NSG 300 Exam (1, 2, 3 & 4) Exam Bank – Foundations of
Nursing | GCU 2026/2027 | Verified Questions and
Correct Detailed Answers 100 Questions Each | Pass
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Titles for Each Individual Exam
Exam Title
Exam 1 NSG 300 Exam 1: Foundations of Nursing – History, Theory, Ethics, Legal Issues, Critical Thinking & the Nursing Process
Exam 2 NSG 300 Exam 2: Health Assessment, Vital Signs, Infection Control & Patient Safety
Exam 3 NSG 300 Exam 3: Documentation, Hygiene, Mobility, Skin Integrity & Wound Care
Exam 4 NSG 300 Exam 4: Elimination, Oxygenation, Sleep, Pain Management & Perioperative Nursing
NSG 300 Exam 1 Questions 1–100
1. The nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s decision. This is an example
of which ethical principle?
a) Beneficence
b) Nonmaleficence
c) Autonomy
d) Justice
Correct answer: c
Rationale: Autonomy respects the patient’s right to make their own healthcare
decisions. Beneficence (a) is doing good; nonmaleficence (b) is avoiding harm;
justice (d) is fairness.
2. A nursing student correctly identifies that the primary focus of nursing as
defined by the American Nurses Association (ANA) is:
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a) Diagnosing and treating medical diseases
b) Promoting, protecting, and optimizing health and abilities
c) Performing procedures delegated by a physician
d) Managing healthcare facility budgets
Correct answer: b
Rationale: The ANA definition emphasizes health promotion, protection, and
optimization, along with alleviation of suffering and advocacy.
3. Which nursing theorist is known for the Environmental Theory, which
emphasized fresh air, clean water, and sanitation?
a) Dorothea Orem
b) Patricia Benner
c) Florence Nightingale
d) Jean Watson
Correct answer: c
Rationale: Nightingale’s Environmental Theory was based on her Crimean War
observations. Orem – Self-Care Deficit; Benner – Novice to Expert; Watson –
Human Caring.
4. A nurse is using the nursing process. Place the steps in the correct order.
a) Assessment → Diagnosis → Planning → Implementation → Evaluation
b) Planning → Assessment → Diagnosis → Implementation → Evaluation
c) Diagnosis → Assessment → Planning → Implementation → Evaluation
d) Assessment → Planning → Diagnosis → Implementation → Evaluation
Correct answer: a
Rationale: ADPIE is the correct sequence: Assessment, Diagnosis, Planning,
Implementation, Evaluation.
5. A nurse is sued for malpractice after a patient falls. Which element must be
proven to establish negligence?
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a) The nurse intended to harm the patient.
b) The nurse had a duty to the patient and breached that duty.
c) The patient refused to follow safety instructions.
d) The hospital’s policy was not clear.
Correct answer: b
Rationale: Negligence requires duty, breach of duty, causation, and damages.
Intent (a) is not required. Patient refusal (c) may be a defense but not an element.
6. A novice nurse watches an expert nurse quickly recognize subtle signs of sepsis.
The expert says, “I just know when something is wrong.” According to Benner,
this is:
a) Theoretical knowledge
b) Scientific knowledge
c) Intuitive, practical knowledge
d) Unconscious incompetence
Correct answer: c
Rationale: Benner’s expert stage uses intuitive pattern recognition based on deep
experience.
7. A nurse tells a patient from a different culture, “You should make eye contact
when I talk to you – it’s polite in this country.” This is an example of:
a) Cultural competence
b) Cultural imposition
c) Cultural humility
d) Cultural assimilation
Correct answer: b
Rationale: Cultural imposition is forcing one’s own cultural values onto another.
Cultural competence respects differences; cultural humility involves
self-reflection.
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8. The ANA Code of Ethics Provision 1 states that the nurse practices with
compassion and respect for the inherent dignity of every person. Which action
best demonstrates this?
a) Refusing to care for a patient with a history of substance abuse
b) Calling a patient by a preferred name and pronouns
c) Sharing a patient’s HIV status with a neighbor
d) Prioritizing younger patients over older ones
Correct answer: b
Rationale: Respecting a patient’s identity and preferences honors their dignity.
Refusing care (a) is discrimination; sharing info (c) violates privacy; age bias (d) is
unjust.
9. A nursing student correctly identifies the QSEN competency “Safety” as:
a) Using evidence-based protocols to reduce falls
b) Respecting patient preferences
c) Minimizing waste of supplies
d) Collaborating with physical therapists
Correct answer: a
Rationale: Safety focuses on minimizing risk of harm to patients and providers
through effective systems and evidence-based practices. (b) is patient-centered
care; (c) is quality improvement; (d) is teamwork.
10. A nurse is using critical thinking. Which action demonstrates the highest level
of critical thinking?
a) Following a procedure manual exactly for every patient
b) Asking the charge nurse for advice on every new finding
c) Recognizing subtle changes in a patient’s condition and anticipating
complications
d) Memorizing normal vital sign ranges