NU 136 | MIDTERM PRACTICE EXAM | 2026/2027
NU 136
MIDTERM PRACTICE EXAM
(2026/2027)
Fundamentals of Nursing • Questions, Answers & Detailed Rationales
EXAM OVERVIEW
• 48 original A–D practice questions
• Correct answers, detailed rationales, and explanations for incorrect options
• Consolidated answer key, high-yield checklist, and five-session study plan
• Topics include safety, infection prevention, assessment, communication, documentation,
mobility, skin care, and nursing process
Educational note: This is an original practice resource, not an official or guaranteed exam. NU
136 content varies by institution; confirm coverage with your current syllabus, instructor
guidance, and assigned materials.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | MIDTERM PRACTICE EXAM | 2026/2027
PRACTICE QUESTIONS
Question 1. Which action most effectively reduces routine transmission of
microorganisms?
A. Hand hygiene before patient contact
B. Sterile gloves for every interaction
C. Closing the room door
D. Cleaning shared equipment only at shift end
Correct Answer: A. Hand hygiene before patient contact
Detailed Rationale: Hand hygiene at the appropriate moments is a primary measure for
interrupting transmission.
Why B is incorrect: Sterile gloves are not needed for every routine task.
Why C is incorrect: A closed door does not replace hand hygiene.
Why D is incorrect: Shared equipment should be cleaned between patients or uses, not only
at shift end.
Key Nursing Concept: Use hand hygiene and standard precautions consistently.
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Question 2. A patient is found on the floor. What should the nurse do first?
A. Assess responsiveness, breathing, and possible injury
B. Help the patient stand immediately
C. Complete an incident report
D. Call the family
Correct Answer: A. Assess responsiveness, breathing, and possible injury
Detailed Rationale: Immediate assessment identifies urgent threats and injury before the
patient is moved.
Why B is incorrect: Assessment must precede documentation of the event.
Why C is incorrect: Moving the patient before assessment may worsen an injury.
Why D is incorrect: Family notification is not the immediate priority.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | MIDTERM PRACTICE EXAM | 2026/2027
Key Nursing Concept: Assess first; do not move a potentially injured patient until safe.
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Question 3. Which is an appropriate patient-identification method before
medication administration?
A. Ask the patient to state name and date of birth and compare with the record
B. Use room number and diagnosis
C. Ask a visitor to identify the patient
D. Identify the patient by appearance
Correct Answer: A. Ask the patient to state name and date of birth and compare with the
record
Detailed Rationale: Use two approved identifiers and compare them with the medication
record.
Why B is incorrect: This uses approved identifiers and cross-checks the record.
Why C is incorrect: Room number and diagnosis are not reliable identifiers.
Why D is incorrect: A visitor's statement does not replace the identification process.
Key Nursing Concept: Use two approved identifiers before medication administration.
──────────────────────────────────────────
Question 4. A medication label differs from the medication administration
record. What should the nurse do?
A. Hold the medication and clarify the discrepancy
B. Give it because the packaging looks familiar
C. Ask the patient to choose the dose
D. Give it and document later
Correct Answer: A. Hold the medication and clarify the discrepancy
Detailed Rationale: Resolve discrepancies before administration to prevent medication error.
Why B is incorrect: Pause and verify the order and product before proceeding.
Why C is incorrect: Familiar packaging does not verify the drug or dose.
Why D is incorrect: Patients can share information but cannot replace order verification.
Original educational practice resource • Confirm course-specific coverage
NU 136
MIDTERM PRACTICE EXAM
(2026/2027)
Fundamentals of Nursing • Questions, Answers & Detailed Rationales
EXAM OVERVIEW
• 48 original A–D practice questions
• Correct answers, detailed rationales, and explanations for incorrect options
• Consolidated answer key, high-yield checklist, and five-session study plan
• Topics include safety, infection prevention, assessment, communication, documentation,
mobility, skin care, and nursing process
Educational note: This is an original practice resource, not an official or guaranteed exam. NU
136 content varies by institution; confirm coverage with your current syllabus, instructor
guidance, and assigned materials.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | MIDTERM PRACTICE EXAM | 2026/2027
PRACTICE QUESTIONS
Question 1. Which action most effectively reduces routine transmission of
microorganisms?
A. Hand hygiene before patient contact
B. Sterile gloves for every interaction
C. Closing the room door
D. Cleaning shared equipment only at shift end
Correct Answer: A. Hand hygiene before patient contact
Detailed Rationale: Hand hygiene at the appropriate moments is a primary measure for
interrupting transmission.
Why B is incorrect: Sterile gloves are not needed for every routine task.
Why C is incorrect: A closed door does not replace hand hygiene.
Why D is incorrect: Shared equipment should be cleaned between patients or uses, not only
at shift end.
Key Nursing Concept: Use hand hygiene and standard precautions consistently.
──────────────────────────────────────────
Question 2. A patient is found on the floor. What should the nurse do first?
A. Assess responsiveness, breathing, and possible injury
B. Help the patient stand immediately
C. Complete an incident report
D. Call the family
Correct Answer: A. Assess responsiveness, breathing, and possible injury
Detailed Rationale: Immediate assessment identifies urgent threats and injury before the
patient is moved.
Why B is incorrect: Assessment must precede documentation of the event.
Why C is incorrect: Moving the patient before assessment may worsen an injury.
Why D is incorrect: Family notification is not the immediate priority.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | MIDTERM PRACTICE EXAM | 2026/2027
Key Nursing Concept: Assess first; do not move a potentially injured patient until safe.
──────────────────────────────────────────
Question 3. Which is an appropriate patient-identification method before
medication administration?
A. Ask the patient to state name and date of birth and compare with the record
B. Use room number and diagnosis
C. Ask a visitor to identify the patient
D. Identify the patient by appearance
Correct Answer: A. Ask the patient to state name and date of birth and compare with the
record
Detailed Rationale: Use two approved identifiers and compare them with the medication
record.
Why B is incorrect: This uses approved identifiers and cross-checks the record.
Why C is incorrect: Room number and diagnosis are not reliable identifiers.
Why D is incorrect: A visitor's statement does not replace the identification process.
Key Nursing Concept: Use two approved identifiers before medication administration.
──────────────────────────────────────────
Question 4. A medication label differs from the medication administration
record. What should the nurse do?
A. Hold the medication and clarify the discrepancy
B. Give it because the packaging looks familiar
C. Ask the patient to choose the dose
D. Give it and document later
Correct Answer: A. Hold the medication and clarify the discrepancy
Detailed Rationale: Resolve discrepancies before administration to prevent medication error.
Why B is incorrect: Pause and verify the order and product before proceeding.
Why C is incorrect: Familiar packaging does not verify the drug or dose.
Why D is incorrect: Patients can share information but cannot replace order verification.
Original educational practice resource • Confirm course-specific coverage
