NU 180/ NU180 EXAM 1– NURSING AND HEALTHCARE II REVIEW | 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 process, clinical judgment, and prioritization
2. Professional nursing practice and scope of practice
3. Patient assessment and clinical data
4. Communication and therapeutic nurse-patient relationships
5. Ethics, values, and ethical decision-making
6. Legal principles, confidentiality, and patient rights
7. Evidence-based practice and nursing research
8. Patient safety, quality improvement, and risk reduction
9. Delegation, teamwork, and interprofessional collaboration
10. Health promotion, education, and individualized patient care
INTRODUCTION
This assessment is designed as a comprehensive practice resource for NU 180/NU180
Nursing and Healthcare II Exam 1. It evaluates foundational knowledge while emphasizing
application, clinical reasoning, professional judgment, communication, ethics, patient safety,
evidence-based practice, and appropriate nursing interventions. Questions progress from
foundational concepts to scenario-based analysis so learners can practice recognizing
priorities, interpreting assessment findings, selecting appropriate nursing actions, and
distinguishing closely related concepts. The questions are intended for study and
preparation rather than representation as official or authentic examination questions.
SECTION ONE: QUESTIONS 1–100
Question 1.
Which statement best describes the primary purpose of the nursing process?
A. To ensure every patient receives identical nursing care
B. To provide a systematic framework for individualized patient care
C. To transfer responsibility for patient care to the provider
D. To document care only after interventions are completed
,Correct Answer: B. To provide a systematic framework for individualized patient care
Explanation: The nursing process provides a structured approach to individualized care
through assessment, diagnosis, planning, implementation, and evaluation. It supports
critical thinking and clinical decision-making rather than standardized care that ignores
individual needs.
Question 2.
A nurse admits a patient and collects the patient's health history, vital signs, and physical
assessment findings. Which phase of the nursing process is being performed?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: A. Assessment
Explanation: Assessment involves systematic collection of subjective and objective
information. The nurse must obtain sufficient data before identifying nursing diagnoses or
developing an individualized plan of care.
Question 3.
A patient reports severe abdominal pain, but the nurse observes that the patient is guarding
the abdomen and has an elevated heart rate. Which finding is objective data?
A. The patient's report of severe pain
B. The patient's description of abdominal discomfort
C. The patient's guarding behavior and elevated heart rate
D. The patient's statement that the pain is worsening
Correct Answer: C. The patient's guarding behavior and elevated heart rate
Explanation: Objective data are observable or measurable findings obtained through
examination, observation, or measurement. The patient's statements are subjective data.
Question 4.
Which patient statement represents subjective data?
A. Temperature is 38.4°C
B. Respiratory rate is 26/min
C. Skin is warm and flushed
D. "I feel short of breath."
Correct Answer: D. "I feel short of breath."
,Explanation: Subjective data are information reported by the patient and cannot be directly
measured by the nurse. Temperature, respiratory rate, and skin findings are objective
findings.
Question 5.
A nurse receives a newly admitted patient with multiple health problems. Which assessment
should generally provide the broadest initial collection of information?
A. Focused assessment
B. Comprehensive assessment
C. Emergency reassessment
D. Problem-specific reassessment
Correct Answer: B. Comprehensive assessment
Explanation: A comprehensive assessment establishes a broad baseline of the patient's
physical, psychological, functional, and relevant social health information. Focused
assessments address specific problems.
Question 6.
A patient develops sudden chest discomfort while ambulating. What should the nurse do
first?
A. Document the event
B. Obtain a focused assessment of the patient's condition
C. Wait until the scheduled provider rounds
D. Ask the patient to continue walking slowly
Correct Answer: B. Obtain a focused assessment of the patient's condition
Explanation: The nurse first gathers immediate clinical information, including vital signs,
symptoms, and relevant physical findings. Assessment provides the information needed to
determine appropriate intervention and escalation.
Question 7.
Which action best demonstrates the evaluation phase of the nursing process?
A. Identifying a nursing diagnosis
B. Establishing a measurable patient goal
C. Comparing the patient's current condition with expected outcomes
D. Performing an intervention for the identified problem
Correct Answer: C. Comparing the patient's current condition with expected outcomes
, Explanation: Evaluation determines whether interventions achieved the intended outcomes.
The nurse compares actual patient responses with established goals and modifies the care
plan when necessary.
Question 8.
A patient has a goal of maintaining oxygen saturation above a specified target. After an
intervention, the nurse reassesses oxygen saturation and compares it with the goal. Which
process is occurring?
A. Assessment only
B. Diagnosis
C. Implementation
D. Evaluation
Correct Answer: D. Evaluation
Explanation: Although reassessment involves collecting data, the key action described is
comparing the patient's response with an expected outcome, which is evaluation.
Question 9.
Which goal is written most appropriately for a patient recovering from impaired mobility?
A. Patient will improve mobility.
B. Patient will ambulate 50 feet with a walker by the end of the shift.
C. Patient will try harder to walk.
D. Patient will have better mobility soon.
Correct Answer: B. Patient will ambulate 50 feet with a walker by the end of the shift.
Explanation: This goal is specific, measurable, and time limited. The distance and assistive
device make achievement objectively measurable.
Question 10.
A nurse identifies ineffective airway clearance as a priority nursing problem. Which action is
most consistent with clinical prioritization?
A. Address airway needs before routine discharge teaching
B. Complete paperwork before assessing the airway
C. Delay respiratory interventions until the next scheduled assessment
D. Focus first on the patient's preference for television programming
Correct Answer: A. Address airway needs before routine discharge teaching
Explanation: Airway and breathing problems can threaten physiologic stability. Basic
physiologic priorities generally take precedence over lower-priority needs such as routine
teaching or comfort preferences.
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 process, clinical judgment, and prioritization
2. Professional nursing practice and scope of practice
3. Patient assessment and clinical data
4. Communication and therapeutic nurse-patient relationships
5. Ethics, values, and ethical decision-making
6. Legal principles, confidentiality, and patient rights
7. Evidence-based practice and nursing research
8. Patient safety, quality improvement, and risk reduction
9. Delegation, teamwork, and interprofessional collaboration
10. Health promotion, education, and individualized patient care
INTRODUCTION
This assessment is designed as a comprehensive practice resource for NU 180/NU180
Nursing and Healthcare II Exam 1. It evaluates foundational knowledge while emphasizing
application, clinical reasoning, professional judgment, communication, ethics, patient safety,
evidence-based practice, and appropriate nursing interventions. Questions progress from
foundational concepts to scenario-based analysis so learners can practice recognizing
priorities, interpreting assessment findings, selecting appropriate nursing actions, and
distinguishing closely related concepts. The questions are intended for study and
preparation rather than representation as official or authentic examination questions.
SECTION ONE: QUESTIONS 1–100
Question 1.
Which statement best describes the primary purpose of the nursing process?
A. To ensure every patient receives identical nursing care
B. To provide a systematic framework for individualized patient care
C. To transfer responsibility for patient care to the provider
D. To document care only after interventions are completed
,Correct Answer: B. To provide a systematic framework for individualized patient care
Explanation: The nursing process provides a structured approach to individualized care
through assessment, diagnosis, planning, implementation, and evaluation. It supports
critical thinking and clinical decision-making rather than standardized care that ignores
individual needs.
Question 2.
A nurse admits a patient and collects the patient's health history, vital signs, and physical
assessment findings. Which phase of the nursing process is being performed?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: A. Assessment
Explanation: Assessment involves systematic collection of subjective and objective
information. The nurse must obtain sufficient data before identifying nursing diagnoses or
developing an individualized plan of care.
Question 3.
A patient reports severe abdominal pain, but the nurse observes that the patient is guarding
the abdomen and has an elevated heart rate. Which finding is objective data?
A. The patient's report of severe pain
B. The patient's description of abdominal discomfort
C. The patient's guarding behavior and elevated heart rate
D. The patient's statement that the pain is worsening
Correct Answer: C. The patient's guarding behavior and elevated heart rate
Explanation: Objective data are observable or measurable findings obtained through
examination, observation, or measurement. The patient's statements are subjective data.
Question 4.
Which patient statement represents subjective data?
A. Temperature is 38.4°C
B. Respiratory rate is 26/min
C. Skin is warm and flushed
D. "I feel short of breath."
Correct Answer: D. "I feel short of breath."
,Explanation: Subjective data are information reported by the patient and cannot be directly
measured by the nurse. Temperature, respiratory rate, and skin findings are objective
findings.
Question 5.
A nurse receives a newly admitted patient with multiple health problems. Which assessment
should generally provide the broadest initial collection of information?
A. Focused assessment
B. Comprehensive assessment
C. Emergency reassessment
D. Problem-specific reassessment
Correct Answer: B. Comprehensive assessment
Explanation: A comprehensive assessment establishes a broad baseline of the patient's
physical, psychological, functional, and relevant social health information. Focused
assessments address specific problems.
Question 6.
A patient develops sudden chest discomfort while ambulating. What should the nurse do
first?
A. Document the event
B. Obtain a focused assessment of the patient's condition
C. Wait until the scheduled provider rounds
D. Ask the patient to continue walking slowly
Correct Answer: B. Obtain a focused assessment of the patient's condition
Explanation: The nurse first gathers immediate clinical information, including vital signs,
symptoms, and relevant physical findings. Assessment provides the information needed to
determine appropriate intervention and escalation.
Question 7.
Which action best demonstrates the evaluation phase of the nursing process?
A. Identifying a nursing diagnosis
B. Establishing a measurable patient goal
C. Comparing the patient's current condition with expected outcomes
D. Performing an intervention for the identified problem
Correct Answer: C. Comparing the patient's current condition with expected outcomes
, Explanation: Evaluation determines whether interventions achieved the intended outcomes.
The nurse compares actual patient responses with established goals and modifies the care
plan when necessary.
Question 8.
A patient has a goal of maintaining oxygen saturation above a specified target. After an
intervention, the nurse reassesses oxygen saturation and compares it with the goal. Which
process is occurring?
A. Assessment only
B. Diagnosis
C. Implementation
D. Evaluation
Correct Answer: D. Evaluation
Explanation: Although reassessment involves collecting data, the key action described is
comparing the patient's response with an expected outcome, which is evaluation.
Question 9.
Which goal is written most appropriately for a patient recovering from impaired mobility?
A. Patient will improve mobility.
B. Patient will ambulate 50 feet with a walker by the end of the shift.
C. Patient will try harder to walk.
D. Patient will have better mobility soon.
Correct Answer: B. Patient will ambulate 50 feet with a walker by the end of the shift.
Explanation: This goal is specific, measurable, and time limited. The distance and assistive
device make achievement objectively measurable.
Question 10.
A nurse identifies ineffective airway clearance as a priority nursing problem. Which action is
most consistent with clinical prioritization?
A. Address airway needs before routine discharge teaching
B. Complete paperwork before assessing the airway
C. Delay respiratory interventions until the next scheduled assessment
D. Focus first on the patient's preference for television programming
Correct Answer: A. Address airway needs before routine discharge teaching
Explanation: Airway and breathing problems can threaten physiologic stability. Basic
physiologic priorities generally take precedence over lower-priority needs such as routine
teaching or comfort preferences.
