NU 136 Exam 2 Fundamentals of Nursing (PDF) | (2026) Practice Questions | Galen

NU 136 Exam 2 Fundamentals of Nursing (PDF) | (2026) Practice Questions | Galen   EXAM CONTENT AREAS 01. Section 1: Nursing Process & Clinical Judgment — Questions 1–28 02. Section 2: Safety & Infection Control — Questions 29–56 03. Section 3: Health Assessment & Vital Signs — Questions 57–84 04. Section 4: Medication Administration — Questions 85–112 05. Section 5: Mobility, Skin Integrity & Wound Care — Questions 113–140 06. Section 6: Nutrition, Hydration & Elimination — Questions 141–167 07. Section 7: Oxygenation & Respiratory Care — Questions 168–194 08. Section 8: Pain Management & Comfort — Questions 195–221 09. Section 9: Perioperative & Surgical Care — Questions 222–248 10. Section 10: Communication, Documentation & Professionalism — Questions 249–274 11. Section 11: NGN Clinical Judgment — Questions 275–300  SECTION 1: NURSING PROCESS & CLINICAL JUDGMENT 1. The nurse is determining a client's current pain score before planning care. A. Diagnosis B. Assessment C. Planning D. Evaluation CORRECT ANSWER: B. Assessment Rationale: Assessment gathers current client data. 2. The nurse identifies 'Acute Pain related to tissue injury' after reviewing assessment findings. A. Planning B. Implementation C. Evaluation D. Diagnosis CORRECT ANSWER: D. Diagnosis Rationale: A nursing diagnosis identifies a client response that nursing can address. 3. The nurse establishes a measurable goal of ambulating 50 feet by the end of the shift. A. Assessment B. Implementation C. Planning D. Evaluation CORRECT ANSWER: C. Planning Rationale: Planning establishes goals and expected outcomes. 4. The nurse administers a prescribed analgesic after verifying the medication rights. A. Implementation B. Assessment C. Diagnosis D. Evaluation CORRECT ANSWER: A. Implementation Rationale: Implementation is carrying out planned nursing interventions. 5. One hour after an analgesic, the nurse reassesses pain to determine whether the intervention worked. A. Assessment B. Diagnosis C. Evaluation D. Planning CORRECT ANSWER: C. Evaluation Rationale: Evaluation determines whether outcomes were achieved. 6. Which goal is most measurable for a client with impaired mobility? A. Ambulate 50 feet with a walker by 1700 B. Walk better C. Improve mobility D. Try to walk more CORRECT ANSWER: A. Ambulate 50 feet with a walker by 1700 Rationale: A SMART goal is specific, measurable, attainable, relevant, and time-bound. 7. A newly admitted client has several needs. Which should the nurse assess first? A. Diet preferences B. Discharge paperwork C. Airway, breathing, and circulation D. Visiting policy CORRECT ANSWER: C. Airway, breathing, and circulation Rationale: ABCs address immediate threats to life. 8. The nurse notices new confusion and an oxygen saturation of 86%. What is the best initial approach? A. Document only B. Focus on discharge teaching C. Wait until rounds D. Recognize the findings as a possible acute deterioration CORRECT ANSWER: D. Recognize the findings as a possible acute deterioration Rationale: Clinical judgment begins with recognizing relevant cues and potential deterioration. 9. A client receives an antiemetic. What should the nurse do next to determine effectiveness? A. Skip documentation B. Reassess nausea and vomiting C. Repeat the dose immediately D. Change the diagnosis CORRECT ANSWER: B. Reassess nausea and vomiting Rationale: Reassessment provides evidence of the intervention's effect. 10. Which finding is subjective data? A. Pulse 104/min B. Incision 2 cm C. The client states, 'My pain is 7 out of 10.' D. Temperature 38.2°C CORRECT ANSWER: C. The client states, 'My pain is 7 out of 10.' Rationale: Subjective data are reported by the client. 11. Which statement by a nursing student demonstrates correct understanding of assessment? A. Evaluation B. Assessment C. Planning D. Diagnosis CORRECT ANSWER: B. Assessment Rationale: Assessment gathers current client data. 12. Which statement by a nursing student demonstrates correct understanding of nursing diagnosis? A. Evaluation B. Diagnosis C. Planning D. Implementation CORRECT ANSWER: B. Diagnosis Rationale: A nursing diagnosis identifies a client response that nursing can address. 13. Which statement by a nursing student demonstrates correct understanding of planning? A. Assessment B. Evaluation C. Planning D. Implementation CORRECT ANSWER: C. Planning Rationale: Planning establishes goals and expected outcomes. 14. Which statement by a nursing student demonstrates correct understanding of implementation? A. Diagnosis B. Implementation C. Assessment D. Evaluation CORRECT ANSWER: B. Implementation Rationale: Implementation is carrying out planned nursing interventions. 15. Which statement by a nursing student demonstrates correct understanding of evaluation? A. Diagnosis B. Assessment C. Planning D. Evaluation CORRECT ANSWER: D. Evaluation Rationale: Evaluation determines whether outcomes were achieved. 16. Which statement by a nursing student demonstrates correct understanding of SMART goal? A. Try to walk more B. Walk better C. Improve mobility D. Ambulate 50 feet with a walker by 1700 CORRECT ANSWER: D. Ambulate 50 feet with a walker by 1700 Rationale: A SMART goal is specific, measurable, attainable, relevant, and time-bound. 17. Which statement by a nursing student demonstrates correct understanding of priority? A. Airway, breathing, and circulation B. Diet preferences C. Discharge paperwork D. Visiting policy CORRECT ANSWER: A. Airway, breathing, and circulation Rationale: ABCs address immediate threats to life. 18. Which statement by a nursing student demonstrates correct understanding of clinical judgment? A. Recognize the findings as a possible acute deterioration B. Document only C. Wait until rounds D. Focus on discharge teaching CORRECT ANSWER: A. Recognize the findings as a possible acute deterioration Rationale: Clinical judgment begins with recognizing relevant cues and potential deterioration. 19. Which statement by a nursing student demonstrates correct understanding of reassessment? A. Reassess nausea and vomiting B. Repeat the dose immediately C. Skip documentation D. Change the diagnosis CORRECT ANSWER: A. Reassess nausea and vomiting Rationale: Reassessment provides evidence of the intervention's effect. 20. Which statement by a nursing student demonstrates correct understanding of subjective data? A. Pulse 104/min B. Incision 2 cm C. Temperature 38.2°C D. The client states, 'My pain is 7 out of 10.' CORRECT ANSWER: D. The client states, 'My pain is 7 out of 10.' Rationale: Subjective data are reported by the client.