GALEN NCLEX RN (PN) FUNDAMENTALS OF NURSING
COMPREHENSIVE TEST BANK 2026/2027 PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
REAL QUESTIONS WITH WELL ELABORATED ANSWERS
WITH DETAILED RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026
A 73-year-old patient who sustained a right hip fracture in a fall
requests pain medication from the nurse. Based on his injury, which
type of pain is this patient most likely experiencing?
1) Phantom
2) Visceral
3) Deep somatic
4) Referred
Answer:
3) Deep somatic
Rationale:
Deep somatic pain originates in ligaments, tendons, nerves, blood
vessels, and bones. Therefore, a hip fracture causes deep somatic
pain. Phantom pain is pain that is perceived to originate from a part
that was removed during surgery. Visceral pain is caused by deep
internal pain receptors and commonly occurs in the abdominal cavity,
cranium, and thorax. Referred pain occurs in an area that is distant to
the original site.
,Which pain management task can the nurse safely delegate to nursing
assistive personnel?
1) Asking about pain during vital signs
2) Evaluating the effectiveness of pain medication
3) Developing a plan of care involving nonpharmacologic
interventions
4) Administering over-the-counter pain medications
Answer:
1) Asking about pain during vital signs
Rationale:
The nurse can delegate the task of asking about pain when nursing
assistive personnel (NAP) obtain vital signs. The NAP must be
instructed to report findings to the nurse without delay. The nurse
should evaluate the effectiveness of pain medications and develop
the plan of care. Administering over-the-counter and prescription
medications is the responsibility of the registered nurse or licensed
practical nurse.
,Which factor in the patient's past medical history dictates that the
nurse exercise caution when administering acetaminophen (Tylenol)?
1) Hepatitis B
2) Occasional alcohol use
3) Allergy to aspirin
4) Gastric irritation with bleeding
Answer:
1) Hepatitis B
Rationale:
Even in recommended doses, acetaminophen can cause severe
hepatotoxicity in patients with liver disease, such as hepatitis B.
Patients who consume alcohol regularly should also use
acetaminophen cautiously. Those allergic to aspirin or other
nonsteroidal anti-inflammatory drugs (NSAIDs) can use
acetaminophen safely. Acetaminophen rarely causes gastrointestinal
(GI) problems; therefore, it can be used for those with a history of
gastric irritation and bleeding.
, A 75-year-old patient who is 5 feet 7 inches tall and weighs 170
pounds is admitted with dehydration. A nursing diagnosis of Risk for
Impaired Skin Integrity is identified for this patient. Which factor places
the client at Risk for Impaired Skin Integrity?
Answer:
Dehydration
Rationale:
Dehydration places the patient at risk for impaired skin integrity.
Dehydration, caused by fluid volume deficit, causes the skin to
become dry and crack easily, impairing skin integrity. People who are
very thin or very obese are more likely to experience impaired skin
integrity. This patient is of normal height and weight; therefore, his
body stature does not place him at risk. There is nothing to suggest
that this patient has an impaired nutritional status.
COMPREHENSIVE TEST BANK 2026/2027 PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
REAL QUESTIONS WITH WELL ELABORATED ANSWERS
WITH DETAILED RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026
A 73-year-old patient who sustained a right hip fracture in a fall
requests pain medication from the nurse. Based on his injury, which
type of pain is this patient most likely experiencing?
1) Phantom
2) Visceral
3) Deep somatic
4) Referred
Answer:
3) Deep somatic
Rationale:
Deep somatic pain originates in ligaments, tendons, nerves, blood
vessels, and bones. Therefore, a hip fracture causes deep somatic
pain. Phantom pain is pain that is perceived to originate from a part
that was removed during surgery. Visceral pain is caused by deep
internal pain receptors and commonly occurs in the abdominal cavity,
cranium, and thorax. Referred pain occurs in an area that is distant to
the original site.
,Which pain management task can the nurse safely delegate to nursing
assistive personnel?
1) Asking about pain during vital signs
2) Evaluating the effectiveness of pain medication
3) Developing a plan of care involving nonpharmacologic
interventions
4) Administering over-the-counter pain medications
Answer:
1) Asking about pain during vital signs
Rationale:
The nurse can delegate the task of asking about pain when nursing
assistive personnel (NAP) obtain vital signs. The NAP must be
instructed to report findings to the nurse without delay. The nurse
should evaluate the effectiveness of pain medications and develop
the plan of care. Administering over-the-counter and prescription
medications is the responsibility of the registered nurse or licensed
practical nurse.
,Which factor in the patient's past medical history dictates that the
nurse exercise caution when administering acetaminophen (Tylenol)?
1) Hepatitis B
2) Occasional alcohol use
3) Allergy to aspirin
4) Gastric irritation with bleeding
Answer:
1) Hepatitis B
Rationale:
Even in recommended doses, acetaminophen can cause severe
hepatotoxicity in patients with liver disease, such as hepatitis B.
Patients who consume alcohol regularly should also use
acetaminophen cautiously. Those allergic to aspirin or other
nonsteroidal anti-inflammatory drugs (NSAIDs) can use
acetaminophen safely. Acetaminophen rarely causes gastrointestinal
(GI) problems; therefore, it can be used for those with a history of
gastric irritation and bleeding.
, A 75-year-old patient who is 5 feet 7 inches tall and weighs 170
pounds is admitted with dehydration. A nursing diagnosis of Risk for
Impaired Skin Integrity is identified for this patient. Which factor places
the client at Risk for Impaired Skin Integrity?
Answer:
Dehydration
Rationale:
Dehydration places the patient at risk for impaired skin integrity.
Dehydration, caused by fluid volume deficit, causes the skin to
become dry and crack easily, impairing skin integrity. People who are
very thin or very obese are more likely to experience impaired skin
integrity. This patient is of normal height and weight; therefore, his
body stature does not place him at risk. There is nothing to suggest
that this patient has an impaired nutritional status.
