Exam 4 Mock Exam - practice questions with answers Fundamental of Nursing (Galen College of Nursing)

Exam 4 Mock Exam 2026: Essential Practice Questions with Answers for Fundamental Nursing (Galen College of Nursing)

Introduction

As the field of nursing continues to evolve, it is paramount for students to solidify their foundational knowledge. The Galen College of Nursing provides an excellent platform for aspiring nurses to prepare for their careers. In anticipation of the upcoming examinations, we present the Exam 4 Mock Exam 2026, an invaluable resource for those enrolled in Fundamental of Nursing courses. This guide is designed to bolster your preparation with a series of mock exam questions and answers that cover the core areas of your studies.

Overview of Fundamental Nursing

Fundamental nursing is the cornerstone of professional nursing practice. It involves basic yet critical skills and knowledge that every nurse must possess to provide effective patient care. The curriculum covers a wide array of topics, from patient assessment to the administration of medications.

Structure of the Mock Exam

The mock exam for Exam 4 comprises a comprehensive set of questions that mimic the actual examination in format and difficulty. It is segmented into different sections, each focusing on a specific domain of nursing science, including general science, English comprehension, and mathematical calculations in nursing.

Exam 4 Mock Exam 2026 Sections

1. General Science

• Focuses on the basic principles of biology, chemistry, and physics that are applicable to nursing.
• Example Question: Explain the role of electrolytes in maintaining homeostasis in the human body.

2. English Language Competency

• Tests reading comprehension and the ability to understand and execute nursing-related writings.
• Example Question: Interpret the following patient case study and outline the primary nursing interventions.

3. Mathematical Proficiency

• Covers calculations necessary for the safe administration of medications and solutions.
• Example Question: Calculate the correct dosage of medication for a patient weighing 65 kg based on the dosage recommendation of 0.5 mg/kg.

Practice Questions with Detailed Answers

Question 1: Describe the process of wound healing and the nurse’s role in managing a patient with a surgical incision.

• Answer: Wound healing is a complex process that occurs in three phases: inflammation, proliferation, and maturation. The nurse plays a critical role in managing this process by ensuring proper wound care, monitoring for signs of infection, and educating the patient on wound care procedures.

Question 2: What are the implications of hypo and hyperglycemia in diabetic patients?

• Answer: Hypoglycemia can lead to symptoms such as dizziness, sweating, and confusion, and if not addressed, may result in loss of consciousness or seizures. Hyperglycemia, on the other hand, can cause complications like ketoacidosis, particularly in type 1 diabetes, and hyperglycemic hyperosmolar syndrome in type 2 diabetes. Nurses must monitor blood glucose levels and administer insulin or glucose as required.

Question 3: Compute the IV fluid rate for a dehydration patient requiring 2 liters of saline over 24 hours.

• Answer: To find the IV flow rate, divide the total volume by the number of hours. Thus, 2000 mL divided by 24 hours equals approximately 83 mL/hour.

Accessing the Mock Exam

Students can download the Exam 4 Mock Exam 2026 PDF free from the college's official learning management system. This ensures that all candidates have the opportunity to practice under real exam conditions, which is crucial for their success.

Conclusion

The Galen College of Nursing’s mock exams are a fundamental tool for any nursing student who wishes to excel not only in their exams but in their future careers as well. Regular practice with these exams will ensure that students are well-prepared to tackle the challenges of the nursing profession with confidence and competence.

Further Resources

For additional practice, students are encouraged to download various mock exam questions and answers PDFs available on academic websites and through the college's resource center. These materials provide a broader spectrum of questions and are essential for comprehensive exam preparation.

Below are sample Questions and Answers:

Exam 4 Mock Exam
1. The nurse had just finished preparing a pain medication injection for an assigned client when a code blue is called
for another assigned client. The nurse asks a newly hired nurse on the floor to give the pain medication to the client.
Which of the following actions by the newly hired nurse is appropriate?
A. Do not give the medication as prepared. Check the medication administration record (MAR) and prepare new
medication to be administered.
B. Administer the medication if the client is rating pain at an 8 or above on the 0 (no pain) to 10 (severe pain)
pain scale.
C.Hold on to the medication until the experienced nurse is finished running the code blue.
D.Administer the medication since the experienced nurse had just prepared it for the client.
A
2.) The nurse has administered an intramuscular (IM) medication to a client. Approximately 15 minutes after
administration, the client develops an itchy rash all over and reports feeling very "uneasy" to the nurse. Which of the
following actions should the nurse take first?
A. Obtain an order for hydrocortisone cream to relive the itching.
B. Document the reaction in the client's chart as a side effect.
C.Determine if the client is having any difficulty breathing.
D.Report the findings to the primary health care provider (PHCP) and the pharmacist.
C
3.) The nurse has been assigned a group of 8 clients on a very busy medical-surgical unit. While passing
medications, the nurse realizes a medication error has been made. Which of the following actions should the nurse
take first?
A. Document the medication given, how the client responded, and reassess 1 hour later.
B. Prepare an incident report so that the facility can determine the cause of the error.
C.Assess the client for any adverse reactions and notify the primary health care provider (PHCP).
D.Find the nurse manager, explain the medication error, and prepare to leave for the day.
C
4.) The nurse is caring for a client who has a prescription for acetaminophen 325 mg 2 tablets by mouth
(PO) every 4 hours as needed for temperature over 101° F. The client requests something for a headache.
Which of the following actions by the nurse is appropriate?
A. Explain to the client that the only thing they have prescribed is for a fever.
B. Check the last set of vital signs to see if the client was running a temperature.
C.Administer the acetaminophen since it can be used for fever and headache.
D.Contact the primary health care provider (PHCP) to get an order for pain control.
D
5) The nurse is caring for a client who takes 6 tablets of methotrexate once every week on Fridays. How many mg of
methotrexate does the client take per dose according to the exhibit below?
A. 2.5 mg.
B. 15 mg.
C.2.4 mg.
D.6 mg.
A
6) The nurse is preparing to administer a medication from a vial. In which order should the nurse perform the steps in
the exhibit below, starting with the first step?
1. Invert the vial.
2. Fill the syringe with medication.
3. Inject air into the airspace of the vial.
4. Clean with alcohol swab and allow to dry.
5. Pull back on the plunger the amount to be drawn up.
6. Tap the side of the syringe barrel to remove air bubbles.
A. 4, 1, 5, 3, 6, 2.
B. 4, 5, 3, 1, 2, 6.
C.1, 4, 5, 3, 2, 6.
D.1, 4, 5, 3, 6, 2.
B
7) The nurse is preparing to administer the client's prescribed narcotic analgesic. The nurse should first assess the
client's