NUR 155
FOUNDATIONS OF NURSING
NUR 155 Foundations of Nursing Final Exam
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 Final Exam 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 Foundations of Nursing Final Exam 1 | 2026/2027
Question 1
A nurse is assessing a client and observes that the client is restless and confused, with a respiratory rate of 28/min.
Which of the following actions should the nurse take first?
A. Administer a prescribed sedative.
B. Notify the provider of the change in status.
C. Check the client’s oxygen saturation level.
D. Perform a complete head-to-toe assessment.
Answer: C
Rationale
The first step in the nursing process is assessment. Restlessness and confusion are early signs of hypoxia. Checking oxygen
saturation is a rapid, non-invasive assessment that addresses the immediate physiological need.
Question 2
Which ethical principle is being upheld when a nurse provides all necessary information for a client to make an informed
decision regarding their treatment?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale
Autonomy refers to the right of the client to make their own decisions about their healthcare. Providing information for informed
consent supports this right. 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 nurse is caring for a client who has a diagnosis of Tuberculosis (TB). Which of the following precautions should the
nurse implement?
A. Airborne precautions
B. Contact precautions
C. Droplet precautions
D. Protective environment
Answer: A
Rationale
Tuberculosis is transmitted through small droplets that remain suspended in the air. Airborne precautions, including a private
room with negative pressure and N95 masks, are required. 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 Final Exam
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 Final Exam 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 Foundations of Nursing Final Exam 1 | 2026/2027
Question 1
A nurse is assessing a client and observes that the client is restless and confused, with a respiratory rate of 28/min.
Which of the following actions should the nurse take first?
A. Administer a prescribed sedative.
B. Notify the provider of the change in status.
C. Check the client’s oxygen saturation level.
D. Perform a complete head-to-toe assessment.
Answer: C
Rationale
The first step in the nursing process is assessment. Restlessness and confusion are early signs of hypoxia. Checking oxygen
saturation is a rapid, non-invasive assessment that addresses the immediate physiological need.
Question 2
Which ethical principle is being upheld when a nurse provides all necessary information for a client to make an informed
decision regarding their treatment?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale
Autonomy refers to the right of the client to make their own decisions about their healthcare. Providing information for informed
consent supports this right. 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 nurse is caring for a client who has a diagnosis of Tuberculosis (TB). Which of the following precautions should the
nurse implement?
A. Airborne precautions
B. Contact precautions
C. Droplet precautions
D. Protective environment
Answer: A
Rationale
Tuberculosis is transmitted through small droplets that remain suspended in the air. Airborne precautions, including a private
room with negative pressure and N95 masks, are required. 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
