NU136 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 (Practice Study Resource Based on Common Fundamentals
of Nursing Topics)
TABLE OF CONTENTS
1. Foundations of Professional Nursing
2. Nursing Process and Clinical Judgment
3. Patient Safety and Quality Improvement
4. Infection Prevention and Standard Precautions
5. Communication and Documentation
6. Health Assessment and Vital Signs
7. Mobility, Positioning, and Body Mechanics
8. Hygiene, Comfort, and Skin Integrity
9. Medication Safety Fundamentals
10. Ethics, Legal Principles, and Professional Responsibilities
FUNDAMENTALS OF NURSING || NURSING PROCESS || CLINICAL JUDGMENT ||
PATIENT SAFETY || PRIORITIZATION || INFECTION CONTROL || ASEPSIS ||
THERAPEUTIC COMMUNICATION || DOCUMENTATION || ETHICS || LEGAL
RESPONSIBILITIES || DELEGATION || VITAL SIGNS || HEALTH ASSESSMENT ||
MOBILITY || PRESSURE INJURY PREVENTION || MEDICATION SAFETY || QUALITY
IMPROVEMENT || EVIDENCE-BASED PRACTICE || EXAM PREPARATION ||
ADVANCED REVIEW || TESTBANK || PRACTICE QUESTIONS & ANSWERS ||
2026/2027
QUESTION 1.
A newly admitted older adult becomes increasingly confused after transfer to an
unfamiliar hospital room. Which nursing action best demonstrates application of the
,nursing process while promoting patient safety?
A. Assess possible causes of the confusion before implementing interventions.
B. Apply wrist restraints to prevent falls.
C. Request an immediate discharge evaluation.
D. Limit family visitation to reduce stimulation.
🔴 Correct Answer: A. Assess possible causes of the confusion before
implementing interventions.
🔵 Explanation: The nursing process begins with assessment before planning or
implementing interventions. Acute confusion may result from infection, medications,
hypoxia, pain, or environmental changes. Restraints are not first-line interventions,
discharge planning is premature, and limiting family presence may worsen
disorientation.
QUESTION 2.
During morning rounds, a nurse identifies a patient at high risk for falls. Which
intervention most effectively aligns with current patient safety principles?
A. Keep all four side rails raised continuously.
B. Place frequently used items within the patient's reach.
C. Instruct the patient to remain in bed without exception.
D. Apply physical restraints until physical therapy evaluates the patient.
🔴 Correct Answer: B. Place frequently used items within the patient's reach.
🔵 Explanation: Keeping personal items within reach reduces unnecessary attempts to
ambulate independently and supports patient-centered fall prevention. Raising all side
rails may be considered a restraint, while unnecessary bed rest and restraints increase
complications without addressing the underlying risk.
QUESTION 3.
,A nurse enters an isolation room wearing gloves but realizes hand hygiene was
omitted before glove application. What is the most accurate interpretation?
A. Gloves eliminate the need for hand hygiene.
B. Hand hygiene is only required after glove removal.
C. Proper hand hygiene is required both before donning and after removing gloves.
D. Hand hygiene is unnecessary if sterile gloves are used.
🔴 Correct Answer: C. Proper hand hygiene is required both before donning and
after removing gloves.
🔵 Explanation: Gloves are not a substitute for hand hygiene because microorganisms
may contaminate hands during glove application or removal. Performing hand hygiene
before and after glove use is a cornerstone of infection prevention.
QUESTION 4.
A patient states, "I don't think this treatment is helping." Which response
demonstrates therapeutic communication?
A. "You shouldn't worry because your provider knows what's best."
B. "Let's focus on positive thinking."
C. "Many patients feel that way initially."
D. "Tell me more about what concerns you regarding the treatment."
🔴 Correct Answer: D. "Tell me more about what concerns you regarding the
treatment."
🔵 Explanation: Open-ended questions encourage patients to express concerns and
promote therapeutic communication. The remaining responses minimize feelings,
provide false reassurance, or redirect the discussion without exploring the patient's
perspective.
QUESTION 5.
, A nurse documents that a postoperative incision is "healing well." Which
documentation principle has been violated?
A. Documentation should be objective and descriptive.
B. Documentation should only include physician observations.
C. Documentation should avoid measurements.
D. Documentation should exclude patient statements.
🔴 Correct Answer: A. Documentation should be objective and descriptive.
🔵 Explanation: Documentation should include measurable findings such as wound
dimensions, drainage characteristics, approximation, and surrounding skin condition.
The phrase "healing well" is subjective and open to interpretation.
QUESTION 6.
A patient suddenly reports dizziness while ambulating. Which nursing action has the
highest priority?
A. Encourage continued walking to improve circulation.
B. Assist the patient safely into a chair or back to bed.
C. Obtain a complete dietary history.
D. Notify dietary services immediately.
🔴 Correct Answer: B. Assist the patient safely into a chair or back to bed.
🔵 Explanation: Immediate prevention of injury takes priority. Safely supporting the
patient reduces fall risk while allowing further assessment. Dietary evaluation and
other interventions can occur after patient safety has been ensured.
QUESTION 7.
A nurse delegates routine hygiene care to an experienced nursing assistant. Which
responsibility remains exclusively with the registered nurse?
TESTBANK | PRACTICE QUESTIONS & ANSWERS | EXAM PREPARATION |
ADVANCED REVIEW | COMPREHENSIVE PRACTICE EXAM | LATEST UPDATE
2026/2027
Examiner:
Galen College of Nursing (Practice Study Resource Based on Common Fundamentals
of Nursing Topics)
TABLE OF CONTENTS
1. Foundations of Professional Nursing
2. Nursing Process and Clinical Judgment
3. Patient Safety and Quality Improvement
4. Infection Prevention and Standard Precautions
5. Communication and Documentation
6. Health Assessment and Vital Signs
7. Mobility, Positioning, and Body Mechanics
8. Hygiene, Comfort, and Skin Integrity
9. Medication Safety Fundamentals
10. Ethics, Legal Principles, and Professional Responsibilities
FUNDAMENTALS OF NURSING || NURSING PROCESS || CLINICAL JUDGMENT ||
PATIENT SAFETY || PRIORITIZATION || INFECTION CONTROL || ASEPSIS ||
THERAPEUTIC COMMUNICATION || DOCUMENTATION || ETHICS || LEGAL
RESPONSIBILITIES || DELEGATION || VITAL SIGNS || HEALTH ASSESSMENT ||
MOBILITY || PRESSURE INJURY PREVENTION || MEDICATION SAFETY || QUALITY
IMPROVEMENT || EVIDENCE-BASED PRACTICE || EXAM PREPARATION ||
ADVANCED REVIEW || TESTBANK || PRACTICE QUESTIONS & ANSWERS ||
2026/2027
QUESTION 1.
A newly admitted older adult becomes increasingly confused after transfer to an
unfamiliar hospital room. Which nursing action best demonstrates application of the
,nursing process while promoting patient safety?
A. Assess possible causes of the confusion before implementing interventions.
B. Apply wrist restraints to prevent falls.
C. Request an immediate discharge evaluation.
D. Limit family visitation to reduce stimulation.
🔴 Correct Answer: A. Assess possible causes of the confusion before
implementing interventions.
🔵 Explanation: The nursing process begins with assessment before planning or
implementing interventions. Acute confusion may result from infection, medications,
hypoxia, pain, or environmental changes. Restraints are not first-line interventions,
discharge planning is premature, and limiting family presence may worsen
disorientation.
QUESTION 2.
During morning rounds, a nurse identifies a patient at high risk for falls. Which
intervention most effectively aligns with current patient safety principles?
A. Keep all four side rails raised continuously.
B. Place frequently used items within the patient's reach.
C. Instruct the patient to remain in bed without exception.
D. Apply physical restraints until physical therapy evaluates the patient.
🔴 Correct Answer: B. Place frequently used items within the patient's reach.
🔵 Explanation: Keeping personal items within reach reduces unnecessary attempts to
ambulate independently and supports patient-centered fall prevention. Raising all side
rails may be considered a restraint, while unnecessary bed rest and restraints increase
complications without addressing the underlying risk.
QUESTION 3.
,A nurse enters an isolation room wearing gloves but realizes hand hygiene was
omitted before glove application. What is the most accurate interpretation?
A. Gloves eliminate the need for hand hygiene.
B. Hand hygiene is only required after glove removal.
C. Proper hand hygiene is required both before donning and after removing gloves.
D. Hand hygiene is unnecessary if sterile gloves are used.
🔴 Correct Answer: C. Proper hand hygiene is required both before donning and
after removing gloves.
🔵 Explanation: Gloves are not a substitute for hand hygiene because microorganisms
may contaminate hands during glove application or removal. Performing hand hygiene
before and after glove use is a cornerstone of infection prevention.
QUESTION 4.
A patient states, "I don't think this treatment is helping." Which response
demonstrates therapeutic communication?
A. "You shouldn't worry because your provider knows what's best."
B. "Let's focus on positive thinking."
C. "Many patients feel that way initially."
D. "Tell me more about what concerns you regarding the treatment."
🔴 Correct Answer: D. "Tell me more about what concerns you regarding the
treatment."
🔵 Explanation: Open-ended questions encourage patients to express concerns and
promote therapeutic communication. The remaining responses minimize feelings,
provide false reassurance, or redirect the discussion without exploring the patient's
perspective.
QUESTION 5.
, A nurse documents that a postoperative incision is "healing well." Which
documentation principle has been violated?
A. Documentation should be objective and descriptive.
B. Documentation should only include physician observations.
C. Documentation should avoid measurements.
D. Documentation should exclude patient statements.
🔴 Correct Answer: A. Documentation should be objective and descriptive.
🔵 Explanation: Documentation should include measurable findings such as wound
dimensions, drainage characteristics, approximation, and surrounding skin condition.
The phrase "healing well" is subjective and open to interpretation.
QUESTION 6.
A patient suddenly reports dizziness while ambulating. Which nursing action has the
highest priority?
A. Encourage continued walking to improve circulation.
B. Assist the patient safely into a chair or back to bed.
C. Obtain a complete dietary history.
D. Notify dietary services immediately.
🔴 Correct Answer: B. Assist the patient safely into a chair or back to bed.
🔵 Explanation: Immediate prevention of injury takes priority. Safely supporting the
patient reduces fall risk while allowing further assessment. Dietary evaluation and
other interventions can occur after patient safety has been ensured.
QUESTION 7.
A nurse delegates routine hygiene care to an experienced nursing assistant. Which
responsibility remains exclusively with the registered nurse?
