NUR 156 – FOUNDATIONS OF NURSING – GALEN COLLEGE OF NURSING: COMPREHENSIVE ASSESSMENT
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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Core Domains
- Professional Nursing Concepts and Roles
- Legal and Ethical Nursing Practice
- Infection Control and Safety
- Vital Signs and Physical Assessment
- Basic Care and Comfort
- Psychosocial Integrity
- Pharmacological Foundations
- Clinical Decision-Making and Priority Setting
- Documentation and Informatics
- Patient Education and Health Promotion
Introduction
*This comprehensive examination is designed to assess foundational nursing knowledge and clinical readiness
for NUR 156 at Galen College of Nursing. The assessment evaluates your understanding of core concepts
including professional roles, legal and ethical parameters, infection control, safety, vital signs, basic care,
,psychosocial support, pharmacology fundamentals, clinical judgment, documentation, and patient teaching.
Through 200 multiple-choice questions, including scenario-based items, this exam emphasizes real-world
application, priority setting, and safe decision-making. Each question includes a verified correct answer and a
detailed rationale to reinforce learning. Mastery of these domains is essential for success in clinical practice and
subsequent nursing coursework.*
SECTION ONE: QUESTIONS 1–100
Question 1
A nursing student is reviewing the principles of aseptic technique. Which action best demonstrates medical
asepsis?
A. Sterilizing all instruments before a procedure
B. Wearing a sterile gown and gloves for a wound dressing change
C. Performing hand hygiene before and after patient contact
D. Using a sterile drape to create a sterile field
🟢C
🔴 RATIONALE: Medical asepsis (clean technique) reduces the number and transmission of pathogens. Hand
hygiene is the most fundamental and effective medical aseptic practice. Sterilization, sterile gowns, gloves, and
drapes are components of surgical asepsis (sterile technique).
,Question 2
A nurse is caring for a patient who refuses a prescribed medication. Which action by the nurse demonstrates
respect for legal and ethical principles?
A. Administering the medication after explaining its benefits
B. Documenting the refusal and notifying the healthcare provider
C. Asking a family member to persuade the patient
D. Hiding the medication in the patient’s food
🟢B
🔴 RATIONALE: Patients have the legal right to refuse treatment. The nurse must respect autonomy, document
the refusal accurately, and inform the provider. Coercion or deception violates ethical and legal standards.
Question 3
A nurse is measuring a patient’s blood pressure. The cuff is too narrow for the patient’s arm circumference. How
will this affect the reading?
A. Falsely low systolic and diastolic readings
B. Falsely high systolic and diastolic readings
C. No significant change if the cuff is properly placed
D. Only the diastolic reading will be elevated
🟢B
🔴 RATIONALE: A cuff that is too narrow for the arm circumference requires higher pressure to occlude the
artery, resulting in falsely elevated blood pressure readings. A cuff that is too wide produces falsely low
, readings.
Question 4
A patient is on contact precautions for Clostridioides difficile infection. Which personal protective equipment
(PPE) must the nurse wear upon entering the room?
A. Surgical mask only
B. N95 respirator and gown
C. Gloves and gown
D. Gloves only
🟢C
🔴 RATIONALE: Contact precautions require gloves and a gown to prevent transmission via direct contact with
the patient or contaminated surfaces. C. difficile is spread by spores; alcohol-based hand rub is ineffective—
soap and water must be used after glove removal.
Question 5
A nurse observes a colleague administering morphine to a patient who is visibly oversedated and has a
respiratory rate of 8 breaths per minute. What is the nurse’s priority action?
A. Report the colleague to the nursing supervisor immediately
B. Assist the colleague in completing the medication administration
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
- Professional Nursing Concepts and Roles
- Legal and Ethical Nursing Practice
- Infection Control and Safety
- Vital Signs and Physical Assessment
- Basic Care and Comfort
- Psychosocial Integrity
- Pharmacological Foundations
- Clinical Decision-Making and Priority Setting
- Documentation and Informatics
- Patient Education and Health Promotion
Introduction
*This comprehensive examination is designed to assess foundational nursing knowledge and clinical readiness
for NUR 156 at Galen College of Nursing. The assessment evaluates your understanding of core concepts
including professional roles, legal and ethical parameters, infection control, safety, vital signs, basic care,
,psychosocial support, pharmacology fundamentals, clinical judgment, documentation, and patient teaching.
Through 200 multiple-choice questions, including scenario-based items, this exam emphasizes real-world
application, priority setting, and safe decision-making. Each question includes a verified correct answer and a
detailed rationale to reinforce learning. Mastery of these domains is essential for success in clinical practice and
subsequent nursing coursework.*
SECTION ONE: QUESTIONS 1–100
Question 1
A nursing student is reviewing the principles of aseptic technique. Which action best demonstrates medical
asepsis?
A. Sterilizing all instruments before a procedure
B. Wearing a sterile gown and gloves for a wound dressing change
C. Performing hand hygiene before and after patient contact
D. Using a sterile drape to create a sterile field
🟢C
🔴 RATIONALE: Medical asepsis (clean technique) reduces the number and transmission of pathogens. Hand
hygiene is the most fundamental and effective medical aseptic practice. Sterilization, sterile gowns, gloves, and
drapes are components of surgical asepsis (sterile technique).
,Question 2
A nurse is caring for a patient who refuses a prescribed medication. Which action by the nurse demonstrates
respect for legal and ethical principles?
A. Administering the medication after explaining its benefits
B. Documenting the refusal and notifying the healthcare provider
C. Asking a family member to persuade the patient
D. Hiding the medication in the patient’s food
🟢B
🔴 RATIONALE: Patients have the legal right to refuse treatment. The nurse must respect autonomy, document
the refusal accurately, and inform the provider. Coercion or deception violates ethical and legal standards.
Question 3
A nurse is measuring a patient’s blood pressure. The cuff is too narrow for the patient’s arm circumference. How
will this affect the reading?
A. Falsely low systolic and diastolic readings
B. Falsely high systolic and diastolic readings
C. No significant change if the cuff is properly placed
D. Only the diastolic reading will be elevated
🟢B
🔴 RATIONALE: A cuff that is too narrow for the arm circumference requires higher pressure to occlude the
artery, resulting in falsely elevated blood pressure readings. A cuff that is too wide produces falsely low
, readings.
Question 4
A patient is on contact precautions for Clostridioides difficile infection. Which personal protective equipment
(PPE) must the nurse wear upon entering the room?
A. Surgical mask only
B. N95 respirator and gown
C. Gloves and gown
D. Gloves only
🟢C
🔴 RATIONALE: Contact precautions require gloves and a gown to prevent transmission via direct contact with
the patient or contaminated surfaces. C. difficile is spread by spores; alcohol-based hand rub is ineffective—
soap and water must be used after glove removal.
Question 5
A nurse observes a colleague administering morphine to a patient who is visibly oversedated and has a
respiratory rate of 8 breaths per minute. What is the nurse’s priority action?
A. Report the colleague to the nursing supervisor immediately
B. Assist the colleague in completing the medication administration
