Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and Healthcare I | Questions
& Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official
Exam
OBJECTIVE ASSESSMENT - EXAM
Exam 2: NU131 / NU 131 (Latest
2026/2027) Nursing and Healthcare I |
Questions & Answers | 100 %
Correct | Grade A - Galen 2026/2027 -
2026/2027 Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Fundamentals
Patient Safety & Infection Control
Medication Administration & Calculations Health Assessment & Vital Signs
Nursing Process & Critical Thinking
COVER PAGE - 1
, SECTION 1 | Nursing Fundamentals | Q1-Q15 | Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and
Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official
Exam
Q1 Question 1 of 75
A 34-year-old patient admitted for heart failure reports feeling anxious about being away from home
for the first time. The nurse applies Maslow's hierarchy of needs to prioritize care. According to this
framework, which patient need should the nurse address first before attending to higher-level
concerns?
A. Physiological needs, including oxygenation, hydration, and pain management, which form the
foundation of the hierarchy and must be met before addressing psychological needs
B. Self-actualization needs, including the patient's desire for personal growth and understanding of their illness,
which drive motivation for recovery
C. Esteem needs, including the patient's sense of confidence and independence, which are essential for
cooperation with the treatment plan
D. Love and belonging needs, including the patient's desire for family presence and social connection, which
reduce anxiety during hospitalization
Correct Answer: A
Rationale:
Maslow's hierarchy places physiological needs (oxygen, food, water, pain relief) at the base as the most fundamental. These
must be satisfied before addressing safety, love/belonging, esteem, or self-actualization. Option B describes the highest level,
which is addressed only after basic needs are met. Option C describes esteem needs, which are fourth in the hierarchy. Option
D describes the third level, which is important but secondary to physiological stability.
Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official Exam | Passing Score: 80% | Page 2
, Q2 Question 2 of 75
A 72-year-old stroke patient is unable to feed himself or perform basic grooming independently. The
occupational therapist works with the nurse to develop a care plan focused on restoring the
patient's ability to perform self-care activities. Which term best describes the basic self-care tasks
such as bathing, dressing, and eating that this patient is struggling to perform?
A. Instrumental activities of daily living (IADLs), which include managing finances, cooking, and using the
telephone for community living
B. Activities of daily living (ADLs), which are fundamental self-care tasks including bathing, dressing,
toileting, transferring, continence, and feeding
C. Advanced therapeutic activities, which encompass complex rehabilitation exercises designed to restore fine
motor coordination after neurological injury
D. Functional maintenance activities, which are supervised tasks performed by the healthcare team to prevent
deconditioning during prolonged bed rest
Correct Answer: B
Rationale:
Activities of daily living (ADLs) are the basic self-care tasks that include bathing, dressing, toileting, transferring, continence, and
feeding. These are the fundamental activities a person must perform daily for independent living. Option A describes IADLs,
which are more complex tasks related to independent community living. Option C describes rehabilitation exercises, not basic
self-care. Option D describes a made-up category not used in standard nursing terminology.
Q3 Question 3 of 75
A 45-year-old nurse on the medical-surgical unit needs to reposition a 180-pound patient who is
unable to assist. The nurse prepares to move the patient up in bed using proper body mechanics to
prevent personal injury. Which technique is most appropriate for the nurse to use when moving this
patient?
A. Bending at the waist with knees locked and using the arm and back muscles to lift the patient's upper body while
pulling upward
B. Standing at the bedside, planting feet shoulder-width apart, bending at the knees and hips, and using
the leg muscles to lift while keeping the patient close to the body's center of gravity
C. Leaning across the bed with arms fully extended to reach the patient's shoulders, then using upper body
strength to slide the patient toward the head of the bed
D. Positioning the patient on a friction-reducing sheet and asking a colleague to stand on the opposite side, both
nurses lifting simultaneously using their back muscles for maximum force
Correct Answer: B
Rationale:
Proper body mechanics for patient handling include: widening the base of support (feet shoulder-width apart), bending at the
knees and hips rather than the waist, keeping the load close to the body's center of gravity, and using the strong leg muscles
rather than the back. Option A describes dangerous technique with locked knees and back lifting. Option C describes reaching
across the bed with extended arms, which increases leverage against the nurse. Option D incorrectly recommends using back
muscles and fails to emphasize the legs and proper stance.
Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official Exam | Passing Score: 80% | Page 3
, Q4 Question 4 of 75
A 58-year-old patient recovering from abdominal surgery is experiencing difficulty breathing while
lying flat in bed. The nurse assesses the patient and decides to reposition the patient to improve
respiratory effort. Which patient position elevates the head of the bed to 45-60 degrees and is most
appropriate for this patient's respiratory needs?
A. Sims position, where the patient lies on the left side with the right knee drawn up toward the chest and the left
arm behind the body
B. High Fowler's position, where the head of the bed is elevated to 45-60 degrees with the knees slightly
flexed to reduce abdominal tension
C. Trendelenburg position, where the entire bed is tilted with the head lower than the feet to promote venous return
and improve cardiac output
D. Prone position, where the patient lies face-down with the head turned to one side and pillows under the chest
and pelvis for comfort
Correct Answer: B
Rationale:
High Fowler's position (head of bed 45-60 degrees) is the most appropriate position for a postoperative patient with respiratory
difficulty, as it allows maximum chest expansion, reduces pressure on the diaphragm, and facilitates lung ventilation. Option A
describes Sims position, which is used for rectal examinations and enema administration. Option C describes Trendelenburg,
which is used for hypotension and would worsen breathing. Option D describes prone position, which is not typically used for
respiratory difficulty after abdominal surgery.
Q5 Question 5 of 75
A 28-year-old licensed practical nurse is preparing an unoccupied hospital bed after a patient has
been discharged. The nurse educator observes the technique and provides feedback on infection
control practices during the bed-making process. Which principle is most important when making
an unoccupied bed to minimize the spread of microorganisms?
A. Shaking the linens vigorously in the air before folding them to remove any loose debris or skin cells that may
contain microorganisms
B. Rolling the soiled linens inward toward the center of the bed to contain microorganisms, holding them
away from the uniform, and placing them directly into the laundry hamper
C. Placing the clean linens directly on the mattress without a barrier, as the mattress cover provides adequate
protection against microbial transmission
D. Wetting the bed linens with a disinfectant solution before removing them to kill any microorganisms that may
have settled on the fabric surface
Correct Answer: B
Rationale:
When making an unoccupied bed, the nurse should roll soiled linens inward to contain microorganisms, hold them away from the
uniform to prevent contamination, and place them directly into the laundry hamper without shaking. Option A is incorrect
because shaking linens disperses microorganisms into the air. Option C is incorrect because a clean barrier (draw sheet or
waterproof pad) should always be placed between the mattress and bottom sheet. Option D is incorrect because wetting linens
is not a standard infection control practice for bed-making.
Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official Exam | Passing Score: 80% | Page 4
& Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official
Exam
OBJECTIVE ASSESSMENT - EXAM
Exam 2: NU131 / NU 131 (Latest
2026/2027) Nursing and Healthcare I |
Questions & Answers | 100 %
Correct | Grade A - Galen 2026/2027 -
2026/2027 Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Fundamentals
Patient Safety & Infection Control
Medication Administration & Calculations Health Assessment & Vital Signs
Nursing Process & Critical Thinking
COVER PAGE - 1
, SECTION 1 | Nursing Fundamentals | Q1-Q15 | Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and
Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official
Exam
Q1 Question 1 of 75
A 34-year-old patient admitted for heart failure reports feeling anxious about being away from home
for the first time. The nurse applies Maslow's hierarchy of needs to prioritize care. According to this
framework, which patient need should the nurse address first before attending to higher-level
concerns?
A. Physiological needs, including oxygenation, hydration, and pain management, which form the
foundation of the hierarchy and must be met before addressing psychological needs
B. Self-actualization needs, including the patient's desire for personal growth and understanding of their illness,
which drive motivation for recovery
C. Esteem needs, including the patient's sense of confidence and independence, which are essential for
cooperation with the treatment plan
D. Love and belonging needs, including the patient's desire for family presence and social connection, which
reduce anxiety during hospitalization
Correct Answer: A
Rationale:
Maslow's hierarchy places physiological needs (oxygen, food, water, pain relief) at the base as the most fundamental. These
must be satisfied before addressing safety, love/belonging, esteem, or self-actualization. Option B describes the highest level,
which is addressed only after basic needs are met. Option C describes esteem needs, which are fourth in the hierarchy. Option
D describes the third level, which is important but secondary to physiological stability.
Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official Exam | Passing Score: 80% | Page 2
, Q2 Question 2 of 75
A 72-year-old stroke patient is unable to feed himself or perform basic grooming independently. The
occupational therapist works with the nurse to develop a care plan focused on restoring the
patient's ability to perform self-care activities. Which term best describes the basic self-care tasks
such as bathing, dressing, and eating that this patient is struggling to perform?
A. Instrumental activities of daily living (IADLs), which include managing finances, cooking, and using the
telephone for community living
B. Activities of daily living (ADLs), which are fundamental self-care tasks including bathing, dressing,
toileting, transferring, continence, and feeding
C. Advanced therapeutic activities, which encompass complex rehabilitation exercises designed to restore fine
motor coordination after neurological injury
D. Functional maintenance activities, which are supervised tasks performed by the healthcare team to prevent
deconditioning during prolonged bed rest
Correct Answer: B
Rationale:
Activities of daily living (ADLs) are the basic self-care tasks that include bathing, dressing, toileting, transferring, continence, and
feeding. These are the fundamental activities a person must perform daily for independent living. Option A describes IADLs,
which are more complex tasks related to independent community living. Option C describes rehabilitation exercises, not basic
self-care. Option D describes a made-up category not used in standard nursing terminology.
Q3 Question 3 of 75
A 45-year-old nurse on the medical-surgical unit needs to reposition a 180-pound patient who is
unable to assist. The nurse prepares to move the patient up in bed using proper body mechanics to
prevent personal injury. Which technique is most appropriate for the nurse to use when moving this
patient?
A. Bending at the waist with knees locked and using the arm and back muscles to lift the patient's upper body while
pulling upward
B. Standing at the bedside, planting feet shoulder-width apart, bending at the knees and hips, and using
the leg muscles to lift while keeping the patient close to the body's center of gravity
C. Leaning across the bed with arms fully extended to reach the patient's shoulders, then using upper body
strength to slide the patient toward the head of the bed
D. Positioning the patient on a friction-reducing sheet and asking a colleague to stand on the opposite side, both
nurses lifting simultaneously using their back muscles for maximum force
Correct Answer: B
Rationale:
Proper body mechanics for patient handling include: widening the base of support (feet shoulder-width apart), bending at the
knees and hips rather than the waist, keeping the load close to the body's center of gravity, and using the strong leg muscles
rather than the back. Option A describes dangerous technique with locked knees and back lifting. Option C describes reaching
across the bed with extended arms, which increases leverage against the nurse. Option D incorrectly recommends using back
muscles and fails to emphasize the legs and proper stance.
Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official Exam | Passing Score: 80% | Page 3
, Q4 Question 4 of 75
A 58-year-old patient recovering from abdominal surgery is experiencing difficulty breathing while
lying flat in bed. The nurse assesses the patient and decides to reposition the patient to improve
respiratory effort. Which patient position elevates the head of the bed to 45-60 degrees and is most
appropriate for this patient's respiratory needs?
A. Sims position, where the patient lies on the left side with the right knee drawn up toward the chest and the left
arm behind the body
B. High Fowler's position, where the head of the bed is elevated to 45-60 degrees with the knees slightly
flexed to reduce abdominal tension
C. Trendelenburg position, where the entire bed is tilted with the head lower than the feet to promote venous return
and improve cardiac output
D. Prone position, where the patient lies face-down with the head turned to one side and pillows under the chest
and pelvis for comfort
Correct Answer: B
Rationale:
High Fowler's position (head of bed 45-60 degrees) is the most appropriate position for a postoperative patient with respiratory
difficulty, as it allows maximum chest expansion, reduces pressure on the diaphragm, and facilitates lung ventilation. Option A
describes Sims position, which is used for rectal examinations and enema administration. Option C describes Trendelenburg,
which is used for hypotension and would worsen breathing. Option D describes prone position, which is not typically used for
respiratory difficulty after abdominal surgery.
Q5 Question 5 of 75
A 28-year-old licensed practical nurse is preparing an unoccupied hospital bed after a patient has
been discharged. The nurse educator observes the technique and provides feedback on infection
control practices during the bed-making process. Which principle is most important when making
an unoccupied bed to minimize the spread of microorganisms?
A. Shaking the linens vigorously in the air before folding them to remove any loose debris or skin cells that may
contain microorganisms
B. Rolling the soiled linens inward toward the center of the bed to contain microorganisms, holding them
away from the uniform, and placing them directly into the laundry hamper
C. Placing the clean linens directly on the mattress without a barrier, as the mattress cover provides adequate
protection against microbial transmission
D. Wetting the bed linens with a disinfectant solution before removing them to kill any microorganisms that may
have settled on the fabric surface
Correct Answer: B
Rationale:
When making an unoccupied bed, the nurse should roll soiled linens inward to contain microorganisms, hold them away from the
uniform to prevent contamination, and place them directly into the laundry hamper without shaking. Option A is incorrect
because shaking linens disperses microorganisms into the air. Option C is incorrect because a clean barrier (draw sheet or
waterproof pad) should always be placed between the mattress and bottom sheet. Option D is incorrect because wetting linens
is not a standard infection control practice for bed-making.
Exam 2: NU131 / NU 131 (Latest 2026/2027) Nursing and Healthcare I | Questions & Answers | 100 % Correct | Grade A - Galen 2026/2027 - 2026/2027 Official Exam | Passing Score: 80% | Page 4
