Page |1
NU 136 EXAM 2 ACTUAL EXAM [ QUESTION 1-
200] AND ANSWERS UPDATED 2026/2027| 100%
VERIFIED|DETAILED RATIONALES –PASS
GUARANTEED A+ GRADED |INSTANT
DOWNLOAD
Introduction:
NU 136 Exam 2 Application Questions is an original practice set designed to strengthen
clinical judgment and application of foundational nursing concepts. The questions emphasize
the ability to recognize patient priorities, interpret assessment findings, select safe nursing
interventions, communicate therapeutically, and evaluate outcomes. The set covers major
fundamentals areas commonly associated with NU 136, including clinical judgment and the
nursing process, patient safety, infection prevention, assessment and vital signs, mobility and
skin integrity, oxygenation, nutrition and elimination, fluid and electrolyte balance,
medication safety, and patient-centered communication. Rather than functioning as a
collection of memorized questions, these scenarios require candidates to apply nursing
principles to realistic patient situations. Working through the questions can help identify
knowledge gaps, improve prioritization skills, reinforce safety principles, and build confidence
with application-level examination items. Use each rationale as a learning opportunity: review
why the correct intervention is safest and why the alternatives are less appropriate. These are
original practice questions, not reproduced or purported actual examination questions, and
should be compared with the student's current course syllabus, instructor objectives, lectures,
and assigned textbook.
Core Domains Covered:
1. Clinical Judgment and Nursing Process — Applying assessment, diagnosis, planning,
implementation, and evaluation to patient situations.
2. Patient Safety and Risk Reduction — Preventing falls, errors, injury, complications, and
other avoidable harm.
3. Health Assessment and Vital Signs — Recognizing significant findings and determining
appropriate nursing responses.
4. Infection Prevention and Aseptic Technique — Applying standard precautions,
transmission-based precautions, and infection-control principles.
5. Mobility, Body Mechanics, and Skin Integrity — Promoting safe movement, preventing
injury, and reducing pressure-related complications.
,Page |2
6. Oxygenation, Nutrition, Hydration, and Elimination — Recognizing alterations and
implementing appropriate basic nursing interventions.
7. Medication and Therapeutic Nursing Safety — Applying medication-administration
principles, monitoring, documentation, and error prevention.
8. Communication, Patient Education, and Professional Practice — Supporting autonomy,
therapeutic communication, delegation, documentation, and safe patient-centered care.
QUESTIONS 1–100
Question 1
A nurse receives report on four patients. Which patient should the nurse assess first?
A) A patient requesting assistance with breakfast
B) A patient with new-onset shortness of breath and an oxygen saturation of 86%
C) A patient reporting chronic back pain rated 5 out of 10
D) A patient awaiting routine discharge instructions
Rationale: The patient with new-onset dyspnea and oxygen saturation of 86% has an immediate
oxygenation problem that may rapidly become life-threatening. The nurse should assess airway
and breathing first and intervene promptly. Option A involves a need that can safely wait. Option
C describes chronic pain without evidence of acute deterioration. Option D is important but not
urgent.**
Question 2
A postoperative patient suddenly becomes restless and confused. The patient's respiratory rate is
30/minute and oxygen saturation has decreased from 97% to 88%. What is the nurse's priority
action?
A) Reorient the patient to time and place
B) Assess airway and breathing and initiate appropriate oxygenation measures
C) Administer the prescribed analgesic
D) Encourage the patient to ambulate
Rationale: Acute restlessness and confusion can be early manifestations of hypoxemia. The
decreased oxygen saturation and tachypnea make airway and breathing the priority.
Reorientation does not correct the underlying problem. Analgesia may be inappropriate until the
cause is evaluated, and ambulation could worsen the patient's condition.**
Question 3
,Page |3
A nurse is preparing to transfer a weak patient from the bed to a chair. Which action best
promotes patient safety?
A) Pull the patient upward by the arms
B) Lock the bed and chair wheels before beginning the transfer
C) Ask the patient to hold tightly around the nurse's neck
D) Keep the chair several feet away from the bed
Rationale: Locking the bed and chair wheels reduces movement and helps prevent falls. Pulling
on the patient's arms can injure the patient. The patient should not grasp the nurse's neck
because this can injure both individuals. The chair should be positioned close to the bed to
minimize transfer distance.**
Question 4
A patient reports dizziness when standing. Which nursing action is most appropriate?
A) Encourage the patient to stand quickly
B) Tell the patient that dizziness is expected
C) Assist the patient to sit or lie down and assess the patient's condition
D) Encourage independent ambulation to improve balance
Rationale: Dizziness during position changes can indicate orthostatic hypotension and creates a
significant fall risk. The immediate priority is preventing injury by assisting the patient to a safe
position and assessing vital signs and symptoms. Rapid standing and independent ambulation
increase risk. Dismissing the symptom is unsafe.**
Question 5
A nurse is caring for a patient on contact precautions. Which action is most appropriate?
A) Wear only a surgical mask
B) Follow required contact precautions and perform hand hygiene before and after patient
contact
C) Avoid all contact with the patient
D) Place all supplies from the room in the hallway
Rationale: Contact precautions require appropriate personal protective equipment based on the
infection and facility policy, along with consistent hand hygiene. The patient should still receive
necessary care. A surgical mask alone is insufficient for many contact-transmitted organisms.
Supplies should not be improperly placed in common areas.**
Question 6
A nurse accidentally contaminates a sterile glove while performing a sterile procedure. What
should the nurse do?
, Page |4
A) Continue because the glove is only slightly contaminated
B) Wipe the glove with antiseptic solution
C) Replace the contaminated glove using sterile technique
D) Cover the contaminated area with sterile gauze
Rationale: A contaminated sterile glove is no longer sterile and must be replaced. Wiping or
covering the contaminated area does not restore sterility. Continuing the procedure increases
the risk of introducing microorganisms into the sterile field.**
Question 7
A patient has difficulty swallowing after a neurologic event. Which intervention is most
appropriate before providing oral food?
A) Give the patient thin liquids first
B) Encourage the patient to eat rapidly
C) Verify swallowing safety and follow the prescribed swallowing precautions
D) Place the patient flat during meals
Rationale: Dysphagia creates a significant aspiration risk. Swallowing ability should be
assessed and prescribed precautions followed before oral intake. Thin liquids may increase
aspiration risk for some patients. Rapid eating and a flat position are unsafe.**
Question 8
A nurse notices that a patient's identification band does not match the medication administration
record. What should the nurse do?
A) Administer the medication if the patient states the name is correct
B) Ask another patient to verify the identity
C) Stop the medication process and resolve the identification discrepancy
D) Administer the medication and document the discrepancy afterward
Rationale: Correct patient identification is a fundamental medication-safety requirement. The
nurse should not administer the medication until the discrepancy is resolved using approved
identifiers. Patient statements alone do not replace required identification procedures.**
Question 9
A patient states, "I am frightened about what will happen during my procedure." Which response
is most therapeutic?
A) "There is nothing to worry about."
B) "Everyone feels that way."
C) "Tell me what concerns you most about the procedure."
D) "The procedure will be over quickly."
NU 136 EXAM 2 ACTUAL EXAM [ QUESTION 1-
200] AND ANSWERS UPDATED 2026/2027| 100%
VERIFIED|DETAILED RATIONALES –PASS
GUARANTEED A+ GRADED |INSTANT
DOWNLOAD
Introduction:
NU 136 Exam 2 Application Questions is an original practice set designed to strengthen
clinical judgment and application of foundational nursing concepts. The questions emphasize
the ability to recognize patient priorities, interpret assessment findings, select safe nursing
interventions, communicate therapeutically, and evaluate outcomes. The set covers major
fundamentals areas commonly associated with NU 136, including clinical judgment and the
nursing process, patient safety, infection prevention, assessment and vital signs, mobility and
skin integrity, oxygenation, nutrition and elimination, fluid and electrolyte balance,
medication safety, and patient-centered communication. Rather than functioning as a
collection of memorized questions, these scenarios require candidates to apply nursing
principles to realistic patient situations. Working through the questions can help identify
knowledge gaps, improve prioritization skills, reinforce safety principles, and build confidence
with application-level examination items. Use each rationale as a learning opportunity: review
why the correct intervention is safest and why the alternatives are less appropriate. These are
original practice questions, not reproduced or purported actual examination questions, and
should be compared with the student's current course syllabus, instructor objectives, lectures,
and assigned textbook.
Core Domains Covered:
1. Clinical Judgment and Nursing Process — Applying assessment, diagnosis, planning,
implementation, and evaluation to patient situations.
2. Patient Safety and Risk Reduction — Preventing falls, errors, injury, complications, and
other avoidable harm.
3. Health Assessment and Vital Signs — Recognizing significant findings and determining
appropriate nursing responses.
4. Infection Prevention and Aseptic Technique — Applying standard precautions,
transmission-based precautions, and infection-control principles.
5. Mobility, Body Mechanics, and Skin Integrity — Promoting safe movement, preventing
injury, and reducing pressure-related complications.
,Page |2
6. Oxygenation, Nutrition, Hydration, and Elimination — Recognizing alterations and
implementing appropriate basic nursing interventions.
7. Medication and Therapeutic Nursing Safety — Applying medication-administration
principles, monitoring, documentation, and error prevention.
8. Communication, Patient Education, and Professional Practice — Supporting autonomy,
therapeutic communication, delegation, documentation, and safe patient-centered care.
QUESTIONS 1–100
Question 1
A nurse receives report on four patients. Which patient should the nurse assess first?
A) A patient requesting assistance with breakfast
B) A patient with new-onset shortness of breath and an oxygen saturation of 86%
C) A patient reporting chronic back pain rated 5 out of 10
D) A patient awaiting routine discharge instructions
Rationale: The patient with new-onset dyspnea and oxygen saturation of 86% has an immediate
oxygenation problem that may rapidly become life-threatening. The nurse should assess airway
and breathing first and intervene promptly. Option A involves a need that can safely wait. Option
C describes chronic pain without evidence of acute deterioration. Option D is important but not
urgent.**
Question 2
A postoperative patient suddenly becomes restless and confused. The patient's respiratory rate is
30/minute and oxygen saturation has decreased from 97% to 88%. What is the nurse's priority
action?
A) Reorient the patient to time and place
B) Assess airway and breathing and initiate appropriate oxygenation measures
C) Administer the prescribed analgesic
D) Encourage the patient to ambulate
Rationale: Acute restlessness and confusion can be early manifestations of hypoxemia. The
decreased oxygen saturation and tachypnea make airway and breathing the priority.
Reorientation does not correct the underlying problem. Analgesia may be inappropriate until the
cause is evaluated, and ambulation could worsen the patient's condition.**
Question 3
,Page |3
A nurse is preparing to transfer a weak patient from the bed to a chair. Which action best
promotes patient safety?
A) Pull the patient upward by the arms
B) Lock the bed and chair wheels before beginning the transfer
C) Ask the patient to hold tightly around the nurse's neck
D) Keep the chair several feet away from the bed
Rationale: Locking the bed and chair wheels reduces movement and helps prevent falls. Pulling
on the patient's arms can injure the patient. The patient should not grasp the nurse's neck
because this can injure both individuals. The chair should be positioned close to the bed to
minimize transfer distance.**
Question 4
A patient reports dizziness when standing. Which nursing action is most appropriate?
A) Encourage the patient to stand quickly
B) Tell the patient that dizziness is expected
C) Assist the patient to sit or lie down and assess the patient's condition
D) Encourage independent ambulation to improve balance
Rationale: Dizziness during position changes can indicate orthostatic hypotension and creates a
significant fall risk. The immediate priority is preventing injury by assisting the patient to a safe
position and assessing vital signs and symptoms. Rapid standing and independent ambulation
increase risk. Dismissing the symptom is unsafe.**
Question 5
A nurse is caring for a patient on contact precautions. Which action is most appropriate?
A) Wear only a surgical mask
B) Follow required contact precautions and perform hand hygiene before and after patient
contact
C) Avoid all contact with the patient
D) Place all supplies from the room in the hallway
Rationale: Contact precautions require appropriate personal protective equipment based on the
infection and facility policy, along with consistent hand hygiene. The patient should still receive
necessary care. A surgical mask alone is insufficient for many contact-transmitted organisms.
Supplies should not be improperly placed in common areas.**
Question 6
A nurse accidentally contaminates a sterile glove while performing a sterile procedure. What
should the nurse do?
, Page |4
A) Continue because the glove is only slightly contaminated
B) Wipe the glove with antiseptic solution
C) Replace the contaminated glove using sterile technique
D) Cover the contaminated area with sterile gauze
Rationale: A contaminated sterile glove is no longer sterile and must be replaced. Wiping or
covering the contaminated area does not restore sterility. Continuing the procedure increases
the risk of introducing microorganisms into the sterile field.**
Question 7
A patient has difficulty swallowing after a neurologic event. Which intervention is most
appropriate before providing oral food?
A) Give the patient thin liquids first
B) Encourage the patient to eat rapidly
C) Verify swallowing safety and follow the prescribed swallowing precautions
D) Place the patient flat during meals
Rationale: Dysphagia creates a significant aspiration risk. Swallowing ability should be
assessed and prescribed precautions followed before oral intake. Thin liquids may increase
aspiration risk for some patients. Rapid eating and a flat position are unsafe.**
Question 8
A nurse notices that a patient's identification band does not match the medication administration
record. What should the nurse do?
A) Administer the medication if the patient states the name is correct
B) Ask another patient to verify the identity
C) Stop the medication process and resolve the identification discrepancy
D) Administer the medication and document the discrepancy afterward
Rationale: Correct patient identification is a fundamental medication-safety requirement. The
nurse should not administer the medication until the discrepancy is resolved using approved
identifiers. Patient statements alone do not replace required identification procedures.**
Question 9
A patient states, "I am frightened about what will happen during my procedure." Which response
is most therapeutic?
A) "There is nothing to worry about."
B) "Everyone feels that way."
C) "Tell me what concerns you most about the procedure."
D) "The procedure will be over quickly."
