GALEN COLLEGE OF NURSING -FINAL EXAMINATION -2026
Department of Nursing
NSG 3130 EXAM 3
(Advanced Nursing Concepts / Medical-Surgical Nursing – Course Assessment)
Course Code: NSG 3130
Level: Undergraduate Nursing (BSN Program)
Exam Type: Unit / Midterm / Final Assessment (Exam 3)
Date: __________________________
Time: __________________________
Duration: 2–3 Hours
Total Marks: 100
INSTRUCTIONS TO CANDIDATES
Answer all questions unless otherwise stated.
Select the best possible answer for multiple-choice questions.
Provide clear, concise, and clinically accurate responses.
Apply nursing process (ADPIE) where applicable.
Use evidence-based clinical reasoning in scenario questions.
No unauthorized materials or devices are allowed.
A medical calculator may be permitted if specified.
STUDENT INFORMATION
,Full Name: ____________________________________________
Student ID: ___________________________________________
Course Instructor: ______________________________________
Signature: ____________________________________________
FOR FACULTY USE ONLY
Section Marks Available Marks Awarded
MCQs
Short Answer
Case Studies
Total 100
A patient with a terminal illness tells the nurse, "I have lived a long life. I am ready to go." What
is the nurse's best response?
a. Offer the patient a back rub
b. Sit quietly by the patient's bedside
c. Tell the family about the patient's statement
d. Discuss with the patient how dying is part of the life cycle
b. Sit quietly by the patient's bedside
,A mother whose young daughter has died of leukemia is crying and is unable to talk about her
feelings. Which is the best response by the nurse?
a. "Everyone will remember her because she was so cute. She was one of our favorites."
b. "As hard as this is, it is probably for the best because she was in a lot of pain."
c. "She put up the good fight but now she is out of pain and in heaven."
d. "It must be hard to deal with such a precious loss."
d. "It must be hard to deal with such a precious loss."
The nurse is preparing to care for a dying client, and several family members are at the client's
bedside. Which therapeutic technique should the nurse use when communicating with the
family?
Select all that apply.
a. Discourage reminiscing.
b. Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d. Explain everything that is happening to all family members.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
c. Encourage expression of feelings, concerns, and fears.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
, A client is close to death and the family asks how the nurse will know when their father has
died. What is the best response the nurse can state to the family?
a. Your loved one will quit breathing and the machine will alarm.
b. Your father's blood pressure will drop.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure
when I take it.
d. It should be shortly as his blood pressure has already dropped. I am just waiting for him to
stop breathing.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure
when I take it.
The nurse's patient has just died and the nurse is preparing him for viewing by the family. What
preparations should the nurse make first for the viewing?
a. Give the patient a bath, change the bed, and put on a fresh gown.
b. Position the patient with his arms to his side, close his eyes, close his mouth, and remove all
the jewelry.
c. Check the patient's religious beliefs and discuss with the family member how they would like
to have the body prepared.
d. Tape all tubes per protocol, clean the room, remove supplies from the bedside, and lower the
lights.
c. Check the patient's religious beliefs and discuss with the family member how they would like
to have the body prepared.
nurse is guiding her patient's family through the death of their grandmother. She asks what
religion the family is and they reply that they are Hindu. What is a Hindu's belief on cremation?
Department of Nursing
NSG 3130 EXAM 3
(Advanced Nursing Concepts / Medical-Surgical Nursing – Course Assessment)
Course Code: NSG 3130
Level: Undergraduate Nursing (BSN Program)
Exam Type: Unit / Midterm / Final Assessment (Exam 3)
Date: __________________________
Time: __________________________
Duration: 2–3 Hours
Total Marks: 100
INSTRUCTIONS TO CANDIDATES
Answer all questions unless otherwise stated.
Select the best possible answer for multiple-choice questions.
Provide clear, concise, and clinically accurate responses.
Apply nursing process (ADPIE) where applicable.
Use evidence-based clinical reasoning in scenario questions.
No unauthorized materials or devices are allowed.
A medical calculator may be permitted if specified.
STUDENT INFORMATION
,Full Name: ____________________________________________
Student ID: ___________________________________________
Course Instructor: ______________________________________
Signature: ____________________________________________
FOR FACULTY USE ONLY
Section Marks Available Marks Awarded
MCQs
Short Answer
Case Studies
Total 100
A patient with a terminal illness tells the nurse, "I have lived a long life. I am ready to go." What
is the nurse's best response?
a. Offer the patient a back rub
b. Sit quietly by the patient's bedside
c. Tell the family about the patient's statement
d. Discuss with the patient how dying is part of the life cycle
b. Sit quietly by the patient's bedside
,A mother whose young daughter has died of leukemia is crying and is unable to talk about her
feelings. Which is the best response by the nurse?
a. "Everyone will remember her because she was so cute. She was one of our favorites."
b. "As hard as this is, it is probably for the best because she was in a lot of pain."
c. "She put up the good fight but now she is out of pain and in heaven."
d. "It must be hard to deal with such a precious loss."
d. "It must be hard to deal with such a precious loss."
The nurse is preparing to care for a dying client, and several family members are at the client's
bedside. Which therapeutic technique should the nurse use when communicating with the
family?
Select all that apply.
a. Discourage reminiscing.
b. Make the decisions for the family.
c. Encourage expression of feelings, concerns, and fears.
d. Explain everything that is happening to all family members.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
c. Encourage expression of feelings, concerns, and fears.
e. Touch and hold the client's or family member's hand if appropriate.
f. Be honest and let the client and family know they will not be abandoned by the nurse.
, A client is close to death and the family asks how the nurse will know when their father has
died. What is the best response the nurse can state to the family?
a. Your loved one will quit breathing and the machine will alarm.
b. Your father's blood pressure will drop.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure
when I take it.
d. It should be shortly as his blood pressure has already dropped. I am just waiting for him to
stop breathing.
c. Your father will quit breathing, his heart will quit pumping and he will have no blood pressure
when I take it.
The nurse's patient has just died and the nurse is preparing him for viewing by the family. What
preparations should the nurse make first for the viewing?
a. Give the patient a bath, change the bed, and put on a fresh gown.
b. Position the patient with his arms to his side, close his eyes, close his mouth, and remove all
the jewelry.
c. Check the patient's religious beliefs and discuss with the family member how they would like
to have the body prepared.
d. Tape all tubes per protocol, clean the room, remove supplies from the bedside, and lower the
lights.
c. Check the patient's religious beliefs and discuss with the family member how they would like
to have the body prepared.
nurse is guiding her patient's family through the death of their grandmother. She asks what
religion the family is and they reply that they are Hindu. What is a Hindu's belief on cremation?
