NSG 3100 Exam 1 Galen College Fundamentals of Nursing ACTUAL EXAM 2026/2027 | Galen NSG 3100 Fundamentals | Verified Q&A | Pass Guaranteed - A+ Graded

NSG 3100 Exam 1 Galen College
Fundamentals of Nursing ACTUAL
EXAM 2026/2027 | Galen NSG 3100
Fundamentals | Verified Q&A | Pass
Guaranteed - A+ Graded

Section 1 – Nursing Process, Critical Thinking, Documentation (Questions 1–20)

Q1. A nurse enters a client's room and finds the client lying on the floor. Which of the following actions
should the nurse take first?

 A. Call the provider to report the fall.

 B. Assess the client for injuries. [CORRECT]

 C. Complete an incident report.

 D. Help the client back into bed.

Correct Answer: B
Rationale:

 Correct because: Assess before acting to find injuries and prevent further harm.

 A wrong because: Notify provider after assessment, not before.

 C wrong because: Incident report comes after client is stable.

 D wrong because: Moving client before assessment can worsen spinal or fracture injuries.



Q2. A nurse is using the nursing process to plan care for a client with diabetes. Which step comes after
the nurse identifies client problems?

 A. Implementation

,  B. Planning [CORRECT]

 C. Evaluation

 D. Assessment

Correct Answer: B
Rationale:

 Correct because: ADPIE order is Assessment, Diagnosis, Planning, Implementation, Evaluation.

 A wrong because: Implementation comes after planning.

 C wrong because: Evaluation is the final step.

 D wrong because: Assessment is the first step, already completed.



Q3. A nurse is documenting a client's wound care. Which entry follows legal and professional standards?

 A. "Wound looks better today."

 B. "2 cm × 1 cm wound bed with pink granulation tissue, no drainage noted." [CORRECT]

 C. "Patient seems happy with care."

 D. "Dressing changed as ordered."

Correct Answer: B
Rationale:

 Correct because: Objective, measurable data is legally defensible and clinically useful.

 A wrong because: "Looks better" is subjective and non-measurable.

 C wrong because: "Seems happy" is an assumption, not objective data.

 D wrong because: Lacks specific details about wound appearance and response.



Q4. A nurse receives report on four clients. Which client should the nurse see first?

 A. Client requesting a sleeping pill

 B. Client with a new oxygen saturation of 88% [CORRECT]

 C. Client who needs discharge teaching

,  D. Client asking for a glass of water

Correct Answer: B
Rationale:

 Correct because: SpO2 88% indicates hypoxemia and is life-threatening; ABCs come first.

 A wrong because: Sleep aid is a comfort need, not urgent.

 C wrong because: Discharge teaching is important but not priority over breathing.

 D wrong because: Water request is a basic need, not emergent.



Q5. A nurse is using critical thinking to analyze a client's elevated blood pressure. Which action
demonstrates analysis?

 A. Recording the blood pressure in the chart

 B. Comparing today's reading with previous readings to identify trends [CORRECT]

 C. Taking the blood pressure again in 15 minutes

 D. Notifying the provider immediately

Correct Answer: B
Rationale:

 Correct because: Analysis involves breaking down data and identifying patterns or relationships.

 A wrong because: Recording is data collection (assessment), not analysis.

 C wrong because: Rechecking is additional assessment.

 D wrong because: Notifying provider is implementation, not analysis.



Q6. A nurse is creating a care plan using SMART goals. Which goal is correctly written?

 A. "Client will feel better soon."

 B. "Client will ambulate 50 feet independently by discharge." [CORRECT]

 C. "Client will have good pain control."

 D. "Nurse will give pain medication on time."

, Correct Answer: B
Rationale:

 Correct because: Specific, Measurable, Achievable, Relevant, Time-bound (50 feet,
independently, by discharge).

 A wrong because: "Feel better" is vague and not measurable.

 C wrong because: "Good pain control" lacks specific criteria or timeline.

 D wrong because: Nurse-focused, not client-focused; care plan goals address client outcomes.



Q7. A nurse is giving handoff report using ISBARR. Which component is missing? "I am caring for Mr.
Smith in room 302. He had knee replacement surgery today. His pain is 8/10. He received oxycodone 30
minutes ago. His vital signs are stable."

 A. Introduction

 B. Background

 C. Assessment

 D. Recommendation [CORRECT]

Correct Answer: D
Rationale:

 Correct because: ISBARR requires Recommendation (what you anticipate or suggest next); the
nurse gave I-S-B-A but no R.

 A wrong because: Introduction was given ("I am caring for...").

 B wrong because: Background was included (surgery today).

 C wrong because: Assessment was provided (pain, vitals).



Q8. A nurse finds a medication error in which a client received another client's medication. Which action
is required by the nurse?

 A. Document the error in the client's chart only if symptoms occur.

 B. Complete an incident report and notify the charge nurse. [CORRECT]

 C. Tell the client not to mention it to family.