NU 136
EXAM 1
Fundamentals of Nursing
Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50+ verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. A nurse is administering influenza immunizations at a local clinic. What level of
disease prevention is the nurse demonstrating?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Correct Answer:
A. Primary
Rationale: Primary prevention focuses on preventing disease before it occurs.
Immunizations are a classic example of primary prevention because they protect
individuals from contracting influenza in the first place. Secondary prevention involves
early detection (e.g., screenings), while tertiary prevention aims to reduce complications
from existing disease. Quaternary prevention is not a standard level of prevention in
nursing practice.
2. An elderly client has impaired sensation in her lower extremities. What
educational statement would be necessary to reduce her risk of injury?
A. "Use a heating pad on high setting for 30 minutes each night."
B. "Always test the temperature of the bath before stepping in."
C. "Soak your feet in hot water for 20 minutes daily."
D. "Apply ice directly to numb areas to increase circulation."
Correct Answer:
B. "Always test the temperature of the bath before stepping in."
Rationale: Clients with impaired sensation (peripheral neuropathy) cannot accurately
perceive temperature or pain, increasing their risk for burns and injuries. Testing bath
water temperature prevents thermal injury. Heating pads on high settings, hot water
soaks, and direct ice application could all cause tissue damage without the client
realizing it.
3. The clinical nurse educator at a long-term care facility is responsible for
organizing staff education sessions. Which topic for all-staff education is most
likely to benefit the greatest number of residents?
, A. Education on advanced ventilator management
B. Education nurses on how to prevent falls
C. Education on chemotherapy administration
D. Education on neonatal resuscitation techniques
Correct Answer:
B. Education nurses on how to prevent falls
Rationale: Falls are a leading cause of injury among elderly residents in long-term care
facilities. All staff members interact with residents and can contribute to fall prevention
through environmental safety, proper transfer techniques, and monitoring. The other
topics apply to specialized populations not typically found in general long-term care
settings.
4. The student nurse knows mobility contributes to positive outcomes throughout
the body. What is a positive effect of mobility on the respiratory system?
A. Increased respiratory rate at rest
B. Prevention of respiratory secretions from pooling
C. Decreased lung capacity over time
D. Development of respiratory alkalosis
Correct Answer:
B. Prevention of respiratory secretions from pooling
Rationale: Mobility promotes deep breathing and effective coughing, which helps clear
secretions and prevents pooling in the alveoli and airways. This reduces the risk of
pneumonia and atelectasis. Immobility, conversely, leads to shallow breathing, stasis of
secretions, and increased infection risk.
5. Identify the statement that is NOT therapeutic communication.
A. "Tell me more about how you're feeling today."
B. "What you did was wrong. You shouldn't do that."
C. "It sounds like you're worried about your test results."
D. "Help me understand what happened from your perspective."
Correct Answer:
B. "What you did was wrong. You shouldn't do that."
Rationale: Therapeutic communication is patient-centered, nonjudgmental, and
supportive. Statement B is judgmental and punitive, which creates barriers to the nurse-
EXAM 1
Fundamentals of Nursing
Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50+ verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. A nurse is administering influenza immunizations at a local clinic. What level of
disease prevention is the nurse demonstrating?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Correct Answer:
A. Primary
Rationale: Primary prevention focuses on preventing disease before it occurs.
Immunizations are a classic example of primary prevention because they protect
individuals from contracting influenza in the first place. Secondary prevention involves
early detection (e.g., screenings), while tertiary prevention aims to reduce complications
from existing disease. Quaternary prevention is not a standard level of prevention in
nursing practice.
2. An elderly client has impaired sensation in her lower extremities. What
educational statement would be necessary to reduce her risk of injury?
A. "Use a heating pad on high setting for 30 minutes each night."
B. "Always test the temperature of the bath before stepping in."
C. "Soak your feet in hot water for 20 minutes daily."
D. "Apply ice directly to numb areas to increase circulation."
Correct Answer:
B. "Always test the temperature of the bath before stepping in."
Rationale: Clients with impaired sensation (peripheral neuropathy) cannot accurately
perceive temperature or pain, increasing their risk for burns and injuries. Testing bath
water temperature prevents thermal injury. Heating pads on high settings, hot water
soaks, and direct ice application could all cause tissue damage without the client
realizing it.
3. The clinical nurse educator at a long-term care facility is responsible for
organizing staff education sessions. Which topic for all-staff education is most
likely to benefit the greatest number of residents?
, A. Education on advanced ventilator management
B. Education nurses on how to prevent falls
C. Education on chemotherapy administration
D. Education on neonatal resuscitation techniques
Correct Answer:
B. Education nurses on how to prevent falls
Rationale: Falls are a leading cause of injury among elderly residents in long-term care
facilities. All staff members interact with residents and can contribute to fall prevention
through environmental safety, proper transfer techniques, and monitoring. The other
topics apply to specialized populations not typically found in general long-term care
settings.
4. The student nurse knows mobility contributes to positive outcomes throughout
the body. What is a positive effect of mobility on the respiratory system?
A. Increased respiratory rate at rest
B. Prevention of respiratory secretions from pooling
C. Decreased lung capacity over time
D. Development of respiratory alkalosis
Correct Answer:
B. Prevention of respiratory secretions from pooling
Rationale: Mobility promotes deep breathing and effective coughing, which helps clear
secretions and prevents pooling in the alveoli and airways. This reduces the risk of
pneumonia and atelectasis. Immobility, conversely, leads to shallow breathing, stasis of
secretions, and increased infection risk.
5. Identify the statement that is NOT therapeutic communication.
A. "Tell me more about how you're feeling today."
B. "What you did was wrong. You shouldn't do that."
C. "It sounds like you're worried about your test results."
D. "Help me understand what happened from your perspective."
Correct Answer:
B. "What you did was wrong. You shouldn't do that."
Rationale: Therapeutic communication is patient-centered, nonjudgmental, and
supportive. Statement B is judgmental and punitive, which creates barriers to the nurse-
