NUR155 / NUR 155 Exam 2 (Latest 2026/2027): Foundations of Nursing - Galen 2026/2027
OBJECTIVE ASSESSMENT - EXAM
NUR155 / NUR 155 Exam 2
(Latest 2026/2027):
Foundations of Nursing -
Galen 2026/2027
75 VERIFIED 2026/2027
QUESTIONS ANSWERS EDITION
TOPICS COVERED
• Fundamentals of Nursing Practice • Medication Administration
• Health Assessment & Vital Signs • Patient Care & Hygiene
• Infection Control & Safety
COVER PAGE - 1
, Section 1: Fundamentals of Nursing Practice
Q1
A 68-year-old patient newly diagnosed with type 2 diabetes tells the nurse, "I don't understand why I
need to check my blood sugar every day." The nurse recognizes this statement as indicative of which
phase of the nursing process?
A. Planning
B. Diagnosis
C. Assessment
D. Implementation
Correct Answer: C
Rationale: The patient's statement reveals a knowledge deficit that the nurse must identify during the assessment phase
before formulating nursing diagnoses or interventions. Option A is incorrect because planning occurs after assessment and
diagnosis, not when the patient first expresses a concern.
Q2
During morning rounds, a nurse observes a postoperative patient grimacing while turning in bed. The
nurse documents the facial expression and asks the patient to rate the pain on a scale of 0 to 10. This
action best demonstrates which critical thinking component?
A. Evaluation
B. Analysis
C. Interpretation
D. Reflection
Correct Answer: A
Rationale: The nurse is evaluating both objective data (grimacing) and subjective data (pain rating) to understand the
patient's condition. Option B is incorrect because analysis involves breaking data into parts to identify patterns, whereas
evaluation focuses on judging the significance of collected cues.
Q3
A nurse enters the room of a patient who was informed earlier that morning of a terminal cancer
diagnosis. The patient states, "I don't want to talk about it. Just leave me alone." Which therapeutic
response is most appropriate?
A. "I understand you need time. I'll sit quietly with you."
B. "Talking about your feelings will help you cope better."
C. "Your family is very worried about you right now."
D. "Many patients feel this way after receiving bad news."
Correct Answer: A
Rationale: Offering silent presence respects the patient's need for space while maintaining therapeutic connection. Option B
is incorrect because it pressures the patient to communicate before they are emotionally ready, violating the principle of
patient-centered care.
NUR155 / NUR 155 Exam 2 (Latest 2026/2027): Foundations of Nursing - Galen 2026/2027 | Page 2
, Q4
A licensed practical nurse (LPN) on a medical-surgical unit has completed morning vital signs and
patient hygiene for four stable patients. The registered nurse (RN) needs to delegate a blood glucose
check before lunch. According to delegation principles, which task is most appropriate to delegate to
the LPN?
A. Developing a teaching plan for a newly diagnosed diabetic patient
B. Assessing a patient who reports sudden chest pain
C. Administering subcutaneous insulin per protocol
D. Performing a blood glucose reading using a glucometer
Correct Answer: D
Rationale: Blood glucose monitoring via glucometer is a routine, predictable task within the LPN's scope of practice for
stable patients. Option C is incorrect because insulin administration requires clinical judgment and assessment that falls
within RN scope in most jurisdictions.
Q5
A nurse is documenting the care provided to a patient who fell while attempting to ambulate to the
bathroom independently. Which documentation entry best meets legal and professional standards?
A. Patient found on floor. Appears uninjured. Assisted back to bed. Family notified.
B. Patient fell because side rails were not raised. No injuries noted at this time.
C. Patient found lying supine on floor near bathroom. States 'I slipped on the wet tile.' Skin intact.
Neurovascular checks within normal limits. Provider notified at 1430. Incident report completed.
D. Patient careless and did not use call light before getting up. No harm done.
Correct Answer: C
Rationale: Objective, factual documentation including the patient's statement, assessment findings, notifications, and
follow-up actions protects both patient and nurse legally. Option A is incorrect because it lacks specific assessment data,
patient statements, and precise timestamps required for incident documentation.
Q6
A 45-year-old patient scheduled for knee replacement surgery expresses anxiety about postoperative
pain management. The nurse provides education about patient-controlled analgesia (PCA) and
demonstrates how to use the button. This teaching strategy primarily addresses which learning
domain?
A. Affective
B. Cognitive
C. Psychomotor
D. Social
Correct Answer: C
Rationale: Demonstrating the physical use of the PCA button targets the psychomotor domain, which involves learning
physical skills and coordinated movements. Option B is incorrect because the cognitive domain focuses on knowledge
acquisition and intellectual skills such as understanding pain physiology, not physical manipulation of equipment.
NUR155 / NUR 155 Exam 2 (Latest 2026/2027): Foundations of Nursing - Galen 2026/2027 | Page 3
OBJECTIVE ASSESSMENT - EXAM
NUR155 / NUR 155 Exam 2
(Latest 2026/2027):
Foundations of Nursing -
Galen 2026/2027
75 VERIFIED 2026/2027
QUESTIONS ANSWERS EDITION
TOPICS COVERED
• Fundamentals of Nursing Practice • Medication Administration
• Health Assessment & Vital Signs • Patient Care & Hygiene
• Infection Control & Safety
COVER PAGE - 1
, Section 1: Fundamentals of Nursing Practice
Q1
A 68-year-old patient newly diagnosed with type 2 diabetes tells the nurse, "I don't understand why I
need to check my blood sugar every day." The nurse recognizes this statement as indicative of which
phase of the nursing process?
A. Planning
B. Diagnosis
C. Assessment
D. Implementation
Correct Answer: C
Rationale: The patient's statement reveals a knowledge deficit that the nurse must identify during the assessment phase
before formulating nursing diagnoses or interventions. Option A is incorrect because planning occurs after assessment and
diagnosis, not when the patient first expresses a concern.
Q2
During morning rounds, a nurse observes a postoperative patient grimacing while turning in bed. The
nurse documents the facial expression and asks the patient to rate the pain on a scale of 0 to 10. This
action best demonstrates which critical thinking component?
A. Evaluation
B. Analysis
C. Interpretation
D. Reflection
Correct Answer: A
Rationale: The nurse is evaluating both objective data (grimacing) and subjective data (pain rating) to understand the
patient's condition. Option B is incorrect because analysis involves breaking data into parts to identify patterns, whereas
evaluation focuses on judging the significance of collected cues.
Q3
A nurse enters the room of a patient who was informed earlier that morning of a terminal cancer
diagnosis. The patient states, "I don't want to talk about it. Just leave me alone." Which therapeutic
response is most appropriate?
A. "I understand you need time. I'll sit quietly with you."
B. "Talking about your feelings will help you cope better."
C. "Your family is very worried about you right now."
D. "Many patients feel this way after receiving bad news."
Correct Answer: A
Rationale: Offering silent presence respects the patient's need for space while maintaining therapeutic connection. Option B
is incorrect because it pressures the patient to communicate before they are emotionally ready, violating the principle of
patient-centered care.
NUR155 / NUR 155 Exam 2 (Latest 2026/2027): Foundations of Nursing - Galen 2026/2027 | Page 2
, Q4
A licensed practical nurse (LPN) on a medical-surgical unit has completed morning vital signs and
patient hygiene for four stable patients. The registered nurse (RN) needs to delegate a blood glucose
check before lunch. According to delegation principles, which task is most appropriate to delegate to
the LPN?
A. Developing a teaching plan for a newly diagnosed diabetic patient
B. Assessing a patient who reports sudden chest pain
C. Administering subcutaneous insulin per protocol
D. Performing a blood glucose reading using a glucometer
Correct Answer: D
Rationale: Blood glucose monitoring via glucometer is a routine, predictable task within the LPN's scope of practice for
stable patients. Option C is incorrect because insulin administration requires clinical judgment and assessment that falls
within RN scope in most jurisdictions.
Q5
A nurse is documenting the care provided to a patient who fell while attempting to ambulate to the
bathroom independently. Which documentation entry best meets legal and professional standards?
A. Patient found on floor. Appears uninjured. Assisted back to bed. Family notified.
B. Patient fell because side rails were not raised. No injuries noted at this time.
C. Patient found lying supine on floor near bathroom. States 'I slipped on the wet tile.' Skin intact.
Neurovascular checks within normal limits. Provider notified at 1430. Incident report completed.
D. Patient careless and did not use call light before getting up. No harm done.
Correct Answer: C
Rationale: Objective, factual documentation including the patient's statement, assessment findings, notifications, and
follow-up actions protects both patient and nurse legally. Option A is incorrect because it lacks specific assessment data,
patient statements, and precise timestamps required for incident documentation.
Q6
A 45-year-old patient scheduled for knee replacement surgery expresses anxiety about postoperative
pain management. The nurse provides education about patient-controlled analgesia (PCA) and
demonstrates how to use the button. This teaching strategy primarily addresses which learning
domain?
A. Affective
B. Cognitive
C. Psychomotor
D. Social
Correct Answer: C
Rationale: Demonstrating the physical use of the PCA button targets the psychomotor domain, which involves learning
physical skills and coordinated movements. Option B is incorrect because the cognitive domain focuses on knowledge
acquisition and intellectual skills such as understanding pain physiology, not physical manipulation of equipment.
NUR155 / NUR 155 Exam 2 (Latest 2026/2027): Foundations of Nursing - Galen 2026/2027 | Page 3
