NUR 256 NUR256 Exam 1 (Galen College of
Nursing) Exam Questions And Correct
Answers (Verified Answers) Plus Rationales
2025 Q&A
,NUR 256 NUR256 Exam 1 (Galen College of Nursing) Exam Questions And
Correct Answers (Verified Answers) Plus Rationales 2025 Q&A
1. A nurse is assessing a client newly diagnosed with hypertension. Which
lifestyle change should the nurse recommend first?
a. Begin antihypertensive medication immediately
b. Reduce sodium intake
c. Monitor blood pressure regularly
d. Start daily vigorous exercise
Rationale: Monitoring blood pressure establishes a baseline and helps
evaluate effectiveness of any interventions. Lifestyle changes follow an
assessment of current status.
2. A patient with COPD reports increased shortness of breath. Which position
should the nurse suggest?
a. Supine with pillows under the head
b. Side-lying with knees bent
c. Sitting up and leaning forward
, d. Trendelenburg position
Rationale: The tripod position allows for maximal lung expansion and
diaphragm movement, which helps ease breathing in COPD patients.
3. The nurse notes that a patient with heart failure has 3+ pitting edema.
Which assessment is the priority?
a. Bowel sounds
b. Lung sounds
c. Pupillary response
d. Skin turgor
Rationale: Fluid volume overload can lead to pulmonary edema; assessing
lung sounds detects crackles indicating worsening HF.
4. A nurse is teaching a patient about insulin injection sites. Which site is best
for fastest absorption?
a. Thigh
b. Buttock
c. Abdomen
d. Upper arm
Rationale: The abdomen provides the fastest and most consistent
absorption due to increased blood flow.
5. A patient with type 2 diabetes has a fasting glucose of 300 mg/dL. Which
action should the nurse take first?
a. Administer sliding scale insulin
b. Assess for signs of infection
c. Call the provider for new orders
, d. Instruct the patient to drink water
Rationale: Infection can cause hyperglycemia. The nurse should assess for
underlying causes before treatment.
6. Which lab result should the nurse monitor to evaluate warfarin therapy?
a. BUN
b. Hemoglobin A1C
c. INR
d. Platelets
Rationale: INR measures clotting time and is used to monitor therapeutic
levels for patients on warfarin.
7. The nurse prepares to administer digoxin. Which finding requires holding
the dose?
a. Apical pulse 50 bpm
b. BP 110/70 mmHg
c. Potassium 4.0 mEq/L
d. RR 20 breaths/min
Rationale: Digoxin can cause bradycardia. Hold the medication if the
apical pulse is below 60 bpm in adults.
8. A nurse cares for a client with chronic kidney disease. Which dietary
restriction is appropriate?
a. Increase protein intake
b. Limit potassium-rich foods
c. Increase fluid intake
d. Encourage dairy products
Nursing) Exam Questions And Correct
Answers (Verified Answers) Plus Rationales
2025 Q&A
,NUR 256 NUR256 Exam 1 (Galen College of Nursing) Exam Questions And
Correct Answers (Verified Answers) Plus Rationales 2025 Q&A
1. A nurse is assessing a client newly diagnosed with hypertension. Which
lifestyle change should the nurse recommend first?
a. Begin antihypertensive medication immediately
b. Reduce sodium intake
c. Monitor blood pressure regularly
d. Start daily vigorous exercise
Rationale: Monitoring blood pressure establishes a baseline and helps
evaluate effectiveness of any interventions. Lifestyle changes follow an
assessment of current status.
2. A patient with COPD reports increased shortness of breath. Which position
should the nurse suggest?
a. Supine with pillows under the head
b. Side-lying with knees bent
c. Sitting up and leaning forward
, d. Trendelenburg position
Rationale: The tripod position allows for maximal lung expansion and
diaphragm movement, which helps ease breathing in COPD patients.
3. The nurse notes that a patient with heart failure has 3+ pitting edema.
Which assessment is the priority?
a. Bowel sounds
b. Lung sounds
c. Pupillary response
d. Skin turgor
Rationale: Fluid volume overload can lead to pulmonary edema; assessing
lung sounds detects crackles indicating worsening HF.
4. A nurse is teaching a patient about insulin injection sites. Which site is best
for fastest absorption?
a. Thigh
b. Buttock
c. Abdomen
d. Upper arm
Rationale: The abdomen provides the fastest and most consistent
absorption due to increased blood flow.
5. A patient with type 2 diabetes has a fasting glucose of 300 mg/dL. Which
action should the nurse take first?
a. Administer sliding scale insulin
b. Assess for signs of infection
c. Call the provider for new orders
, d. Instruct the patient to drink water
Rationale: Infection can cause hyperglycemia. The nurse should assess for
underlying causes before treatment.
6. Which lab result should the nurse monitor to evaluate warfarin therapy?
a. BUN
b. Hemoglobin A1C
c. INR
d. Platelets
Rationale: INR measures clotting time and is used to monitor therapeutic
levels for patients on warfarin.
7. The nurse prepares to administer digoxin. Which finding requires holding
the dose?
a. Apical pulse 50 bpm
b. BP 110/70 mmHg
c. Potassium 4.0 mEq/L
d. RR 20 breaths/min
Rationale: Digoxin can cause bradycardia. Hold the medication if the
apical pulse is below 60 bpm in adults.
8. A nurse cares for a client with chronic kidney disease. Which dietary
restriction is appropriate?
a. Increase protein intake
b. Limit potassium-rich foods
c. Increase fluid intake
d. Encourage dairy products
