GALEN NUR 210 EXAM 1 2026/2027 | 100% Correct Answers
with Complete Solutions | Foundations of Nursing, Health
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Unit 1: Foundations of Nursing Practice (25 Questions)
Q1: A 45-year-old patient is admitted to the medical-surgical unit with chest pain. The
nurse obtains vital signs, auscultates heart and lung sounds, and reviews the patient's
medical history. Which nursing role is the nurse primarily demonstrating?
A. Advocate
B. Caregiver
C. Collector of data [CORRECT]
D. Educator
Correct Answer: C
Rationale: The nurse is performing the assessment phase of the nursing process by
gathering objective data (vital signs, auscultation) and subjective data (medical history).
This is the data collection role fundamental to nursing practice. Option A (Advocate)
involves protecting patient rights and ensuring informed consent, which is not the
primary activity described. Option B (Caregiver) involves direct physical care
interventions, not assessment. Option D (Educator) involves teaching patients and
families about health conditions and self-care, which is not occurring in this scenario.
,Q2: A nursing student is studying the evolution of nursing. Which historical figure is
credited with establishing the first formal nursing school and emphasizing sanitation
and evidence-based practice?
A. Clara Barton
B. Dorothea Dix
C. Florence Nightingale [CORRECT]
D. Mary Eliza Mahoney
Correct Answer: C
Rationale: Florence Nightingale established the first scientifically based nursing school
at St. Thomas' Hospital in London (1860), emphasized statistical analysis of patient
outcomes, and revolutionized sanitation practices during the Crimean War. Option A
(Clara Barton) founded the American Red Cross. Option B (Dorothea Dix) reformed
mental health care and organized nursing during the Civil War. Option D (Mary Eliza
Mahoney) was the first professionally educated African American nurse, breaking racial
barriers, but did not establish the first nursing school.
Q3: A nurse is caring for a patient who refuses a blood transfusion based on religious
beliefs, despite the provider's recommendation that it is medically necessary. Which
ethical principle is the nurse upholding by supporting the patient's decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy [CORRECT]
D. Justice
Correct Answer: C
Rationale: Autonomy respects the patient's right to self-determination and make
informed decisions about their own care, even if the nurse or provider disagrees with
,the choice. Option A (Beneficence) means doing good or acting in the patient's best
interest, which might support the transfusion. Option B (Nonmaleficence) means doing
no harm, which could be argued for either side. Option D (Justice) refers to fairness and
equitable distribution of resources, not applicable to this individual decision-making
scenario.
Q4: A nurse witnesses another nurse documenting care that was not actually provided.
According to the American Nurses Association (ANA) Code of Ethics, which action is
required?
A. Ignore the behavior if the patient was not harmed
B. Report the incident through appropriate channels [CORRECT]
C. Confront the nurse publicly at the nurses' station
D. Document the incident in the patient's medical record
Correct Answer: B
Rationale: The ANA Code of Ethics Provision 3.5 requires nurses to protect patients
from impaired practice, including fraudulent documentation. Reporting through proper
channels (charge nurse, nursing supervisor, or compliance hotline) maintains
professional accountability and patient safety. Option A violates ethical obligations and
legal requirements for accurate documentation. Option C violates professional
standards for private, respectful confrontation. Option D is inappropriate
documentation; incident reports follow separate administrative processes.
Q5: A patient with terminal cancer asks the nurse, "Do you think I should try this
experimental treatment my doctor mentioned?" Which response demonstrates
therapeutic communication?
A. "I think you should do whatever gives you the most hope"
, B. "What are your thoughts and concerns about the experimental treatment?"
[CORRECT]
C. "Experimental treatments are rarely successful at your stage"
D. "Your doctor knows best; you should follow their recommendation"
Correct Answer: B
Rationale: Therapeutic communication uses open-ended questions to explore patient
feelings, values, and concerns without imposing the nurse's biases. This response
facilitates patient-centered decision-making. Option A imposes the nurse's opinion.
Option C provides false information and destroys hope. Option D discourages patient
autonomy and shared decision-making.
Q6: A nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA)
regulations. Which action violates patient privacy?
A. Discussing patient care at the nursing station with the healthcare team involved in
the patient's care
B. Faxing patient records to another healthcare facility using a cover sheet with
confidentiality statement
C. Looking up a neighbor's lab results out of curiosity despite having no professional
reason [CORRECT]
D. Providing patient information to a state-mandated disease registry
Correct Answer: C
Rationale: HIPAA requires accessing protected health information (PHI) only for
treatment, payment, or healthcare operations (TPO). Accessing records without
professional need constitutes unauthorized access, a violation with civil and criminal
penalties. Option A is permitted for treatment purposes with reasonable safeguards.
Option B is appropriate with proper safeguards. Option D is permitted for public health
activities as required by law.
with Complete Solutions | Foundations of Nursing, Health
Assessment, Safety & Infection Control | Pass Guaranteed -
A+ Graded
Unit 1: Foundations of Nursing Practice (25 Questions)
Q1: A 45-year-old patient is admitted to the medical-surgical unit with chest pain. The
nurse obtains vital signs, auscultates heart and lung sounds, and reviews the patient's
medical history. Which nursing role is the nurse primarily demonstrating?
A. Advocate
B. Caregiver
C. Collector of data [CORRECT]
D. Educator
Correct Answer: C
Rationale: The nurse is performing the assessment phase of the nursing process by
gathering objective data (vital signs, auscultation) and subjective data (medical history).
This is the data collection role fundamental to nursing practice. Option A (Advocate)
involves protecting patient rights and ensuring informed consent, which is not the
primary activity described. Option B (Caregiver) involves direct physical care
interventions, not assessment. Option D (Educator) involves teaching patients and
families about health conditions and self-care, which is not occurring in this scenario.
,Q2: A nursing student is studying the evolution of nursing. Which historical figure is
credited with establishing the first formal nursing school and emphasizing sanitation
and evidence-based practice?
A. Clara Barton
B. Dorothea Dix
C. Florence Nightingale [CORRECT]
D. Mary Eliza Mahoney
Correct Answer: C
Rationale: Florence Nightingale established the first scientifically based nursing school
at St. Thomas' Hospital in London (1860), emphasized statistical analysis of patient
outcomes, and revolutionized sanitation practices during the Crimean War. Option A
(Clara Barton) founded the American Red Cross. Option B (Dorothea Dix) reformed
mental health care and organized nursing during the Civil War. Option D (Mary Eliza
Mahoney) was the first professionally educated African American nurse, breaking racial
barriers, but did not establish the first nursing school.
Q3: A nurse is caring for a patient who refuses a blood transfusion based on religious
beliefs, despite the provider's recommendation that it is medically necessary. Which
ethical principle is the nurse upholding by supporting the patient's decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy [CORRECT]
D. Justice
Correct Answer: C
Rationale: Autonomy respects the patient's right to self-determination and make
informed decisions about their own care, even if the nurse or provider disagrees with
,the choice. Option A (Beneficence) means doing good or acting in the patient's best
interest, which might support the transfusion. Option B (Nonmaleficence) means doing
no harm, which could be argued for either side. Option D (Justice) refers to fairness and
equitable distribution of resources, not applicable to this individual decision-making
scenario.
Q4: A nurse witnesses another nurse documenting care that was not actually provided.
According to the American Nurses Association (ANA) Code of Ethics, which action is
required?
A. Ignore the behavior if the patient was not harmed
B. Report the incident through appropriate channels [CORRECT]
C. Confront the nurse publicly at the nurses' station
D. Document the incident in the patient's medical record
Correct Answer: B
Rationale: The ANA Code of Ethics Provision 3.5 requires nurses to protect patients
from impaired practice, including fraudulent documentation. Reporting through proper
channels (charge nurse, nursing supervisor, or compliance hotline) maintains
professional accountability and patient safety. Option A violates ethical obligations and
legal requirements for accurate documentation. Option C violates professional
standards for private, respectful confrontation. Option D is inappropriate
documentation; incident reports follow separate administrative processes.
Q5: A patient with terminal cancer asks the nurse, "Do you think I should try this
experimental treatment my doctor mentioned?" Which response demonstrates
therapeutic communication?
A. "I think you should do whatever gives you the most hope"
, B. "What are your thoughts and concerns about the experimental treatment?"
[CORRECT]
C. "Experimental treatments are rarely successful at your stage"
D. "Your doctor knows best; you should follow their recommendation"
Correct Answer: B
Rationale: Therapeutic communication uses open-ended questions to explore patient
feelings, values, and concerns without imposing the nurse's biases. This response
facilitates patient-centered decision-making. Option A imposes the nurse's opinion.
Option C provides false information and destroys hope. Option D discourages patient
autonomy and shared decision-making.
Q6: A nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA)
regulations. Which action violates patient privacy?
A. Discussing patient care at the nursing station with the healthcare team involved in
the patient's care
B. Faxing patient records to another healthcare facility using a cover sheet with
confidentiality statement
C. Looking up a neighbor's lab results out of curiosity despite having no professional
reason [CORRECT]
D. Providing patient information to a state-mandated disease registry
Correct Answer: C
Rationale: HIPAA requires accessing protected health information (PHI) only for
treatment, payment, or healthcare operations (TPO). Accessing records without
professional need constitutes unauthorized access, a violation with civil and criminal
penalties. Option A is permitted for treatment purposes with reasonable safeguards.
Option B is appropriate with proper safeguards. Option D is permitted for public health
activities as required by law.
