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NUR 155 Exam 1,2,3&4 Actual
Combined Questions & Answers |
Galen College Nursing | Latest 2026
Update | Guaranteed A+
NUR 155 Exam 1, 2, 3 & 4 Combined | Galen College
Nursing
This comprehensive bundle includes 600+ actual-style practice
questions covering all NUR 155 exams: Exam 1 (Foundations,
Legal/Ethical, Communication, Vital Signs, ADLs, Safety),
Exam 2 (Oxygenation, Perfusion, Acid-Base,
Fluids/Electrolytes, IV Therapy), Exam 3 (Nutrition, Metabolism,
Elimination, Perioperative Care), and Exam 4 (Infection Control,
Tissue Integrity, Pain Management, Sensory Perception). Each
question includes the correct answer in bold italic and a
detailed rationale explaining why the answer is correct —
perfect for NCLEX-style preparation. Pass your NUR 155 finals
with confidence. Instant download.
1. A nurse is caring for a client who refuses a prescribed medication. Which of the
following actions should the nurse take first?
a) Administer the medication via another route
b) Notify the provider of the refusal
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c) Ask the client to explain their reason for refusal
d) Document the refusal in the medical record
Answer: c) Ask the client to explain their reason for refusal
Rationale: The nurse must first assess the client's reason for refusal to address
any misconceptions, cultural beliefs, or side-effect concerns. This respects the
client's autonomy and supports informed decision-making before notifying the
provider or documenting.
2. A client tells the nurse, "I don't want that student nurse taking care of me." Which of
the following is the nurse's best response?
a) The student is under my supervision and is qualified.
b) I will speak with the charge nurse about your request.
c) You have the right to refuse care from anyone, including students.
d) The student needs to learn, and you were once a beginner too.
Answer: c) You have the right to refuse care from anyone, including students.
Rationale: Clients have the right to refuse care from any provider, including
students. The nurse should respect this right and inform the client that their
request will be honored while still providing safe care.
3. A nurse is preparing to document client care. Which entry follows proper
documentation guidelines?
a) Client appears anxious and restless during shift.
b) Client refused lunch, appears depressed.
c) Client ambulated 50 feet with a walker, tolerated well.
d) Client seems confused and disoriented this morning.
Answer: c) Client ambulated 50 feet with a walker, tolerated well.
Rationale: Documentation must be objective, factual, and measurable.
"Ambulated 50 feet with a walker" is specific and observable, whereas terms
like "appears," "seems," and "refused" without context are subjective or
incomplete.
, 3|Page
4. A nurse is performing a physical assessment on a client. Which technique is used
first?
a) Palpation
b) Percussion
c) Auscultation
d) Inspection
Answer: d) Inspection
Rationale: Inspection is always the first assessment technique used. It involves
visual observation of the client's overall appearance, body structure, and
behavior before any hands-on techniques are applied.
5. A client's radial pulse is irregular. What should the nurse do next?
a) Document the rhythm as normal
b) Auscultate the apical pulse for one full minute
c) Count the radial pulse for 15 seconds and multiply by 4
d) Notify the provider immediately
Answer: b) Auscultate the apical pulse for one full minute
Rationale: If the radial pulse is irregular, the nurse should auscultate the apical
pulse for a full minute to accurately assess rate and rhythm. This provides a
more reliable measurement than a shorter count or peripheral pulse alone.
6. A nurse is teaching a client about fall prevention at home. Which statement indicates
the client understands the teaching?
a) I will keep my walker at the foot of my bed.
b) I will wear socks without grips to slide easily.
c) I will use a nightlight in the hallway and bathroom.
d) I will place all my medications on a high shelf.
Answer: c) I will use a nightlight in the hallway and bathroom.
Rationale: Adequate lighting, especially at night, reduces fall risk. Walkers
should be within easy reach, not at the foot of the bed. Non-slip footwear is
recommended, and medications should be accessible without reaching or
straining.
, 4|Page
7. A client has an order for strict bed rest. Which intervention prevents complications of
immobility?
a) Place a pillow under the client's knees
b) Perform passive range-of-motion exercises twice daily
c) Keep the side rails up at all times
d) Restrict fluid intake to reduce bathroom trips
Answer: b) Perform passive range-of-motion exercises twice daily
Rationale: Passive ROM exercises maintain joint flexibility, prevent
contractures, and promote circulation in immobile clients. Pillows under the
knees can cause flexion contractures, and fluid restriction is not appropriate
unless medically indicated.
8. A nurse is applying restraints to a confused client who is pulling at their IV line.
Which action is correct?
a) Tie the restraints to the bed rail
b) Apply restraints for 4 hours before reassessing
c) Ensure two fingers can fit between the restraint and the client's wrist
d) Use a knot that tightens when the client pulls
Answer: c) Ensure two fingers can fit between the restraint and the client's wrist
Rationale: Restraints should be applied snugly but not tightly — two fingers
should fit between the restraint and the skin to prevent circulation impairment.
Restraints must be tied to the bed frame (not side rails), reassessed hourly, and
use quick-release knots.
9. A nurse is performing hand hygiene. Which action demonstrates proper technique?
a) Wearing gloves instead of washing hands
b) Rubbing hands together for at least 10 seconds
c) Using alcohol-based hand rub when hands are visibly soiled
d) Washing with soap and water for at least 15–20 seconds
Answer: d) Washing with soap and water for at least 15–20 seconds
Rationale: Soap and water should be used when hands are visibly soiled. The
CDC recommends washing for at least 15–20 seconds. Alcohol-based hand rub is
not effective on visibly soiled hands.
NUR 155 Exam 1,2,3&4 Actual
Combined Questions & Answers |
Galen College Nursing | Latest 2026
Update | Guaranteed A+
NUR 155 Exam 1, 2, 3 & 4 Combined | Galen College
Nursing
This comprehensive bundle includes 600+ actual-style practice
questions covering all NUR 155 exams: Exam 1 (Foundations,
Legal/Ethical, Communication, Vital Signs, ADLs, Safety),
Exam 2 (Oxygenation, Perfusion, Acid-Base,
Fluids/Electrolytes, IV Therapy), Exam 3 (Nutrition, Metabolism,
Elimination, Perioperative Care), and Exam 4 (Infection Control,
Tissue Integrity, Pain Management, Sensory Perception). Each
question includes the correct answer in bold italic and a
detailed rationale explaining why the answer is correct —
perfect for NCLEX-style preparation. Pass your NUR 155 finals
with confidence. Instant download.
1. A nurse is caring for a client who refuses a prescribed medication. Which of the
following actions should the nurse take first?
a) Administer the medication via another route
b) Notify the provider of the refusal
, 2|Page
c) Ask the client to explain their reason for refusal
d) Document the refusal in the medical record
Answer: c) Ask the client to explain their reason for refusal
Rationale: The nurse must first assess the client's reason for refusal to address
any misconceptions, cultural beliefs, or side-effect concerns. This respects the
client's autonomy and supports informed decision-making before notifying the
provider or documenting.
2. A client tells the nurse, "I don't want that student nurse taking care of me." Which of
the following is the nurse's best response?
a) The student is under my supervision and is qualified.
b) I will speak with the charge nurse about your request.
c) You have the right to refuse care from anyone, including students.
d) The student needs to learn, and you were once a beginner too.
Answer: c) You have the right to refuse care from anyone, including students.
Rationale: Clients have the right to refuse care from any provider, including
students. The nurse should respect this right and inform the client that their
request will be honored while still providing safe care.
3. A nurse is preparing to document client care. Which entry follows proper
documentation guidelines?
a) Client appears anxious and restless during shift.
b) Client refused lunch, appears depressed.
c) Client ambulated 50 feet with a walker, tolerated well.
d) Client seems confused and disoriented this morning.
Answer: c) Client ambulated 50 feet with a walker, tolerated well.
Rationale: Documentation must be objective, factual, and measurable.
"Ambulated 50 feet with a walker" is specific and observable, whereas terms
like "appears," "seems," and "refused" without context are subjective or
incomplete.
, 3|Page
4. A nurse is performing a physical assessment on a client. Which technique is used
first?
a) Palpation
b) Percussion
c) Auscultation
d) Inspection
Answer: d) Inspection
Rationale: Inspection is always the first assessment technique used. It involves
visual observation of the client's overall appearance, body structure, and
behavior before any hands-on techniques are applied.
5. A client's radial pulse is irregular. What should the nurse do next?
a) Document the rhythm as normal
b) Auscultate the apical pulse for one full minute
c) Count the radial pulse for 15 seconds and multiply by 4
d) Notify the provider immediately
Answer: b) Auscultate the apical pulse for one full minute
Rationale: If the radial pulse is irregular, the nurse should auscultate the apical
pulse for a full minute to accurately assess rate and rhythm. This provides a
more reliable measurement than a shorter count or peripheral pulse alone.
6. A nurse is teaching a client about fall prevention at home. Which statement indicates
the client understands the teaching?
a) I will keep my walker at the foot of my bed.
b) I will wear socks without grips to slide easily.
c) I will use a nightlight in the hallway and bathroom.
d) I will place all my medications on a high shelf.
Answer: c) I will use a nightlight in the hallway and bathroom.
Rationale: Adequate lighting, especially at night, reduces fall risk. Walkers
should be within easy reach, not at the foot of the bed. Non-slip footwear is
recommended, and medications should be accessible without reaching or
straining.
, 4|Page
7. A client has an order for strict bed rest. Which intervention prevents complications of
immobility?
a) Place a pillow under the client's knees
b) Perform passive range-of-motion exercises twice daily
c) Keep the side rails up at all times
d) Restrict fluid intake to reduce bathroom trips
Answer: b) Perform passive range-of-motion exercises twice daily
Rationale: Passive ROM exercises maintain joint flexibility, prevent
contractures, and promote circulation in immobile clients. Pillows under the
knees can cause flexion contractures, and fluid restriction is not appropriate
unless medically indicated.
8. A nurse is applying restraints to a confused client who is pulling at their IV line.
Which action is correct?
a) Tie the restraints to the bed rail
b) Apply restraints for 4 hours before reassessing
c) Ensure two fingers can fit between the restraint and the client's wrist
d) Use a knot that tightens when the client pulls
Answer: c) Ensure two fingers can fit between the restraint and the client's wrist
Rationale: Restraints should be applied snugly but not tightly — two fingers
should fit between the restraint and the skin to prevent circulation impairment.
Restraints must be tied to the bed frame (not side rails), reassessed hourly, and
use quick-release knots.
9. A nurse is performing hand hygiene. Which action demonstrates proper technique?
a) Wearing gloves instead of washing hands
b) Rubbing hands together for at least 10 seconds
c) Using alcohol-based hand rub when hands are visibly soiled
d) Washing with soap and water for at least 15–20 seconds
Answer: d) Washing with soap and water for at least 15–20 seconds
Rationale: Soap and water should be used when hands are visibly soiled. The
CDC recommends washing for at least 15–20 seconds. Alcohol-based hand rub is
not effective on visibly soiled hands.
