Page |1
NU 136 FUNDAMENTALS OF NURSING PRACTICE EXAM
ACTUAL EXAM [ QUESTION 1- 200] AND ANSWERS
UPDATED 2026/2027| 100% VERIFIED|DETAILED
RATIONALES –PASS GUARANTEED A+ GRADED |INSTANT
DOWNLOAD
Introduction:
_The NU 136 Fundamentals of Nursing Practice Exam practice set is designed to
strengthen foundational nursing knowledge, clinical judgment, patient-safety skills, and
professional decision-making. The questions emphasize the essential competencies expected
in fundamentals of nursing, including assessment, nursing process, communication,
infection prevention, medication safety, vital signs, mobility, nutrition, elimination,
hygiene, documentation, patient education, and ethical practice. Rather than reproducing
an actual examination or relying on memorized question banks, this set provides original
scenario-based practice questions modeled on common nursing education objectives.
Candidates are encouraged to analyze each clinical situation, identify the priority nursing
problem, apply evidence-based principles, and select the safest intervention. Detailed
rationales explain both the correct response and the reasoning behind the distractors,
making the material useful for active revision and self-assessment. Consistent practice with
these questions can help students identify knowledge gaps, improve prioritization and
clinical reasoning, and approach fundamentals examinations with greater confidence.
Core Domains Covered:
1. Nursing Process: Application of assessment, diagnosis, planning, implementation, and
evaluation to patient care.
2. Safety and Infection Prevention: Standard precautions, transmission-based precautions, fall
prevention, and environmental safety.
3. Health Assessment: Collection, interpretation, and documentation of subjective and objective
patient data.
4. Communication and Patient Education: Therapeutic communication, health teaching,
cultural considerations, and informed participation.
5. Basic Patient Care: Hygiene, mobility, positioning, nutrition, hydration, sleep, comfort, and
elimination.
6. Medication and Treatment Safety: Safe medication administration, clinical checks, adverse-
effect monitoring, and patient identification.
7. Professional and Ethical Nursing Practice: Confidentiality, advocacy, delegation,
documentation, accountability, and ethical decision-making.
,Page |2
8. Clinical Judgment and Prioritization: Recognition of deterioration, prioritization of nursing
actions, and evaluation of patient outcomes.
Questions 1–100
Question 1: A nurse begins an assessment of a newly admitted patient. Which action best
demonstrates appropriate sequencing of the nursing assessment?
A) Establish a nursing diagnosis before collecting subjective information
B) Collect subjective and objective data systematically before analyzing the findings
C) Develop interventions before determining the patient's current condition
D) Evaluate outcomes before establishing baseline findings
Rationale: The correct answer is B because assessment requires systematic collection of
subjective and objective information before the nurse analyzes findings and develops nursing
diagnoses. Option A is incorrect because diagnoses are based on assessment data. Option C is
incorrect because interventions should follow assessment and planning. Option D is incorrect
because evaluation requires established goals and baseline information.
Question 2: A patient reports new difficulty breathing while resting in bed. What should the
nurse do first?
A) Document the complaint in the electronic health record
B) Ask the patient to describe their usual sleeping pattern
C) Assess airway, breathing, oxygenation, and other immediate signs of deterioration
D) Return later after completing the scheduled medication round
Rationale: The correct answer is C because airway and breathing are immediate priorities. The
nurse must rapidly assess the patient's respiratory status and identify potential deterioration.
Option A is important but should follow immediate assessment. Option B does not address the
urgent concern. Option D unnecessarily delays assessment of a potentially serious problem.
Question 3: Which nursing action best represents the implementation phase of the nursing
process?
A) Identifying impaired mobility as a nursing diagnosis
B) Determining whether the patient met the mobility goal
C) Assisting the patient to ambulate according to the established care plan
D) Collecting information about the patient's previous mobility level
Rationale: The correct answer is C because implementation involves carrying out planned
nursing interventions. Option A represents nursing diagnosis. Option B represents evaluation.
Option D represents assessment.
Question 4: A patient says, “I am afraid about what will happen during my procedure.” Which
response demonstrates therapeutic communication?
,Page |3
A) “There is nothing to worry about.”
B) “Everyone feels nervous before procedures.”
C) “You should try not to think about it.”
D) “Tell me what concerns you most about the procedure.”
Rationale: The correct answer is D because it acknowledges the patient's concern and
encourages expression of feelings. Option A provides false reassurance. Option B generalizes
the patient's experience. Option C dismisses the patient's concern rather than exploring it.
Question 5: Which patient should the nurse assess first?
A) A patient requesting assistance with bathing
B) A patient asking when lunch will arrive
C) A patient with sudden difficulty speaking and new facial asymmetry
D) A patient requesting a change in television channel
Rationale: The correct answer is C because sudden neurological changes may indicate an acute
neurological emergency requiring immediate assessment. Options A, B, and D represent
nonurgent needs and can be addressed after the unstable patient is assessed.
Question 6: A nurse is preparing to enter a room requiring standard precautions. When should
hand hygiene be performed?
A) Only when visible contamination is present
B) Only after leaving the patient's room
C) Only before invasive procedures
D) Before and after patient contact and whenever otherwise indicated by infection-
prevention principles
Rationale: The correct answer is D. Hand hygiene is a fundamental infection-prevention
measure and is required at appropriate points before and after patient contact. Options A, B,
and C are incomplete because hand hygiene is required in many additional circumstances.
Question 7: A nurse accidentally contaminates a sterile glove while preparing a sterile
procedure. What is the best action?
A) Continue because the contamination was minor
B) Wipe the glove with antiseptic solution
C) Replace the contaminated glove using appropriate sterile technique
D) Cover the contaminated area with another glove
Rationale: The correct answer is C because contamination compromises sterility. The
contaminated glove must be replaced rather than disinfected or covered. Options A, B, and D do
not restore sterility and increase the risk of introducing microorganisms.
, Page |4
Question 8: Which finding requires the nurse to intervene most immediately in a patient at risk
for falls?
A) Patient prefers reading before bedtime
B) Patient asks for assistance organizing personal belongings
C) Patient attempts to walk independently despite dizziness and an unsteady gait
D) Patient reports being bored during hospitalization
Rationale: The correct answer is C because dizziness and unsteady gait significantly increase
immediate fall risk. The nurse should assist the patient and implement appropriate safety
measures. The other findings do not represent an immediate physical safety threat.
Question 9: A nurse is teaching a patient how to use a newly prescribed device. Which method
best evaluates whether the patient can perform the skill?
A) Asking, “Do you understand?”
B) Providing a written pamphlet only
C) Asking the patient's family member whether the patient understands
D) Having the patient demonstrate the skill using teach-back
Rationale: The correct answer is D because demonstration provides direct evidence that the
patient understands how to perform the skill. Option A may produce a socially desirable
response. Option B does not verify performance. Option C does not establish the patient's own
ability.
Question 10: Which documentation entry is most appropriate?
A) “Patient seems much better today.”
B) “Patient had a terrible night.”
C) “Patient is doing fine.”
D) “Patient reports pain rated 4 out of 10; ambulated 20 meters with one-person
assistance.”
Rationale: The correct answer is D because it uses objective, measurable, and patient-reported
information. Options A, B, and C are vague and subjective and do not provide sufficient clinical
detail.
Question 11: A patient has a temperature of 39.2°C and reports chills. Which nursing action is
most appropriate initially?
A) Immediately restrict all oral fluids
B) Assess the patient's overall condition, including vital signs and associated symptoms
C) Tell the patient that fever is always expected in hospitalized patients
D) Delay assessment until the next scheduled vital-sign measurement
NU 136 FUNDAMENTALS OF NURSING PRACTICE EXAM
ACTUAL EXAM [ QUESTION 1- 200] AND ANSWERS
UPDATED 2026/2027| 100% VERIFIED|DETAILED
RATIONALES –PASS GUARANTEED A+ GRADED |INSTANT
DOWNLOAD
Introduction:
_The NU 136 Fundamentals of Nursing Practice Exam practice set is designed to
strengthen foundational nursing knowledge, clinical judgment, patient-safety skills, and
professional decision-making. The questions emphasize the essential competencies expected
in fundamentals of nursing, including assessment, nursing process, communication,
infection prevention, medication safety, vital signs, mobility, nutrition, elimination,
hygiene, documentation, patient education, and ethical practice. Rather than reproducing
an actual examination or relying on memorized question banks, this set provides original
scenario-based practice questions modeled on common nursing education objectives.
Candidates are encouraged to analyze each clinical situation, identify the priority nursing
problem, apply evidence-based principles, and select the safest intervention. Detailed
rationales explain both the correct response and the reasoning behind the distractors,
making the material useful for active revision and self-assessment. Consistent practice with
these questions can help students identify knowledge gaps, improve prioritization and
clinical reasoning, and approach fundamentals examinations with greater confidence.
Core Domains Covered:
1. Nursing Process: Application of assessment, diagnosis, planning, implementation, and
evaluation to patient care.
2. Safety and Infection Prevention: Standard precautions, transmission-based precautions, fall
prevention, and environmental safety.
3. Health Assessment: Collection, interpretation, and documentation of subjective and objective
patient data.
4. Communication and Patient Education: Therapeutic communication, health teaching,
cultural considerations, and informed participation.
5. Basic Patient Care: Hygiene, mobility, positioning, nutrition, hydration, sleep, comfort, and
elimination.
6. Medication and Treatment Safety: Safe medication administration, clinical checks, adverse-
effect monitoring, and patient identification.
7. Professional and Ethical Nursing Practice: Confidentiality, advocacy, delegation,
documentation, accountability, and ethical decision-making.
,Page |2
8. Clinical Judgment and Prioritization: Recognition of deterioration, prioritization of nursing
actions, and evaluation of patient outcomes.
Questions 1–100
Question 1: A nurse begins an assessment of a newly admitted patient. Which action best
demonstrates appropriate sequencing of the nursing assessment?
A) Establish a nursing diagnosis before collecting subjective information
B) Collect subjective and objective data systematically before analyzing the findings
C) Develop interventions before determining the patient's current condition
D) Evaluate outcomes before establishing baseline findings
Rationale: The correct answer is B because assessment requires systematic collection of
subjective and objective information before the nurse analyzes findings and develops nursing
diagnoses. Option A is incorrect because diagnoses are based on assessment data. Option C is
incorrect because interventions should follow assessment and planning. Option D is incorrect
because evaluation requires established goals and baseline information.
Question 2: A patient reports new difficulty breathing while resting in bed. What should the
nurse do first?
A) Document the complaint in the electronic health record
B) Ask the patient to describe their usual sleeping pattern
C) Assess airway, breathing, oxygenation, and other immediate signs of deterioration
D) Return later after completing the scheduled medication round
Rationale: The correct answer is C because airway and breathing are immediate priorities. The
nurse must rapidly assess the patient's respiratory status and identify potential deterioration.
Option A is important but should follow immediate assessment. Option B does not address the
urgent concern. Option D unnecessarily delays assessment of a potentially serious problem.
Question 3: Which nursing action best represents the implementation phase of the nursing
process?
A) Identifying impaired mobility as a nursing diagnosis
B) Determining whether the patient met the mobility goal
C) Assisting the patient to ambulate according to the established care plan
D) Collecting information about the patient's previous mobility level
Rationale: The correct answer is C because implementation involves carrying out planned
nursing interventions. Option A represents nursing diagnosis. Option B represents evaluation.
Option D represents assessment.
Question 4: A patient says, “I am afraid about what will happen during my procedure.” Which
response demonstrates therapeutic communication?
,Page |3
A) “There is nothing to worry about.”
B) “Everyone feels nervous before procedures.”
C) “You should try not to think about it.”
D) “Tell me what concerns you most about the procedure.”
Rationale: The correct answer is D because it acknowledges the patient's concern and
encourages expression of feelings. Option A provides false reassurance. Option B generalizes
the patient's experience. Option C dismisses the patient's concern rather than exploring it.
Question 5: Which patient should the nurse assess first?
A) A patient requesting assistance with bathing
B) A patient asking when lunch will arrive
C) A patient with sudden difficulty speaking and new facial asymmetry
D) A patient requesting a change in television channel
Rationale: The correct answer is C because sudden neurological changes may indicate an acute
neurological emergency requiring immediate assessment. Options A, B, and D represent
nonurgent needs and can be addressed after the unstable patient is assessed.
Question 6: A nurse is preparing to enter a room requiring standard precautions. When should
hand hygiene be performed?
A) Only when visible contamination is present
B) Only after leaving the patient's room
C) Only before invasive procedures
D) Before and after patient contact and whenever otherwise indicated by infection-
prevention principles
Rationale: The correct answer is D. Hand hygiene is a fundamental infection-prevention
measure and is required at appropriate points before and after patient contact. Options A, B,
and C are incomplete because hand hygiene is required in many additional circumstances.
Question 7: A nurse accidentally contaminates a sterile glove while preparing a sterile
procedure. What is the best action?
A) Continue because the contamination was minor
B) Wipe the glove with antiseptic solution
C) Replace the contaminated glove using appropriate sterile technique
D) Cover the contaminated area with another glove
Rationale: The correct answer is C because contamination compromises sterility. The
contaminated glove must be replaced rather than disinfected or covered. Options A, B, and D do
not restore sterility and increase the risk of introducing microorganisms.
, Page |4
Question 8: Which finding requires the nurse to intervene most immediately in a patient at risk
for falls?
A) Patient prefers reading before bedtime
B) Patient asks for assistance organizing personal belongings
C) Patient attempts to walk independently despite dizziness and an unsteady gait
D) Patient reports being bored during hospitalization
Rationale: The correct answer is C because dizziness and unsteady gait significantly increase
immediate fall risk. The nurse should assist the patient and implement appropriate safety
measures. The other findings do not represent an immediate physical safety threat.
Question 9: A nurse is teaching a patient how to use a newly prescribed device. Which method
best evaluates whether the patient can perform the skill?
A) Asking, “Do you understand?”
B) Providing a written pamphlet only
C) Asking the patient's family member whether the patient understands
D) Having the patient demonstrate the skill using teach-back
Rationale: The correct answer is D because demonstration provides direct evidence that the
patient understands how to perform the skill. Option A may produce a socially desirable
response. Option B does not verify performance. Option C does not establish the patient's own
ability.
Question 10: Which documentation entry is most appropriate?
A) “Patient seems much better today.”
B) “Patient had a terrible night.”
C) “Patient is doing fine.”
D) “Patient reports pain rated 4 out of 10; ambulated 20 meters with one-person
assistance.”
Rationale: The correct answer is D because it uses objective, measurable, and patient-reported
information. Options A, B, and C are vague and subjective and do not provide sufficient clinical
detail.
Question 11: A patient has a temperature of 39.2°C and reports chills. Which nursing action is
most appropriate initially?
A) Immediately restrict all oral fluids
B) Assess the patient's overall condition, including vital signs and associated symptoms
C) Tell the patient that fever is always expected in hospitalized patients
D) Delay assessment until the next scheduled vital-sign measurement
