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NUR 242 Exam 1
Nursing Fundamentals
NCLEX-Style Practice Questions with Rationales
Topic Focus: Nursing Fundamentals — Immobility, Pressure Injuries, Pain,
Surgical Care, & More
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Nursing Fundamentals 2
NUR 242 · Galen College of Nursing Page 1
,NUR 242 EXAM 1 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Nursing Fundamentals — Immobility, Pressure Injuries, Pain,
Surgical Care, & More
1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aide
struggling to lift and reposition an elderly, bedridden patient. She explains to
the nurse aide that there is a No Lift Policy in place in the establishment. What
does this policy entail?
A. The concept of a no-lift policy is a pledge from administrators that proper equipment,
adequately maintained and in sufficient numbers, will be available to care providers to reduce
the risks associated with manual patient handling.
B. No-lift policies require staff to use manual lifting techniques.
C. No-lift policies prohibit any type of patient movement.
D. No-lift policies are only applicable in long-term care facilities.
✦ CORRECT ANSWER: A. The concept of a no-lift policy is a pledge from
administrators that proper equipment, adequately maintained and in sufficient
numbers, will be available to care providers to reduce the risks associated with
manual patient handling.
Rationale:
A no-lift policy is a commitment from administrators to provide proper equipment in sufficient
numbers to reduce the risks associated with manual patient handling. This protects both staff
and patients from injury.
, 2. Immobility affects multiple body systems. Which interventions can be
implemented to decrease these effects? (Select all that apply.)
A. TEDs/SCDs.
B. ROM exercises.
C. Utilizing waffle mattress to reduce the need for repositioning.
D. Rubbing reddened areas.
E. Limiting fluid intake.
✦ CORRECT ANSWER: A and B.
Rationale:
TEDs/SCDs help prevent venous thromboembolism, and ROM exercises maintain joint mobility
and muscle strength. Waffle mattresses do not eliminate the need for repositioning every 2
hours. Reddened areas should not be rubbed as this increases skin breakdown risk. Fluid intake
should be encouraged, not limited, to maintain skin hydration.
3. True or False: Nurses should do skin assessments once a week.
A. False.
B. True.
✦ CORRECT ANSWER: A. False.
Rationale:
Nurses should perform full skin assessments a minimum of once per shift, not once per week.
Frequent skin assessments are essential for early detection of pressure injuries and other skin
conditions.
NUR 242 Exam 1
Nursing Fundamentals
NCLEX-Style Practice Questions with Rationales
Topic Focus: Nursing Fundamentals — Immobility, Pressure Injuries, Pain,
Surgical Care, & More
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Nursing Fundamentals 2
NUR 242 · Galen College of Nursing Page 1
,NUR 242 EXAM 1 PRACTICE GUIDE INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Nursing Fundamentals — Immobility, Pressure Injuries, Pain,
Surgical Care, & More
1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aide
struggling to lift and reposition an elderly, bedridden patient. She explains to
the nurse aide that there is a No Lift Policy in place in the establishment. What
does this policy entail?
A. The concept of a no-lift policy is a pledge from administrators that proper equipment,
adequately maintained and in sufficient numbers, will be available to care providers to reduce
the risks associated with manual patient handling.
B. No-lift policies require staff to use manual lifting techniques.
C. No-lift policies prohibit any type of patient movement.
D. No-lift policies are only applicable in long-term care facilities.
✦ CORRECT ANSWER: A. The concept of a no-lift policy is a pledge from
administrators that proper equipment, adequately maintained and in sufficient
numbers, will be available to care providers to reduce the risks associated with
manual patient handling.
Rationale:
A no-lift policy is a commitment from administrators to provide proper equipment in sufficient
numbers to reduce the risks associated with manual patient handling. This protects both staff
and patients from injury.
, 2. Immobility affects multiple body systems. Which interventions can be
implemented to decrease these effects? (Select all that apply.)
A. TEDs/SCDs.
B. ROM exercises.
C. Utilizing waffle mattress to reduce the need for repositioning.
D. Rubbing reddened areas.
E. Limiting fluid intake.
✦ CORRECT ANSWER: A and B.
Rationale:
TEDs/SCDs help prevent venous thromboembolism, and ROM exercises maintain joint mobility
and muscle strength. Waffle mattresses do not eliminate the need for repositioning every 2
hours. Reddened areas should not be rubbed as this increases skin breakdown risk. Fluid intake
should be encouraged, not limited, to maintain skin hydration.
3. True or False: Nurses should do skin assessments once a week.
A. False.
B. True.
✦ CORRECT ANSWER: A. False.
Rationale:
Nurses should perform full skin assessments a minimum of once per shift, not once per week.
Frequent skin assessments are essential for early detection of pressure injuries and other skin
conditions.
