NUR 155
FOUNDATIONS OF NURSING
NUR 155 Exam 2: Foundations of Nursing Advanced Practice Qui
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing Foundations & Med-Surg Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NUR 155 Exam 2 Foundations of Nursing Advanced Practice Quiz D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NUR 155 Exam 2 Foundations of Nursing Advanced Practice Quiz D | 2026/2027
Question 1
A nurse is assessing a patient’s blood pressure using a cuff that is too narrow for the patient’s arm circumference.
Which of the following results should the nurse anticipate?
A. A falsely low systolic reading
B. A falsely high systolic and diastolic reading
C. A falsely low diastolic reading
D. An accurate reading if the patient is sitting upright
Answer: B
Rationale
If a blood pressure cuff is too small or narrow, it requires more pressure to occlude the artery, resulting in a falsely high
reading. Conversely, a cuff that is too large results in a falsely low reading.
Question 2
When assessing the apical pulse of a patient taking digoxin, where should the nurse place the stethoscope?
A. Fourth intercostal space at the left sternal border
B. Second intercostal space at the right sternal border
C. Fifth intercostal space at the left midclavicular line
D. Second intercostal space at the left sternal border
Answer: C
Rationale
The apical pulse (PMI) is located at the fifth intercostal space, left midclavicular line. This is the most reliable location for
assessing heart rate, especially when administering cardiac medications.
Question 3
A patient with a diagnosis of Clostridium difficile (C. diff) requires the nurse to perform hand hygiene. Which method is
most effective for this patient?
A. Alcohol-based hand sanitizer until dry
B. Washing hands with soap and water
C. Using a chlorhexidine gluconate (CHG) wipe
D. Wearing double gloves to avoid the need for hand hygiene
Answer: B
Rationale
C. diff spores are resistant to alcohol-based sanitizers. Mechanical friction with soap and water is required to physically
remove the spores from the skin. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
FOUNDATIONS OF NURSING
NUR 155 Exam 2: Foundations of Nursing Advanced Practice Qui
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing Foundations & Med-Surg Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NUR 155 Exam 2 Foundations of Nursing Advanced Practice Quiz D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NUR 155 Exam 2 Foundations of Nursing Advanced Practice Quiz D | 2026/2027
Question 1
A nurse is assessing a patient’s blood pressure using a cuff that is too narrow for the patient’s arm circumference.
Which of the following results should the nurse anticipate?
A. A falsely low systolic reading
B. A falsely high systolic and diastolic reading
C. A falsely low diastolic reading
D. An accurate reading if the patient is sitting upright
Answer: B
Rationale
If a blood pressure cuff is too small or narrow, it requires more pressure to occlude the artery, resulting in a falsely high
reading. Conversely, a cuff that is too large results in a falsely low reading.
Question 2
When assessing the apical pulse of a patient taking digoxin, where should the nurse place the stethoscope?
A. Fourth intercostal space at the left sternal border
B. Second intercostal space at the right sternal border
C. Fifth intercostal space at the left midclavicular line
D. Second intercostal space at the left sternal border
Answer: C
Rationale
The apical pulse (PMI) is located at the fifth intercostal space, left midclavicular line. This is the most reliable location for
assessing heart rate, especially when administering cardiac medications.
Question 3
A patient with a diagnosis of Clostridium difficile (C. diff) requires the nurse to perform hand hygiene. Which method is
most effective for this patient?
A. Alcohol-based hand sanitizer until dry
B. Washing hands with soap and water
C. Using a chlorhexidine gluconate (CHG) wipe
D. Wearing double gloves to avoid the need for hand hygiene
Answer: B
Rationale
C. diff spores are resistant to alcohol-based sanitizers. Mechanical friction with soap and water is required to physically
remove the spores from the skin. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
