STATE LICENSURE EXAM PREP
Exam 3: NU136/ NU 136
(NEW 2026/2027 Update)
Fundamentals of Nursing Guide
2026/2027 ACTUAL EXAM TEST BANK
WITH REAL EXAM QUESTIONS AND A+
100% CORRECT VERIFIED ANSWERS
(GUARANTEED PASS!!)
Aligned to Galen College of Nursing Content Outline • Foundational Nursing Level
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COMPLETE RATIONALES
CATEGORIES
SECTION 1 — Nursing Process, Critical Thinking & Documentation
SECTION 2 — Safety, Infection Control & Asepsis
SECTION 3 — Vital Signs, Physical Assessment & Hygiene
SECTION 4 — Medication Administration & Basic Nursing Skills
SECTION 5 — Mobility, Comfort, Nutrition & Elimination
STUVIAACTUALEXAM
,SECTION 1: Nursing Process, Critical Thinking & Documentation
Q1. A nurse is caring for a postoperative client who reports sudden sharp chest pain and difficulty breathing. The nurse
immediately elevates the head of the bed, applies oxygen, and calls for the rapid response team. Which step of the
nursing process does this sequence of actions primarily represent?
A. Implementation of prioritized interventions based on assessment data
B. Evaluation of the effectiveness of previous pain medication
C. Planning of long-term goals for the client's recovery
D. Diagnosis of a potential fluid volume deficit
Correct Answer: A
Rationale:
The nurse assessed the acute change, recognized a potentially life-threatening situation, and carried out immediate interventions. This
sequence is the implementation phase of the nursing process, in which the nurse puts the plan of care into action based on priority
assessment findings.
Q2. While reviewing a client's electronic health record, a nursing student notices that a previous nurse documented 'client
is noncompliant with diet' without further explanation. The clinical instructor asks the student to revise the entry using
objective language. Which revised statement best meets documentation standards?
A. Client continues to refuse recommended dietary restrictions for unknown reasons
B. Client stated, 'I ate a cheeseburger for lunch today' after education about low-sodium diet
C. Client is uncooperative and will not follow the prescribed diet plan
D. Client shows poor judgment regarding nutritional choices
Correct Answer: C
Rationale:
Accurate documentation requires objective, factual statements that record what the client said or did rather than judgments or labels such
as 'noncompliant' or 'uncooperative.' Quoting the client's own words and describing the context provides clear, usable clinical data.
Q3. A nurse is developing a care plan for a client newly diagnosed with type 2 diabetes. After collecting assessment data,
the nurse writes the following nursing diagnosis: 'Risk for unstable blood glucose level related to insufficient
knowledge of diabetes management.' Which component of the nursing diagnosis is the related factor?
A. Risk for unstable blood glucose level
B. Type 2 diabetes diagnosis
C. Insufficient knowledge of diabetes management
D. Need for blood glucose monitoring
Correct Answer: B
Rationale:
In a risk nursing diagnosis the related factor (etiology) is the condition or situation that places the client at risk. 'Insufficient knowledge of
diabetes management' is the related factor that increases the likelihood of unstable blood glucose; the risk diagnosis itself is the problem
statement.
STUVIAACTUALEXAM • Page 2
, SECTION 1: Nursing Process, Critical Thinking & Documentation
Q4. During morning report the off-going nurse states that a client 'seems a little off today.' The oncoming nurse recognizes
that this statement is too vague for safe handoff. Which question best demonstrates critical thinking to clarify the
report?
A. Did the client sleep well last night?
B. What specific changes in vital signs, mental status, or behavior have you observed?
C. Has the family been at the bedside?
D. Is the client scheduled for any procedures today?
Correct Answer: D
Rationale:
Critical thinking in communication requires seeking precise, objective data rather than accepting vague descriptors. Asking for specific
changes in vital signs, mental status, or behavior converts an unclear impression into actionable clinical information.
Q5. A nurse is prioritizing care for four clients at the start of the shift. One client has a blood pressure of 88/54 mm Hg and
reports feeling lightheaded; another is requesting pain medication; a third needs a dressing change; and the fourth is
due for a routine medication. Which client should the nurse assess first?
A. The client requesting pain medication
B. The client who needs a dressing change
C. The client with blood pressure 88/54 mm Hg and lightheadedness
D. The client due for a routine medication
Correct Answer: A
Rationale:
Priority setting is guided by the ABCs and Maslow's hierarchy. Hypotension with lightheadedness indicates a potential circulatory problem
that can rapidly progress to shock; this physiological threat takes precedence over pain, wound care, or routine medications.
Q6. A nursing student is preparing to document a client's intake and output. The student measures 240 mL of urine in the
collection bag and records it as 'approximately one cup.' The instructor intervenes. Which principle of documentation
has been violated?
A. Documentation should be completed at the end of the shift only
B. Subjective estimates may be used when exact volumes are difficult to obtain
C. Quantitative data must be recorded in precise, measurable units
D. Intake and output totals are optional for stable clients
Correct Answer: C
Rationale:
Accurate fluid balance records require exact numerical values in standardized units (milliliters). Vague approximations such as 'one cup'
introduce error and can mislead subsequent caregivers about the client's true fluid status.
STUVIAACTUALEXAM • Page 3
Exam 3: NU136/ NU 136
(NEW 2026/2027 Update)
Fundamentals of Nursing Guide
2026/2027 ACTUAL EXAM TEST BANK
WITH REAL EXAM QUESTIONS AND A+
100% CORRECT VERIFIED ANSWERS
(GUARANTEED PASS!!)
Aligned to Galen College of Nursing Content Outline • Foundational Nursing Level
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COMPLETE RATIONALES
CATEGORIES
SECTION 1 — Nursing Process, Critical Thinking & Documentation
SECTION 2 — Safety, Infection Control & Asepsis
SECTION 3 — Vital Signs, Physical Assessment & Hygiene
SECTION 4 — Medication Administration & Basic Nursing Skills
SECTION 5 — Mobility, Comfort, Nutrition & Elimination
STUVIAACTUALEXAM
,SECTION 1: Nursing Process, Critical Thinking & Documentation
Q1. A nurse is caring for a postoperative client who reports sudden sharp chest pain and difficulty breathing. The nurse
immediately elevates the head of the bed, applies oxygen, and calls for the rapid response team. Which step of the
nursing process does this sequence of actions primarily represent?
A. Implementation of prioritized interventions based on assessment data
B. Evaluation of the effectiveness of previous pain medication
C. Planning of long-term goals for the client's recovery
D. Diagnosis of a potential fluid volume deficit
Correct Answer: A
Rationale:
The nurse assessed the acute change, recognized a potentially life-threatening situation, and carried out immediate interventions. This
sequence is the implementation phase of the nursing process, in which the nurse puts the plan of care into action based on priority
assessment findings.
Q2. While reviewing a client's electronic health record, a nursing student notices that a previous nurse documented 'client
is noncompliant with diet' without further explanation. The clinical instructor asks the student to revise the entry using
objective language. Which revised statement best meets documentation standards?
A. Client continues to refuse recommended dietary restrictions for unknown reasons
B. Client stated, 'I ate a cheeseburger for lunch today' after education about low-sodium diet
C. Client is uncooperative and will not follow the prescribed diet plan
D. Client shows poor judgment regarding nutritional choices
Correct Answer: C
Rationale:
Accurate documentation requires objective, factual statements that record what the client said or did rather than judgments or labels such
as 'noncompliant' or 'uncooperative.' Quoting the client's own words and describing the context provides clear, usable clinical data.
Q3. A nurse is developing a care plan for a client newly diagnosed with type 2 diabetes. After collecting assessment data,
the nurse writes the following nursing diagnosis: 'Risk for unstable blood glucose level related to insufficient
knowledge of diabetes management.' Which component of the nursing diagnosis is the related factor?
A. Risk for unstable blood glucose level
B. Type 2 diabetes diagnosis
C. Insufficient knowledge of diabetes management
D. Need for blood glucose monitoring
Correct Answer: B
Rationale:
In a risk nursing diagnosis the related factor (etiology) is the condition or situation that places the client at risk. 'Insufficient knowledge of
diabetes management' is the related factor that increases the likelihood of unstable blood glucose; the risk diagnosis itself is the problem
statement.
STUVIAACTUALEXAM • Page 2
, SECTION 1: Nursing Process, Critical Thinking & Documentation
Q4. During morning report the off-going nurse states that a client 'seems a little off today.' The oncoming nurse recognizes
that this statement is too vague for safe handoff. Which question best demonstrates critical thinking to clarify the
report?
A. Did the client sleep well last night?
B. What specific changes in vital signs, mental status, or behavior have you observed?
C. Has the family been at the bedside?
D. Is the client scheduled for any procedures today?
Correct Answer: D
Rationale:
Critical thinking in communication requires seeking precise, objective data rather than accepting vague descriptors. Asking for specific
changes in vital signs, mental status, or behavior converts an unclear impression into actionable clinical information.
Q5. A nurse is prioritizing care for four clients at the start of the shift. One client has a blood pressure of 88/54 mm Hg and
reports feeling lightheaded; another is requesting pain medication; a third needs a dressing change; and the fourth is
due for a routine medication. Which client should the nurse assess first?
A. The client requesting pain medication
B. The client who needs a dressing change
C. The client with blood pressure 88/54 mm Hg and lightheadedness
D. The client due for a routine medication
Correct Answer: A
Rationale:
Priority setting is guided by the ABCs and Maslow's hierarchy. Hypotension with lightheadedness indicates a potential circulatory problem
that can rapidly progress to shock; this physiological threat takes precedence over pain, wound care, or routine medications.
Q6. A nursing student is preparing to document a client's intake and output. The student measures 240 mL of urine in the
collection bag and records it as 'approximately one cup.' The instructor intervenes. Which principle of documentation
has been violated?
A. Documentation should be completed at the end of the shift only
B. Subjective estimates may be used when exact volumes are difficult to obtain
C. Quantitative data must be recorded in precise, measurable units
D. Intake and output totals are optional for stable clients
Correct Answer: C
Rationale:
Accurate fluid balance records require exact numerical values in standardized units (milliliters). Vague approximations such as 'one cup'
introduce error and can mislead subsequent caregivers about the client's true fluid status.
STUVIAACTUALEXAM • Page 3
