NU136 | GALEN 2026/2027
OBJECTIVE ASSESSMENT - EXAM
Exam 1 (v1): NU 136 / NU136
(Latest 2026/2027)
Fundamentals of Nursing
100% Correct Questions & Answers - Galen 2026/2027
A+ Verified Subject: Fundamentals of Nursing
Edition: 2026/2027 Level: Entry-Level Nursing
Passing Score: 75% Format: Multiple Choice (A-D)
NU 136 / NU136 Fundamentals of Nursing - Exam 1 (v1) 2026/2027 COVER PAGE - 1
,SECTIONS COVERED
Section 1: Nursing Process & Critical Thinking
Section 2: Safety & Infection Control
Section 3: Basic Care, Comfort & Hygiene
Section 4: Vital Signs & Physical Assessment
Section 5: Professional Standards, Legal/Ethical & Communication
This examination assesses foundational knowledge required for safe, entry-level nursing practice.
Each question presents a clinical scenario requiring application and analysis of nursing concepts.
Select the single best answer for each item. Passing score: 75%.
Section 1: Nursing Process & Critical Thinking
Question 1
A nurse is caring for a newly admitted client with a history of hypertension who reports a sudden severe headache
and blurred vision. After obtaining vital signs that show blood pressure of 198/112 mm Hg, the nurse prioritizes which
action first?
A. Administer the scheduled antihypertensive medication
B. Notify the healthcare provider of the assessment findings
C. Assist the client to a supine position and dim the lights
D. Document the findings and reassess in 30 minutes
Correct Answer: B
Rationale:
The client is exhibiting signs of a hypertensive crisis that requires immediate provider notification for potential intervention. Delaying
notification or only documenting places the client at risk for stroke or other complications. Positioning and dimming lights may help
comfort but do not address the urgent need for medical evaluation.
Question 2
During the evaluation phase of the nursing process, a nurse reviews a client's progress toward the goal of ambulating
50 feet with a walker twice daily. The client has ambulated only 20 feet once daily for three days. Which statement
best reflects the nurse's next step?
A. The goal was unrealistic and should be discarded from the care plan
B. Modify the goal and interventions based on the client's current ability
C. Continue the original plan without change to encourage perseverance
D. Transfer the client to a skilled nursing facility for more intensive therapy
Correct Answer: B
Rationale:
Evaluation requires comparison of outcomes with goals and revision of the plan when goals are not met. Adjusting the goal and
interventions based on current ability supports realistic progress. Discarding the goal or continuing without change ignores data; transfer
is premature without collaborative assessment.
NU 136 / NU136 Fundamentals of Nursing - Exam 1 (v1) 2026/2027 Page 2
, Section 1: Nursing Process & Critical Thinking
Question 3
A nurse gathers subjective and objective data for a client reporting abdominal pain. Which finding is classified as
subjective data?
A. Abdominal guarding noted on light palpation
B. Client rates pain as 7 out of 10 on a numeric scale
C. Bowel sounds absent in all four quadrants
D. Temperature of 38.4 degrees Celsius
Correct Answer: B
Rationale:
Subjective data are information reported by the client, such as pain rating. Guarding, absent bowel sounds, and temperature are
objective findings obtained through observation or measurement. Correct classification guides accurate assessment documentation.
Question 4
A nurse is developing a nursing diagnosis for a client who is post-operative day one after abdominal surgery and has
shallow respirations with an oxygen saturation of 91 percent on room air. Which nursing diagnosis is most
appropriate?
A. Ineffective airway clearance related to retained secretions
B. Impaired gas exchange related to shallow breathing pattern
C. Activity intolerance related to surgical incision pain
D. Risk for infection related to surgical wound
Correct Answer: B
Rationale:
The assessment data of shallow respirations and low oxygen saturation directly support impaired gas exchange. Ineffective airway
clearance would require evidence of secretions or cough; activity intolerance and infection risk may apply later but are not the priority
based on current respiratory findings.
Question 5
While planning care for an older adult client with limited mobility, the nurse writes the outcome statement: 'Client will
demonstrate proper use of incentive spirometer within 24 hours.' Which component of a measurable outcome is
missing?
A. The specific action the client will perform
B. A realistic timeframe for achievement
C. Criteria for measuring successful performance
D. Identification of the person responsible
Correct Answer: C
Rationale:
A measurable outcome needs specific criteria such as number of repetitions or volume achieved. The action and timeframe are present;
the responsible person is implied as the client. Without clear criteria, evaluation of success is subjective and incomplete.
NU 136 / NU136 Fundamentals of Nursing - Exam 1 (v1) 2026/2027 Page 3
OBJECTIVE ASSESSMENT - EXAM
Exam 1 (v1): NU 136 / NU136
(Latest 2026/2027)
Fundamentals of Nursing
100% Correct Questions & Answers - Galen 2026/2027
A+ Verified Subject: Fundamentals of Nursing
Edition: 2026/2027 Level: Entry-Level Nursing
Passing Score: 75% Format: Multiple Choice (A-D)
NU 136 / NU136 Fundamentals of Nursing - Exam 1 (v1) 2026/2027 COVER PAGE - 1
,SECTIONS COVERED
Section 1: Nursing Process & Critical Thinking
Section 2: Safety & Infection Control
Section 3: Basic Care, Comfort & Hygiene
Section 4: Vital Signs & Physical Assessment
Section 5: Professional Standards, Legal/Ethical & Communication
This examination assesses foundational knowledge required for safe, entry-level nursing practice.
Each question presents a clinical scenario requiring application and analysis of nursing concepts.
Select the single best answer for each item. Passing score: 75%.
Section 1: Nursing Process & Critical Thinking
Question 1
A nurse is caring for a newly admitted client with a history of hypertension who reports a sudden severe headache
and blurred vision. After obtaining vital signs that show blood pressure of 198/112 mm Hg, the nurse prioritizes which
action first?
A. Administer the scheduled antihypertensive medication
B. Notify the healthcare provider of the assessment findings
C. Assist the client to a supine position and dim the lights
D. Document the findings and reassess in 30 minutes
Correct Answer: B
Rationale:
The client is exhibiting signs of a hypertensive crisis that requires immediate provider notification for potential intervention. Delaying
notification or only documenting places the client at risk for stroke or other complications. Positioning and dimming lights may help
comfort but do not address the urgent need for medical evaluation.
Question 2
During the evaluation phase of the nursing process, a nurse reviews a client's progress toward the goal of ambulating
50 feet with a walker twice daily. The client has ambulated only 20 feet once daily for three days. Which statement
best reflects the nurse's next step?
A. The goal was unrealistic and should be discarded from the care plan
B. Modify the goal and interventions based on the client's current ability
C. Continue the original plan without change to encourage perseverance
D. Transfer the client to a skilled nursing facility for more intensive therapy
Correct Answer: B
Rationale:
Evaluation requires comparison of outcomes with goals and revision of the plan when goals are not met. Adjusting the goal and
interventions based on current ability supports realistic progress. Discarding the goal or continuing without change ignores data; transfer
is premature without collaborative assessment.
NU 136 / NU136 Fundamentals of Nursing - Exam 1 (v1) 2026/2027 Page 2
, Section 1: Nursing Process & Critical Thinking
Question 3
A nurse gathers subjective and objective data for a client reporting abdominal pain. Which finding is classified as
subjective data?
A. Abdominal guarding noted on light palpation
B. Client rates pain as 7 out of 10 on a numeric scale
C. Bowel sounds absent in all four quadrants
D. Temperature of 38.4 degrees Celsius
Correct Answer: B
Rationale:
Subjective data are information reported by the client, such as pain rating. Guarding, absent bowel sounds, and temperature are
objective findings obtained through observation or measurement. Correct classification guides accurate assessment documentation.
Question 4
A nurse is developing a nursing diagnosis for a client who is post-operative day one after abdominal surgery and has
shallow respirations with an oxygen saturation of 91 percent on room air. Which nursing diagnosis is most
appropriate?
A. Ineffective airway clearance related to retained secretions
B. Impaired gas exchange related to shallow breathing pattern
C. Activity intolerance related to surgical incision pain
D. Risk for infection related to surgical wound
Correct Answer: B
Rationale:
The assessment data of shallow respirations and low oxygen saturation directly support impaired gas exchange. Ineffective airway
clearance would require evidence of secretions or cough; activity intolerance and infection risk may apply later but are not the priority
based on current respiratory findings.
Question 5
While planning care for an older adult client with limited mobility, the nurse writes the outcome statement: 'Client will
demonstrate proper use of incentive spirometer within 24 hours.' Which component of a measurable outcome is
missing?
A. The specific action the client will perform
B. A realistic timeframe for achievement
C. Criteria for measuring successful performance
D. Identification of the person responsible
Correct Answer: C
Rationale:
A measurable outcome needs specific criteria such as number of repetitions or volume achieved. The action and timeframe are present;
the responsible person is implied as the client. Without clear criteria, evaluation of success is subjective and incomplete.
NU 136 / NU136 Fundamentals of Nursing - Exam 1 (v1) 2026/2027 Page 3
