Contact precautions.
D. Standard precautions only.
Correct Answer: C. Contact precautions.
Rationale: C. diff requires contact precautions, including gown and gloves, and strict hand
hygiene with soap and water (alcohol-based hand rubs are not effective against C. diff spores).
7. Which intervention is a priority for preventing falls in an elderly client admitted
to the hospital?
A. Keeping all four side rails up at all times.
B. Administering a sedative to promote rest.
C. Orienting the client to the room and call light.
— 2025/2026 | 50 QUESTIONS | PRACTICE QUESTIONS & VERIFIED ANSWERS |
100% CORRECT | GRADED A+
NSG3130 – Fundamentals & Skills for Nursing Practice II Exam 1 (Galen College of Nursing) |
Core Domains: Advanced Medication Administration (Oral, Topical, Ophthalmic, Otic, Nasal,
Inhalation, Rectal, Vaginal Routes; Dosage Calculations; High-Alert Medications), Sterile
Technique & Wound Care (Surgical Asepsis, Dressing Changes, Wound Assessment, Drain
Management), IV Therapy Fundamentals (Peripheral IV Insertion, Infusion Pump Programming,
Complication Recognition: Infiltration, Phlebitis, Extravasation), Infection Control & Isolation
Precautions (Standard/Transmission-Based Precautions, PPE Sequence, Hand Hygiene, C.
diff/MDRO Protocols), Patient Safety & Risk Reduction (Fall Prevention, Restraint Alternatives,
Medication Reconciliation, Error Reporting), Clinical Judgment & Nursing Process Application
(ADPIE Framework, Priority Setting, SBAR Communication), Documentation Standards (Legal
Requirements, Electronic Health Records, Charting by Exception), Patient Education & Health
Promotion (Teach-Back Method, Health Literacy, Cultural Competence), Specimen Collection &
Diagnostic Testing (Blood Glucose, Urinalysis, Sputum, Stool, Culture Techniques), and Scenario-
Based Clinical Decision-Making Aligned with NGN Clinical Judgment Model | Galen Nursing–
Aligned Format
Exam Structure
• 50 multiple-choice questions (standard NSG3130 Exam 1 count per commonly cited Galen
College of Nursing course syllabi and student reports)
• Questions must be presented in bold
• Single-best-answer, select-all-that-apply (SATA), ordered response, and scenario-based clinical
skills items
• Focus on evidence-based nursing interventions, Galen skills lab protocols, and clinical judgment
aligned with Next Generation NCLEX (NGN) standards
• Total testing time: Approximately 75–90 minutes (computer-based, proctored format via Galen
learning management system)
• Passing score: Typically 78–80% required per Galen College of Nursing course policy for
progression
Introduction
This NSG3130 Fundamentals & Skills for Nursing Practice II Exam 1 practice format for
2025/2026 reflects a comprehensive competency assessment designed to evaluate proficiency in
intermediate nursing skills principles for pre-licensure nursing students at Galen College of
Nursing. The exam measures knowledge of advanced medication administration techniques,
sterile wound care procedures, IV therapy fundamentals, infection control protocols, patient
safety strategies, clinical judgment frameworks, documentation standards, patient education
methods, specimen collection techniques, and scenario-based decision-making essential for safe,
effective nursing practice in clinical settings. The 50-question format provides extensive coverage
of high-yield Exam 1 domains for study, preparation, and skills mastery purposes, aligned with
Galen curriculum objectives and current evidence-based practice guidelines.
Answer Format
,All correct answers must be presented in bold and green, each question must appear in bold, and
all rationales explaining nursing interventions, skills protocols, safety standards, and scenario-
based clinical reasoning must be written in italic font.
1. A nurse is preparing to administer an oral medication to a client. Which action is
most appropriate to ensure client safety?
A. Ask the client to state their name and date of birth.
B. Check the medication label against the MAR three times.
C. Administer the medication with a sip of water.
D. Document the administration immediately after preparing the medication.
Correct Answer: B. Check the medication label against the MAR three times.
Rationale: The "three checks" of medication administration (before preparing, after preparing,
and at the bedside) are crucial for preventing medication errors and ensuring client safety.
2. When administering ophthalmic medication, the nurse should instruct the client
to look in which direction?
A. Upward toward the ceiling.
B. Downward toward their feet.
C. Straight ahead.
D. To the side.
Correct Answer: A. Upward toward the ceiling.
Rationale: Looking upward helps expose the conjunctival sac and minimizes the risk of the
medication dropping directly onto the cornea, which can cause discomfort.
3. A client is prescribed a rectal suppository. The nurse should position the client in
which position for insertion?
A. Supine position.
B. Fowler\`s position.
C. Left Sims\` position.
D. Prone position.
Correct Answer: C. Left Sims\` position.
Rationale: The left Sims\` position (left side-lying with the right knee flexed) facilitates the
passage of the suppository into the rectum by following the natural curve of the colon.
4. Which action is essential when performing a sterile dressing change?
, A. Wearing clean gloves throughout the procedure.
B. Opening sterile packages away from the body first.
C. Touching only the outer 1-inch border of the sterile field.
D. Reusing sterile gloves if they remain visibly clean.
Correct Answer: B. Opening sterile packages away from the body first.
Rationale: Opening sterile packages away from the body first prevents contamination of the
sterile field by reaching over it. The outer 1-inch border is considered contaminated.
5. The nurse notes redness, swelling, and pain at a client\`s peripheral IV site.
Which complication does this indicate?
A. Infiltration.
B. Phlebitis.
C. Extravasation.
D. Air embolism.
Correct Answer: B. Phlebitis.
Rationale: Phlebitis is inflammation of the vein, characterized by redness, warmth, swelling,
and pain along the vein path. Infiltration involves fluid leaking into surrounding tissue, and
extravasation is infiltration with a vesicant solution.
6. A client requires isolation precautions for Clostridium difficile (C. diff). Which
type of precautions should the nurse implement?
A. Droplet precautions.
B. Airborne precautions.
C. Contact precautions.
D. Standard precautions only.
Correct Answer: C. Contact precautions.
Rationale: C. diff requires contact precautions, including gown and gloves, and strict hand
hygiene with soap and water (alcohol-based hand rubs are not effective against C. diff spores).
7. Which intervention is a priority for preventing falls in an elderly client admitted
to the hospital?
A. Keeping all four side rails up at all times.
B. Administering a sedative to promote rest.
C. Orienting the client to the room and call light.
