NU 155 EXAM 2 LATEST 2026/2027 |
FOUNDATIONS OF NURSING – GALEN COLLEGE |
EXPERT VERIFIED | 75 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED
Question 1
A nurse is reviewing the concept of the nursing process. Which of the following is the correct order
of the nursing process?
A. Assessment → Diagnosis → Planning → Implementation → Evaluation
B. Diagnosis → Assessment → Planning → Implementation → Evaluation
C. Planning → Assessment → Diagnosis → Implementation → Evaluation
D. Implementation → Assessment → Diagnosis → Planning → Evaluation
Correct Answer: A
Rationale: The nursing process follows: Assessment, Diagnosis, Planning, Implementation,
Evaluation (ADPIE).
Question 2
A nurse is reviewing the concept of a wound infection. Which of the following indicates a systemic
infection?
A. Localized redness
B. Fever and chills
C. Purulent drainage
D. Warmth
Correct Answer: B
Rationale: Fever and chills indicate systemic infection.
Question 3
A nurse is caring for a client who has a wound with a drain. Which of the following is the correct
care?
A. Leave unsecured
B. Empty when half full
C. Remove without order
D. Milk frequently
Correct Answer: B
Rationale: Empty and compress when half full.
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Question 4
A nurse is assessing a client who has a wound with a wound vac. Which of the following requires
immediate intervention?
A. Pink wound bed
B. Alarm sounding
C. Granulation tissue
D. Minimal drainage
Correct Answer: B
Rationale: Alarm indicates a problem.
Question 5
A nurse is caring for a client who has a new prescription for vancomycin. Which of the following
should be monitored?
A. Serum potassium
B. Renal function and trough levels
C. Serum calcium
D. Serum magnesium
Correct Answer: B
Rationale: Monitor renal function and vancomycin trough levels.
Question 6
A nurse is assessing a client who has a wound infection. Which of the following is the most
appropriate dressing?
A. Dry sterile dressing
B. Moist sterile dressing (as prescribed)
C. No dressing
D. Non-sterile dressing
Correct Answer: B
Rationale: Infected wounds require moist sterile dressings.
Question 7
A nurse is caring for a client who has a new prescription for insulin glargine. Which of the following is
a characteristic?
A. Rapid-acting with peak
B. Long-acting with no pronounced peak
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C. Intermediate-acting
D. Short-acting
Correct Answer: B
Rationale: Insulin glargine is long-acting.
Question 8
A nurse is assessing a client who has a urinary catheter. Which of the following indicates a catheter-
associated UTI?
A. Clear urine
B. Cloudy urine with foul odor
C. Output of 30 mL/hour
D. No sediment
Correct Answer: B
Rationale: Cloudy urine indicates UTI.
Question 9
A nurse is caring for a client who has a new prescription for furosemide. Which of the following is a
sign of hypokalemia?
A. Tall, peaked T waves
B. Flattened T waves and U waves
C. Constipation
D. Bradycardia
Correct Answer: B
Rationale: Hypokalemia causes flattened T waves and U waves.
Question 10
A nurse is assessing a client who has a wound evisceration. Which of the following is the priority
action?
A. Cover with sterile saline-soaked gauze
B. Push organs back
C. Leave open
D. Apply dry dressing
Correct Answer: A
Rationale: Cover and notify provider.
Question 11