NUl 136/l NU136l Finall Examl –l
Fundamentalsl ofl Nursingl Reviewl |l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Nursingl actionsl tol promotel patientl safety
Answer:
-keepl thel bedl inl thel lowl positionl ifl notl givingl directl care
-lockl thel bedl wheelsl tol preventl thel bedl froml rollingl whenl thel patientl attemptsl tol getl
inl orl out
-answerl calll lightsl quicklyl sol thatl thel patientl learnsl tol trustl youl andl doesl notl feell thel
needl tol getl upl withoutl you
Q:l Majorl riskl factorsl forl al pressurel injury
Answer:
-immobility
-inactivity
-moisture
-malnutrition
-advancedl age
-alteredl sensoryl perception
-loweredl mentall awareness
-frictionl andl shear
Q:l contributingl riskl factorsl forl al pressurel injury
Answer:
-dehydration
-obesity
-edema
,Q:l stagel 1l pressurel injury
Answer:
-Anl areal ofl intactl skinl thatl isl red,l deepl pink,l orl mottledl skin
-doesl notl blanchl withl fingertipl pressure
Q:l stagel 2l pressurel injury
Answer:
-partiall thicknessl skinl lossl withl exposedl dermis
-mayl appearl asl rupturedl blister
Q:l stagel 3l pressurel injury
Answer:
-fulll thicknessl loss
-looksl likel deepl craterl extendl tol fascia
-subtaneousl tissuel damaged/necroticl fatl visible
-undermining/tunnelingl mayl bel present
Q:l stagel 4l pressurel injury
Answer:
-full-thicknessl skinl lossl withl extensivel tissuel necrosisl orl damagel tol musclel orl bone
-thel injuryl mayl appearl black,l necroticl tissue(eschar)
Q:l unstageablel pressurel injury
Answer:
-lossl fulll thickness
-basel injuryl coveredl inl escharl (l tan,l brown,l black)l inl woundl bed
,Q:l Whenl shouldl youl notl takel anl orall temperature?
Answer:
Whenl thel patientl has:
-smoked
-chewedl gum
-consumedl hot/coldl beverages.
Q:l Howl longl shouldl youl waitl tol takel anl orall templ isl thel patientl consumedl al hotl orl
coldl beverage,l smokedl orl recentlyl chewedl gum?
Answer:
waitl 15l tol 30l minutes
Q:l Rectall temperaturesl shouldl notl bel usedl for
Answer:
-cardiacl patients
-patientsl whol havel hadl rectall surgery
Q:l Whatl shouldl youl dol ifl thel pedall pulsesl arel weakl orl unequal?
Answer:
checkl pulsel withl al Dopplerl stethoscope
Q:l Dyspnea
Answer:
-difficultl orl laboredl breathing
-alsol knownl asl shortnessl ofl breath
-accompaniedl byl flaredl nostrils,l anxiousl appearance
-"Il can'tl getl enoughl air"
, Q:l Kussmaull respirations
Answer:
-increasedl rate,l veryl deep,l laboredl breathingl (usuallyl associatedl withl diabeticl acidosisl
andl renall failure)
-400+l bloodl sugar
Q:l Cheyne-Stokesl respiration
Answer:
-consistl ofl al patternl ofl dyspneal followedl byl al shortl periodl ofl apneal (respirationsl arel
fasterl andl deeper,l thenl slower,l andl arel followedl byl al periodl ofl nol breathing)
-seenl inl patientsl withl heartl orl kidneyl failure
Q:l Patientl Interview:l Ifl thel patientl isl confused,l whol shouldl youl talkl to?
Answer:
al familyl member
Q:l Palpation
Answer:
-anl examinationl techniquel inl whichl thel examiner'sl padsl ofl fingersl arel usedl tol feell
pain,l tenderness,l swelling,l growth,l skinl temperature,l edema
-1/2l -l 3/4l in
Q:l percussion
Answer:
-usedl primarilyl overl thel chestl andl abdomenl tol determinel thel size,l locationl andl density
-performedl byl al doctor
Fundamentalsl ofl Nursingl Reviewl |l Galenl
(Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Nursingl actionsl tol promotel patientl safety
Answer:
-keepl thel bedl inl thel lowl positionl ifl notl givingl directl care
-lockl thel bedl wheelsl tol preventl thel bedl froml rollingl whenl thel patientl attemptsl tol getl
inl orl out
-answerl calll lightsl quicklyl sol thatl thel patientl learnsl tol trustl youl andl doesl notl feell thel
needl tol getl upl withoutl you
Q:l Majorl riskl factorsl forl al pressurel injury
Answer:
-immobility
-inactivity
-moisture
-malnutrition
-advancedl age
-alteredl sensoryl perception
-loweredl mentall awareness
-frictionl andl shear
Q:l contributingl riskl factorsl forl al pressurel injury
Answer:
-dehydration
-obesity
-edema
,Q:l stagel 1l pressurel injury
Answer:
-Anl areal ofl intactl skinl thatl isl red,l deepl pink,l orl mottledl skin
-doesl notl blanchl withl fingertipl pressure
Q:l stagel 2l pressurel injury
Answer:
-partiall thicknessl skinl lossl withl exposedl dermis
-mayl appearl asl rupturedl blister
Q:l stagel 3l pressurel injury
Answer:
-fulll thicknessl loss
-looksl likel deepl craterl extendl tol fascia
-subtaneousl tissuel damaged/necroticl fatl visible
-undermining/tunnelingl mayl bel present
Q:l stagel 4l pressurel injury
Answer:
-full-thicknessl skinl lossl withl extensivel tissuel necrosisl orl damagel tol musclel orl bone
-thel injuryl mayl appearl black,l necroticl tissue(eschar)
Q:l unstageablel pressurel injury
Answer:
-lossl fulll thickness
-basel injuryl coveredl inl escharl (l tan,l brown,l black)l inl woundl bed
,Q:l Whenl shouldl youl notl takel anl orall temperature?
Answer:
Whenl thel patientl has:
-smoked
-chewedl gum
-consumedl hot/coldl beverages.
Q:l Howl longl shouldl youl waitl tol takel anl orall templ isl thel patientl consumedl al hotl orl
coldl beverage,l smokedl orl recentlyl chewedl gum?
Answer:
waitl 15l tol 30l minutes
Q:l Rectall temperaturesl shouldl notl bel usedl for
Answer:
-cardiacl patients
-patientsl whol havel hadl rectall surgery
Q:l Whatl shouldl youl dol ifl thel pedall pulsesl arel weakl orl unequal?
Answer:
checkl pulsel withl al Dopplerl stethoscope
Q:l Dyspnea
Answer:
-difficultl orl laboredl breathing
-alsol knownl asl shortnessl ofl breath
-accompaniedl byl flaredl nostrils,l anxiousl appearance
-"Il can'tl getl enoughl air"
, Q:l Kussmaull respirations
Answer:
-increasedl rate,l veryl deep,l laboredl breathingl (usuallyl associatedl withl diabeticl acidosisl
andl renall failure)
-400+l bloodl sugar
Q:l Cheyne-Stokesl respiration
Answer:
-consistl ofl al patternl ofl dyspneal followedl byl al shortl periodl ofl apneal (respirationsl arel
fasterl andl deeper,l thenl slower,l andl arel followedl byl al periodl ofl nol breathing)
-seenl inl patientsl withl heartl orl kidneyl failure
Q:l Patientl Interview:l Ifl thel patientl isl confused,l whol shouldl youl talkl to?
Answer:
al familyl member
Q:l Palpation
Answer:
-anl examinationl techniquel inl whichl thel examiner'sl padsl ofl fingersl arel usedl tol feell
pain,l tenderness,l swelling,l growth,l skinl temperature,l edema
-1/2l -l 3/4l in
Q:l percussion
Answer:
-usedl primarilyl overl thel chestl andl abdomenl tol determinel thel size,l locationl andl density
-performedl byl al doctor
