NU 136 Fundamentals of Nursing
Final Exam Comprehensive Review
and Practice Questions Study Guide
2026/2027 Edition for Exam
Preparation and Test Bank Mastery
Question 1: Patient Privacy and Communication
A nursing assistant notices a resident has developed a new pressure sore. The assistant
needs to report this to the nurse. Where is the most appropriate place to discuss this?
A. In the resident’s room with visitors present
B. In the hallway near other residents
C. In a private area away from others
D. In the dining hall during meals
Correct Answer: C. In a private area away from others
Rationale: Patient information must always be discussed in a confidential setting to
protect privacy and comply with ethical and legal standards such as HIPAA.
Discussing clinical findings in public or semi-public spaces risks exposing sensitive
information. A private area ensures dignity, professionalism, and confidentiality.
Question 2: Eye Protection During Hair Washing
To prevent shampoo from getting into a resident’s eyes during hair washing, the nurse
assistant should:
A. Use a handheld shower nozzle
B. Apply dry shampoo only
C. Rinse hair quickly without precautions
D. Cover the eyes with a clean washcloth
Correct Answer: D. Cover the eyes with a clean washcloth
Rationale: Covering the eyes with a washcloth prevents irritation or injury from
shampoo. Other methods may not be safe or appropriate in bed bathing situations. Eye
protection is a standard safety measure.
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Question 3: Bath Water Temperature
The safest bath water temperature for elderly residents is:
A. 110–115°F
B. 120–130°F
C. 100°F
D. 90–95°F
Correct Answer: A. 110–115°F
Rationale: Elderly skin is sensitive and burns easily. Water between 110–115°F is
warm enough for comfort but safe enough to prevent scalding.
Question 4: Definition of Acute Illness
An acute illness is best described as:
A. A long-term chronic disease
B. A condition with no recovery
C. A sudden onset of symptoms
D. A degenerative condition
Correct Answer: C. A sudden onset of symptoms
Rationale: Acute conditions develop quickly and usually last a short time. Chronic
diseases are long-term and progressive.
Question 5: Nursing Assistant Scope of Practice
Which task is appropriate for a nursing assistant?
A. Administering oral medications
B. Taking verbal orders from physicians
C. Reporting changes in patient condition
D. Diagnosing patient illness
Correct Answer: C. Reporting changes in patient condition
Rationale: Nursing assistants observe and report. They do not diagnose, prescribe, or
administer medications.
Question 6: Assisted Living Facilities
Which service is NOT provided in assisted living facilities?
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A. Housing
B. Personal care
C. Social activities
D. 24-hour skilled nursing care
Correct Answer: D. 24-hour skilled nursing care
Rationale: Assisted living supports daily living but does not provide continuous
skilled nursing like hospitals or nursing homes.
Question 7: Assistive Personnel Definition
Assistive personnel are:
A. Registered nurses
B. Physicians
C. Unlicensed caregivers under supervision
D. Medical specialists
Correct Answer: C. Unlicensed caregivers under supervision
Rationale: Assistive personnel provide basic care under the direction of licensed
nurses.
Question 8: Medicare
Medicare is:
A. Private insurance
B. Federal health insurance program
C. Employer benefit plan
D. Hospital charity program
Correct Answer: B. Federal health insurance program
Rationale: Medicare provides health coverage primarily for older adults and some
disabled individuals.
Question 9: Functional Nursing
Functional nursing focuses on:
A. Holistic care
B. Task-based care assignments
C. Patient-centered care only
D. Family-centered care
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Correct Answer: B. Task-based care assignments
Rationale: In functional nursing, tasks are divided among staff rather than assigning
full patient care.
Question 10: Promoting Quality of Life
The best way to promote quality of life is to:
A. Complete all care without patient input
B. Speak respectfully to residents
C. Ignore resident preferences
D. Rush through care tasks
Correct Answer: B. Speak respectfully to residents
Rationale: Respectful communication preserves dignity and improves emotional well-
being.
Question 11: Hemiplegia Care
When dressing a resident with left-sided weakness, you should:
A. Dress the strong side first
B. Dress both sides together
C. Dress the weak side first
D. Let the resident decide
Correct Answer: C. Dress the weak side first
Rationale: Dressing the weak side first reduces strain and improves comfort.
Question 12: Range of Motion
Range of motion exercises are used to:
A. Build muscle mass
B. Improve joint mobility
C. Increase weight
D. Treat infections
Correct Answer: B. Improve joint mobility
Rationale: ROM exercises prevent stiffness and contractures.