NUR 155
FOUNDATIONS OF NURSING
NUR 155 Foundations of Nursing Exam 1 Study Guide
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing Foundations & Med-Surg Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NUR 155 Foundations of Nursing Exam 1 Study Guide D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NUR 155 Foundations of Nursing Exam 1 Study Guide D | 2026/2027
Question 1
During the evaluation phase of the nursing process, the nurse notes that a patient’s blood pressure remains high
despite new medication. What is the most appropriate next step?
A. Document that the goal was not met and close the care plan.
B. Wait another 24 hours to see if the medication begins to work.
C. Reassess the patient and revise the nursing care plan.
D. Inform the physician that the medication is ineffective.
Answer: C
Rationale
The evaluation phase is a continuous process; if goals are not met, the nurse must reassess the patient and revise the plan of
care to address the ongoing issue. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Question 2
A nurse is caring for a patient who refuses a scheduled physical therapy session. The nurse documents the refusal and
respects the patient’s decision. Which ethical principle is being applied?
A. Justice
B. Fidelity
C. Beneficence
D. Autonomy
Answer: D
Rationale
Autonomy refers to the right of patients to make their own decisions about their medical care without healthcare providers
imposing their own values. Understanding this concept is essential for safe clinical decision-making. Incorrect choices often
reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Question 3
Which action is the priority for a nurse when a fire is discovered in a patient’s room?
A. Extinguish the fire using the nearest extinguisher.
B. Confine the fire by closing all doors and windows.
C. Activate the fire alarm system immediately.
D. Remove the patient from the immediate area of danger.
Answer: D
Rationale
Using the RACE acronym (Rescue, Alarm, Confine, Extinguish), the priority is always to rescue or remove patients in
immediate danger. Understanding this concept is essential for safe clinical decision-making. Incorrect choices often reflect
common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
FOUNDATIONS OF NURSING
NUR 155 Foundations of Nursing Exam 1 Study Guide
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing Foundations & Med-Surg Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NUR 155 Foundations of Nursing Exam 1 Study Guide D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NUR 155 Foundations of Nursing Exam 1 Study Guide D | 2026/2027
Question 1
During the evaluation phase of the nursing process, the nurse notes that a patient’s blood pressure remains high
despite new medication. What is the most appropriate next step?
A. Document that the goal was not met and close the care plan.
B. Wait another 24 hours to see if the medication begins to work.
C. Reassess the patient and revise the nursing care plan.
D. Inform the physician that the medication is ineffective.
Answer: C
Rationale
The evaluation phase is a continuous process; if goals are not met, the nurse must reassess the patient and revise the plan of
care to address the ongoing issue. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Question 2
A nurse is caring for a patient who refuses a scheduled physical therapy session. The nurse documents the refusal and
respects the patient’s decision. Which ethical principle is being applied?
A. Justice
B. Fidelity
C. Beneficence
D. Autonomy
Answer: D
Rationale
Autonomy refers to the right of patients to make their own decisions about their medical care without healthcare providers
imposing their own values. Understanding this concept is essential for safe clinical decision-making. Incorrect choices often
reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Question 3
Which action is the priority for a nurse when a fire is discovered in a patient’s room?
A. Extinguish the fire using the nearest extinguisher.
B. Confine the fire by closing all doors and windows.
C. Activate the fire alarm system immediately.
D. Remove the patient from the immediate area of danger.
Answer: D
Rationale
Using the RACE acronym (Rescue, Alarm, Confine, Extinguish), the priority is always to rescue or remove patients in
immediate danger. Understanding this concept is essential for safe clinical decision-making. Incorrect choices often reflect
common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
