NUR 155
FOUNDATIONS OF NURSING
NUR 155 Foundations of Nursing Exam 4 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 4 Study Guide D 1 | 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 4 Study Guide D 1 | 2026/2027
Question 1
When prioritizing patient care using Maslow’s Hierarchy of Needs, which patient should the nurse assess first?
A. A patient requesting pain medication for a chronic back condition
B. A patient who needs assistance with morning hygiene and grooming
C. A patient who is expressing anxiety about their upcoming surgery
D. A patient who is experiencing difficulty breathing and has an oxygen saturation of 88%
Answer: D
Rationale
Physiological needs, especially airway and breathing, take priority over safety, belonging, and self-esteem in Maslow’s
Hierarchy. 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
The nurse is preparing to administer an intramuscular injection to a 6-month-old infant. Which site is most appropriate?
A. Deltoid muscle
B. Vastus lateralis
C. Dorsogluteal site
D. Ventrogluteal site
Answer: B
Rationale
The vastus lateralis is the preferred site for IM injections in infants because it is the most developed muscle at that age.
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
A nurse is caring for a patient with a suspected Clostridium difficile (C. diff) infection. Which infection control measure is
mandatory?
A. Wearing a surgical mask within 3 feet of the patient
B. Using alcohol-based hand sanitizer after leaving the room
C. Performing hand hygiene with soap and water after contact
D. Placing the patient in a negative-pressure room
Answer: C
Rationale
C. diff spores are resistant to alcohol-based sanitizers; physical scrubbing with soap and water is required to remove them.
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 4 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 4 Study Guide D 1 | 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 4 Study Guide D 1 | 2026/2027
Question 1
When prioritizing patient care using Maslow’s Hierarchy of Needs, which patient should the nurse assess first?
A. A patient requesting pain medication for a chronic back condition
B. A patient who needs assistance with morning hygiene and grooming
C. A patient who is expressing anxiety about their upcoming surgery
D. A patient who is experiencing difficulty breathing and has an oxygen saturation of 88%
Answer: D
Rationale
Physiological needs, especially airway and breathing, take priority over safety, belonging, and self-esteem in Maslow’s
Hierarchy. 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
The nurse is preparing to administer an intramuscular injection to a 6-month-old infant. Which site is most appropriate?
A. Deltoid muscle
B. Vastus lateralis
C. Dorsogluteal site
D. Ventrogluteal site
Answer: B
Rationale
The vastus lateralis is the preferred site for IM injections in infants because it is the most developed muscle at that age.
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
A nurse is caring for a patient with a suspected Clostridium difficile (C. diff) infection. Which infection control measure is
mandatory?
A. Wearing a surgical mask within 3 feet of the patient
B. Using alcohol-based hand sanitizer after leaving the room
C. Performing hand hygiene with soap and water after contact
D. Placing the patient in a negative-pressure room
Answer: C
Rationale
C. diff spores are resistant to alcohol-based sanitizers; physical scrubbing with soap and water is required to remove them.
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
