NUR 155 EXAM AND ANSWERS 2026/27
UPDATE 100% CORRECT - GALEN
COLLEGE OF NURSING.
170 QUESTIONS
TABLE OF CONTENTS
Apply the nursing process to prioritize care Evaluate laboratory and diagnostic data to
for patients with complex health alterations guide clinical decisions
Q1 - patient with chronic kidney disease Q33 - clinical manifestation differentiates neu...
Q2 - nurse is caring for a Q34 - patient with chronic kidney disease
Q3 - patient is receiving a continuous Q35 - patient with heart failure has
Q4 - patient with heart failure is Q36 - nurse is reviewing the electronic
Q5 - nurse is providing discharge teaching Q37 - laboratory value is most consistent
Q6 - nurse is caring for a Q38 - patient with end-stage renal disease
Q7 - patient with a history of Q39 - patient with cirrhosis has an
Q8 - nurse is assessing a patient Q40 - patient with acute pancreatitis has
Q9 - nurse is preparing to administer Q41 - patient with chronic heart failure
Q10 - patient is receiving a continuous Q42 - patient is receiving a continuous
Q11 - patient with type 2 diabetes Q43 - assessment finding in a patient
Q12 - nurse is evaluating a patient's Q44 - patient with type 1 diabetes
Q13 - patient with heart failure has Q45 - patient is receiving a blood
Q14 - nurse is infusing 0.9% sodium Q46 - patient with chronic kidney disease
Q15 - laboratory finding is most consistent Q47 - patient is prescribed spironolactone for
Q16 - patient with chronic kidney disease Q48 - patient with acute pancreatitis has
Analyze pharmacological and Integrate principles of safety, infection
non-pharmacological interventions for safe, control, and ethical/legal accountability in
Q17 - patient with severe sepsis is Q49 - patient is receiving morphine sulfate
Q18 - nurse is calculating the intake Q50 - patient with a history of
Q19 - patient is receiving a continuous Q51 - patient with chronic kidney disease
Q20 - patient with pneumonia develops new-onset Q52 - nurse administers an intravenous medication
Q21 - patient with chronic kidney disease Q53 - patient is receiving a drug
Q22 - assessment finding in a patient Q54 - nurse is caring for a
Q23 - nurse is evaluating arterial blood Q55 - patient with type 2 diabetes
Q24 - clinical manifestation is most indicative Q56 - patient is prescribed a drug
Q25 - patient with heart failure is Q57 - nurse is monitoring a patient
Q26 - nurse is preparing to administer Q58 - patient is receiving an aminoglycoside
Q27 - finding in a patient's urine Q59 - patient is prescribed an ACE
Q28 - patient with a history of Q60 - patient with a history of
Q29 - intervention should the nurse implement Q61 - patient with type 2 diabetes
Q30 - patient with type 2 diabetes Q62 - nurse is evaluating a patient's
Q31 - a patient with uncontrolled type Q63 - nurse is preparing to administer
Q32 - nurse is caring for a Q64 - patient with heart failure is
Page 1
,NUR 155 Exam and Answers 2026 Foundations of Nursing Fundamentals and
Q65 - nurse is caring for a Medical-Surgical Nursing
Q66 - patient with a history of Q111 - patient with chronic kidney disease
Q67 - nurse is assessing a patient Q112 - patient on a continuous heparin
Q68 - patient with a deep vein Q113 - concept is central to the
Q69 - nurse is reviewing a patient's Q114 - patient with a history of
Q70 - patient with chronic obstructive pulmonary Q115 - patient is receiving a transfusion
Q71 - patient with type 2 diabetes Q116 - assessment finding is most indicative
Q72 - nurse is preparing to administer Q117 - patient with heart failure is
Q73 - patient with severe sepsis has Q118 - patient is receiving an IV
Q74 - finding is most indicative of Q119 - of the following is a
Q75 - patient is receiving IV heparin Q120 - patient with chronic obstructive pulmonary
Q76 - nurse is assessing a patient Q121 - patient on a medical-surgical unit
Q77 - patient with a history of Q122 - a patient with chronic kidney
Q78 - patient is prescribed a fentanyl Q123 - nurse is preparing to administer
Q79 - patient with heart failure is Q124 - assessment finding most clearly indicates
Q80 - patient with an acute asthma Q125 - patient with heart failure is
27 Update 100% Correct Applied Nursing Fundamentals and
Q81 - patient receiving a continuous heparin Medical-Surgical Nursing
Q82 - finding in a patient with Q126 - nurse is reviewing a patient's
Q83 - patient with chronic kidney disease Q127 - nursing intervention is most effective
Q84 - a patient with severe sepsis, Q128 - patient with diabetic ketoacidosis is
Q85 - patient with type 1 diabetes Q129 - of the following findings in
Q86 - patient with a chest tube Q130 - patient is receiving a continuous
Q87 - medication requires the nurse to Q131 - a patient with syndrome of
Q88 - patient with cirrhosis has an Q132 - assessment finding in a postoperative
Q89 - finding in a patient receiving Q133 - patient with chronic pain is
Q90 - patient with a new colostomy Q134 - a patient with acute respiratory
Q91 - nurse reviews a medication administration Q135 - For a patient in cardiogenic
Q92 - nurse is performing a physical Q136 - of the following findings is
Q93 - During a blood transfusion, a Q137 - patient with cirrhosis presents with
Q94 - nurse is caring for a Q138 - electrocardiographic change is most specific
Q95 - nurse is preparing to administer Q139 - nursing intervention is most important
Q140 - patient with type 2 diabetes
Galen College of Nursing.
Q96 - patient is receiving a continuous Advanced Nursing Fundamentals and
Q97 - nurse is educating a patient Medical-Surgical Nursing
Q98 - nurse is assessing a patient Q141 - a patient with acute decompensated
Q99 - patient with heart failure is Q142 - patient with a history of
Q100 - nurse is caring for a Q143 - patient who has been on
Q101 - During a blood transfusion, a Q144 - a patient with septic shock
Q102 - patient with chronic kidney disease Q145 - patient with a traumatic brain
Q103 - nurse is evaluating the effectiveness Q146 - lab value is most consistent
Q104 - patient is at highest risk Q147 - patient with acute pancreatitis develops
Q105 - patient is receiving a continuous Q148 - patient with chronic stable angina
Q106 - patient with heart failure has Q149 - patient with severe sepsis is
Q107 - nurse is preparing to administer Q150 - patient with acute kidney injury
Q108 - clinical manifestation is most indicative Q151 - patient with diabetic ketoacidosis has
Q109 - patient with a history of Q152 - patient on a continuous heparin
Q110 - nurse is performing a focused Q153 - assessment finding is most indicative
Q154 - patient with chronic kidney disease
Q155 - patient receiving IV vancomycin develops
Page 2
,Nursing Fundamentals and Medical-Surgical
Nursing Review
Q156 - patient with heart failure has
Q157 - finding is most consistent with
Q158 - patient is receiving a blood
Q159 - patient with acute pancreatitis has
Q160 - laboratory finding is most consistent
Q161 - client with chronic obstructive pulmonary
Q162 - client with heart failure is
Q163 - nurse is preparing to administer
Q164 - client with type 2 diabetes
Q165 - nurse is assessing a client's
Q166 - client is receiving a continuous
Q167 - nurse is caring for a
Q168 - client is postoperative day 1
Q169 - client with chronic kidney disease
Q170 - nurse is providing discharge teaching
Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A patient with chronic kidney disease (stage 4) is prescribed aluminum hydroxide
as a phosphate binder. The nurse evaluates which laboratory value as the priority
to monitor to prevent a serious adverse effect?
A. Serum calcium CORRECT
B. Serum magnesium
C. Serum potassium
D. Serum phosphorus
RATIONALE: Aluminum hydroxide binds phosphate in the GI tract, but chronic use can lead to
aluminum toxicity and hypophosphatemia, which stimulates bone resorption and can cause
hypercalcemia. Monitoring serum calcium is critical because aluminum hydroxide can also cause
constipation and, more importantly, aluminum accumulation leading to osteomalacia and
encephalopathy. Serum magnesium is not directly affected; potassium and phosphorus are
managed but not the priority for this drug's adverse effect.
Page 3
, Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A nurse is caring for a patient with syndrome of inappropriate antidiuretic
hormone (SIADH) who is receiving 3% sodium chloride. Which assessment finding
indicates a potential complication of this therapy?
A. Decreased urine output
B. Peripheral edema
C. Crackles in lung bases
D. Muscle twitching CORRECT
RATIONALE: Rapid correction of hyponatremia with hypertonic saline can cause osmotic
demyelination syndrome, with early signs including muscle twitching, confusion, and dysarthria.
Decreased urine output may occur as SIADH persists, but it is not a complication of the therapy
itself. Peripheral edema and crackles suggest fluid overload, which is possible but less specific
than neurologic signs; the priority is to detect neurologic deterioration.
Q3 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A patient is receiving a continuous infusion of heparin for a pulmonary embolism.
The nurse notes an activated partial thromboplastin time (aPTT) of 95 seconds
(therapeutic range 60-80 seconds). Which action is most appropriate?
A. Continue the infusion at the same rate and recheck aPTT in 6 hours
B. Stop the infusion for 1 hour and then restart at a lower rate
C. Decrease the infusion rate by 100 units/hour and recheck aPTT in 4 hours CORRECT
D. Administer protamine sulfate immediately
RATIONALE: An aPTT above the therapeutic range indicates an increased bleeding risk; the
standard protocol is to decrease the infusion rate and recheck the aPTT in 4-6 hours. Stopping
the infusion is reserved for critical values or active bleeding. Continuing at the same rate would
maintain supratherapeutic anticoagulation. Protamine sulfate is used for severe bleeding or if
immediate reversal is needed, not for an asymptomatic elevated aPTT.
Page 4
UPDATE 100% CORRECT - GALEN
COLLEGE OF NURSING.
170 QUESTIONS
TABLE OF CONTENTS
Apply the nursing process to prioritize care Evaluate laboratory and diagnostic data to
for patients with complex health alterations guide clinical decisions
Q1 - patient with chronic kidney disease Q33 - clinical manifestation differentiates neu...
Q2 - nurse is caring for a Q34 - patient with chronic kidney disease
Q3 - patient is receiving a continuous Q35 - patient with heart failure has
Q4 - patient with heart failure is Q36 - nurse is reviewing the electronic
Q5 - nurse is providing discharge teaching Q37 - laboratory value is most consistent
Q6 - nurse is caring for a Q38 - patient with end-stage renal disease
Q7 - patient with a history of Q39 - patient with cirrhosis has an
Q8 - nurse is assessing a patient Q40 - patient with acute pancreatitis has
Q9 - nurse is preparing to administer Q41 - patient with chronic heart failure
Q10 - patient is receiving a continuous Q42 - patient is receiving a continuous
Q11 - patient with type 2 diabetes Q43 - assessment finding in a patient
Q12 - nurse is evaluating a patient's Q44 - patient with type 1 diabetes
Q13 - patient with heart failure has Q45 - patient is receiving a blood
Q14 - nurse is infusing 0.9% sodium Q46 - patient with chronic kidney disease
Q15 - laboratory finding is most consistent Q47 - patient is prescribed spironolactone for
Q16 - patient with chronic kidney disease Q48 - patient with acute pancreatitis has
Analyze pharmacological and Integrate principles of safety, infection
non-pharmacological interventions for safe, control, and ethical/legal accountability in
Q17 - patient with severe sepsis is Q49 - patient is receiving morphine sulfate
Q18 - nurse is calculating the intake Q50 - patient with a history of
Q19 - patient is receiving a continuous Q51 - patient with chronic kidney disease
Q20 - patient with pneumonia develops new-onset Q52 - nurse administers an intravenous medication
Q21 - patient with chronic kidney disease Q53 - patient is receiving a drug
Q22 - assessment finding in a patient Q54 - nurse is caring for a
Q23 - nurse is evaluating arterial blood Q55 - patient with type 2 diabetes
Q24 - clinical manifestation is most indicative Q56 - patient is prescribed a drug
Q25 - patient with heart failure is Q57 - nurse is monitoring a patient
Q26 - nurse is preparing to administer Q58 - patient is receiving an aminoglycoside
Q27 - finding in a patient's urine Q59 - patient is prescribed an ACE
Q28 - patient with a history of Q60 - patient with a history of
Q29 - intervention should the nurse implement Q61 - patient with type 2 diabetes
Q30 - patient with type 2 diabetes Q62 - nurse is evaluating a patient's
Q31 - a patient with uncontrolled type Q63 - nurse is preparing to administer
Q32 - nurse is caring for a Q64 - patient with heart failure is
Page 1
,NUR 155 Exam and Answers 2026 Foundations of Nursing Fundamentals and
Q65 - nurse is caring for a Medical-Surgical Nursing
Q66 - patient with a history of Q111 - patient with chronic kidney disease
Q67 - nurse is assessing a patient Q112 - patient on a continuous heparin
Q68 - patient with a deep vein Q113 - concept is central to the
Q69 - nurse is reviewing a patient's Q114 - patient with a history of
Q70 - patient with chronic obstructive pulmonary Q115 - patient is receiving a transfusion
Q71 - patient with type 2 diabetes Q116 - assessment finding is most indicative
Q72 - nurse is preparing to administer Q117 - patient with heart failure is
Q73 - patient with severe sepsis has Q118 - patient is receiving an IV
Q74 - finding is most indicative of Q119 - of the following is a
Q75 - patient is receiving IV heparin Q120 - patient with chronic obstructive pulmonary
Q76 - nurse is assessing a patient Q121 - patient on a medical-surgical unit
Q77 - patient with a history of Q122 - a patient with chronic kidney
Q78 - patient is prescribed a fentanyl Q123 - nurse is preparing to administer
Q79 - patient with heart failure is Q124 - assessment finding most clearly indicates
Q80 - patient with an acute asthma Q125 - patient with heart failure is
27 Update 100% Correct Applied Nursing Fundamentals and
Q81 - patient receiving a continuous heparin Medical-Surgical Nursing
Q82 - finding in a patient with Q126 - nurse is reviewing a patient's
Q83 - patient with chronic kidney disease Q127 - nursing intervention is most effective
Q84 - a patient with severe sepsis, Q128 - patient with diabetic ketoacidosis is
Q85 - patient with type 1 diabetes Q129 - of the following findings in
Q86 - patient with a chest tube Q130 - patient is receiving a continuous
Q87 - medication requires the nurse to Q131 - a patient with syndrome of
Q88 - patient with cirrhosis has an Q132 - assessment finding in a postoperative
Q89 - finding in a patient receiving Q133 - patient with chronic pain is
Q90 - patient with a new colostomy Q134 - a patient with acute respiratory
Q91 - nurse reviews a medication administration Q135 - For a patient in cardiogenic
Q92 - nurse is performing a physical Q136 - of the following findings is
Q93 - During a blood transfusion, a Q137 - patient with cirrhosis presents with
Q94 - nurse is caring for a Q138 - electrocardiographic change is most specific
Q95 - nurse is preparing to administer Q139 - nursing intervention is most important
Q140 - patient with type 2 diabetes
Galen College of Nursing.
Q96 - patient is receiving a continuous Advanced Nursing Fundamentals and
Q97 - nurse is educating a patient Medical-Surgical Nursing
Q98 - nurse is assessing a patient Q141 - a patient with acute decompensated
Q99 - patient with heart failure is Q142 - patient with a history of
Q100 - nurse is caring for a Q143 - patient who has been on
Q101 - During a blood transfusion, a Q144 - a patient with septic shock
Q102 - patient with chronic kidney disease Q145 - patient with a traumatic brain
Q103 - nurse is evaluating the effectiveness Q146 - lab value is most consistent
Q104 - patient is at highest risk Q147 - patient with acute pancreatitis develops
Q105 - patient is receiving a continuous Q148 - patient with chronic stable angina
Q106 - patient with heart failure has Q149 - patient with severe sepsis is
Q107 - nurse is preparing to administer Q150 - patient with acute kidney injury
Q108 - clinical manifestation is most indicative Q151 - patient with diabetic ketoacidosis has
Q109 - patient with a history of Q152 - patient on a continuous heparin
Q110 - nurse is performing a focused Q153 - assessment finding is most indicative
Q154 - patient with chronic kidney disease
Q155 - patient receiving IV vancomycin develops
Page 2
,Nursing Fundamentals and Medical-Surgical
Nursing Review
Q156 - patient with heart failure has
Q157 - finding is most consistent with
Q158 - patient is receiving a blood
Q159 - patient with acute pancreatitis has
Q160 - laboratory finding is most consistent
Q161 - client with chronic obstructive pulmonary
Q162 - client with heart failure is
Q163 - nurse is preparing to administer
Q164 - client with type 2 diabetes
Q165 - nurse is assessing a client's
Q166 - client is receiving a continuous
Q167 - nurse is caring for a
Q168 - client is postoperative day 1
Q169 - client with chronic kidney disease
Q170 - nurse is providing discharge teaching
Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A patient with chronic kidney disease (stage 4) is prescribed aluminum hydroxide
as a phosphate binder. The nurse evaluates which laboratory value as the priority
to monitor to prevent a serious adverse effect?
A. Serum calcium CORRECT
B. Serum magnesium
C. Serum potassium
D. Serum phosphorus
RATIONALE: Aluminum hydroxide binds phosphate in the GI tract, but chronic use can lead to
aluminum toxicity and hypophosphatemia, which stimulates bone resorption and can cause
hypercalcemia. Monitoring serum calcium is critical because aluminum hydroxide can also cause
constipation and, more importantly, aluminum accumulation leading to osteomalacia and
encephalopathy. Serum magnesium is not directly affected; potassium and phosphorus are
managed but not the priority for this drug's adverse effect.
Page 3
, Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A nurse is caring for a patient with syndrome of inappropriate antidiuretic
hormone (SIADH) who is receiving 3% sodium chloride. Which assessment finding
indicates a potential complication of this therapy?
A. Decreased urine output
B. Peripheral edema
C. Crackles in lung bases
D. Muscle twitching CORRECT
RATIONALE: Rapid correction of hyponatremia with hypertonic saline can cause osmotic
demyelination syndrome, with early signs including muscle twitching, confusion, and dysarthria.
Decreased urine output may occur as SIADH persists, but it is not a complication of the therapy
itself. Peripheral edema and crackles suggest fluid overload, which is possible but less specific
than neurologic signs; the priority is to detect neurologic deterioration.
Q3 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR PATIENTS WITH COMPLEX
HEALTH ALTERATIONS
A patient is receiving a continuous infusion of heparin for a pulmonary embolism.
The nurse notes an activated partial thromboplastin time (aPTT) of 95 seconds
(therapeutic range 60-80 seconds). Which action is most appropriate?
A. Continue the infusion at the same rate and recheck aPTT in 6 hours
B. Stop the infusion for 1 hour and then restart at a lower rate
C. Decrease the infusion rate by 100 units/hour and recheck aPTT in 4 hours CORRECT
D. Administer protamine sulfate immediately
RATIONALE: An aPTT above the therapeutic range indicates an increased bleeding risk; the
standard protocol is to decrease the infusion rate and recheck the aPTT in 4-6 hours. Stopping
the infusion is reserved for critical values or active bleeding. Continuing at the same rate would
maintain supratherapeutic anticoagulation. Protamine sulfate is used for severe bleeding or if
immediate reversal is needed, not for an asymptomatic elevated aPTT.
Page 4
