NUR 155 Exam 2, 3 and 4 Combined | Questions
and Answers with Rationales | 2026 Update |
100% Correct - Galen College
EXAM 2: HEALTH PROMOTION, NUTRITION, FLUID & ELECTROLYTES
Question 1
The nurse is teaching an adult female client about health promotion.
Which of the following should the nurse recommend as a primary
prevention intervention?
A) Performing a breast self-examination (BSE)
B) Having a yearly physical with labs
C) Receiving family planning services
D) Checking blood pressure every 3 months
Correct Answer: C
Rationale: Primary prevention aims to prevent disease before it
occurs. Family planning services, immunizations, and health
education are examples of primary prevention. Breast self-
examination and yearly physicals are secondary prevention (early
detection). Checking blood pressure every 3 months is tertiary
prevention (managing existing disease).
,Question 2
The nurse is caring for a client who has joint pain. The nurse incorporates
the nutritional status, sleep patterns, energy level, and sense of well-
being into the plan of care. Which of the following concepts is the nurse
practicing?
A) Homeostasis
B) Individuality
C) Health promotion
D) Holism
Correct Answer: D
Rationale: Holism considers the whole person—physical,
psychological, social, and spiritual aspects—when planning care. The
nurse is addressing multiple dimensions of the client's well-being,
which is the definition of holistic care.
Question 3
The community health nurse is preparing to provide education to an
adolescent client regarding health promotion. Which of the following
health promotion topics is most appropriate for this client?
A) Dental checkups
B) Preventive health screenings
,C) Weight control
D) Peer group influences
Correct Answer: D
Rationale: Adolescents are heavily influenced by peer groups. Health
promotion education for this age group should address peer
pressure, risk-taking behaviors, and social influences.
Question 4
The nurse is caring for a client who has a low serum albumin level. Which
statement by the nurse indicates a correct understanding of albumin
levels?
A) "The client is experiencing a rapid breakdown of protein."
B) "This indicates a low level of iron circulating in the blood."
C) "The results indicate prolonged malnutrition."
D) "This indicates that the client has experienced blood loss."
Correct Answer: C
Rationale: Albumin is a protein produced by the liver. A low serum
albumin level indicates prolonged malnutrition or protein deficiency,
as albumin has a long half-life (approximately 20 days).
Question 5
, The nurse is preparing to discharge an elderly client who is at risk for
aspiration. Which of the following should the nurse recommend?
A) Prepare liquids at prescribed consistency
B) Tilt the head back when swallowing
C) Drink warm water instead of cold
D) Use extra pillow when eating in bed
Correct Answer: A
Rationale: Thickened liquids at prescribed consistency reduce the
risk of aspiration in clients with dysphagia. Tilting the head back
actually increases aspiration risk.
Question 6
The nurse is administering an intermittent gastrointestinal (GT) feeding to
a client. Which of the following actions is appropriate for the nurse to
take?
A) Aspiration and disposal of any residual prior to feeding delivery
B) Setting up feeding bag system to deliver the feeding at a fast rate
C) Raising and lowering the syringe to adjust the flow rate of the feeding
D) Placing the head of the bed at 15 degrees with the client on their left
side
Correct Answer: C
and Answers with Rationales | 2026 Update |
100% Correct - Galen College
EXAM 2: HEALTH PROMOTION, NUTRITION, FLUID & ELECTROLYTES
Question 1
The nurse is teaching an adult female client about health promotion.
Which of the following should the nurse recommend as a primary
prevention intervention?
A) Performing a breast self-examination (BSE)
B) Having a yearly physical with labs
C) Receiving family planning services
D) Checking blood pressure every 3 months
Correct Answer: C
Rationale: Primary prevention aims to prevent disease before it
occurs. Family planning services, immunizations, and health
education are examples of primary prevention. Breast self-
examination and yearly physicals are secondary prevention (early
detection). Checking blood pressure every 3 months is tertiary
prevention (managing existing disease).
,Question 2
The nurse is caring for a client who has joint pain. The nurse incorporates
the nutritional status, sleep patterns, energy level, and sense of well-
being into the plan of care. Which of the following concepts is the nurse
practicing?
A) Homeostasis
B) Individuality
C) Health promotion
D) Holism
Correct Answer: D
Rationale: Holism considers the whole person—physical,
psychological, social, and spiritual aspects—when planning care. The
nurse is addressing multiple dimensions of the client's well-being,
which is the definition of holistic care.
Question 3
The community health nurse is preparing to provide education to an
adolescent client regarding health promotion. Which of the following
health promotion topics is most appropriate for this client?
A) Dental checkups
B) Preventive health screenings
,C) Weight control
D) Peer group influences
Correct Answer: D
Rationale: Adolescents are heavily influenced by peer groups. Health
promotion education for this age group should address peer
pressure, risk-taking behaviors, and social influences.
Question 4
The nurse is caring for a client who has a low serum albumin level. Which
statement by the nurse indicates a correct understanding of albumin
levels?
A) "The client is experiencing a rapid breakdown of protein."
B) "This indicates a low level of iron circulating in the blood."
C) "The results indicate prolonged malnutrition."
D) "This indicates that the client has experienced blood loss."
Correct Answer: C
Rationale: Albumin is a protein produced by the liver. A low serum
albumin level indicates prolonged malnutrition or protein deficiency,
as albumin has a long half-life (approximately 20 days).
Question 5
, The nurse is preparing to discharge an elderly client who is at risk for
aspiration. Which of the following should the nurse recommend?
A) Prepare liquids at prescribed consistency
B) Tilt the head back when swallowing
C) Drink warm water instead of cold
D) Use extra pillow when eating in bed
Correct Answer: A
Rationale: Thickened liquids at prescribed consistency reduce the
risk of aspiration in clients with dysphagia. Tilting the head back
actually increases aspiration risk.
Question 6
The nurse is administering an intermittent gastrointestinal (GT) feeding to
a client. Which of the following actions is appropriate for the nurse to
take?
A) Aspiration and disposal of any residual prior to feeding delivery
B) Setting up feeding bag system to deliver the feeding at a fast rate
C) Raising and lowering the syringe to adjust the flow rate of the feeding
D) Placing the head of the bed at 15 degrees with the client on their left
side
Correct Answer: C
