NU 170/NUR 170 BUNDLED EXAMS 2026
UPDATE 100% CORRECT AND VERIFIED -
GALEN COLLEGE.
190 QUESTIONS
TABLE OF CONTENTS
Synthesize complex pathophysiological and Apply leadership and ethical frameworks to
pharmacological principles to formulate resolve practice dilemmas and improve care
Q1 - patient with chronic kidney disease Q37 - assessment finding is most concerning
Q2 - nurse is leading a quality Q38 - nurse is reviewing a patient's
Q3 - patient with acute pancreatitis has Q39 - action by the nurse is
Q4 - nurse is assessing a patient Q40 - patient with cirrhosis and ascites
Q5 - patient with type 2 diabetes Q41 - patient with chronic kidney disease
Q6 - nurse is delegating tasks to Q42 - laboratory finding is most consistent
Q7 - nurse is caring for a Q43 - patient's arterial blood gas shows
Q8 - nurse is preparing to administer Q44 - patient on mechanical ventilation has
Q9 - nurse is evaluating a patient's Q45 - finding is most indicative of
Q10 - nurse is caring for a Q46 - combination of findings is most
Q11 - a patient with acute decompensated Q47 - patient with suspected sepsis has
Q12 - patient on mechanical ventilation develops Q48 - electrocardiographic finding is most spec...
Q13 - finding best distinguishes neurogenic shock Q49 - patient with acute pancreatitis develops
Q14 - patient with septic shock remains Q50 - finding is most indicative of
Q15 - laboratory finding is most consistent Q51 - patient with septic shock is
Q16 - patient with chronic kidney disease Q52 - patient with heart failure and
Q17 - electrocardiographic finding is most spec... Q53 - patient with chronic kidney disease
Q18 - patient with cirrhosis and ascites Q54 - patient is receiving a continuous
Evaluate and prioritize nursing actions in Critically appraise and integrate research
dynamic, multi-system patient care findings to advance nursing practice
Q19 - clinical finding is most indicative Q55 - patient with type 2 diabetes
Q20 - patient with a serum sodium Q56 - patient with acute pancreatitis has
Q21 - patient with chronic kidney disease Q57 - patient with cirrhosis and ascites
Q22 - nurse is evaluating the effectiveness Q58 - patient with a traumatic brain
Q23 - assessment finding is most consistent Q59 - patient with acute respiratory distress
Q24 - patient is receiving a transfusion Q60 - patient with acute kidney injury
Q25 - client with a history of Q61 - a patient with chronic kidney
Q26 - patient with acute respiratory distress Q62 - nurse is caring for a
Q27 - nurse is preparing to administer Q63 - assessment finding in a patient
Q28 - patient with diabetic ketoacidosis is Q64 - nurse is preparing to administer
Q29 - nurse is assessing a patient Q65 - laboratory value is most consistent
Q30 - patient is ordered a continuous Q66 - patient is receiving a continuous
Q31 - patient with chronic kidney disease Q67 - finding in a patient with
Q32 - nurse is evaluating arterial blood Q68 - patient with sepsis has a
Q33 - assessment finding is most indicative Q69 - intervention is most appropriate for
Q34 - patient on a continuous heparin Q70 - nurse is reviewing a patient's
Q35 - nurse is educating a patient Q71 - a patient with acute decompensated
Q36 - patient with diabetic ketoacidosis is
Page 1
,NU 170 Galen College.
Q72 - patient on a ventilator develops Q106 - patient with chronic kidney disease
Q73 - of the following best explains Q107 - patient with a history of
Q74 - a patient with sepsis and Q108 - patient is receiving intravenous vancomycin
Q75 - patient with chronic kidney disease Q109 - patient with atrial fibrillation is
Q76 - of the following is a Q110 - patient with severe dehydration is
Q77 - patient with type 2 diabetes Q111 - patient with a history of
Q78 - a patient with acute pancreatitis, Q112 - pathophysiological mechanism best explain...
Q79 - of the following is the Q113 - a patient with suspected sepsis,
Q80 - patient with a history of Q114 - patient is receiving a continuous
Q81 - patient with chronic kidney disease Q115 - patient with type 2 diabetes
Q82 - pathophysiological mechanism best explain... Q116 - nurse is caring for a
Q83 - nurse is preparing to administer Q117 - patient with chronic kidney disease
Q84 - finding indicates that a patient Q118 - patient with acute pancreatitis is
Q85 - patient with a pulmonary embolism Q119 - patient with a severe traumatic
Q86 - patient in septic shock has Q120 - patient with end-stage renal disease
Q87 - assessment finding is most indicative Q121 - client on a continuous heparin
Q88 - patient with acute pancreatitis has Q122 - patient with type 2 diabetes
NUR 170 Bundled Exams 2026 Update 100% Foundations of Nursing (Medical-Surgical,
Correct and Verified Pharmacology, Leadership, and
Q89 - finding is most consistent with Q123 - nurse is evaluating a patient's
Q90 - patient with diabetic ketoacidosis has Q124 - of the following represents the
Q91 - patient with type 2 diabetes Q125 - patient with a history of
Q92 - nurse is reviewing the laboratory Q126 - nurse is assessing a patient's
Q93 - patient on warfarin has an Q127 - of the following is a
Q94 - patient is receiving an IV Q128 - patient is receiving a transfusion
Q95 - nurse is assessing a patient Q129 - of the following is the
Q96 - patient is prescribed digoxin. Which Q130 - patient with heart failure is
Q97 - nurse is preparing to administer Q131 - nurse is evaluating a client's
Q98 - patient with asthma is prescribed Q132 - nurse is preparing to administer
Q99 - nurse is monitoring a patient Q133 - nurse is reviewing the laboratory
Q100 - patient is prescribed a nonselective Q134 - nurse is planning care for
Q101 - patient on a continuous heparin Q135 - nurse is assessing a client
Q102 - patient with heart failure is Q136 - nurse is calculating the intake
Q103 - nurse is reviewing the laboratory Q137 - nurse is caring for a
Q104 - patient with type 2 diabetes Q138 - nurse is reviewing the health
Q105 - patient is receiving an IV Q139 - nurse is assessing a client
Page 2
,Applied Nursing (Medical-Surgical, Nursing (Medical-Surgical, Pharmacology,
Pharmacology, Leadership, and Leadership, and Evidence-Based Practice)
Q140 - nurse is evaluating the effectiveness Q174 - patient is receiving a continuous
Q141 - patient with septic shock remains Q175 - nurse is preparing to administer
Q142 - pathophysiological mechanism primarily di... Q176 - assessment finding is most indicative
Q143 - patient with chronic kidney disease Q177 - patient with a history of
Q144 - a patient with suspected acute Q178 - patient is receiving a continuous
Q145 - patient with type 2 diabetes Q179 - nurse is assessing a patient
Q146 - patient with cirrhosis presents with Q180 - patient is on a heparin
Q147 - patient receiving chemotherapy develops t... Q181 - patient with a history of
Q148 - statement best reflects the nurse's Q182 - patient on a continuous heparin
Q149 - patient with a hip fracture Q183 - patient with a serum potassium
Q150 - intervention is most effective in Q184 - patient with an acute anterior
Q151 - a patient with septic shock, Q185 - patient with cirrhosis and ascites
Q152 - patient with chronic kidney disease Q186 - patient with type 1 diabetes
Q153 - patient is receiving a continuous Q187 - patient on a mechanical ventilator
Q154 - of the following clinical scenarios Q188 - patient with severe sepsis has
Q155 - patient with heart failure is Q189 - patient with chronic kidney disease
Q156 - patient with type 2 diabetes Q190 - patient with a pulmonary embolism
Advanced Nursing (Medical-Surgical,
Pharmacology, Leadership, and
Q157 - patient is on a heparin
Q158 - caring for a patient with
Q159 - patient with acute pancreatitis has
Q160 - patient with chronic obstructive pulmonary
Q161 - patient with an acute exacerbation
Q162 - patient with type 2 diabetes
Q163 - nurse is preparing to administer
Q164 - patient is receiving a continuous
Q165 - nurse is reviewing the medication
Q166 - patient is prescribed spironolactone and
Q167 - patient with atrial fibrillation is
Q168 - nurse is administering a vancomycin
Q169 - patient is receiving an IV
Q170 - nurse is preparing to administer
Q171 - hospitalized adult develops acute onset
Q172 - patient with chronic kidney disease
Q173 - nurse is caring for a
Page 3
, Q1 SYNTHESIZE COMPLEX PATHOPHYSIOLOGICAL AND PHARMACOLOGICAL PRINCIPLES
TO FORMULATE SAFE, EVIDENCE-BASED NURSING INTERVENTIONS
A patient with chronic kidney disease (stage 4) is prescribed enoxaparin for DVT
prophylaxis. The nurse reviews the latest evidence and notes that enoxaparin is
contraindicated in severe renal impairment. Which alternative anticoagulant is
preferred in this scenario, considering the patient's renal function and the need for
predictable dosing?
A. Unfractionated heparin (UFH) with aPTT monitoring CORRECT
B. Warfarin with INR monitoring
C. Fondaparinux with anti-Xa monitoring
D. Apixaban at a reduced dose
RATIONALE: UFH is preferred in severe renal impairment because its clearance is primarily
hepatic and reticuloendothelial, making it safer than LMWH (enoxaparin) which accumulates.
Warfarin requires frequent monitoring and has a slow onset. Fondaparinux is renally cleared and
contraindicated in CrCl <30 mL/min. Apixaban has some renal clearance but is not the first
choice for acute prophylaxis when UFH is available.
Q2 SYNTHESIZE COMPLEX PATHOPHYSIOLOGICAL AND PHARMACOLOGICAL PRINCIPLES
TO FORMULATE SAFE, EVIDENCE-BASED NURSING INTERVENTIONS
A nurse is leading a quality improvement project to reduce catheter-associated
urinary tract infections (CAUTI). Using the Plan-Do-Study-Act (PDSA) cycle, which
action best exemplifies the 'Study' phase?
A. Implementing a new catheter insertion checklist
B. Analyzing post-intervention CAUTI rates compared to baseline CORRECT
C. Educating staff on proper catheter care
D. Setting a goal to reduce CAUTI by 20%
RATIONALE: The 'Study' phase involves analyzing data collected during the 'Do' phase to
determine if the change led to improvement. Implementing the checklist is 'Do', staff education is
part of 'Do', and setting goals is 'Plan'. Only B reflects the analysis of outcomes.
Page 4
UPDATE 100% CORRECT AND VERIFIED -
GALEN COLLEGE.
190 QUESTIONS
TABLE OF CONTENTS
Synthesize complex pathophysiological and Apply leadership and ethical frameworks to
pharmacological principles to formulate resolve practice dilemmas and improve care
Q1 - patient with chronic kidney disease Q37 - assessment finding is most concerning
Q2 - nurse is leading a quality Q38 - nurse is reviewing a patient's
Q3 - patient with acute pancreatitis has Q39 - action by the nurse is
Q4 - nurse is assessing a patient Q40 - patient with cirrhosis and ascites
Q5 - patient with type 2 diabetes Q41 - patient with chronic kidney disease
Q6 - nurse is delegating tasks to Q42 - laboratory finding is most consistent
Q7 - nurse is caring for a Q43 - patient's arterial blood gas shows
Q8 - nurse is preparing to administer Q44 - patient on mechanical ventilation has
Q9 - nurse is evaluating a patient's Q45 - finding is most indicative of
Q10 - nurse is caring for a Q46 - combination of findings is most
Q11 - a patient with acute decompensated Q47 - patient with suspected sepsis has
Q12 - patient on mechanical ventilation develops Q48 - electrocardiographic finding is most spec...
Q13 - finding best distinguishes neurogenic shock Q49 - patient with acute pancreatitis develops
Q14 - patient with septic shock remains Q50 - finding is most indicative of
Q15 - laboratory finding is most consistent Q51 - patient with septic shock is
Q16 - patient with chronic kidney disease Q52 - patient with heart failure and
Q17 - electrocardiographic finding is most spec... Q53 - patient with chronic kidney disease
Q18 - patient with cirrhosis and ascites Q54 - patient is receiving a continuous
Evaluate and prioritize nursing actions in Critically appraise and integrate research
dynamic, multi-system patient care findings to advance nursing practice
Q19 - clinical finding is most indicative Q55 - patient with type 2 diabetes
Q20 - patient with a serum sodium Q56 - patient with acute pancreatitis has
Q21 - patient with chronic kidney disease Q57 - patient with cirrhosis and ascites
Q22 - nurse is evaluating the effectiveness Q58 - patient with a traumatic brain
Q23 - assessment finding is most consistent Q59 - patient with acute respiratory distress
Q24 - patient is receiving a transfusion Q60 - patient with acute kidney injury
Q25 - client with a history of Q61 - a patient with chronic kidney
Q26 - patient with acute respiratory distress Q62 - nurse is caring for a
Q27 - nurse is preparing to administer Q63 - assessment finding in a patient
Q28 - patient with diabetic ketoacidosis is Q64 - nurse is preparing to administer
Q29 - nurse is assessing a patient Q65 - laboratory value is most consistent
Q30 - patient is ordered a continuous Q66 - patient is receiving a continuous
Q31 - patient with chronic kidney disease Q67 - finding in a patient with
Q32 - nurse is evaluating arterial blood Q68 - patient with sepsis has a
Q33 - assessment finding is most indicative Q69 - intervention is most appropriate for
Q34 - patient on a continuous heparin Q70 - nurse is reviewing a patient's
Q35 - nurse is educating a patient Q71 - a patient with acute decompensated
Q36 - patient with diabetic ketoacidosis is
Page 1
,NU 170 Galen College.
Q72 - patient on a ventilator develops Q106 - patient with chronic kidney disease
Q73 - of the following best explains Q107 - patient with a history of
Q74 - a patient with sepsis and Q108 - patient is receiving intravenous vancomycin
Q75 - patient with chronic kidney disease Q109 - patient with atrial fibrillation is
Q76 - of the following is a Q110 - patient with severe dehydration is
Q77 - patient with type 2 diabetes Q111 - patient with a history of
Q78 - a patient with acute pancreatitis, Q112 - pathophysiological mechanism best explain...
Q79 - of the following is the Q113 - a patient with suspected sepsis,
Q80 - patient with a history of Q114 - patient is receiving a continuous
Q81 - patient with chronic kidney disease Q115 - patient with type 2 diabetes
Q82 - pathophysiological mechanism best explain... Q116 - nurse is caring for a
Q83 - nurse is preparing to administer Q117 - patient with chronic kidney disease
Q84 - finding indicates that a patient Q118 - patient with acute pancreatitis is
Q85 - patient with a pulmonary embolism Q119 - patient with a severe traumatic
Q86 - patient in septic shock has Q120 - patient with end-stage renal disease
Q87 - assessment finding is most indicative Q121 - client on a continuous heparin
Q88 - patient with acute pancreatitis has Q122 - patient with type 2 diabetes
NUR 170 Bundled Exams 2026 Update 100% Foundations of Nursing (Medical-Surgical,
Correct and Verified Pharmacology, Leadership, and
Q89 - finding is most consistent with Q123 - nurse is evaluating a patient's
Q90 - patient with diabetic ketoacidosis has Q124 - of the following represents the
Q91 - patient with type 2 diabetes Q125 - patient with a history of
Q92 - nurse is reviewing the laboratory Q126 - nurse is assessing a patient's
Q93 - patient on warfarin has an Q127 - of the following is a
Q94 - patient is receiving an IV Q128 - patient is receiving a transfusion
Q95 - nurse is assessing a patient Q129 - of the following is the
Q96 - patient is prescribed digoxin. Which Q130 - patient with heart failure is
Q97 - nurse is preparing to administer Q131 - nurse is evaluating a client's
Q98 - patient with asthma is prescribed Q132 - nurse is preparing to administer
Q99 - nurse is monitoring a patient Q133 - nurse is reviewing the laboratory
Q100 - patient is prescribed a nonselective Q134 - nurse is planning care for
Q101 - patient on a continuous heparin Q135 - nurse is assessing a client
Q102 - patient with heart failure is Q136 - nurse is calculating the intake
Q103 - nurse is reviewing the laboratory Q137 - nurse is caring for a
Q104 - patient with type 2 diabetes Q138 - nurse is reviewing the health
Q105 - patient is receiving an IV Q139 - nurse is assessing a client
Page 2
,Applied Nursing (Medical-Surgical, Nursing (Medical-Surgical, Pharmacology,
Pharmacology, Leadership, and Leadership, and Evidence-Based Practice)
Q140 - nurse is evaluating the effectiveness Q174 - patient is receiving a continuous
Q141 - patient with septic shock remains Q175 - nurse is preparing to administer
Q142 - pathophysiological mechanism primarily di... Q176 - assessment finding is most indicative
Q143 - patient with chronic kidney disease Q177 - patient with a history of
Q144 - a patient with suspected acute Q178 - patient is receiving a continuous
Q145 - patient with type 2 diabetes Q179 - nurse is assessing a patient
Q146 - patient with cirrhosis presents with Q180 - patient is on a heparin
Q147 - patient receiving chemotherapy develops t... Q181 - patient with a history of
Q148 - statement best reflects the nurse's Q182 - patient on a continuous heparin
Q149 - patient with a hip fracture Q183 - patient with a serum potassium
Q150 - intervention is most effective in Q184 - patient with an acute anterior
Q151 - a patient with septic shock, Q185 - patient with cirrhosis and ascites
Q152 - patient with chronic kidney disease Q186 - patient with type 1 diabetes
Q153 - patient is receiving a continuous Q187 - patient on a mechanical ventilator
Q154 - of the following clinical scenarios Q188 - patient with severe sepsis has
Q155 - patient with heart failure is Q189 - patient with chronic kidney disease
Q156 - patient with type 2 diabetes Q190 - patient with a pulmonary embolism
Advanced Nursing (Medical-Surgical,
Pharmacology, Leadership, and
Q157 - patient is on a heparin
Q158 - caring for a patient with
Q159 - patient with acute pancreatitis has
Q160 - patient with chronic obstructive pulmonary
Q161 - patient with an acute exacerbation
Q162 - patient with type 2 diabetes
Q163 - nurse is preparing to administer
Q164 - patient is receiving a continuous
Q165 - nurse is reviewing the medication
Q166 - patient is prescribed spironolactone and
Q167 - patient with atrial fibrillation is
Q168 - nurse is administering a vancomycin
Q169 - patient is receiving an IV
Q170 - nurse is preparing to administer
Q171 - hospitalized adult develops acute onset
Q172 - patient with chronic kidney disease
Q173 - nurse is caring for a
Page 3
, Q1 SYNTHESIZE COMPLEX PATHOPHYSIOLOGICAL AND PHARMACOLOGICAL PRINCIPLES
TO FORMULATE SAFE, EVIDENCE-BASED NURSING INTERVENTIONS
A patient with chronic kidney disease (stage 4) is prescribed enoxaparin for DVT
prophylaxis. The nurse reviews the latest evidence and notes that enoxaparin is
contraindicated in severe renal impairment. Which alternative anticoagulant is
preferred in this scenario, considering the patient's renal function and the need for
predictable dosing?
A. Unfractionated heparin (UFH) with aPTT monitoring CORRECT
B. Warfarin with INR monitoring
C. Fondaparinux with anti-Xa monitoring
D. Apixaban at a reduced dose
RATIONALE: UFH is preferred in severe renal impairment because its clearance is primarily
hepatic and reticuloendothelial, making it safer than LMWH (enoxaparin) which accumulates.
Warfarin requires frequent monitoring and has a slow onset. Fondaparinux is renally cleared and
contraindicated in CrCl <30 mL/min. Apixaban has some renal clearance but is not the first
choice for acute prophylaxis when UFH is available.
Q2 SYNTHESIZE COMPLEX PATHOPHYSIOLOGICAL AND PHARMACOLOGICAL PRINCIPLES
TO FORMULATE SAFE, EVIDENCE-BASED NURSING INTERVENTIONS
A nurse is leading a quality improvement project to reduce catheter-associated
urinary tract infections (CAUTI). Using the Plan-Do-Study-Act (PDSA) cycle, which
action best exemplifies the 'Study' phase?
A. Implementing a new catheter insertion checklist
B. Analyzing post-intervention CAUTI rates compared to baseline CORRECT
C. Educating staff on proper catheter care
D. Setting a goal to reduce CAUTI by 20%
RATIONALE: The 'Study' phase involves analyzing data collected during the 'Do' phase to
determine if the change led to improvement. Implementing the checklist is 'Do', staff education is
part of 'Do', and setting goals is 'Plan'. Only B reflects the analysis of outcomes.
Page 4
