NUR 155 All Exams 1,2,3 & 4 |
Foundations of Nursing NUR155 Review
Guide: Questions and Correct Answers |
Latest Fall 2026-2027, Galen.
Exam 1
A client with pneumonia has baseline vital signs: Temp 98.8°F, Pulse 74, RR 18, BP 124/76. The
client's temperature suddenly spikes to 103°F. Which respiratory rate would the nurse
anticipate as a response?
A. 12 breaths/min
B. 22 breaths/min
C. 16 breaths/min
D. 18 breaths/min
Correct Answer: B.
Rationale: Fever increases metabolic demand and oxygen consumption, leading to an elevated
respiratory rate.
The nurse is employing verbal communication while teaching an English-speaking client.
Which aspects should be included? Select all that apply.
A. Ability to share thoughts and feelings
B. Hand gestures
C. Eye contact
D. Volume
E. Voice tone
F. Timing
Correct Answer: A, D, E, F.
Rationale: Verbal communication includes words, volume, tone, and timing. Hand gestures and
eye contact are nonverbal.
Which nursing action is most effective when providing preoperative teaching to a non–
English-speaking client and family?
A. Obtaining a preoperative teaching brochure with pictures
B. Obtaining a special-language dictionary for the session
C. Securing the assistance of a professional interpreter
,D. Asking an English-speaking relative to interpret
Correct Answer: C.
Rationale: A professional interpreter ensures accurate communication and confidentiality.
A new RN is being educated on conducting a focused (problem-based) assessment. Which
statement indicates the teaching was effective?
A. "This is conducted as a follow-up examination by a provider."
B. "This is focused on disease detection in a provider's office."
C. "This is mostly used in a walk-in clinic or emergency department."
D. "This is conducted on admission in long-term care."
Correct Answer: C.
Rationale: Focused assessments are commonly used in walk-in clinics or emergency
departments to address a specific problem.
To assess a client's apical pulse, the nurse should palpate over which anatomical landmark?
A. Fifth intercostal space, left midclavicular line
B. Right second intercostal space
C. Over the carotid artery
D. Lower left sternal border
Correct Answer: A.
Rationale: The apical pulse is best heard at the fifth intercostal space, left midclavicular line
(mitral area).
What is the purpose of performing a Romberg test on a client?
A. To determine the status of the vestibular apparatus in the inner ear (equilibrium)
B. To check the intactness of the retinal structure
C. To assess the client's ability to ambulate
D. To check for tympanic membrane intactness
Correct Answer: A.
Rationale: The Romberg test assesses balance and proprioception, reflecting vestibular
function.
Which of the following should the nurse document as subjective data?
A. Temperature of 99.6°F
B. Pedal pulses are present
C. Client reports difficulty sleeping at night
D. Apical pulse rate of 56 beats/min
,Correct Answer: C.
Rationale: Subjective data includes what the client reports or feels.
Which of the following findings is considered objective data?
A. Client reports taking atenolol for blood pressure
B. The client has a rash on the chest and arms
C. The client reports having difficulty urinating
D. The client experiences migraine headaches
Correct Answer: B.
Rationale: Objective data is observable and measurable by the nurse.
A client with pneumonia is admitted with difficulty breathing. What is the best approach for
the health history interview?
A. Obtain all information only from family members
B. Focus only on the physical examination
C. Plan short sessions with the client to obtain data
D. Use the primary provider's medical history
Correct Answer: C.
Rationale: Short sessions prevent fatigue in clients with breathing difficulty.
When preparing the physical environment for a client interview, the nurse should: Select all
that apply.
A. Make sure the client is seated comfortably at eye level with the nurse
B. Provide sufficient lighting
C. Set the room temperature at a comfortable level
D. Arrange seating so the nurse sits behind a desk
E. Ensure the distance is no more than 2 feet
F. Leave physical exam equipment on the desk for readiness
Correct Answer: A, B, C.
Rationale: Comfortable seating at eye level, adequate lighting, and comfortable temperature
promote effective interviewing.
Which transmission-based precaution is required for a client with meningitis?
A. Private room with negative airflow
B. Personal respiratory protection device
C. Private room
D. Mask worn by staff only when leaving the room
, Correct Answer: C.
Rationale: Meningitis requires droplet precautions, including a private room.
Which observation while a student nurse prepares a sterile field indicates a need for further
teaching?
A. The student touches a glove on the table, removes both, and gets a new pair
B. The student dons sterile gloves without washing their hands
C. The student puts on the right glove and then the left
D. The student uses the inner wrapper of the gloves as a sterile field
Correct Answer: B.
Rationale: Hands must be washed before donning sterile gloves.
Which action by nurses leaving a room requiring a gown, mask, and gloves could spread
infection?
A. Removing the gloves and then the gown using neck ties
B. Removing the gown without rolling it from the inside out
C. Taking off gloves first before removing the gown
D. Washing hands after the entire procedure is complete
Correct Answer: B.
Rationale: The gown should be removed by rolling it inside out to contain contaminated
surfaces.
How should the nurse implement aseptic technique when assisting a client to collect a
midstream urine specimen?
A. Let go of the labia once cleansed to allow urination
B. Cleanse the meatus with antiseptic pads using upward strokes
C. Instruct the client to urinate in the container immediately after cleansing
D. Ensure fingers avoid touching the inside of the collection container
Correct Answer: D.
Rationale: The inside of the container must remain sterile; fingers should not touch it.
A nurse giving a bed bath realizes an extra towel is needed. What is the most appropriate
action?
A. Ask a family member to get it
B. Borrow the roommate's towel
C. Wash hands, leave the room, and obtain the item
D. Ask the unit secretary to get it
Foundations of Nursing NUR155 Review
Guide: Questions and Correct Answers |
Latest Fall 2026-2027, Galen.
Exam 1
A client with pneumonia has baseline vital signs: Temp 98.8°F, Pulse 74, RR 18, BP 124/76. The
client's temperature suddenly spikes to 103°F. Which respiratory rate would the nurse
anticipate as a response?
A. 12 breaths/min
B. 22 breaths/min
C. 16 breaths/min
D. 18 breaths/min
Correct Answer: B.
Rationale: Fever increases metabolic demand and oxygen consumption, leading to an elevated
respiratory rate.
The nurse is employing verbal communication while teaching an English-speaking client.
Which aspects should be included? Select all that apply.
A. Ability to share thoughts and feelings
B. Hand gestures
C. Eye contact
D. Volume
E. Voice tone
F. Timing
Correct Answer: A, D, E, F.
Rationale: Verbal communication includes words, volume, tone, and timing. Hand gestures and
eye contact are nonverbal.
Which nursing action is most effective when providing preoperative teaching to a non–
English-speaking client and family?
A. Obtaining a preoperative teaching brochure with pictures
B. Obtaining a special-language dictionary for the session
C. Securing the assistance of a professional interpreter
,D. Asking an English-speaking relative to interpret
Correct Answer: C.
Rationale: A professional interpreter ensures accurate communication and confidentiality.
A new RN is being educated on conducting a focused (problem-based) assessment. Which
statement indicates the teaching was effective?
A. "This is conducted as a follow-up examination by a provider."
B. "This is focused on disease detection in a provider's office."
C. "This is mostly used in a walk-in clinic or emergency department."
D. "This is conducted on admission in long-term care."
Correct Answer: C.
Rationale: Focused assessments are commonly used in walk-in clinics or emergency
departments to address a specific problem.
To assess a client's apical pulse, the nurse should palpate over which anatomical landmark?
A. Fifth intercostal space, left midclavicular line
B. Right second intercostal space
C. Over the carotid artery
D. Lower left sternal border
Correct Answer: A.
Rationale: The apical pulse is best heard at the fifth intercostal space, left midclavicular line
(mitral area).
What is the purpose of performing a Romberg test on a client?
A. To determine the status of the vestibular apparatus in the inner ear (equilibrium)
B. To check the intactness of the retinal structure
C. To assess the client's ability to ambulate
D. To check for tympanic membrane intactness
Correct Answer: A.
Rationale: The Romberg test assesses balance and proprioception, reflecting vestibular
function.
Which of the following should the nurse document as subjective data?
A. Temperature of 99.6°F
B. Pedal pulses are present
C. Client reports difficulty sleeping at night
D. Apical pulse rate of 56 beats/min
,Correct Answer: C.
Rationale: Subjective data includes what the client reports or feels.
Which of the following findings is considered objective data?
A. Client reports taking atenolol for blood pressure
B. The client has a rash on the chest and arms
C. The client reports having difficulty urinating
D. The client experiences migraine headaches
Correct Answer: B.
Rationale: Objective data is observable and measurable by the nurse.
A client with pneumonia is admitted with difficulty breathing. What is the best approach for
the health history interview?
A. Obtain all information only from family members
B. Focus only on the physical examination
C. Plan short sessions with the client to obtain data
D. Use the primary provider's medical history
Correct Answer: C.
Rationale: Short sessions prevent fatigue in clients with breathing difficulty.
When preparing the physical environment for a client interview, the nurse should: Select all
that apply.
A. Make sure the client is seated comfortably at eye level with the nurse
B. Provide sufficient lighting
C. Set the room temperature at a comfortable level
D. Arrange seating so the nurse sits behind a desk
E. Ensure the distance is no more than 2 feet
F. Leave physical exam equipment on the desk for readiness
Correct Answer: A, B, C.
Rationale: Comfortable seating at eye level, adequate lighting, and comfortable temperature
promote effective interviewing.
Which transmission-based precaution is required for a client with meningitis?
A. Private room with negative airflow
B. Personal respiratory protection device
C. Private room
D. Mask worn by staff only when leaving the room
, Correct Answer: C.
Rationale: Meningitis requires droplet precautions, including a private room.
Which observation while a student nurse prepares a sterile field indicates a need for further
teaching?
A. The student touches a glove on the table, removes both, and gets a new pair
B. The student dons sterile gloves without washing their hands
C. The student puts on the right glove and then the left
D. The student uses the inner wrapper of the gloves as a sterile field
Correct Answer: B.
Rationale: Hands must be washed before donning sterile gloves.
Which action by nurses leaving a room requiring a gown, mask, and gloves could spread
infection?
A. Removing the gloves and then the gown using neck ties
B. Removing the gown without rolling it from the inside out
C. Taking off gloves first before removing the gown
D. Washing hands after the entire procedure is complete
Correct Answer: B.
Rationale: The gown should be removed by rolling it inside out to contain contaminated
surfaces.
How should the nurse implement aseptic technique when assisting a client to collect a
midstream urine specimen?
A. Let go of the labia once cleansed to allow urination
B. Cleanse the meatus with antiseptic pads using upward strokes
C. Instruct the client to urinate in the container immediately after cleansing
D. Ensure fingers avoid touching the inside of the collection container
Correct Answer: D.
Rationale: The inside of the container must remain sterile; fingers should not touch it.
A nurse giving a bed bath realizes an extra towel is needed. What is the most appropriate
action?
A. Ask a family member to get it
B. Borrow the roommate's towel
C. Wash hands, leave the room, and obtain the item
D. Ask the unit secretary to get it
