GALEN COLLEGE OF NURSING
Adult Health Concepts
NUR 185 — Exams 1 & 2 Plus Final
Adult Health Concepts
INSTITUTION | Galen College of Nursing
PROGRAM | Associate Degree in Nursing
EXAM TITLE | NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
COURSE TITLE | Adult Health Concepts
COURSE CODE | NUR 185
ACADEMIC YEAR | 2026/2027
TOTAL QUESTIONS | 300 Questions
NUR 185 | 2026/2027
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive document contains 300 original verified questions covering the full NUR 185 Adult Health
Concepts Examinations 1 & 2 Plus Final Package for the 2026/2027 academic year. The questions are distributed
across four core domains: Domain 1: Exam 1 - Foundations of Adult Health Nursing (75 questions); Domain 2:
Exam 1 - Cardiovascular & Hematologic Concepts (75 questions); Domain 3: Exam 2 - Respiratory & Renal
Concepts (75 questions); and Domain 4: Exam 2 - Gastrointestinal & Endocrine Concepts (75 questions). Content
is original and designed to reinforce the official NUR 185 course objectives for actual exam readiness and adult
health nursing proficiency, aligned to the 2026/2027 academic year. Questions integrate the NCSBN Clinical
Judgment Measurement Model, the nursing process (ADPIE), evidence-based medical-surgical standards, and
foundational adult health knowledge to support professional nursing candidates in developing sound clinical
reasoning.
ACTUAL QUESTIONS
Domain 1: Exam 1 - Foundations of Adult Health Nursing
Question 1. Which sequence correctly describes the steps of the nursing process?
A. Assessment, Diagnosis, Planning, Implementation, Evaluation
B. Diagnosis, Assessment, Planning, Evaluation, Implementation
C. Planning, Assessment, Diagnosis, Implementation, Evaluation
D. Evaluation, Implementation, Planning, Diagnosis, Assessment
Correct Answer: A
Rationale: The nursing process follows the ADPIE sequence: Assessment, Diagnosis, Planning, Implementation,
and Evaluation. This systematic framework supports clinical judgment and individualized adult health care.
Question 2. According to the NCSBN Clinical Judgment Measurement Model, which step involves
identifying relevant client data?
A. Analyze Cues
B. Recognize Cues
C. Prioritize Hypotheses
D. Generate Interventions
Correct Answer: B
Rationale: Recognize Cues is the first step and involves identifying relevant and important information from the
assessment. Subsequent steps build on accurate cue recognition.
Question 3. Using Maslow's hierarchy, which client problem should the nurse address first?
A. Difficulty breathing and oxygen saturation of 86%
B. Feelings of loneliness after hospitalization
C. Concern about body image after surgery
D. Desire to learn a new self-care skill
Correct Answer: A
Rationale: Physiological needs, including airway and oxygenation, take priority over safety, belonging, esteem,
and self-actualization needs.
Question 4. Which action demonstrates critical thinking in clinical judgment?
A. Delegating all assessments to unlicensed assistive personnel
B. Completing tasks in the exact order listed on the assignment sheet
C. Analyzing assessment data to determine the priority client problem before selecting interventions
D. Waiting for the charge nurse to identify all priorities
Correct Answer: C
Rationale: Critical thinking requires analysis of data and prioritization based on client acuity rather than rigid
task lists.
Question 5. Which source provides the highest level of evidence for a nursing intervention?
A. A product brochure from a manufacturer
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
, B. An expert nurse's personal opinion
C. A single case report
D. A systematic analysis of randomized controlled trials
Correct Answer: D
Rationale: Systematic analyses of randomized controlled trials rank highest in the hierarchy of evidence.
Question 6. Which outcome statement meets SMART criteria?
A. The client will feel better soon
B. The client will ambulate 100 feet with a walker three times daily by postoperative day 3
C. Mobility will improve
D. The nurse will assist the client to walk
Correct Answer: B
Rationale: SMART outcomes are Specific, Measurable, Achievable, Relevant, and Time-bound.
Question 7. Which task is appropriate to delegate to unlicensed assistive personnel (UAP)?
A. Teaching a client about a new medication
B. Performing an initial admission assessment
C. Assisting a stable client with ambulation and hygiene
D. Evaluating the effectiveness of a pain intervention
Correct Answer: C
Rationale: UAP may perform routine, non-invasive tasks for stable clients. Assessment, teaching, and
evaluation require licensed nurse judgment.
Question 8. When using SBAR communication, what does the 'R' represent?
A. Result
B. Response
C. Report
D. Recommendation
Correct Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, Recommendation. The Recommendation
component includes the nurse's suggested actions.
Question 9. A nurse prioritizes care for four clients. Which client should be assessed first?
A. A client requesting assistance to the bathroom
B. A client with new-onset chest pain and diaphoresis
C. A client scheduled for routine vital signs
D. A client waiting for discharge teaching
Correct Answer: B
Rationale: New-onset chest pain with diaphoresis may indicate a life-threatening cardiac event and takes
priority according to ABCs.
Question 10. Which ethical principle is demonstrated when the nurse supports a client's informed
decision to refuse a non-emergent procedure?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Autonomy respects the client's right to make informed decisions about personal care, including
refusal of treatment.
Question 11. Which principle guides prioritization of nursing care?
A. Completing the easiest tasks first
B. Addressing life-threatening problems before less urgent needs
C. Following the order of the medical record
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
, D. Performing interventions alphabetically
Correct Answer: B
Rationale: Prioritization follows ABCs, Maslow's hierarchy, and acuity. Life-threatening issues always take
precedence.
Question 12. Which characteristic is essential for effective nursing documentation?
A. Including only abnormal findings
B. Subjective opinions only
C. Delayed until the end of the shift
D. Objective, timely, accurate, and complete
Correct Answer: D
Rationale: Documentation must be objective, timely, accurate, and complete to support continuity of care.
Question 13. Which method best confirms client understanding of teaching?
A. Using the teach-back method and asking the client to demonstrate or explain
B. Assuming understanding if the client nods
C. Providing only written materials
D. Speaking more loudly
Correct Answer: A
Rationale: The teach-back method verifies understanding by having the client explain or demonstrate the
information.
Question 14. Which activity represents primary prevention in adult health?
A. Assisting with range-of-motion exercises after a stroke
B. Providing wound care after surgery
C. Administering insulin to a client with diabetes
D. Teaching a community group about blood pressure screening and smoking cessation
Correct Answer: D
Rationale: Primary prevention aims to prevent disease before it occurs through education and protective
measures.
Question 15. A nurse notes a client's blood pressure has risen from 128/78 to 190/110 mm Hg.
Which step of clinical judgment is used when determining significance?
A. Recognize Cues
B. Analyze Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B
Rationale: Analyze Cues involves interpreting data and determining relevance. Recognizing the numbers is
Recognize Cues.
Question 16. Which principle guides prioritization of nursing care?
A. Following the order of the medical record
B. Completing the easiest tasks first
C. Addressing life-threatening problems before less urgent needs
D. Performing interventions alphabetically
Correct Answer: C
Rationale: Prioritization follows ABCs, Maslow's hierarchy, and acuity. Life-threatening issues always take
precedence.
Question 17. Which characteristic is essential for effective nursing documentation?
A. Including only abnormal findings
B. Subjective opinions only
C. Delayed until the end of the shift
D. Objective, timely, accurate, and complete
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
Adult Health Concepts
NUR 185 — Exams 1 & 2 Plus Final
Adult Health Concepts
INSTITUTION | Galen College of Nursing
PROGRAM | Associate Degree in Nursing
EXAM TITLE | NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
COURSE TITLE | Adult Health Concepts
COURSE CODE | NUR 185
ACADEMIC YEAR | 2026/2027
TOTAL QUESTIONS | 300 Questions
NUR 185 | 2026/2027
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive document contains 300 original verified questions covering the full NUR 185 Adult Health
Concepts Examinations 1 & 2 Plus Final Package for the 2026/2027 academic year. The questions are distributed
across four core domains: Domain 1: Exam 1 - Foundations of Adult Health Nursing (75 questions); Domain 2:
Exam 1 - Cardiovascular & Hematologic Concepts (75 questions); Domain 3: Exam 2 - Respiratory & Renal
Concepts (75 questions); and Domain 4: Exam 2 - Gastrointestinal & Endocrine Concepts (75 questions). Content
is original and designed to reinforce the official NUR 185 course objectives for actual exam readiness and adult
health nursing proficiency, aligned to the 2026/2027 academic year. Questions integrate the NCSBN Clinical
Judgment Measurement Model, the nursing process (ADPIE), evidence-based medical-surgical standards, and
foundational adult health knowledge to support professional nursing candidates in developing sound clinical
reasoning.
ACTUAL QUESTIONS
Domain 1: Exam 1 - Foundations of Adult Health Nursing
Question 1. Which sequence correctly describes the steps of the nursing process?
A. Assessment, Diagnosis, Planning, Implementation, Evaluation
B. Diagnosis, Assessment, Planning, Evaluation, Implementation
C. Planning, Assessment, Diagnosis, Implementation, Evaluation
D. Evaluation, Implementation, Planning, Diagnosis, Assessment
Correct Answer: A
Rationale: The nursing process follows the ADPIE sequence: Assessment, Diagnosis, Planning, Implementation,
and Evaluation. This systematic framework supports clinical judgment and individualized adult health care.
Question 2. According to the NCSBN Clinical Judgment Measurement Model, which step involves
identifying relevant client data?
A. Analyze Cues
B. Recognize Cues
C. Prioritize Hypotheses
D. Generate Interventions
Correct Answer: B
Rationale: Recognize Cues is the first step and involves identifying relevant and important information from the
assessment. Subsequent steps build on accurate cue recognition.
Question 3. Using Maslow's hierarchy, which client problem should the nurse address first?
A. Difficulty breathing and oxygen saturation of 86%
B. Feelings of loneliness after hospitalization
C. Concern about body image after surgery
D. Desire to learn a new self-care skill
Correct Answer: A
Rationale: Physiological needs, including airway and oxygenation, take priority over safety, belonging, esteem,
and self-actualization needs.
Question 4. Which action demonstrates critical thinking in clinical judgment?
A. Delegating all assessments to unlicensed assistive personnel
B. Completing tasks in the exact order listed on the assignment sheet
C. Analyzing assessment data to determine the priority client problem before selecting interventions
D. Waiting for the charge nurse to identify all priorities
Correct Answer: C
Rationale: Critical thinking requires analysis of data and prioritization based on client acuity rather than rigid
task lists.
Question 5. Which source provides the highest level of evidence for a nursing intervention?
A. A product brochure from a manufacturer
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
, B. An expert nurse's personal opinion
C. A single case report
D. A systematic analysis of randomized controlled trials
Correct Answer: D
Rationale: Systematic analyses of randomized controlled trials rank highest in the hierarchy of evidence.
Question 6. Which outcome statement meets SMART criteria?
A. The client will feel better soon
B. The client will ambulate 100 feet with a walker three times daily by postoperative day 3
C. Mobility will improve
D. The nurse will assist the client to walk
Correct Answer: B
Rationale: SMART outcomes are Specific, Measurable, Achievable, Relevant, and Time-bound.
Question 7. Which task is appropriate to delegate to unlicensed assistive personnel (UAP)?
A. Teaching a client about a new medication
B. Performing an initial admission assessment
C. Assisting a stable client with ambulation and hygiene
D. Evaluating the effectiveness of a pain intervention
Correct Answer: C
Rationale: UAP may perform routine, non-invasive tasks for stable clients. Assessment, teaching, and
evaluation require licensed nurse judgment.
Question 8. When using SBAR communication, what does the 'R' represent?
A. Result
B. Response
C. Report
D. Recommendation
Correct Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, Recommendation. The Recommendation
component includes the nurse's suggested actions.
Question 9. A nurse prioritizes care for four clients. Which client should be assessed first?
A. A client requesting assistance to the bathroom
B. A client with new-onset chest pain and diaphoresis
C. A client scheduled for routine vital signs
D. A client waiting for discharge teaching
Correct Answer: B
Rationale: New-onset chest pain with diaphoresis may indicate a life-threatening cardiac event and takes
priority according to ABCs.
Question 10. Which ethical principle is demonstrated when the nurse supports a client's informed
decision to refuse a non-emergent procedure?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Autonomy respects the client's right to make informed decisions about personal care, including
refusal of treatment.
Question 11. Which principle guides prioritization of nursing care?
A. Completing the easiest tasks first
B. Addressing life-threatening problems before less urgent needs
C. Following the order of the medical record
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
, D. Performing interventions alphabetically
Correct Answer: B
Rationale: Prioritization follows ABCs, Maslow's hierarchy, and acuity. Life-threatening issues always take
precedence.
Question 12. Which characteristic is essential for effective nursing documentation?
A. Including only abnormal findings
B. Subjective opinions only
C. Delayed until the end of the shift
D. Objective, timely, accurate, and complete
Correct Answer: D
Rationale: Documentation must be objective, timely, accurate, and complete to support continuity of care.
Question 13. Which method best confirms client understanding of teaching?
A. Using the teach-back method and asking the client to demonstrate or explain
B. Assuming understanding if the client nods
C. Providing only written materials
D. Speaking more loudly
Correct Answer: A
Rationale: The teach-back method verifies understanding by having the client explain or demonstrate the
information.
Question 14. Which activity represents primary prevention in adult health?
A. Assisting with range-of-motion exercises after a stroke
B. Providing wound care after surgery
C. Administering insulin to a client with diabetes
D. Teaching a community group about blood pressure screening and smoking cessation
Correct Answer: D
Rationale: Primary prevention aims to prevent disease before it occurs through education and protective
measures.
Question 15. A nurse notes a client's blood pressure has risen from 128/78 to 190/110 mm Hg.
Which step of clinical judgment is used when determining significance?
A. Recognize Cues
B. Analyze Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B
Rationale: Analyze Cues involves interpreting data and determining relevance. Recognizing the numbers is
Recognize Cues.
Question 16. Which principle guides prioritization of nursing care?
A. Following the order of the medical record
B. Completing the easiest tasks first
C. Addressing life-threatening problems before less urgent needs
D. Performing interventions alphabetically
Correct Answer: C
Rationale: Prioritization follows ABCs, Maslow's hierarchy, and acuity. Life-threatening issues always take
precedence.
Question 17. Which characteristic is essential for effective nursing documentation?
A. Including only abnormal findings
B. Subjective opinions only
C. Delayed until the end of the shift
D. Objective, timely, accurate, and complete
NUR 185 Adult Health Concepts Examinations 1 & 2 Plus Final Compilation 2026/2027 | Verified Questions
