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NSG 3850 Exam 1 Galen College Of Nursing Actual Exam 2026-
2027 BANK QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS A+ GRADED
1. A nurse is planning care based on the philosophy that the mind,
body, and spirit are interconnected and influence a patient's health.
Which nursing theorist's work is the foundation for this approach?
A. Florence Nightingale
B. Virginia Henderson
C. Jean Watson
D. Dorothea Orem
Answer: C. Jean Watson
Explanation: Watson's Theory of Human Caring emphasizes the
transpersonal caring relationship, viewing the person as a unity of
mind-body-spirit that is inseparable from the environment. Her work
focuses on the holistic nature of nursing, whereas Henderson focused
on self-care deficits and Orem on self-care agency. Nightingale, while
holistic, is more associated with environmental manipulation.
2. The nurse is conducting a health history interview. Which statement
by the nurse reflects the use of active listening and therapeutic
communication?
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A. "Don't worry, everything will be fine."
B. "You appear to be upset. Can you tell me more about how you are
feeling?"
C. "If I were you, I would stop smoking immediately."
D. "Why did you wait so long to come in for this problem?"
Answer: B. "You appear to be upset. Can you tell me more about how
you are feeling?"
Explanation: This statement uses the therapeutic technique of making
an observation followed by an open-ended question, which encourages
the patient to elaborate. Offering false reassurance, giving personal
advice, and asking "why" questions are all non-therapeutic
communication blocks.
3. A patient is admitted with a systemic infection. Which laboratory
result would the nurse expect to see, indicating a sign of inflammation
or infection?
A. Decreased platelet count
B. Elevated C-reactive protein (CRP)
C. Decreased white blood cell count
D. Elevated hemoglobin
Answer: B. Elevated C-reactive protein (CRP)
Explanation: CRP is a protein synthesized by the liver in response to
inflammatory cytokines, especially during acute infection or
inflammation. An elevated white blood cell count (leukocytosis), not
decreased, is typical. Hemoglobin is unrelated to acute infection, and
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platelets may be elevated (thrombocytosis) due to inflammatory
processes.
4. A nurse is administering a beta-1 adrenergic antagonist
(cardioselective beta-blocker) to a patient. What is the primary
therapeutic effect expected from this medication?
A. Bronchodilation
B. Decreased heart rate and contractility
C. Vasoconstriction
D. Pupillary dilation
Answer: B. Decreased heart rate and contractility
Explanation: Beta-1 receptors are primarily located in the heart.
Blocking them results in negative chronotropic (decreased heart rate)
and negative inotropic (decreased contractility) effects, reducing
cardiac workload. Beta-2 receptors are found in the lungs, and their
blockade would cause bronchoconstriction, not dilation.
5. The nurse is assessing a patient for fluid volume deficit
(hypovolemia). Which finding is consistent with this condition?
A. Jugular vein distention
B. Orthostatic hypotension
C. Crackles in the lungs
D. Peripheral edema
Answer: B. Orthostatic hypotension
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Explanation: With decreased vascular volume, the body cannot
maintain blood pressure upon position change, leading to a significant
drop. Jugular vein distention, crackles, and peripheral edema are signs
of fluid volume excess (hypervolemia).
6. A community health nurse is using the framework of the Health
Belief Model to design an intervention. What is the key construct of this
model that the nurse must address to promote behavioral change?
A. The individual's self-actualization needs
B. The individual's perceived susceptibility and severity of a disease
C. The stage of change the individual is currently in
D. The influence of interpersonal relationships on the individual
Answer: B. The individual's perceived susceptibility and severity of a
disease
Explanation: The Health Belief Model posits that health-related
behavior is determined by personal beliefs, including perceived
susceptibility, perceived severity, perceived benefits, and perceived
barriers. The Transtheoretical Model focuses on stages of change.
7. A nurse is caring for a patient newly prescribed furosemide, a loop
diuretic. Which laboratory value is the priority to monitor due to the
medication's mechanism of action?
A. Serum glucose
B. Serum potassium
C. Serum sodium
NSG 3850 Exam 1 Galen College Of Nursing Actual Exam 2026-
2027 BANK QUESTIONS WITH DETAILED VERIFIED
ANSWERS EXAM QUESTIONS WILL COME FROM HERE
(100% CORRECT ANSWERS A+ GRADED
1. A nurse is planning care based on the philosophy that the mind,
body, and spirit are interconnected and influence a patient's health.
Which nursing theorist's work is the foundation for this approach?
A. Florence Nightingale
B. Virginia Henderson
C. Jean Watson
D. Dorothea Orem
Answer: C. Jean Watson
Explanation: Watson's Theory of Human Caring emphasizes the
transpersonal caring relationship, viewing the person as a unity of
mind-body-spirit that is inseparable from the environment. Her work
focuses on the holistic nature of nursing, whereas Henderson focused
on self-care deficits and Orem on self-care agency. Nightingale, while
holistic, is more associated with environmental manipulation.
2. The nurse is conducting a health history interview. Which statement
by the nurse reflects the use of active listening and therapeutic
communication?
,2|Page
A. "Don't worry, everything will be fine."
B. "You appear to be upset. Can you tell me more about how you are
feeling?"
C. "If I were you, I would stop smoking immediately."
D. "Why did you wait so long to come in for this problem?"
Answer: B. "You appear to be upset. Can you tell me more about how
you are feeling?"
Explanation: This statement uses the therapeutic technique of making
an observation followed by an open-ended question, which encourages
the patient to elaborate. Offering false reassurance, giving personal
advice, and asking "why" questions are all non-therapeutic
communication blocks.
3. A patient is admitted with a systemic infection. Which laboratory
result would the nurse expect to see, indicating a sign of inflammation
or infection?
A. Decreased platelet count
B. Elevated C-reactive protein (CRP)
C. Decreased white blood cell count
D. Elevated hemoglobin
Answer: B. Elevated C-reactive protein (CRP)
Explanation: CRP is a protein synthesized by the liver in response to
inflammatory cytokines, especially during acute infection or
inflammation. An elevated white blood cell count (leukocytosis), not
decreased, is typical. Hemoglobin is unrelated to acute infection, and
,3|Page
platelets may be elevated (thrombocytosis) due to inflammatory
processes.
4. A nurse is administering a beta-1 adrenergic antagonist
(cardioselective beta-blocker) to a patient. What is the primary
therapeutic effect expected from this medication?
A. Bronchodilation
B. Decreased heart rate and contractility
C. Vasoconstriction
D. Pupillary dilation
Answer: B. Decreased heart rate and contractility
Explanation: Beta-1 receptors are primarily located in the heart.
Blocking them results in negative chronotropic (decreased heart rate)
and negative inotropic (decreased contractility) effects, reducing
cardiac workload. Beta-2 receptors are found in the lungs, and their
blockade would cause bronchoconstriction, not dilation.
5. The nurse is assessing a patient for fluid volume deficit
(hypovolemia). Which finding is consistent with this condition?
A. Jugular vein distention
B. Orthostatic hypotension
C. Crackles in the lungs
D. Peripheral edema
Answer: B. Orthostatic hypotension
, 4|Page
Explanation: With decreased vascular volume, the body cannot
maintain blood pressure upon position change, leading to a significant
drop. Jugular vein distention, crackles, and peripheral edema are signs
of fluid volume excess (hypervolemia).
6. A community health nurse is using the framework of the Health
Belief Model to design an intervention. What is the key construct of this
model that the nurse must address to promote behavioral change?
A. The individual's self-actualization needs
B. The individual's perceived susceptibility and severity of a disease
C. The stage of change the individual is currently in
D. The influence of interpersonal relationships on the individual
Answer: B. The individual's perceived susceptibility and severity of a
disease
Explanation: The Health Belief Model posits that health-related
behavior is determined by personal beliefs, including perceived
susceptibility, perceived severity, perceived benefits, and perceived
barriers. The Transtheoretical Model focuses on stages of change.
7. A nurse is caring for a patient newly prescribed furosemide, a loop
diuretic. Which laboratory value is the priority to monitor due to the
medication's mechanism of action?
A. Serum glucose
B. Serum potassium
C. Serum sodium
