NU136 EXAM 2 – FUNDAMENTALS OF NURSING EXAM PRACTICE | STUDY GUIDE |
TESTBANK | PRACTICE QUESTIONS & ANSWERS | EXAM PREPARATION | ADVANCED
REVIEW | COMPREHENSIVE PRACTICE EXAM | LATEST UPDATE 2026/2027
Examiner:
Galen College of Nursing
TABLE OF CONTENTS
1. Infection Prevention and Medical Asepsis
2. Vital Signs and Patient Assessment
3. Documentation and Communication
4. Mobility and Safe Patient Handling
5. Hygiene, Skin Integrity, and Pressure Injury Prevention
6. Nutrition, Hydration, and Elimination
7. Medication Safety Fundamentals
8. Oxygenation and Respiratory Care
9. Safety, Falls, and Patient Identification
10. Ethical, Legal, and Professional Nursing Responsibilities
INFECTION CONTROL || STANDARD PRECAUTIONS || ASEPSIS || PATIENT SAFETY ||
VITAL SIGNS || DOCUMENTATION || MOBILITY || PRESSURE INJURY PREVENTION ||
HYGIENE || NUTRITION || ELIMINATION || MEDICATION SAFETY || OXYGENATION ||
,COMMUNICATION || ETHICS || LEGAL RESPONSIBILITIES || CLINICAL JUDGMENT ||
PRIORITIZATION || EVIDENCE-BASED PRACTICE || FUNDAMENTALS OF NURSING
QUESTION 1.
A nurse is caring for four hospitalized patients. Which patient should be assessed first
because they demonstrate the greatest immediate threat to airway and oxygenation?
A. A postoperative patient with an oxygen saturation of 88% despite receiving oxygen via
nasal cannula
B. A patient requesting pain medication for incisional discomfort rated 8/10
C. A patient awaiting discharge instructions
D. A patient with a scheduled dressing change
🔴 Correct Answer: A. A postoperative patient with an oxygen saturation of 88%
despite receiving oxygen via nasal cannula
🔵 Explanation: Airway and oxygenation take priority according to nursing prioritization
frameworks. Persistent hypoxemia despite supplemental oxygen requires immediate
assessment and intervention. Although pain and discharge needs are important, they are not
as immediately life-threatening as impaired oxygenation.
QUESTION 2.
,A nurse prepares to enter the room of a patient diagnosed with Clostridioides difficile
infection. Which action best demonstrates adherence to evidence-based infection
prevention?
A. Wear a surgical mask before entering.
B. Wash hands with soap and water after patient contact.
C. Use only alcohol-based hand sanitizer before leaving.
D. Double-glove without performing hand hygiene afterward.
🔴 Correct Answer: B. Wash hands with soap and water after patient contact
🔵 Explanation: Soap and water are recommended after caring for patients with C. difficile
because alcohol-based hand sanitizers are less effective against spores. Gloves and gowns
are required, but proper handwashing remains essential after glove removal.
QUESTION 3.
During a head-to-toe assessment, a nurse discovers a new area of non-blanchable redness
over the patient's sacrum. What is the nurse's priority intervention?
A. Massage the reddened area.
B. Apply heat to improve circulation.
C. Relieve pressure from the affected area immediately.
D. Document the finding at the end of the shift.
, 🔴 Correct Answer: C. Relieve pressure from the affected area immediately
🔵 Explanation: Non-blanchable erythema suggests an early pressure injury. Immediate
pressure redistribution helps prevent progression. Massage and heat may worsen tissue
damage, while documentation should occur promptly but does not replace intervention.
QUESTION 4.
A patient's blood pressure decreases significantly when moving from lying to standing.
Which nursing action is most appropriate?
A. Encourage the patient to stand rapidly to improve circulation.
B. Assist the patient to sit before standing and monitor for dizziness.
C. Restrict oral fluids immediately.
D. Encourage vigorous ambulation without assistance.
🔴 Correct Answer: B. Assist the patient to sit before standing and monitor for dizziness
🔵 Explanation: Orthostatic hypotension increases fall risk. Gradual position changes and
assessment for symptoms reduce injury risk. Rapid standing or unsupervised ambulation
may result in syncope and falls.
QUESTION 5.
TESTBANK | PRACTICE QUESTIONS & ANSWERS | EXAM PREPARATION | ADVANCED
REVIEW | COMPREHENSIVE PRACTICE EXAM | LATEST UPDATE 2026/2027
Examiner:
Galen College of Nursing
TABLE OF CONTENTS
1. Infection Prevention and Medical Asepsis
2. Vital Signs and Patient Assessment
3. Documentation and Communication
4. Mobility and Safe Patient Handling
5. Hygiene, Skin Integrity, and Pressure Injury Prevention
6. Nutrition, Hydration, and Elimination
7. Medication Safety Fundamentals
8. Oxygenation and Respiratory Care
9. Safety, Falls, and Patient Identification
10. Ethical, Legal, and Professional Nursing Responsibilities
INFECTION CONTROL || STANDARD PRECAUTIONS || ASEPSIS || PATIENT SAFETY ||
VITAL SIGNS || DOCUMENTATION || MOBILITY || PRESSURE INJURY PREVENTION ||
HYGIENE || NUTRITION || ELIMINATION || MEDICATION SAFETY || OXYGENATION ||
,COMMUNICATION || ETHICS || LEGAL RESPONSIBILITIES || CLINICAL JUDGMENT ||
PRIORITIZATION || EVIDENCE-BASED PRACTICE || FUNDAMENTALS OF NURSING
QUESTION 1.
A nurse is caring for four hospitalized patients. Which patient should be assessed first
because they demonstrate the greatest immediate threat to airway and oxygenation?
A. A postoperative patient with an oxygen saturation of 88% despite receiving oxygen via
nasal cannula
B. A patient requesting pain medication for incisional discomfort rated 8/10
C. A patient awaiting discharge instructions
D. A patient with a scheduled dressing change
🔴 Correct Answer: A. A postoperative patient with an oxygen saturation of 88%
despite receiving oxygen via nasal cannula
🔵 Explanation: Airway and oxygenation take priority according to nursing prioritization
frameworks. Persistent hypoxemia despite supplemental oxygen requires immediate
assessment and intervention. Although pain and discharge needs are important, they are not
as immediately life-threatening as impaired oxygenation.
QUESTION 2.
,A nurse prepares to enter the room of a patient diagnosed with Clostridioides difficile
infection. Which action best demonstrates adherence to evidence-based infection
prevention?
A. Wear a surgical mask before entering.
B. Wash hands with soap and water after patient contact.
C. Use only alcohol-based hand sanitizer before leaving.
D. Double-glove without performing hand hygiene afterward.
🔴 Correct Answer: B. Wash hands with soap and water after patient contact
🔵 Explanation: Soap and water are recommended after caring for patients with C. difficile
because alcohol-based hand sanitizers are less effective against spores. Gloves and gowns
are required, but proper handwashing remains essential after glove removal.
QUESTION 3.
During a head-to-toe assessment, a nurse discovers a new area of non-blanchable redness
over the patient's sacrum. What is the nurse's priority intervention?
A. Massage the reddened area.
B. Apply heat to improve circulation.
C. Relieve pressure from the affected area immediately.
D. Document the finding at the end of the shift.
, 🔴 Correct Answer: C. Relieve pressure from the affected area immediately
🔵 Explanation: Non-blanchable erythema suggests an early pressure injury. Immediate
pressure redistribution helps prevent progression. Massage and heat may worsen tissue
damage, while documentation should occur promptly but does not replace intervention.
QUESTION 4.
A patient's blood pressure decreases significantly when moving from lying to standing.
Which nursing action is most appropriate?
A. Encourage the patient to stand rapidly to improve circulation.
B. Assist the patient to sit before standing and monitor for dizziness.
C. Restrict oral fluids immediately.
D. Encourage vigorous ambulation without assistance.
🔴 Correct Answer: B. Assist the patient to sit before standing and monitor for dizziness
🔵 Explanation: Orthostatic hypotension increases fall risk. Gradual position changes and
assessment for symptoms reduce injury risk. Rapid standing or unsupervised ambulation
may result in syncope and falls.
QUESTION 5.
