NSG 3130 FuNdameNtalS oF CoNCeptS & SkillS For NurSiNG –
examS 1-4 praCtiCe GaleN ColleGe oF NurSiNG – CompreheNSive
review 2026||||queStioNS aNd aNSwerS with
ratioNaleS/Graded a+/2026 update/100% CorreCt /iNStaNt
dowNload
EXAM 1: INTRODUCTION TO NURSING AND HEALTHCARE DELIVERY (Questions 1-12)
**Question 1**
A nurse is caring for a patient who is postoperative day 2 following abdominal surgery. The
patient expresses fear about going home because they live alone. Which of the following actions
best demonstrates holistic nursing care?
A) Assuring the patient that they will be fine at home
B) Contacting social work to arrange for home health services
C) Telling the patient not to worry because the nurse will be there
D) Focusing only on the surgical incision assessment
**Answer:** B) Contacting social work to arrange for home health services
**Rationale:** Holistic nursing care addresses the physical, psychological, social, and spiritual
needs of the patient. The patient's expressed fear about living alone after discharge is a
psychosocial concern that requires intervention beyond physical care. Contacting social work
addresses this need. Options A and C dismiss the patient's concerns, and option D ignores the
psychosocial aspect entirely.
---
**Question 2**
A nurse is preparing to delegate tasks to an assistive personnel (AP). Which of the following tasks
is appropriate for the nurse to delegate?
A) Administering oral medications
,B) Performing a sterile dressing change
C) Measuring a patient's intake and output
D) Assessing a patient's pain level
**Answer:** C) Measuring a patient's intake and output
**Rationale:** Intake and output measurement is a basic task that can be delegated to AP. The
nurse cannot delegate tasks requiring nursing judgment, assessment, evaluation, or clinical
decision-making. Medication administration (A), sterile procedures (B), and pain assessment (D)
require licensed nursing judgment and cannot be delegated to AP.
---
**Question 3**
A nurse is caring for a patient who refuses to take a prescribed medication. Which of the following
actions should the nurse take?
A) Administer the medication by force
B) Document the refusal and notify the provider
C) Crush the medication and mix it with applesauce
D) Tell the patient they will be discharged if they refuse
**Answer:** B) Document the refusal and notify the provider
**Rationale:** Patients have the right to refuse treatment. The nurse should respect the patient's
autonomy, document the refusal in the medical record, notify the provider, and continue to
monitor the patient. Forcing medication (A) is assault and violates patient rights. Deceptive
administration (C) violates ethical principles. Threatening discharge (D) is coercive and
inappropriate.
---
**Question 4**
, The nurse is caring for a patient who is to receive a blood transfusion. Which of the following is
required for informed consent?
A) The nurse explaining the risks and benefits of the transfusion
B) The patient understanding the procedure, risks, benefits, and alternatives
C) The patient's family member signing the consent form
D) The nurse witnessing the patient's signature on a blank consent form
**Answer:** B) The patient understanding the procedure, risks, benefits, and alternatives
**Rationale:** Informed consent requires that the patient (or legal representative) understand the
procedure, its risks, benefits, and alternatives. The provider (not the nurse) is responsible for
explaining this information. The nurse's role is to witness the signature and confirm that the
patient appears to understand. Consent must be voluntary and based on adequate information.
---
**Question 5**
A nurse is caring for a patient who is terminally ill. The patient states, "I want to go home to die."
The nurse's best response is:
A) "You should stay here where you can be cared for properly."
B) "Let me talk to your family about your wishes."
C) "I understand you want to go home. Let me discuss this with your provider and see what
arrangements can be made."
D) "You are not well enough to go home."
**Answer:** C) "I understand you want to go home. Let me discuss this with your provider and
see what arrangements can be made."
**Rationale:** The nurse should acknowledge and validate the patient's wishes while facilitating
appropriate care planning. Hospice care can often be provided at home. The nurse should act as
an advocate for the patient. Options A and D dismiss the patient's wishes; option B bypasses the
patient by going directly to the family.
examS 1-4 praCtiCe GaleN ColleGe oF NurSiNG – CompreheNSive
review 2026||||queStioNS aNd aNSwerS with
ratioNaleS/Graded a+/2026 update/100% CorreCt /iNStaNt
dowNload
EXAM 1: INTRODUCTION TO NURSING AND HEALTHCARE DELIVERY (Questions 1-12)
**Question 1**
A nurse is caring for a patient who is postoperative day 2 following abdominal surgery. The
patient expresses fear about going home because they live alone. Which of the following actions
best demonstrates holistic nursing care?
A) Assuring the patient that they will be fine at home
B) Contacting social work to arrange for home health services
C) Telling the patient not to worry because the nurse will be there
D) Focusing only on the surgical incision assessment
**Answer:** B) Contacting social work to arrange for home health services
**Rationale:** Holistic nursing care addresses the physical, psychological, social, and spiritual
needs of the patient. The patient's expressed fear about living alone after discharge is a
psychosocial concern that requires intervention beyond physical care. Contacting social work
addresses this need. Options A and C dismiss the patient's concerns, and option D ignores the
psychosocial aspect entirely.
---
**Question 2**
A nurse is preparing to delegate tasks to an assistive personnel (AP). Which of the following tasks
is appropriate for the nurse to delegate?
A) Administering oral medications
,B) Performing a sterile dressing change
C) Measuring a patient's intake and output
D) Assessing a patient's pain level
**Answer:** C) Measuring a patient's intake and output
**Rationale:** Intake and output measurement is a basic task that can be delegated to AP. The
nurse cannot delegate tasks requiring nursing judgment, assessment, evaluation, or clinical
decision-making. Medication administration (A), sterile procedures (B), and pain assessment (D)
require licensed nursing judgment and cannot be delegated to AP.
---
**Question 3**
A nurse is caring for a patient who refuses to take a prescribed medication. Which of the following
actions should the nurse take?
A) Administer the medication by force
B) Document the refusal and notify the provider
C) Crush the medication and mix it with applesauce
D) Tell the patient they will be discharged if they refuse
**Answer:** B) Document the refusal and notify the provider
**Rationale:** Patients have the right to refuse treatment. The nurse should respect the patient's
autonomy, document the refusal in the medical record, notify the provider, and continue to
monitor the patient. Forcing medication (A) is assault and violates patient rights. Deceptive
administration (C) violates ethical principles. Threatening discharge (D) is coercive and
inappropriate.
---
**Question 4**
, The nurse is caring for a patient who is to receive a blood transfusion. Which of the following is
required for informed consent?
A) The nurse explaining the risks and benefits of the transfusion
B) The patient understanding the procedure, risks, benefits, and alternatives
C) The patient's family member signing the consent form
D) The nurse witnessing the patient's signature on a blank consent form
**Answer:** B) The patient understanding the procedure, risks, benefits, and alternatives
**Rationale:** Informed consent requires that the patient (or legal representative) understand the
procedure, its risks, benefits, and alternatives. The provider (not the nurse) is responsible for
explaining this information. The nurse's role is to witness the signature and confirm that the
patient appears to understand. Consent must be voluntary and based on adequate information.
---
**Question 5**
A nurse is caring for a patient who is terminally ill. The patient states, "I want to go home to die."
The nurse's best response is:
A) "You should stay here where you can be cared for properly."
B) "Let me talk to your family about your wishes."
C) "I understand you want to go home. Let me discuss this with your provider and see what
arrangements can be made."
D) "You are not well enough to go home."
**Answer:** C) "I understand you want to go home. Let me discuss this with your provider and
see what arrangements can be made."
**Rationale:** The nurse should acknowledge and validate the patient's wishes while facilitating
appropriate care planning. Hospice care can often be provided at home. The nurse should act as
an advocate for the patient. Options A and D dismiss the patient's wishes; option B bypasses the
patient by going directly to the family.
