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NU 136 Exam 2 Nursing Process & Communication (Galen) QUESTIONS AND CORRECT ANSWERS WITH RATIONALES.pdf

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Tap on **AVAILABLE IN BUNDLE / PACKAGE DEAL** to unlock free bonus exams and everything you need. # NU 136 EXAM 2 NURSING PROCESS & COMMUNICATION (GALEN) QUESTIONS AND CORRECT ANSWERS WITH RATIONALES Prepare for the **NU 136 Exam 2 Nursing Process & Communication (Galen)** with a comprehensive study resource focused on the practical application of nursing-process principles, therapeutic communication, infection prevention, patient assessment, vital signs, positioning, mobility, elimination, documentation, nutrition, patient safety, and fundamental nursing care. The guide emphasizes **exam-style questions with correct answers and detailed rationales**, helping students strengthen clinical judgment and understand why particular nursing interventions are appropriate in common patient-care situations. Galen's current NU 136 Fundamentals of Nursing course focuses on the basic nursing care of adult patients while emphasizing **communication, clinical judgment, vital signs, body mechanics, aseptic technique, nutrition, patient safety, medication administration, and the nursing process**. Clinical experiences require students to apply these concepts in safe, quality, patient-centered care. Preparation includes **the nursing process and systematic problem solving**, including assessment, identification of patient problems, planning, implementation, and evaluation. Questions require students to determine which nursing action is appropriate based on assessment findings and patient priorities. The material reinforces **data collection and patient assessment**, including subjective and objective findings, health history, physical observations, vital signs, patient complaints, medications, allergies, nutritional information, and other information necessary for developing an appropriate plan of care. Questions address **prioritization and clinical judgment**, including recognizing immediate safety concerns, identifying changes in patient condition, distinguishing expected from unexpected findings, and selecting the most appropriate nursing response. The guide covers **therapeutic nurse-patient relationships**, including establishing trust, maintaining professional boundaries, respecting patient dignity, promoting privacy, demonstrating empathy, and recognizing the phases of the therapeutic relationship. Preparation includes **therapeutic communication techniques**, such as active listening, reflection, clarification, restatement, focusing, silence, summarizing, and encouraging patients to express concerns. The resource reinforces recognition of **nontherapeutic communication**, including false reassurance, giving advice, changing the subject, minimizing concerns, asking inappropriate “why” questions, judging patients, and using responses that discourage further communication. Questions cover **communication barriers**, including language differences, hearing impairment, anxiety, pain, environmental distractions, cultural differences, cognitive limitations, health literacy, and emotional distress. The material addresses **patient records and documentation**, including the purpose of documentation, accurate and timely entries, objective language, confidentiality, approved terminology, correction of documentation errors, and communication of important patient information. Preparation includes **electronic health records and healthcare communication**, including appropriate information sharing among members of the healthcare team, secure handling of patient information, and the importance of accurate documentation for continuity of care. The guide reinforces **medical and surgical asepsis**, including hand hygiene, contamination prevention, standard precautions, transmission-based precautions, sterile technique, sterile fields, and appropriate handling of sterile supplies. Questions address the **chain of infection**, including infectious agents, reservoirs, portals of exit, modes of transmission, portals of entry, and susceptible hosts, with scenarios requiring students to identify interventions that interrupt transmission. The resource covers **infection-control practices**, including handwashing, personal protective equipment, environmental cleaning, equipment handling, isolation precautions, and safe disposal of contaminated materials. Preparation includes **sterilization and disinfection**, including differences between the two processes, appropriate applications, factors affecting effectiveness, and safe handling of disinfecting and sterilizing equipment. The material addresses **positioning and body mechanics**, including supine, prone, lateral, Fowler's, and other commonly used positions, as well as positioning devices used to promote comfort, safety, alignment, and prevention of complications. Questions reinforce **safe patient transfers**, including moving patients between beds, stretchers, and chairs, using appropriate assistance, assessing patient ability, maintaining body alignment, and reducing fall or injury risks. The guide covers **vital signs**, including temperature, pulse, respirations, blood pressure, oxygen saturation, measurement techniques, equipment selection, abnormal findings, factors affecting measurements, and appropriate documentation. Preparation includes recognizing **factors that can alter vital signs**, such as activity, pain, anxiety, medications, illness, environmental conditions, and positioning. The resource reinforces **wound and skin-care principles**, including skin assessment, pressure-injury prevention, positioning, hygiene, wound observations, infection indicators, and documentation of abnormal findings. Questions address **urinary elimination**, including normal urine characteristics, urinary retention, urinary incontinence, toileting assistance, bedpan and urinal use, catheter-related care, specimen collection, and appropriate nursing interventions. The material also covers **bowel elimination**, including normal bowel patterns, constipation, diarrhea, fecal impaction, toileting assistance, observation of stool characteristics, and interventions that promote healthy elimination. Preparation includes **urine specimen collection**, including routine specimens, clean-catch midstream specimens, timed collections, catheter specimens, proper labeling, contamination prevention, and timely transport. The guide addresses **nutrition and hydration**, including essential nutrients, water requirements, nutritional assessment, signs of inadequate nutrition, special dietary needs, feeding assistance, aspiration prevention, and documentation of intake. Questions reinforce **patient comfort, rest, and sleep**, including environmental modifications, positioning, pain considerations, sleep routines, minimizing interruptions, and identifying factors that interfere with restorative sleep. The material incorporates **patient safety principles**, including fall prevention, safe environments, proper equipment use, identification of hazards, appropriate assistance with mobility, and timely reporting of unsafe conditions. Preparation also includes **professional communication with the healthcare team**, including communicating relevant patient findings, reporting changes in condition, clarifying unclear information, maintaining confidentiality, and using structured communication when appropriate. Scenario-based questions require students to apply knowledge to **infection-control situations, communication challenges, documentation problems, abnormal vital signs, patient transfers, elimination difficulties, nutritional concerns, safety hazards, and nursing-process decisions**. The resource progresses from **foundational knowledge toward application and clinical-judgment questions**, helping students practice determining what information is most important, which intervention should occur first, how to communicate therapeutically, and how to evaluate whether nursing care has achieved the desired outcome. Galen's course requirements also emphasize successful performance in theory, clinical experiences, medication-calculation testing, and competency performance examinations, reflecting the practical nature of NU 136 preparation. This material is designed as a **study and practice resource rather than a reproduction of the actual Galen NU 136 Exam 2**. It does not claim to contain confidential, leaked, proprietary, copyrighted, or identical questions from a live examination, and it is not an official Galen College of Nursing answer key. Students should use their current Galen syllabus, instructor materials, assigned textbooks, and official course resources as the final authority for examination preparation.

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NU 136 Exam 2 Nursing Process & Communication (Galen) QUESTIONS AND

CORRECT ANSWERS WITH RATIONALES



Exam coverage


• Nursing assessment


• Nursing diagnoses


• Planning and outcomes


• Implementation


• Evaluation


• Communication


• Patient-centered care


• Documentation


• Safety


• Clinical prioritization



Original exam-style questions based on the stated subject matter; not copied or leaked exam

questions.

,1. A professional notices a problem associated with Nursing assessment. Which

response best follows sound practice? The situation has no unusual complication,

and the professional has enough information to proceed.


A. It applies only after the work is complete and therefore does not affect the decision being

considered.


B. It is determined solely by convenience, regardless of the circumstances or applicable

requirements.


C. It should be performed without checking relevant information because the initial

assumption is sufficient.


D. Subjective data are reported by the patient or another source rather than directly

measured by the nurse.

Correct answer: D


Rationale: Subjective data are reported by the patient or another source rather than directly

measured by the nurse.



2. A supervisor asks an employee to explain the key concept of Nursing diagnoses.

Which response is most accurate? The situation has no unusual complication, and

the professional has enough information to proceed.


A. It should be performed without checking relevant information because the initial

assumption is sufficient.

,B. It applies only after the work is complete and therefore does not affect the decision being

considered.


C. A nursing diagnosis describes a patient response or risk that nursing can address.


D. It is determined solely by convenience, regardless of the circumstances or applicable

requirements.

Correct answer: C


Rationale: A nursing diagnosis describes a patient response or risk that nursing can address.



3. A professional notices a problem associated with Planning and outcomes. Which

response best follows sound practice? The goal is to select the response that most

directly reflects the established standard.


A. Expected outcomes should be measurable, patient-centered, and time limited when

appropriate.


B. It is determined solely by convenience, regardless of the circumstances or applicable

requirements.


C. It should be performed without checking relevant information because the initial

assumption is sufficient.


D. It applies only after the work is complete and therefore does not affect the decision being

considered.

Correct answer: A

, Rationale: Expected outcomes should be measurable, patient-centered, and time limited

when appropriate.



4. When assessing a situation involving Implementation, which statement most

accurately describes what should occur? The situation has no unusual complication,

and the professional has enough information to proceed.


A. It applies only after the work is complete and therefore does not affect the decision being

considered.


B. It should be performed without checking relevant information because the initial

assumption is sufficient.


C. Implementation is the phase in which planned nursing interventions are carried out.


D. It is determined solely by convenience, regardless of the circumstances or applicable

requirements.

Correct answer: C


Rationale: Implementation is the phase in which planned nursing interventions are carried

out.



5. A technician or professional is reviewing a situation involving Evaluation. Which

statement best reflects the applicable principle? The situation has no unusual

complication, and the professional has enough information to proceed.

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