Galen NUR 168 | 200-Question Original Practice Bank | 2026/2027
GALEN NUR 168
200-Question Practice Bank
50 Original Questions for Each Exam Area
Answers + Rationales | 2026/2027
ORIGINAL PRACTICE RESOURCE
Designed to support review of NUR 168 concepts. These questions are not reproduced Galen examinations, answer
keys, or instructor materials.
Course focus: Integrated Concepts of Registered Nursing Practice
Exam 1 • Exam 2 • Exam 3 • Exam 4 / Final
NUR 168 Practice Bank | Page 1
, Galen NUR 168 | 200-Question Original Practice Bank | 2026/2027
Alignment & How to Use This Bank
The current Galen curriculum lists NUR 168 as Integrated Concepts of Registered Nursing Practice. A publicly
available NUR 168 syllabus blueprint organizes the course into four 50-question exam areas. This practice bank
mirrors that four-part organization for study planning while keeping all 200 questions original.
Important alignment note: Course syllabi, instructor emphasis, textbooks, and item distributions can change.
Always compare this resource with your current Galen Canvas modules, faculty study guide, and assigned
readings.
Exam Area Primary Content Practice Questions
EXAM 1 Standards of care, mental-health nursing, 50
therapeutic communication, mental-
health concepts and conditions
EXAM 2 Antepartum, intrapartum/postpartum, and 50
newborn care
EXAM 3 Pediatric overview and cardiac, 50
respiratory, musculoskeletal, neurologic,
oncologic, gastrointestinal, genitourinary,
and integumentary disorders
EXAM 4 / FINAL Aging, chronic disease, cognitive 50
disorders, rehabilitation, assistive
devices, advance directives, end-of-life
care, grief, and clinical judgment
Recommended Study Method
• Attempt each 50-question set without looking at the answers.
• Mark uncertain items even when you choose the correct answer.
• Review every rationale, not only the questions you missed.
• Create a short remediation list by topic (for example: therapeutic communication, fetal heart tracing, pediatric
respiratory care, delirium vs dementia).
• Retest missed concepts after 24-72 hours using your notes and assigned course resources.
NUR 168 Practice Bank | Page 2
, Galen NUR 168 | 200-Question Original Practice Bank | 2026/2027
EXAM 1 PRACTICE BANK
Standards of care, mental-health nursing, therapeutic communication, mental-health concepts and
conditions
Directions: Select the one best answer for each question. Complete all 50 items before reviewing the answer key
and rationales.
1. A nurse is reviewing the plan of care for a client admitted to an inpatient psychiatric unit. Which action
best reflects the standard of care?
A. Use the same interventions for every client with the same diagnosis.
B. Base care on current assessment findings, accepted nursing standards, and the client's individual needs.
C. Follow only the client's requests, even when they conflict with safety requirements.
D. Delay documentation until the end of the shift so care is not interrupted.
2. Which nursing documentation entry is most appropriate after a client becomes verbally aggressive?
A. Client was rude and out of control.
B. Client had a bad attitude and threatened staff.
C. Client paced in the hallway, shouted 'Leave me alone,' and clenched both fists; staff maintained distance and
offered a quiet room.
D. Client acted psychotic for approximately 20 minutes.
3. A client tells the nurse about a past legal problem and asks that the information remain private. Which
response is most accurate?
A. Everything you tell me is absolutely confidential under all circumstances.
B. I can keep information private unless it involves safety concerns or another legal exception requiring disclosure.
C. I must report all past illegal behavior to law enforcement.
D. Confidentiality applies only outside the hospital.
4. A highly agitated client is pacing and yelling but has not attempted to harm anyone. Which intervention
should the nurse try first?
A. Apply four-point restraints immediately.
B. Use calm verbal de-escalation and reduce environmental stimulation.
C. Administer an intramuscular sedative without attempting other measures.
D. Place the client in seclusion to prevent possible escalation.
5. Which finding most directly suggests that a client may lack decision-making capacity for a specific
treatment choice?
A. The client disagrees with the nurse.
B. The client cannot explain the basic treatment options or appreciate the likely consequences of the decision.
C. The client has a psychiatric diagnosis.
D. The client asks for more time before deciding.
6. A client says, 'No one in my family understands what I am going through.' Which response is most
therapeutic?
A. Why do you think they do not understand?
B. You should explain it to them more clearly.
C. It sounds as though you feel very alone with this.
D. At least your family still visits you.
NUR 168 Practice Bank | Page 3
, Galen NUR 168 | 200-Question Original Practice Bank | 2026/2027
7. During an interview, a client begins to cry and stops speaking. What is the nurse's best initial
response?
A. Change the subject to reduce discomfort.
B. Remain present and allow a period of therapeutic silence.
C. Tell the client that crying will not solve the problem.
D. Immediately ask a series of assessment questions.
8. Which statement is nontherapeutic because it asks the client to justify feelings rather than explore
them?
A. Tell me more about what happened.
B. What was going through your mind at that time?
C. Why are you so angry with your sister?
D. How did you feel when she left?
9. A client asks the nurse to meet for coffee after discharge. Which response best maintains a therapeutic
boundary?
A. Yes, but only once.
B. No. Our relationship is professional, so I cannot meet socially after discharge.
C. Maybe, if no other staff members find out.
D. I can give you my personal phone number instead.
10. Which assessment belongs to the mental status examination?
A. Serum sodium level
B. Thought process and content
C. Chest expansion
D. Bowel sounds
11. A client with mild anxiety is preparing for discharge teaching. Which approach is most appropriate?
A. Provide brief teaching and encourage questions because mild anxiety can support learning.
B. Postpone all teaching until anxiety is completely absent.
C. Use complex explanations to distract the client from anxiety.
D. Give several new topics at once to maximize retention.
12. A client experiencing a panic attack says, 'I am going to die!' What should the nurse do first?
A. Teach detailed relaxation theory.
B. Stay with the client, speak in short calm sentences, and reduce stimulation.
C. Ask the client to analyze the trigger in depth.
D. Leave the client alone to regain independence.
13. Which client statement is most consistent with generalized anxiety disorder?
A. I have had excessive worry about many areas of my life most days for months.
B. I only feel anxious when I see a specific spider.
C. I repeatedly relive one traumatic event in flashbacks.
D. I have sudden episodes of elevated mood and little need for sleep.
NUR 168 Practice Bank | Page 4
GALEN NUR 168
200-Question Practice Bank
50 Original Questions for Each Exam Area
Answers + Rationales | 2026/2027
ORIGINAL PRACTICE RESOURCE
Designed to support review of NUR 168 concepts. These questions are not reproduced Galen examinations, answer
keys, or instructor materials.
Course focus: Integrated Concepts of Registered Nursing Practice
Exam 1 • Exam 2 • Exam 3 • Exam 4 / Final
NUR 168 Practice Bank | Page 1
, Galen NUR 168 | 200-Question Original Practice Bank | 2026/2027
Alignment & How to Use This Bank
The current Galen curriculum lists NUR 168 as Integrated Concepts of Registered Nursing Practice. A publicly
available NUR 168 syllabus blueprint organizes the course into four 50-question exam areas. This practice bank
mirrors that four-part organization for study planning while keeping all 200 questions original.
Important alignment note: Course syllabi, instructor emphasis, textbooks, and item distributions can change.
Always compare this resource with your current Galen Canvas modules, faculty study guide, and assigned
readings.
Exam Area Primary Content Practice Questions
EXAM 1 Standards of care, mental-health nursing, 50
therapeutic communication, mental-
health concepts and conditions
EXAM 2 Antepartum, intrapartum/postpartum, and 50
newborn care
EXAM 3 Pediatric overview and cardiac, 50
respiratory, musculoskeletal, neurologic,
oncologic, gastrointestinal, genitourinary,
and integumentary disorders
EXAM 4 / FINAL Aging, chronic disease, cognitive 50
disorders, rehabilitation, assistive
devices, advance directives, end-of-life
care, grief, and clinical judgment
Recommended Study Method
• Attempt each 50-question set without looking at the answers.
• Mark uncertain items even when you choose the correct answer.
• Review every rationale, not only the questions you missed.
• Create a short remediation list by topic (for example: therapeutic communication, fetal heart tracing, pediatric
respiratory care, delirium vs dementia).
• Retest missed concepts after 24-72 hours using your notes and assigned course resources.
NUR 168 Practice Bank | Page 2
, Galen NUR 168 | 200-Question Original Practice Bank | 2026/2027
EXAM 1 PRACTICE BANK
Standards of care, mental-health nursing, therapeutic communication, mental-health concepts and
conditions
Directions: Select the one best answer for each question. Complete all 50 items before reviewing the answer key
and rationales.
1. A nurse is reviewing the plan of care for a client admitted to an inpatient psychiatric unit. Which action
best reflects the standard of care?
A. Use the same interventions for every client with the same diagnosis.
B. Base care on current assessment findings, accepted nursing standards, and the client's individual needs.
C. Follow only the client's requests, even when they conflict with safety requirements.
D. Delay documentation until the end of the shift so care is not interrupted.
2. Which nursing documentation entry is most appropriate after a client becomes verbally aggressive?
A. Client was rude and out of control.
B. Client had a bad attitude and threatened staff.
C. Client paced in the hallway, shouted 'Leave me alone,' and clenched both fists; staff maintained distance and
offered a quiet room.
D. Client acted psychotic for approximately 20 minutes.
3. A client tells the nurse about a past legal problem and asks that the information remain private. Which
response is most accurate?
A. Everything you tell me is absolutely confidential under all circumstances.
B. I can keep information private unless it involves safety concerns or another legal exception requiring disclosure.
C. I must report all past illegal behavior to law enforcement.
D. Confidentiality applies only outside the hospital.
4. A highly agitated client is pacing and yelling but has not attempted to harm anyone. Which intervention
should the nurse try first?
A. Apply four-point restraints immediately.
B. Use calm verbal de-escalation and reduce environmental stimulation.
C. Administer an intramuscular sedative without attempting other measures.
D. Place the client in seclusion to prevent possible escalation.
5. Which finding most directly suggests that a client may lack decision-making capacity for a specific
treatment choice?
A. The client disagrees with the nurse.
B. The client cannot explain the basic treatment options or appreciate the likely consequences of the decision.
C. The client has a psychiatric diagnosis.
D. The client asks for more time before deciding.
6. A client says, 'No one in my family understands what I am going through.' Which response is most
therapeutic?
A. Why do you think they do not understand?
B. You should explain it to them more clearly.
C. It sounds as though you feel very alone with this.
D. At least your family still visits you.
NUR 168 Practice Bank | Page 3
, Galen NUR 168 | 200-Question Original Practice Bank | 2026/2027
7. During an interview, a client begins to cry and stops speaking. What is the nurse's best initial
response?
A. Change the subject to reduce discomfort.
B. Remain present and allow a period of therapeutic silence.
C. Tell the client that crying will not solve the problem.
D. Immediately ask a series of assessment questions.
8. Which statement is nontherapeutic because it asks the client to justify feelings rather than explore
them?
A. Tell me more about what happened.
B. What was going through your mind at that time?
C. Why are you so angry with your sister?
D. How did you feel when she left?
9. A client asks the nurse to meet for coffee after discharge. Which response best maintains a therapeutic
boundary?
A. Yes, but only once.
B. No. Our relationship is professional, so I cannot meet socially after discharge.
C. Maybe, if no other staff members find out.
D. I can give you my personal phone number instead.
10. Which assessment belongs to the mental status examination?
A. Serum sodium level
B. Thought process and content
C. Chest expansion
D. Bowel sounds
11. A client with mild anxiety is preparing for discharge teaching. Which approach is most appropriate?
A. Provide brief teaching and encourage questions because mild anxiety can support learning.
B. Postpone all teaching until anxiety is completely absent.
C. Use complex explanations to distract the client from anxiety.
D. Give several new topics at once to maximize retention.
12. A client experiencing a panic attack says, 'I am going to die!' What should the nurse do first?
A. Teach detailed relaxation theory.
B. Stay with the client, speak in short calm sentences, and reduce stimulation.
C. Ask the client to analyze the trigger in depth.
D. Leave the client alone to regain independence.
13. Which client statement is most consistent with generalized anxiety disorder?
A. I have had excessive worry about many areas of my life most days for months.
B. I only feel anxious when I see a specific spider.
C. I repeatedly relive one traumatic event in flashbacks.
D. I have sudden episodes of elevated mood and little need for sleep.
NUR 168 Practice Bank | Page 4
