NUR 155
FOUNDATIONS OF NURSING
NUR 155 Exam 3 Foundations of Nursing Study Guide
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 3 Foundations of Nursing Study Guide D 1 | 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 3 Foundations of Nursing Study Guide D 1 | 2026/2027
Question 1
A nurse is caring for a patient who has a prescription for wrist restraints. Which action should the nurse include in the
plan of care?
A. Secure the restraint straps to the side rails of the bed.
B. Assess the skin integrity and neurovascular status every 4 hours.
C. Renew the restraint prescription every 48 hours.
D. Ensure two fingers can be inserted between the restraint and the wrist.
Answer: D
Rationale
To ensure circulation is not impaired, the nurse should be able to fit two fingers between the restraint and the patient’s wrist.
Straps should be tied to the bed frame, not side rails. Prescriptions are typically renewed every 24 hours, and assessments
should occur every 2 hours or per facility policy (usually more frequent than 4 hours).
Question 2
Which stage of the nursing process involves the nurse prioritizing diagnoses and setting patient-centered goals?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: B
Rationale
The planning phase involves setting priorities, identifying patient-centered goals and expected outcomes, and prescribing
nursing interventions. 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.
Question 3
A patient has a localized infection in a surgical wound. Which of the following findings should the nurse expect?
A. Fever and chills
B. Tachycardia and tachypnea
C. Increased white blood cell count (WBC)
D. Purulent drainage and edema at the site
Answer: D
Rationale
Localized infection signs include redness, swelling (edema), heat, pain, and purulent drainage at the specific site. Fever,
elevated WBC, and systemic vital sign changes indicate a systemic infection.
Page 3
FOUNDATIONS OF NURSING
NUR 155 Exam 3 Foundations of Nursing Study Guide
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 3 Foundations of Nursing Study Guide D 1 | 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 3 Foundations of Nursing Study Guide D 1 | 2026/2027
Question 1
A nurse is caring for a patient who has a prescription for wrist restraints. Which action should the nurse include in the
plan of care?
A. Secure the restraint straps to the side rails of the bed.
B. Assess the skin integrity and neurovascular status every 4 hours.
C. Renew the restraint prescription every 48 hours.
D. Ensure two fingers can be inserted between the restraint and the wrist.
Answer: D
Rationale
To ensure circulation is not impaired, the nurse should be able to fit two fingers between the restraint and the patient’s wrist.
Straps should be tied to the bed frame, not side rails. Prescriptions are typically renewed every 24 hours, and assessments
should occur every 2 hours or per facility policy (usually more frequent than 4 hours).
Question 2
Which stage of the nursing process involves the nurse prioritizing diagnoses and setting patient-centered goals?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: B
Rationale
The planning phase involves setting priorities, identifying patient-centered goals and expected outcomes, and prescribing
nursing interventions. 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.
Question 3
A patient has a localized infection in a surgical wound. Which of the following findings should the nurse expect?
A. Fever and chills
B. Tachycardia and tachypnea
C. Increased white blood cell count (WBC)
D. Purulent drainage and edema at the site
Answer: D
Rationale
Localized infection signs include redness, swelling (edema), heat, pain, and purulent drainage at the specific site. Fever,
elevated WBC, and systemic vital sign changes indicate a systemic infection.
Page 3
