NU 180/ NU180 EXAM 2– NURSING AND HEALTHCARE II PREP | GALEN (LATEST 2026/ 2027
UPDATE) 100% VERIFIED QUESTIONS & ANSWERS | GRADE A – COMPREHENSIVE
QUESTIONS AND ANSWERS | VERIFIED AND WELL-DETAILED ANSWERS | DETAILED
EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE |
PRACTICE QUESTIONS | LATEST EXAM UPDATE
CORE DOMAINS
1. Nursing assessment, clinical judgment, and prioritization
2. Patient safety, infection prevention, and quality improvement
3. Pharmacology and medication administration
4. Cardiovascular and respiratory care
5. Neurologic and musculoskeletal care
6. Gastrointestinal, renal, and endocrine care
7. Fluid, electrolyte, and acid-base balance
8. Perioperative, emergency, and acute-care nursing
9. Nutrition, mobility, and patient education
10. Professional, ethical, and interprofessional nursing practice
INTRODUCTION
This 100-question practice assessment is designed to strengthen preparation for NU
180/NU180 Nursing and Healthcare II by emphasizing foundational knowledge, clinical
application, prioritization, safety, assessment, and nursing decision-making. The questions
are written as study-oriented practice items rather than representations of official or
unreleased examination questions. Because the supplied material contains the assessment-
generation requirements but no NU 180 course notes or syllabus content, the questions
below use broad nursing-and-healthcare concepts rather than attributing course-specific
facts to the uploaded source.
SECTION ONE: QUESTIONS 1–100
Question 1.
A nurse receives report on four patients. Which patient should the nurse assess first?
A. A patient with chronic arthritis reporting pain of 6/10
B. A patient with pneumonia who has a new respiratory rate of 32/min
C. A patient awaiting discharge instructions
D. A patient requesting assistance with bathing
,Correct Answer: B. A patient with pneumonia who has a new respiratory rate of 32/min
Explanation: A new significant increase in respiratory rate in a patient with pneumonia may
indicate worsening respiratory compromise. Airway and breathing take priority over
comfort, routine care, and discharge teaching.
Question 2.
Which assessment finding most directly indicates impaired oxygenation?
A. Oxygen saturation of 88% on room air
B. Blood pressure of 138/84 mmHg
C. Temperature of 37.2°C (99.0°F)
D. Capillary refill of 2 seconds
Correct Answer: A. Oxygen saturation of 88% on room air
Explanation: An oxygen saturation of 88% indicates inadequate oxygenation for most
acutely ill adults and requires prompt assessment and intervention according to the patient's
condition and prescribed oxygen-therapy parameters.
Question 3.
A patient suddenly develops facial drooping and difficulty speaking. What should the nurse
do first?
A. Offer oral fluids
B. Document the findings and reassess in one hour
C. Activate the facility's emergency/stroke response process
D. Place the patient in a standing position
Correct Answer: C. Activate the facility's emergency/stroke response process
Explanation: Sudden facial weakness and speech difficulty are classic warning signs of an
acute neurologic event such as stroke. Rapid recognition and activation of emergency
protocols are essential because time-sensitive treatment may be possible.
Question 4.
Which nursing action best demonstrates clinical judgment?
A. Completing tasks in the order they appear on the assignment sheet
B. Following every routine intervention without reassessment
C. Recognizing a change in patient status and adjusting priorities accordingly
D. Delegating all assessment responsibilities to assistive personnel
Correct Answer: C. Recognizing a change in patient status and adjusting priorities
accordingly
,Explanation: Clinical judgment involves collecting and interpreting patient information,
recognizing meaningful changes, determining priorities, and selecting appropriate actions
rather than simply completing tasks sequentially.
Question 5.
A patient reports new crushing chest pressure accompanied by diaphoresis. Which action
has the highest priority?
A. Encourage the patient to walk to reduce anxiety
B. Obtain an immediate assessment and initiate the facility's chest-pain response
C. Offer a meal
D. Delay assessment until scheduled medications are administered
Correct Answer: B. Obtain an immediate assessment and initiate the facility's chest-pain
response
Explanation: New crushing chest pressure with diaphoresis can indicate acute myocardial
ischemia. Immediate assessment and activation of the appropriate emergency protocol take
priority.
Question 6.
Which finding is most concerning in a patient receiving opioid analgesia?
A. Pain score of 4/10
B. Respiratory rate of 8/min with increasing sedation
C. Mild nausea after medication
D. Constipation after several days of therapy
Correct Answer: B. Respiratory rate of 8/min with increasing sedation
Explanation: Opioids can depress the central nervous system and respiratory drive.
Significant respiratory depression combined with increasing sedation requires immediate
attention because airway and breathing are priorities.
Question 7.
Which intervention most effectively reduces the risk of a healthcare-associated infection?
A. Performing hand hygiene at appropriate moments
B. Wearing gloves for every patient interaction regardless of task
C. Keeping patient rooms at maximum temperature
D. Administering antibiotics to every hospitalized patient
Correct Answer: A. Performing hand hygiene at appropriate moments
, Explanation: Appropriate hand hygiene is one of the most fundamental measures for
preventing transmission of microorganisms in healthcare settings. Gloves do not replace
hand hygiene.
Question 8.
A nurse prepares to administer medication but notices that the patient's identification band
does not match the medication record. What is the priority action?
A. Administer the medication because the patient recognizes the medication
B. Ask another patient to verify the identity
C. Stop and resolve the identification discrepancy before administration
D. Document the medication as refused
Correct Answer: C. Stop and resolve the identification discrepancy before administration
Explanation: Correct patient identification is a core medication-safety requirement. A
discrepancy must be resolved before medication administration to prevent a wrong-patient
error.
Question 9.
Which patient statement demonstrates appropriate understanding of fall prevention?
A. "I will get up quickly so I do not become dizzy."
B. "I will call for assistance before getting out of bed if I feel unsteady."
C. "I should keep the call light on the floor."
D. "I can walk independently whenever I feel strong enough."
Correct Answer: B. "I will call for assistance before getting out of bed if I feel unsteady."
Explanation: Calling for assistance when unsteady reduces the risk of falls. Patients should
also be taught to rise slowly and keep needed items and the call light within reach.
Question 10.
A patient receiving IV fluids develops new crackles, dyspnea, and increasing oxygen
requirements. What should the nurse recognize?
A. Possible fluid overload
B. Expected response to IV therapy
C. Improved cardiac function
D. Normal aging
Correct Answer: A. Possible fluid overload
Explanation: New pulmonary crackles, dyspnea, and increasing oxygen requirements can
indicate excess intravascular fluid and pulmonary congestion. The nurse should promptly
assess the patient and notify the appropriate clinician.
UPDATE) 100% VERIFIED QUESTIONS & ANSWERS | GRADE A – COMPREHENSIVE
QUESTIONS AND ANSWERS | VERIFIED AND WELL-DETAILED ANSWERS | DETAILED
EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE |
PRACTICE QUESTIONS | LATEST EXAM UPDATE
CORE DOMAINS
1. Nursing assessment, clinical judgment, and prioritization
2. Patient safety, infection prevention, and quality improvement
3. Pharmacology and medication administration
4. Cardiovascular and respiratory care
5. Neurologic and musculoskeletal care
6. Gastrointestinal, renal, and endocrine care
7. Fluid, electrolyte, and acid-base balance
8. Perioperative, emergency, and acute-care nursing
9. Nutrition, mobility, and patient education
10. Professional, ethical, and interprofessional nursing practice
INTRODUCTION
This 100-question practice assessment is designed to strengthen preparation for NU
180/NU180 Nursing and Healthcare II by emphasizing foundational knowledge, clinical
application, prioritization, safety, assessment, and nursing decision-making. The questions
are written as study-oriented practice items rather than representations of official or
unreleased examination questions. Because the supplied material contains the assessment-
generation requirements but no NU 180 course notes or syllabus content, the questions
below use broad nursing-and-healthcare concepts rather than attributing course-specific
facts to the uploaded source.
SECTION ONE: QUESTIONS 1–100
Question 1.
A nurse receives report on four patients. Which patient should the nurse assess first?
A. A patient with chronic arthritis reporting pain of 6/10
B. A patient with pneumonia who has a new respiratory rate of 32/min
C. A patient awaiting discharge instructions
D. A patient requesting assistance with bathing
,Correct Answer: B. A patient with pneumonia who has a new respiratory rate of 32/min
Explanation: A new significant increase in respiratory rate in a patient with pneumonia may
indicate worsening respiratory compromise. Airway and breathing take priority over
comfort, routine care, and discharge teaching.
Question 2.
Which assessment finding most directly indicates impaired oxygenation?
A. Oxygen saturation of 88% on room air
B. Blood pressure of 138/84 mmHg
C. Temperature of 37.2°C (99.0°F)
D. Capillary refill of 2 seconds
Correct Answer: A. Oxygen saturation of 88% on room air
Explanation: An oxygen saturation of 88% indicates inadequate oxygenation for most
acutely ill adults and requires prompt assessment and intervention according to the patient's
condition and prescribed oxygen-therapy parameters.
Question 3.
A patient suddenly develops facial drooping and difficulty speaking. What should the nurse
do first?
A. Offer oral fluids
B. Document the findings and reassess in one hour
C. Activate the facility's emergency/stroke response process
D. Place the patient in a standing position
Correct Answer: C. Activate the facility's emergency/stroke response process
Explanation: Sudden facial weakness and speech difficulty are classic warning signs of an
acute neurologic event such as stroke. Rapid recognition and activation of emergency
protocols are essential because time-sensitive treatment may be possible.
Question 4.
Which nursing action best demonstrates clinical judgment?
A. Completing tasks in the order they appear on the assignment sheet
B. Following every routine intervention without reassessment
C. Recognizing a change in patient status and adjusting priorities accordingly
D. Delegating all assessment responsibilities to assistive personnel
Correct Answer: C. Recognizing a change in patient status and adjusting priorities
accordingly
,Explanation: Clinical judgment involves collecting and interpreting patient information,
recognizing meaningful changes, determining priorities, and selecting appropriate actions
rather than simply completing tasks sequentially.
Question 5.
A patient reports new crushing chest pressure accompanied by diaphoresis. Which action
has the highest priority?
A. Encourage the patient to walk to reduce anxiety
B. Obtain an immediate assessment and initiate the facility's chest-pain response
C. Offer a meal
D. Delay assessment until scheduled medications are administered
Correct Answer: B. Obtain an immediate assessment and initiate the facility's chest-pain
response
Explanation: New crushing chest pressure with diaphoresis can indicate acute myocardial
ischemia. Immediate assessment and activation of the appropriate emergency protocol take
priority.
Question 6.
Which finding is most concerning in a patient receiving opioid analgesia?
A. Pain score of 4/10
B. Respiratory rate of 8/min with increasing sedation
C. Mild nausea after medication
D. Constipation after several days of therapy
Correct Answer: B. Respiratory rate of 8/min with increasing sedation
Explanation: Opioids can depress the central nervous system and respiratory drive.
Significant respiratory depression combined with increasing sedation requires immediate
attention because airway and breathing are priorities.
Question 7.
Which intervention most effectively reduces the risk of a healthcare-associated infection?
A. Performing hand hygiene at appropriate moments
B. Wearing gloves for every patient interaction regardless of task
C. Keeping patient rooms at maximum temperature
D. Administering antibiotics to every hospitalized patient
Correct Answer: A. Performing hand hygiene at appropriate moments
, Explanation: Appropriate hand hygiene is one of the most fundamental measures for
preventing transmission of microorganisms in healthcare settings. Gloves do not replace
hand hygiene.
Question 8.
A nurse prepares to administer medication but notices that the patient's identification band
does not match the medication record. What is the priority action?
A. Administer the medication because the patient recognizes the medication
B. Ask another patient to verify the identity
C. Stop and resolve the identification discrepancy before administration
D. Document the medication as refused
Correct Answer: C. Stop and resolve the identification discrepancy before administration
Explanation: Correct patient identification is a core medication-safety requirement. A
discrepancy must be resolved before medication administration to prevent a wrong-patient
error.
Question 9.
Which patient statement demonstrates appropriate understanding of fall prevention?
A. "I will get up quickly so I do not become dizzy."
B. "I will call for assistance before getting out of bed if I feel unsteady."
C. "I should keep the call light on the floor."
D. "I can walk independently whenever I feel strong enough."
Correct Answer: B. "I will call for assistance before getting out of bed if I feel unsteady."
Explanation: Calling for assistance when unsteady reduces the risk of falls. Patients should
also be taught to rise slowly and keep needed items and the call light within reach.
Question 10.
A patient receiving IV fluids develops new crackles, dyspnea, and increasing oxygen
requirements. What should the nurse recognize?
A. Possible fluid overload
B. Expected response to IV therapy
C. Improved cardiac function
D. Normal aging
Correct Answer: A. Possible fluid overload
Explanation: New pulmonary crackles, dyspnea, and increasing oxygen requirements can
indicate excess intravascular fluid and pulmonary congestion. The nurse should promptly
assess the patient and notify the appropriate clinician.
