NUR 155
FOUNDATIONS OF NURSING
NUR 155 Foundations of Nursing - Exam 2 Study Guide (Galen 2
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 Foundations of Nursing - Exam 2 Study Guide UPDATED | 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 Foundations of Nursing - Exam 2 Study Guide UPDATED | 2026/2027
Question 1
When assessing a patient for orthostatic hypotension, which finding indicates a positive result?
A. A decrease in systolic blood pressure of 10 mm Hg within 3 minutes of standing.
B. An increase in heart rate of 10 beats per minute upon standing.
C. A decrease in systolic blood pressure of 5 mm Hg and an increase in heart rate by 5 bpm.
D. A decrease in diastolic blood pressure of 10 mm Hg within 3 minutes of standing.
Answer: D
Rationale
Orthostatic hypotension is defined as a drop in systolic blood pressure of at least 20 mm Hg or a drop in diastolic blood
pressure of at least 10 mm Hg within 3 minutes of standing. 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 2
Which nursing intervention is highest priority for a patient diagnosed with dysphagia?
A. Encouraging the patient to use a straw for all liquids.
B. Checking for pocketing of food only after the meal is completed.
C. Offering thin liquids to ensure easy swallowing.
D. Positioning the patient in high-Fowler’s during meals.
Answer: D
Rationale
Positioning a patient in high-Fowler’s (90 degrees) minimizes the risk of aspiration, which is the primary safety concern for
dysphagia patients. 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
During the inflammatory phase of wound healing, which physiological process is occurring?
A. Hemostasis occurs and white blood cells migrate to the site.
B. Granulation tissue fills the wound bed.
C. Collagen fibers are remodeled to increase wound strength.
D. Epithelial cells migrate across the wound surface.
Answer: A
Rationale
The inflammatory phase occurs immediately after injury and involves hemostasis (clotting) and the migration of phagocytic
white blood cells to clean the wound. 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 Foundations of Nursing - Exam 2 Study Guide (Galen 2
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 Foundations of Nursing - Exam 2 Study Guide UPDATED | 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 Foundations of Nursing - Exam 2 Study Guide UPDATED | 2026/2027
Question 1
When assessing a patient for orthostatic hypotension, which finding indicates a positive result?
A. A decrease in systolic blood pressure of 10 mm Hg within 3 minutes of standing.
B. An increase in heart rate of 10 beats per minute upon standing.
C. A decrease in systolic blood pressure of 5 mm Hg and an increase in heart rate by 5 bpm.
D. A decrease in diastolic blood pressure of 10 mm Hg within 3 minutes of standing.
Answer: D
Rationale
Orthostatic hypotension is defined as a drop in systolic blood pressure of at least 20 mm Hg or a drop in diastolic blood
pressure of at least 10 mm Hg within 3 minutes of standing. 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 2
Which nursing intervention is highest priority for a patient diagnosed with dysphagia?
A. Encouraging the patient to use a straw for all liquids.
B. Checking for pocketing of food only after the meal is completed.
C. Offering thin liquids to ensure easy swallowing.
D. Positioning the patient in high-Fowler’s during meals.
Answer: D
Rationale
Positioning a patient in high-Fowler’s (90 degrees) minimizes the risk of aspiration, which is the primary safety concern for
dysphagia patients. 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
During the inflammatory phase of wound healing, which physiological process is occurring?
A. Hemostasis occurs and white blood cells migrate to the site.
B. Granulation tissue fills the wound bed.
C. Collagen fibers are remodeled to increase wound strength.
D. Epithelial cells migrate across the wound surface.
Answer: A
Rationale
The inflammatory phase occurs immediately after injury and involves hemostasis (clotting) and the migration of phagocytic
white blood cells to clean the wound. 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
