NSG 3100 FUNDAMENTALS OF NURSING EXAM 3 ACTUAL
2026/2027 | Galen College of Nursing Practice Test | Graded
A+ | Pass Guaranteed - A+ Graded
Section 1: Sensory Perception (Vision, Hearing, Touch) (Q1-10)
Question 1
A 72-year-old patient with presbyopia is being discharged after cataract surgery. The
nurse is providing education on home safety. Which instruction is most appropriate for
this patient?
A. "Remove all throw rugs and ensure adequate lighting in all rooms."
B. "Wear your old prescription glasses until your vision fully stabilizes."
C. "Use over-the-counter redness-relief eye drops four times daily."
D. "Resume driving at night once you feel comfortable."
Answer: A. "Remove all throw rugs and ensure adequate lighting in all rooms."
[CORRECT]
Rationale: Presbyopia reduces near vision and accommodation; removing hazards and
improving lighting prevents falls. Old glasses (B) are inappropriate post-cataract
surgery, redness-relief drops (C) may interfere with prescribed postoperative
medications, and night driving (D) should be avoided until cleared by the
ophthalmologist.
Correct Answer: A
Question 2
,A nurse is caring for a patient with presbycusis who has difficulty understanding
conversations. Which nursing intervention demonstrates the best communication
strategy?
A. Speak in a high-pitched, rapid tone to improve audibility.
B. Face the patient, speak clearly, and lower the pitch of your voice.
C. Shout directly into the patient's affected ear.
D. Write all communications and avoid verbal interaction.
Answer: B. Face the patient, speak clearly, and lower the pitch of your voice. [CORRECT]
Rationale: Presbycusis primarily affects high-frequency hearing; lowering pitch and
facing the patient allows lip-reading and clearer sound transmission. High-pitched rapid
speech (A) is harder to hear, shouting (C) distorts sound and may cause discomfort, and
avoiding verbal communication (D) is unnecessary and isolating.
Correct Answer: B
Question 3
A patient with diabetic retinopathy reports "seeing spots and floaters" and states, "It's
like a curtain is coming down over my eye." What is the nurse's priority action?
A. Document the finding and schedule a follow-up appointment in two weeks.
B. Position the patient supine and administer prescribed eye drops.
C. Notify the provider immediately; this may indicate retinal detachment.
D. Reassure the patient that floaters are a normal part of aging.
Answer: C. Notify the provider immediately; this may indicate retinal detachment.
[CORRECT]
Rationale: The "curtain" description is classic for retinal detachment, a medical
emergency requiring immediate intervention to preserve vision. Delaying (A) risks
,permanent vision loss, eye drops (B) are not emergent treatment, and reassurance (D) is
dangerous dismissal of an acute ophthalmologic emergency.
Correct Answer: C
Question 4
A patient with bilateral hearing loss is being fitted with hearing aids for the first time.
Which patient statement indicates correct understanding of hearing aid use?
A. "I should store my hearing aids in a warm, humid environment to keep them
comfortable."
B. "I need to change the batteries every day regardless of use."
C. "I'll start by wearing them for a few hours daily and gradually increase the time."
D. "Hearing aids will restore my hearing to normal levels immediately."
Answer: C. "I'll start by wearing them for a few hours daily and gradually increase the
time." [CORRECT]
Rationale: Gradual adaptation prevents sensory overload and allows the brain to adjust
to amplified sound. Warm humid storage (A) damages devices, daily battery changes
(B) are unnecessary and wasteful, and hearing aids amplify but do not restore normal
hearing (D).
Correct Answer: C
Question 5
A patient on prolonged bed rest in a dimly lit room with minimal stimulation begins
showing signs of confusion, anxiety, and hallucinations. The nurse recognizes this as:
A. Sensory overload from too much environmental noise.
B. Sensory deprivation resulting from reduced meaningful stimuli.
C. Normal aging changes affecting cognitive function.
D. An adverse effect of prescribed analgesic medications.
, Answer: B. Sensory deprivation resulting from reduced meaningful stimuli. [CORRECT]
Rationale: Sensory deprivation occurs when meaningful stimuli are reduced, leading to
perceptual distortions, confusion, and hallucinations—common in isolated, immobilized
patients. The scenario describes deprivation, not overload (A), and while aging (C) or
medications (D) could contribute, the environmental factors point to sensory
deprivation.
Correct Answer: B
Question 6
A nurse is caring for a patient with a new diagnosis of glaucoma. The patient asks, "Will
I go blind?" Which response by the nurse is most accurate?
A. "Glaucoma always leads to complete blindness if untreated."
B. "With proper treatment and regular monitoring, vision loss can usually be prevented
or slowed."
C. "Surgery will cure your glaucoma and restore any vision you've lost."
D. "Glaucoma only affects peripheral vision, so you don't need to worry about central
vision."
Answer: B. "With proper treatment and regular monitoring, vision loss can usually be
prevented or slowed." [CORRECT]
Rationale: Glaucoma causes progressive optic nerve damage, but early detection and
consistent treatment (meds, laser, surgery) can prevent or slow vision loss. It does not
always cause blindness (A), surgery does not restore lost vision (C), and while
peripheral vision is affected first, central vision can be lost in advanced disease (D).
Correct Answer: B
Question 7
2026/2027 | Galen College of Nursing Practice Test | Graded
A+ | Pass Guaranteed - A+ Graded
Section 1: Sensory Perception (Vision, Hearing, Touch) (Q1-10)
Question 1
A 72-year-old patient with presbyopia is being discharged after cataract surgery. The
nurse is providing education on home safety. Which instruction is most appropriate for
this patient?
A. "Remove all throw rugs and ensure adequate lighting in all rooms."
B. "Wear your old prescription glasses until your vision fully stabilizes."
C. "Use over-the-counter redness-relief eye drops four times daily."
D. "Resume driving at night once you feel comfortable."
Answer: A. "Remove all throw rugs and ensure adequate lighting in all rooms."
[CORRECT]
Rationale: Presbyopia reduces near vision and accommodation; removing hazards and
improving lighting prevents falls. Old glasses (B) are inappropriate post-cataract
surgery, redness-relief drops (C) may interfere with prescribed postoperative
medications, and night driving (D) should be avoided until cleared by the
ophthalmologist.
Correct Answer: A
Question 2
,A nurse is caring for a patient with presbycusis who has difficulty understanding
conversations. Which nursing intervention demonstrates the best communication
strategy?
A. Speak in a high-pitched, rapid tone to improve audibility.
B. Face the patient, speak clearly, and lower the pitch of your voice.
C. Shout directly into the patient's affected ear.
D. Write all communications and avoid verbal interaction.
Answer: B. Face the patient, speak clearly, and lower the pitch of your voice. [CORRECT]
Rationale: Presbycusis primarily affects high-frequency hearing; lowering pitch and
facing the patient allows lip-reading and clearer sound transmission. High-pitched rapid
speech (A) is harder to hear, shouting (C) distorts sound and may cause discomfort, and
avoiding verbal communication (D) is unnecessary and isolating.
Correct Answer: B
Question 3
A patient with diabetic retinopathy reports "seeing spots and floaters" and states, "It's
like a curtain is coming down over my eye." What is the nurse's priority action?
A. Document the finding and schedule a follow-up appointment in two weeks.
B. Position the patient supine and administer prescribed eye drops.
C. Notify the provider immediately; this may indicate retinal detachment.
D. Reassure the patient that floaters are a normal part of aging.
Answer: C. Notify the provider immediately; this may indicate retinal detachment.
[CORRECT]
Rationale: The "curtain" description is classic for retinal detachment, a medical
emergency requiring immediate intervention to preserve vision. Delaying (A) risks
,permanent vision loss, eye drops (B) are not emergent treatment, and reassurance (D) is
dangerous dismissal of an acute ophthalmologic emergency.
Correct Answer: C
Question 4
A patient with bilateral hearing loss is being fitted with hearing aids for the first time.
Which patient statement indicates correct understanding of hearing aid use?
A. "I should store my hearing aids in a warm, humid environment to keep them
comfortable."
B. "I need to change the batteries every day regardless of use."
C. "I'll start by wearing them for a few hours daily and gradually increase the time."
D. "Hearing aids will restore my hearing to normal levels immediately."
Answer: C. "I'll start by wearing them for a few hours daily and gradually increase the
time." [CORRECT]
Rationale: Gradual adaptation prevents sensory overload and allows the brain to adjust
to amplified sound. Warm humid storage (A) damages devices, daily battery changes
(B) are unnecessary and wasteful, and hearing aids amplify but do not restore normal
hearing (D).
Correct Answer: C
Question 5
A patient on prolonged bed rest in a dimly lit room with minimal stimulation begins
showing signs of confusion, anxiety, and hallucinations. The nurse recognizes this as:
A. Sensory overload from too much environmental noise.
B. Sensory deprivation resulting from reduced meaningful stimuli.
C. Normal aging changes affecting cognitive function.
D. An adverse effect of prescribed analgesic medications.
, Answer: B. Sensory deprivation resulting from reduced meaningful stimuli. [CORRECT]
Rationale: Sensory deprivation occurs when meaningful stimuli are reduced, leading to
perceptual distortions, confusion, and hallucinations—common in isolated, immobilized
patients. The scenario describes deprivation, not overload (A), and while aging (C) or
medications (D) could contribute, the environmental factors point to sensory
deprivation.
Correct Answer: B
Question 6
A nurse is caring for a patient with a new diagnosis of glaucoma. The patient asks, "Will
I go blind?" Which response by the nurse is most accurate?
A. "Glaucoma always leads to complete blindness if untreated."
B. "With proper treatment and regular monitoring, vision loss can usually be prevented
or slowed."
C. "Surgery will cure your glaucoma and restore any vision you've lost."
D. "Glaucoma only affects peripheral vision, so you don't need to worry about central
vision."
Answer: B. "With proper treatment and regular monitoring, vision loss can usually be
prevented or slowed." [CORRECT]
Rationale: Glaucoma causes progressive optic nerve damage, but early detection and
consistent treatment (meds, laser, surgery) can prevent or slow vision loss. It does not
always cause blindness (A), surgery does not restore lost vision (C), and while
peripheral vision is affected first, central vision can be lost in advanced disease (D).
Correct Answer: B
Question 7
