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NSG 3007 COMPREHENSIVE FINAL EXAMINATION
REVIEW EXAM WITH 250 QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST UPDATED VERSION THIS
YEAR 2026-2027
EXAM COVER PAGE
TITLE:
NSG 3007 Comprehensive Final Examination Review
PROGRAM:
Nursing Fundamentals / Medical-Surgical Nursing
EDITION:
Latest Version
YEAR:
2026–2027
TOTAL QUESTIONS:
250 Randomized Questions
TYPE OF QUESTIONS:
• Multiple Choice Questions (MCQs)
• Scenario-based nursing questions
• NGN-style clinical application items
EXAM FORMAT:
• Computer-based or paper-based review exam
• Four-option multiple choice format (A–D)
• Clinical judgment and nursing process application
• Includes rationales for correct answers
EXAM DESCRIPTION:
This comprehensive review exam evaluates nursing knowledge and clinical reasoning related to
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foundational nursing care, patient safety, medication administration, oxygenation, fluid balance,
perioperative care, delegation, and Next Generation NCLEX-style nursing scenarios.
INSTRUCTIONS:
• Read each question carefully
• Select the best possible nursing intervention or response
• Apply clinical judgment and prioritization skills
• Use nursing process principles throughout the exam
• No negative marking
Exam Coverage Summary – NSG 3007 (Typical Nursing Course)
NSG 3007 is often a foundational nursing course covering core concepts such as:
• Nursing process (ADPIE: assessment, diagnosis, planning, implementation, evaluation)
• Infection control & safety (hand hygiene, PPE, transmission-based precautions, fall
prevention)
• Mobility & immobility (turning, positioning, ROM, complications of immobility)
• Hygiene & skin integrity (bathing, pressure injury prevention)
• Elimination (bowel/bladder management, catheter care)
• Oxygenation (oxygen therapy, respiratory assessment, suctioning)
• Fluid & electrolytes (IV therapy, signs of imbalance)
• Medication administration (rights of medication, routes, dosage calculations)
• Pain management (non-pharmacologic and pharmacologic interventions)
• Perioperative nursing (pre-op, intra-op, post-op care, complications)
• Client education (teach-back, learning domains)
• Leadership & delegation (scope of practice, prioritization)
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250 Randomized, Scenario-Based, Exam-Relevant Questions (Answers + Italicized
Rationales)
1. A nurse is caring for a client who has a new prescription for a low-sodium diet. The client
states, “I don’t understand why I need to change how I salt my food.” Which response by
the nurse is an example of therapeutic communication?
A) “You must follow this diet to avoid a heart attack.”
B) “Tell me what you already know about low-sodium diets.”
C) “I’ll have the dietitian explain it to you later.”
D) “Everyone with your condition needs to reduce sodium.”
Answer: B – Asking the client to share what they already know assesses understanding
and engages them in the learning process, which is therapeutic.
2. A nurse is preparing to insert an indwelling urinary catheter for a female client. After
positioning the client, which action should the nurse perform first to maintain sterile
technique?
A) Open the catheter kit on the overbed table.
B) Don sterile gloves.
C) Cleanse the perineal area with antiseptic solution.
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D) Apply a sterile drape under the client’s buttocks.
Answer: A – Opening the sterile kit first on a clean surface creates a sterile field and
prevents contamination during the procedure.
3. A client who had a stroke is unable to swallow and has a nasogastric (NG) tube for
enteral feeding. Which action should the nurse take to verify correct NG tube placement
before each feeding?
A) Auscultate over the epigastrium while injecting 30 mL of air.
B) Measure the pH of gastric aspirate.
C) Observe the color of fluid aspirated from the tube.
D) Obtain an abdominal X-ray every 24 hours.
Answer: B – pH testing of gastric aspirate (usually ≤ 5.5) is a reliable bedside method to
confirm placement; auscultation is not reliable.
4. The nurse is caring for a client who is 2 days post-operative following abdominal surgery.
The client reports feeling constipated and has not had a bowel movement since before
surgery. Which intervention should the nurse implement first?
A) Administer a suppository.
B) Encourage increased oral fluid intake.
NSG 3007 COMPREHENSIVE FINAL EXAMINATION
REVIEW EXAM WITH 250 QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST UPDATED VERSION THIS
YEAR 2026-2027
EXAM COVER PAGE
TITLE:
NSG 3007 Comprehensive Final Examination Review
PROGRAM:
Nursing Fundamentals / Medical-Surgical Nursing
EDITION:
Latest Version
YEAR:
2026–2027
TOTAL QUESTIONS:
250 Randomized Questions
TYPE OF QUESTIONS:
• Multiple Choice Questions (MCQs)
• Scenario-based nursing questions
• NGN-style clinical application items
EXAM FORMAT:
• Computer-based or paper-based review exam
• Four-option multiple choice format (A–D)
• Clinical judgment and nursing process application
• Includes rationales for correct answers
EXAM DESCRIPTION:
This comprehensive review exam evaluates nursing knowledge and clinical reasoning related to
, Page 2 of 128
foundational nursing care, patient safety, medication administration, oxygenation, fluid balance,
perioperative care, delegation, and Next Generation NCLEX-style nursing scenarios.
INSTRUCTIONS:
• Read each question carefully
• Select the best possible nursing intervention or response
• Apply clinical judgment and prioritization skills
• Use nursing process principles throughout the exam
• No negative marking
Exam Coverage Summary – NSG 3007 (Typical Nursing Course)
NSG 3007 is often a foundational nursing course covering core concepts such as:
• Nursing process (ADPIE: assessment, diagnosis, planning, implementation, evaluation)
• Infection control & safety (hand hygiene, PPE, transmission-based precautions, fall
prevention)
• Mobility & immobility (turning, positioning, ROM, complications of immobility)
• Hygiene & skin integrity (bathing, pressure injury prevention)
• Elimination (bowel/bladder management, catheter care)
• Oxygenation (oxygen therapy, respiratory assessment, suctioning)
• Fluid & electrolytes (IV therapy, signs of imbalance)
• Medication administration (rights of medication, routes, dosage calculations)
• Pain management (non-pharmacologic and pharmacologic interventions)
• Perioperative nursing (pre-op, intra-op, post-op care, complications)
• Client education (teach-back, learning domains)
• Leadership & delegation (scope of practice, prioritization)
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250 Randomized, Scenario-Based, Exam-Relevant Questions (Answers + Italicized
Rationales)
1. A nurse is caring for a client who has a new prescription for a low-sodium diet. The client
states, “I don’t understand why I need to change how I salt my food.” Which response by
the nurse is an example of therapeutic communication?
A) “You must follow this diet to avoid a heart attack.”
B) “Tell me what you already know about low-sodium diets.”
C) “I’ll have the dietitian explain it to you later.”
D) “Everyone with your condition needs to reduce sodium.”
Answer: B – Asking the client to share what they already know assesses understanding
and engages them in the learning process, which is therapeutic.
2. A nurse is preparing to insert an indwelling urinary catheter for a female client. After
positioning the client, which action should the nurse perform first to maintain sterile
technique?
A) Open the catheter kit on the overbed table.
B) Don sterile gloves.
C) Cleanse the perineal area with antiseptic solution.
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D) Apply a sterile drape under the client’s buttocks.
Answer: A – Opening the sterile kit first on a clean surface creates a sterile field and
prevents contamination during the procedure.
3. A client who had a stroke is unable to swallow and has a nasogastric (NG) tube for
enteral feeding. Which action should the nurse take to verify correct NG tube placement
before each feeding?
A) Auscultate over the epigastrium while injecting 30 mL of air.
B) Measure the pH of gastric aspirate.
C) Observe the color of fluid aspirated from the tube.
D) Obtain an abdominal X-ray every 24 hours.
Answer: B – pH testing of gastric aspirate (usually ≤ 5.5) is a reliable bedside method to
confirm placement; auscultation is not reliable.
4. The nurse is caring for a client who is 2 days post-operative following abdominal surgery.
The client reports feeling constipated and has not had a bowel movement since before
surgery. Which intervention should the nurse implement first?
A) Administer a suppository.
B) Encourage increased oral fluid intake.
