NU 136 | FINAL PRACTICE EXAM | 2026/2027
NU 136
FINAL PRACTICE EXAM
(2026/2027)
Fundamentals of Nursing • Comprehensive Exam Review • Questions & Rationales
EXAM OVERVIEW
• 54 original A–D practice questions
• Correct answers, detailed rationales, and explanations of incorrect options
• Consolidated answer key, high-yield review checklist, and five-session study
plan
• Topics include clinical priorities, infection prevention, medication safety,
assessment, basic care, communication, ethics, and delegation
Educational note: This is an original educational practice resource, not an official
or guaranteed exam. NU 136 coverage varies by institution; confirm topics with
your current syllabus, instructor guidance, and assigned materials.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | FINAL PRACTICE EXAM | 2026/2027
FINAL PRACTICE QUESTIONS
Question 1. A nurse receives report on four patients. Which patient
should be assessed first?
A. A patient with new stridor after surgery
B. A patient requesting help with a meal tray
C. A patient with chronic knee pain rated 4/10
D. A patient awaiting routine discharge teaching
Correct Answer: A. A patient with new stridor after surgery
Detailed Rationale: Stridor can indicate upper-airway obstruction and requires
immediate assessment and emergency response.
Why B is incorrect: The other needs are important but are not as immediately
life-threatening.
Why C is incorrect: Meal assistance can wait until the airway threat is
addressed.
Why D is incorrect: Chronic, moderate pain is less urgent than a potential
airway emergency.
Key Nursing Concept: Use airway, breathing, circulation, and acute-change
priorities.
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Question 2. A patient with suspected Clostridioides difficile
infection has frequent watery stools. Which hand hygiene method is
most appropriate after care?
A. Wash with soap and water, following facility guidance
B. Use alcohol hand rub only in every circumstance
Original educational practice resource • Confirm course-specific coverage
, NU 136 | FINAL PRACTICE EXAM | 2026/2027
C. Skip hand hygiene after removing gloves
D. Wipe hands with a dry paper towel
Correct Answer: A. Wash with soap and water, following facility guidance
Detailed Rationale: C. difficile spores are difficult to remove with alcohol alone;
soap-and-water handwashing is recommended in many clinical situations,
alongside contact precautions and local policy.
Why B is incorrect: Soap and water is preferred when caring for suspected or
confirmed C. difficile.
Why C is incorrect: Alcohol rub alone may not adequately remove spores.
Why D is incorrect: Gloves do not replace hand hygiene.
Key Nursing Concept: Use organism-specific infection-control guidance.
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Question 3. A patient with suspected tuberculosis is admitted.
Which precaution is appropriate?
A. Airborne precautions and a fit-tested respirator as required
B. Contact precautions only
C. Droplet precautions only in a shared room
D. No precautions until test results return
Correct Answer: A. Airborne precautions and a fit-tested respirator as required
Detailed Rationale: Suspected pulmonary tuberculosis requires prompt airborne
precautions, appropriate room placement, and respiratory protection according to
policy.
Why B is incorrect: Contact precautions alone do not address airborne
transmission.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | FINAL PRACTICE EXAM | 2026/2027
Why C is incorrect: Droplet precautions alone are insufficient for suspected
pulmonary TB.
Why D is incorrect: Precautions should begin based on suspicion and risk, not
wait for confirmation.
Key Nursing Concept: Initiate indicated precautions promptly and follow
infection-control policy.
──────────────────────────────────────────
Question 4. Which action is appropriate when removing personal
protective equipment after patient care?
A. Remove PPE carefully to avoid self-contamination and perform hand hygiene
B. Touch the front of the gown and mask freely
C. Wear the same gloves to chart at a clean workstation
D. Skip hand hygiene if the PPE appears clean
Correct Answer: A. Remove PPE carefully to avoid self-contamination and
perform hand hygiene
Detailed Rationale: Careful doffing and hand hygiene reduce transfer of
organisms from contaminated PPE to the nurse or environment.
Why B is incorrect: The front of used PPE may be contaminated.
Why C is incorrect: Gloves should not be used to touch clean work areas.
Why D is incorrect: PPE appearance does not determine whether hand hygiene
is needed.
Key Nursing Concept: Follow the posted sequence and facility protocol.
──────────────────────────────────────────
Original educational practice resource • Confirm course-specific coverage
NU 136
FINAL PRACTICE EXAM
(2026/2027)
Fundamentals of Nursing • Comprehensive Exam Review • Questions & Rationales
EXAM OVERVIEW
• 54 original A–D practice questions
• Correct answers, detailed rationales, and explanations of incorrect options
• Consolidated answer key, high-yield review checklist, and five-session study
plan
• Topics include clinical priorities, infection prevention, medication safety,
assessment, basic care, communication, ethics, and delegation
Educational note: This is an original educational practice resource, not an official
or guaranteed exam. NU 136 coverage varies by institution; confirm topics with
your current syllabus, instructor guidance, and assigned materials.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | FINAL PRACTICE EXAM | 2026/2027
FINAL PRACTICE QUESTIONS
Question 1. A nurse receives report on four patients. Which patient
should be assessed first?
A. A patient with new stridor after surgery
B. A patient requesting help with a meal tray
C. A patient with chronic knee pain rated 4/10
D. A patient awaiting routine discharge teaching
Correct Answer: A. A patient with new stridor after surgery
Detailed Rationale: Stridor can indicate upper-airway obstruction and requires
immediate assessment and emergency response.
Why B is incorrect: The other needs are important but are not as immediately
life-threatening.
Why C is incorrect: Meal assistance can wait until the airway threat is
addressed.
Why D is incorrect: Chronic, moderate pain is less urgent than a potential
airway emergency.
Key Nursing Concept: Use airway, breathing, circulation, and acute-change
priorities.
──────────────────────────────────────────
Question 2. A patient with suspected Clostridioides difficile
infection has frequent watery stools. Which hand hygiene method is
most appropriate after care?
A. Wash with soap and water, following facility guidance
B. Use alcohol hand rub only in every circumstance
Original educational practice resource • Confirm course-specific coverage
, NU 136 | FINAL PRACTICE EXAM | 2026/2027
C. Skip hand hygiene after removing gloves
D. Wipe hands with a dry paper towel
Correct Answer: A. Wash with soap and water, following facility guidance
Detailed Rationale: C. difficile spores are difficult to remove with alcohol alone;
soap-and-water handwashing is recommended in many clinical situations,
alongside contact precautions and local policy.
Why B is incorrect: Soap and water is preferred when caring for suspected or
confirmed C. difficile.
Why C is incorrect: Alcohol rub alone may not adequately remove spores.
Why D is incorrect: Gloves do not replace hand hygiene.
Key Nursing Concept: Use organism-specific infection-control guidance.
──────────────────────────────────────────
Question 3. A patient with suspected tuberculosis is admitted.
Which precaution is appropriate?
A. Airborne precautions and a fit-tested respirator as required
B. Contact precautions only
C. Droplet precautions only in a shared room
D. No precautions until test results return
Correct Answer: A. Airborne precautions and a fit-tested respirator as required
Detailed Rationale: Suspected pulmonary tuberculosis requires prompt airborne
precautions, appropriate room placement, and respiratory protection according to
policy.
Why B is incorrect: Contact precautions alone do not address airborne
transmission.
Original educational practice resource • Confirm course-specific coverage
, NU 136 | FINAL PRACTICE EXAM | 2026/2027
Why C is incorrect: Droplet precautions alone are insufficient for suspected
pulmonary TB.
Why D is incorrect: Precautions should begin based on suspicion and risk, not
wait for confirmation.
Key Nursing Concept: Initiate indicated precautions promptly and follow
infection-control policy.
──────────────────────────────────────────
Question 4. Which action is appropriate when removing personal
protective equipment after patient care?
A. Remove PPE carefully to avoid self-contamination and perform hand hygiene
B. Touch the front of the gown and mask freely
C. Wear the same gloves to chart at a clean workstation
D. Skip hand hygiene if the PPE appears clean
Correct Answer: A. Remove PPE carefully to avoid self-contamination and
perform hand hygiene
Detailed Rationale: Careful doffing and hand hygiene reduce transfer of
organisms from contaminated PPE to the nurse or environment.
Why B is incorrect: The front of used PPE may be contaminated.
Why C is incorrect: Gloves should not be used to touch clean work areas.
Why D is incorrect: PPE appearance does not determine whether hand hygiene
is needed.
Key Nursing Concept: Follow the posted sequence and facility protocol.
──────────────────────────────────────────
Original educational practice resource • Confirm course-specific coverage
