NU 136 EXAM 1 COMPREHENSIVE
ASSESSMENT QUESTIONS AND
ANSWERS 100% VERIFIED (2026/2027)
GALEN COLLEGE OF NURSING
1. A nurse is conducting a primary assessment on a newly admitted patient. Which step of the
nursing process is being performed?
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Answer: C
Conceptual Explanation: Assessment is the first step of the nursing process, involving the
systematic collection of data about a patient’s health status.
2. Which of the following is considered subjective data?
A. The patient’s blood pressure is 140/90 mmHg.
B. The patient has a rash on their left arm.
C. The patient states, ‘I feel nauseated.’
D. The patient’s oxygen saturation is 92%.
,Answer: C
Conceptual Explanation: Subjective data are information from the patient’s point of view,
such as feelings or perceptions, rather than measurable observations.
3. A nurse is caring for a patient who is experiencing difficulty breathing. Which action
represents the ‘Implementation’ phase of the nursing process?
A. Identifying that the patient has ineffective airway clearance.
B. Setting a goal for the patient to have clear lung sounds within 24 hours.
C. Administering oxygen as prescribed by the provider.
D. Auscultating the patient’s breath sounds after a treatment.
Answer: C
Conceptual Explanation: Implementation involves carrying out the nursing interventions
or medical orders to achieve patient goals.
4. According to Maslow’s Hierarchy of Needs, which patient should the nurse attend to first?
A. A patient requesting information about their discharge medications.
B. A patient complaining of severe chest pain and shortness of breath.
C. A patient who is lonely and wants to talk to a family member.
D. A patient who feels unsafe in their hospital room.
Answer: B
, Conceptual Explanation: Physiological needs, such as oxygenation and circulation, are the
highest priority according to Maslow’s Hierarchy.
5. A nurse identifies that a patient’s blood pressure has dropped significantly. What is the
nurse’s priority action?
A. Document the finding in the medical record.
B. Wait 30 minutes and re-check the blood pressure.
C. Delegate the next set of vitals to the unlicensed assistive personnel (UAP).
D. Assess the patient for signs of dizziness or decreased consciousness.
Answer: D
Conceptual Explanation: The nurse must assess the clinical status of the patient
immediately when an abnormal vital sign is detected to determine the severity.
6. Which ethical principle refers to the duty to do good and act in the best interest of the
patient?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: A
ASSESSMENT QUESTIONS AND
ANSWERS 100% VERIFIED (2026/2027)
GALEN COLLEGE OF NURSING
1. A nurse is conducting a primary assessment on a newly admitted patient. Which step of the
nursing process is being performed?
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Answer: C
Conceptual Explanation: Assessment is the first step of the nursing process, involving the
systematic collection of data about a patient’s health status.
2. Which of the following is considered subjective data?
A. The patient’s blood pressure is 140/90 mmHg.
B. The patient has a rash on their left arm.
C. The patient states, ‘I feel nauseated.’
D. The patient’s oxygen saturation is 92%.
,Answer: C
Conceptual Explanation: Subjective data are information from the patient’s point of view,
such as feelings or perceptions, rather than measurable observations.
3. A nurse is caring for a patient who is experiencing difficulty breathing. Which action
represents the ‘Implementation’ phase of the nursing process?
A. Identifying that the patient has ineffective airway clearance.
B. Setting a goal for the patient to have clear lung sounds within 24 hours.
C. Administering oxygen as prescribed by the provider.
D. Auscultating the patient’s breath sounds after a treatment.
Answer: C
Conceptual Explanation: Implementation involves carrying out the nursing interventions
or medical orders to achieve patient goals.
4. According to Maslow’s Hierarchy of Needs, which patient should the nurse attend to first?
A. A patient requesting information about their discharge medications.
B. A patient complaining of severe chest pain and shortness of breath.
C. A patient who is lonely and wants to talk to a family member.
D. A patient who feels unsafe in their hospital room.
Answer: B
, Conceptual Explanation: Physiological needs, such as oxygenation and circulation, are the
highest priority according to Maslow’s Hierarchy.
5. A nurse identifies that a patient’s blood pressure has dropped significantly. What is the
nurse’s priority action?
A. Document the finding in the medical record.
B. Wait 30 minutes and re-check the blood pressure.
C. Delegate the next set of vitals to the unlicensed assistive personnel (UAP).
D. Assess the patient for signs of dizziness or decreased consciousness.
Answer: D
Conceptual Explanation: The nurse must assess the clinical status of the patient
immediately when an abnormal vital sign is detected to determine the severity.
6. Which ethical principle refers to the duty to do good and act in the best interest of the
patient?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: A
