NU 136 EXAM 2 - NURSING
FUNDAMENTALS COMPREHENSIVE
REVIEW QUESTIONS AND ANSWERS
100% VERIFIED (2026/2027) GALEN
COLLEGE OF NURSING
1. A nurse is preparing to administer an intramuscular injection to an adult patient. Which
site is considered the safest and most preferred for large volume injections?
A. Dorsogluteal
B. Vastus Lateralis
C. Ventrogluteal
D. Deltoid
Answer: C
Conceptual Explanation: The ventrogluteal site is the preferred site for IM injections
because it is situated deep away from major nerves and blood vessels.
2. When assessing a patient with fluid volume deficit, which clinical manifestation should the
nurse expect to find?
A. Distended neck veins
B. Bounding pulse
,C. Peripheral edema
D. Orthostatic hypotension
Answer: D
Conceptual Explanation: Orthostatic hypotension occurs with fluid volume deficit due to
decreased circulating blood volume.
3. A patient is prescribed a clear liquid diet postoperatively. Which food item is appropriate
for the nurse to provide?
A. Orange juice with pulp
B. Vanilla pudding
C. Apple juice
D. Cream of mushroom soup
Answer: C
Conceptual Explanation: Clear liquids include items you can see through, such as apple
juice, broth, and gelatin. Pulp and dairy are not allowed.
4. A nurse is caring for a patient who has a stage 2 pressure injury. How should the nurse
document the appearance of this wound?
A. Partial-thickness skin loss involving the epidermis and dermis
B. Intact skin with non-blanchable redness
C. Full-thickness tissue loss with visible subcutaneous fat
, D. Full-thickness tissue loss with exposed bone or muscle
Answer: A
Conceptual Explanation: Stage 2 involves partial-thickness loss of dermis presenting as a
shallow open ulcer with a red-pink wound bed.
5. Which nursing intervention is a priority when a nurse discovers a fire in a patient’s room?
A. Extinguish the fire
B. Activate the fire alarm
C. Rescue the patient from immediate danger
D. Confine the fire by closing doors
Answer: C
Conceptual Explanation: Using the RACE acronym, the first priority is Rescue (R) anyone
in immediate danger.
6. A patient with a Foley catheter is at risk for infection. Which action by the nurse decreases
the risk of a Catheter-Associated Urinary Tract Infection (CAUTI)?
A. Keeping the drainage bag above the level of the bladder
B. Routine irrigation of the catheter
C. Cleaning the urinary meatus with alcohol
D. Maintaining a closed drainage system
FUNDAMENTALS COMPREHENSIVE
REVIEW QUESTIONS AND ANSWERS
100% VERIFIED (2026/2027) GALEN
COLLEGE OF NURSING
1. A nurse is preparing to administer an intramuscular injection to an adult patient. Which
site is considered the safest and most preferred for large volume injections?
A. Dorsogluteal
B. Vastus Lateralis
C. Ventrogluteal
D. Deltoid
Answer: C
Conceptual Explanation: The ventrogluteal site is the preferred site for IM injections
because it is situated deep away from major nerves and blood vessels.
2. When assessing a patient with fluid volume deficit, which clinical manifestation should the
nurse expect to find?
A. Distended neck veins
B. Bounding pulse
,C. Peripheral edema
D. Orthostatic hypotension
Answer: D
Conceptual Explanation: Orthostatic hypotension occurs with fluid volume deficit due to
decreased circulating blood volume.
3. A patient is prescribed a clear liquid diet postoperatively. Which food item is appropriate
for the nurse to provide?
A. Orange juice with pulp
B. Vanilla pudding
C. Apple juice
D. Cream of mushroom soup
Answer: C
Conceptual Explanation: Clear liquids include items you can see through, such as apple
juice, broth, and gelatin. Pulp and dairy are not allowed.
4. A nurse is caring for a patient who has a stage 2 pressure injury. How should the nurse
document the appearance of this wound?
A. Partial-thickness skin loss involving the epidermis and dermis
B. Intact skin with non-blanchable redness
C. Full-thickness tissue loss with visible subcutaneous fat
, D. Full-thickness tissue loss with exposed bone or muscle
Answer: A
Conceptual Explanation: Stage 2 involves partial-thickness loss of dermis presenting as a
shallow open ulcer with a red-pink wound bed.
5. Which nursing intervention is a priority when a nurse discovers a fire in a patient’s room?
A. Extinguish the fire
B. Activate the fire alarm
C. Rescue the patient from immediate danger
D. Confine the fire by closing doors
Answer: C
Conceptual Explanation: Using the RACE acronym, the first priority is Rescue (R) anyone
in immediate danger.
6. A patient with a Foley catheter is at risk for infection. Which action by the nurse decreases
the risk of a Catheter-Associated Urinary Tract Infection (CAUTI)?
A. Keeping the drainage bag above the level of the bladder
B. Routine irrigation of the catheter
C. Cleaning the urinary meatus with alcohol
D. Maintaining a closed drainage system
