NU 136 A+ VERIFIED
Galen College of Nursing
Fundamentals of Nursing
Nursing Process, Safety, Assessment & Care
EXAM 1 (V1) | 2026-2027 STUDY EDITION
100 MCQ Undergrad
QUESTIONS FORMAT LEVEL
WHAT THIS COVERS
Nursing Process (ADPIE) & Critical Thinking Safety, Quality & Infection Control
Vital Signs & Physical Assessment Documentation & Therapeutic Communication
Ethics, Legal & Delegation Mobility, Immobility & Skin Integrity
Hygiene, Nutrition, Elimination & Oxygenation Medications, Perioperative & Lab Values
ABOUT THIS ASSESSMENT
This assessment is a 100-item original study examination covering foundational nursing concepts including the
nursing process, infection control, vital signs, physical assessment, documentation, ethics and legal
considerations, mobility and skin integrity, nutrition and elimination, oxygenation, medication administration,
perioperative care, and laboratory values. Each item is paired with a verified answer and a teaching rationale so
that students can review the reasoning behind every correct response. Use this packet as a focused review tool to
build exam readiness across the fundamentals of nursing.
EDITION 2026-2027 ORIGINAL STUDY ITEMS VERIFIED CONTENT
STUVIA ACTUAL EXAM
Original study materials. Not affiliated with any official testing body.
,NU 136 Fundamentals of Nursing 2026-2027
EXAM QUESTIONS
100 multiple-choice items · select the single best answer
Read each scenario carefully, then select the single best response from the four options provided. Mark your answers in the
answer key section at the end of this packet.
Q1. The unit uses an electronic health record and a team-based delivery model. A new graduate nurse is
planning care for a postoperative patient and asks the charge nurse where to begin. The charge nurse
explains that the nursing process is a sequential, goal-oriented framework. Which step does the nurse
perform first?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Q2. The patient is a 68-year-old retired teacher with a history of type 2 diabetes and osteoarthritis. A patient
reports new chest pain two hours after receiving a scheduled analgesic. The nurse considers several
possible causes before deciding what to do next. Which critical-thinking attitude is the nurse demonstrating
when she continues to ask questions rather than accepting the obvious explanation?
A. Confidence
B. Curiosity
C. Perseverance
D. Fairness
Q3. The patient also has a stage 2 sacral pressure injury and limited family support at home. A nurse on a
medical unit is caring for four patients and must prioritize care for the shift. One patient is short of breath
with an oxygen saturation of 88 percent on room air. Which framework best guides the nurse's prioritization
decision?
A. Nursing process
B. Five rights of delegation
C. Maslow's hierarchy of needs
D. SBAR communication
Q4. The patient had been walking to the bathroom just before the event and was found by a nursing
assistant. A patient who was ambulating in the hallway suddenly collapses. The nurse arrives and finds the
patient unresponsive. Which assessment should the nurse perform first?
A. Check pupil response
B. Assess capillary refill
C. Palpate the radial pulse
D. Open the airway and assess breathing
STUVIA ACTUAL EXAM Page 1 VERIFIED CONTENT
,NU 136 Fundamentals of Nursing 2026-2027
Q5. The unit has seen several respiratory illnesses this season, and influenza activity is elevated in the
community. A nurse is preparing to take vital signs on a patient diagnosed with an unknown respiratory
illness. The patient is coughing frequently but is not on any isolation precautions. Which action is most
appropriate for the nurse to take?
A. Wear a gown, gloves, and goggles
B. Apply a surgical mask and perform hand hygiene
C. Request an airborne isolation room
D. Use sterile gloves for the assessment
Q6. The patient was admitted three days ago from a long-term care facility where MRSA is endemic. A
patient is admitted with a draining wound culture positive for methicillin-resistant Staphylococcus aureus.
The nurse prepares to change the dressing. Which piece of personal protective equipment is required in
addition to gloves?
A. Surgical mask
B. N95 respirator
C. Gown
D. Eye goggles
Q7. The patient's parents are present and ask about the type of room their child needs. A pediatric patient is
admitted with suspected pertussis. The patient is in a single room and the nurse is preparing to administer
oral medications. Which protective equipment should the nurse wear?
A. N95 respirator
B. Sterile gown and gloves
C. Eye protection only
D. Surgical mask within three feet
Q8. The patient was admitted last night after a positive sputum acid-fast bacillus smear. A patient is being
admitted with suspected pulmonary tuberculosis. The nurse assigns the patient to a specific room. Which
type of room is most appropriate for this patient?
A. Negative-pressure airborne infection isolation room
B. Private room with a portable HEPA filter only
C. Standard private room with door closed
D. Shared room with another respiratory patient
Q9. The patient's chemotherapy regimen includes medications that cause severe mucosal breakdown. A
pediatric oncology patient has an absolute neutrophil count of 400 and is receiving chemotherapy. The
nurse is planning care to reduce infection risk. Which type of precautions is most appropriate for this
patient?
A. Airborne precautions
B. Droplet precautions
C. Protective (reverse) isolation
D. Contact precautions
STUVIA ACTUAL EXAM Page 2 VERIFIED CONTENT
, NU 136 Fundamentals of Nursing 2026-2027
Q10. The patient has had three liquid stools in the past 24 hours and complains of cramping. A patient has
a confirmed Clostridioides difficile infection and the nurse is leaving the room after providing care. Which
hand hygiene method is most appropriate after removing personal protective equipment?
A. Alcohol-based hand rub for 20 seconds
B. Antibacterial hand lotion
C. Iodine-based hand wash
D. Soap and water hand wash
Q11. The patient was started on antitubercular therapy yesterday and is improving. A nurse is caring for a
patient with active pulmonary tuberculosis who is on airborne precautions. The patient needs to be
transported to radiology for a chest x-ray. Which action should the nurse take first?
A. Place a surgical mask on the patient
B. Notify all staff to wear N95 respirators
C. Cancel the transport and request portable x-ray
D. Cover the patient with a clean gown
Q12. The nursing assistant plans to reuse the equipment for the next assigned patient as well. A patient has
a central line and develops a fever. Blood cultures grow MRSA, and contact precautions are initiated. Which
statement by the nursing assistant indicates a need for further teaching?
A. "I will wear gloves when taking her blood pressure."
B. "I can leave the blood pressure cuff in her room only if it is clean."
C. "I will perform hand hygiene before and after care."
D. "I will wear a gown when assisting with her bath."
Q13. The dressing change is expected to require ten minutes, with anticipated contact with drainage. A
nurse is preparing to enter the room of a patient on contact plus droplet precautions to perform a dressing
change. The nurse has a gown, gloves, mask, and eye protection available. In which order should the nurse
don the equipment?
A. Mask, gloves, gown, eye protection
B. Gown, gloves, eye protection, mask
C. Eye protection, mask, gown, gloves
D. Gown, mask, eye protection, gloves
Q14. The nurse has just finished removing the soiled gown and gloves at the doorway. The nurse has
finished providing care for a patient on contact precautions and is ready to leave the room. Which piece of
personal protective equipment should the nurse remove first?
A. Gloves
B. Gown
C. Mask
D. Eye protection
STUVIA ACTUAL EXAM Page 3 VERIFIED CONTENT
Galen College of Nursing
Fundamentals of Nursing
Nursing Process, Safety, Assessment & Care
EXAM 1 (V1) | 2026-2027 STUDY EDITION
100 MCQ Undergrad
QUESTIONS FORMAT LEVEL
WHAT THIS COVERS
Nursing Process (ADPIE) & Critical Thinking Safety, Quality & Infection Control
Vital Signs & Physical Assessment Documentation & Therapeutic Communication
Ethics, Legal & Delegation Mobility, Immobility & Skin Integrity
Hygiene, Nutrition, Elimination & Oxygenation Medications, Perioperative & Lab Values
ABOUT THIS ASSESSMENT
This assessment is a 100-item original study examination covering foundational nursing concepts including the
nursing process, infection control, vital signs, physical assessment, documentation, ethics and legal
considerations, mobility and skin integrity, nutrition and elimination, oxygenation, medication administration,
perioperative care, and laboratory values. Each item is paired with a verified answer and a teaching rationale so
that students can review the reasoning behind every correct response. Use this packet as a focused review tool to
build exam readiness across the fundamentals of nursing.
EDITION 2026-2027 ORIGINAL STUDY ITEMS VERIFIED CONTENT
STUVIA ACTUAL EXAM
Original study materials. Not affiliated with any official testing body.
,NU 136 Fundamentals of Nursing 2026-2027
EXAM QUESTIONS
100 multiple-choice items · select the single best answer
Read each scenario carefully, then select the single best response from the four options provided. Mark your answers in the
answer key section at the end of this packet.
Q1. The unit uses an electronic health record and a team-based delivery model. A new graduate nurse is
planning care for a postoperative patient and asks the charge nurse where to begin. The charge nurse
explains that the nursing process is a sequential, goal-oriented framework. Which step does the nurse
perform first?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Q2. The patient is a 68-year-old retired teacher with a history of type 2 diabetes and osteoarthritis. A patient
reports new chest pain two hours after receiving a scheduled analgesic. The nurse considers several
possible causes before deciding what to do next. Which critical-thinking attitude is the nurse demonstrating
when she continues to ask questions rather than accepting the obvious explanation?
A. Confidence
B. Curiosity
C. Perseverance
D. Fairness
Q3. The patient also has a stage 2 sacral pressure injury and limited family support at home. A nurse on a
medical unit is caring for four patients and must prioritize care for the shift. One patient is short of breath
with an oxygen saturation of 88 percent on room air. Which framework best guides the nurse's prioritization
decision?
A. Nursing process
B. Five rights of delegation
C. Maslow's hierarchy of needs
D. SBAR communication
Q4. The patient had been walking to the bathroom just before the event and was found by a nursing
assistant. A patient who was ambulating in the hallway suddenly collapses. The nurse arrives and finds the
patient unresponsive. Which assessment should the nurse perform first?
A. Check pupil response
B. Assess capillary refill
C. Palpate the radial pulse
D. Open the airway and assess breathing
STUVIA ACTUAL EXAM Page 1 VERIFIED CONTENT
,NU 136 Fundamentals of Nursing 2026-2027
Q5. The unit has seen several respiratory illnesses this season, and influenza activity is elevated in the
community. A nurse is preparing to take vital signs on a patient diagnosed with an unknown respiratory
illness. The patient is coughing frequently but is not on any isolation precautions. Which action is most
appropriate for the nurse to take?
A. Wear a gown, gloves, and goggles
B. Apply a surgical mask and perform hand hygiene
C. Request an airborne isolation room
D. Use sterile gloves for the assessment
Q6. The patient was admitted three days ago from a long-term care facility where MRSA is endemic. A
patient is admitted with a draining wound culture positive for methicillin-resistant Staphylococcus aureus.
The nurse prepares to change the dressing. Which piece of personal protective equipment is required in
addition to gloves?
A. Surgical mask
B. N95 respirator
C. Gown
D. Eye goggles
Q7. The patient's parents are present and ask about the type of room their child needs. A pediatric patient is
admitted with suspected pertussis. The patient is in a single room and the nurse is preparing to administer
oral medications. Which protective equipment should the nurse wear?
A. N95 respirator
B. Sterile gown and gloves
C. Eye protection only
D. Surgical mask within three feet
Q8. The patient was admitted last night after a positive sputum acid-fast bacillus smear. A patient is being
admitted with suspected pulmonary tuberculosis. The nurse assigns the patient to a specific room. Which
type of room is most appropriate for this patient?
A. Negative-pressure airborne infection isolation room
B. Private room with a portable HEPA filter only
C. Standard private room with door closed
D. Shared room with another respiratory patient
Q9. The patient's chemotherapy regimen includes medications that cause severe mucosal breakdown. A
pediatric oncology patient has an absolute neutrophil count of 400 and is receiving chemotherapy. The
nurse is planning care to reduce infection risk. Which type of precautions is most appropriate for this
patient?
A. Airborne precautions
B. Droplet precautions
C. Protective (reverse) isolation
D. Contact precautions
STUVIA ACTUAL EXAM Page 2 VERIFIED CONTENT
, NU 136 Fundamentals of Nursing 2026-2027
Q10. The patient has had three liquid stools in the past 24 hours and complains of cramping. A patient has
a confirmed Clostridioides difficile infection and the nurse is leaving the room after providing care. Which
hand hygiene method is most appropriate after removing personal protective equipment?
A. Alcohol-based hand rub for 20 seconds
B. Antibacterial hand lotion
C. Iodine-based hand wash
D. Soap and water hand wash
Q11. The patient was started on antitubercular therapy yesterday and is improving. A nurse is caring for a
patient with active pulmonary tuberculosis who is on airborne precautions. The patient needs to be
transported to radiology for a chest x-ray. Which action should the nurse take first?
A. Place a surgical mask on the patient
B. Notify all staff to wear N95 respirators
C. Cancel the transport and request portable x-ray
D. Cover the patient with a clean gown
Q12. The nursing assistant plans to reuse the equipment for the next assigned patient as well. A patient has
a central line and develops a fever. Blood cultures grow MRSA, and contact precautions are initiated. Which
statement by the nursing assistant indicates a need for further teaching?
A. "I will wear gloves when taking her blood pressure."
B. "I can leave the blood pressure cuff in her room only if it is clean."
C. "I will perform hand hygiene before and after care."
D. "I will wear a gown when assisting with her bath."
Q13. The dressing change is expected to require ten minutes, with anticipated contact with drainage. A
nurse is preparing to enter the room of a patient on contact plus droplet precautions to perform a dressing
change. The nurse has a gown, gloves, mask, and eye protection available. In which order should the nurse
don the equipment?
A. Mask, gloves, gown, eye protection
B. Gown, gloves, eye protection, mask
C. Eye protection, mask, gown, gloves
D. Gown, mask, eye protection, gloves
Q14. The nurse has just finished removing the soiled gown and gloves at the doorway. The nurse has
finished providing care for a patient on contact precautions and is ready to leave the room. Which piece of
personal protective equipment should the nurse remove first?
A. Gloves
B. Gown
C. Mask
D. Eye protection
STUVIA ACTUAL EXAM Page 3 VERIFIED CONTENT
