NU 136 | FUNDAMENTALS OF NURSING REVIEW
NU 136 Exam 3
Review Guide | Fundamentals of Nursing Practice Questions
& Answers
2026–2027
Purpose and Scope
This review guide contains 40 original A–D practice questions on clinical prioritization, acute
deterioration, wound and pressure injury complications, aspiration prevention, fluid and
electrolyte safety, mobility-related complications, medication safety, oxygenation,
documentation, delegation, and patient-centered care. NU 136 course content varies by
institution; compare this guide with your syllabus and learning outcomes.
Instructions
Select the single best answer for each question. Review the correct answer, detailed rationale,
and explanations for the incorrect options. This is original educational practice material
Original educational practice material • Verify against your course syllabus
,NU 136 | FUNDAMENTALS OF NURSING REVIEW
Section 1 — Practice Questions
Question 1. A nurse is preparing to administer a medication and discovers that the client’s
name on the wristband differs from the medication record. What should the nurse do?
A. Use the room number to decide which record is correct
B. Pause administration and resolve the identity discrepancy using approved identifiers and
policy
C. Ask the nearest visitor to confirm the client
D. Give the medication and correct the record later
Correct Answer: B — Pause administration and resolve the identity discrepancy using
approved identifiers and policy
Detailed Rationale: Medication administration must stop until identity is accurately verified.
Use approved identifiers and resolve discrepancies according to policy before proceeding.
Why the Other Options Are Incorrect
A. Room numbers are not approved unique identifiers.
C. A visitor cannot replace the required identification process.
D. Administering before verification risks a wrong-patient medication error.
Question 2. A client suddenly develops facial drooping and difficulty speaking. What is the
priority nursing action?
A. Offer food and water
B. Activate the facility’s emergency/stroke response and note the time symptoms began or
were last known well
C. Wait to see if symptoms resolve
D. Ask the client to walk to assess balance
Correct Answer: B — Activate the facility’s emergency/stroke response and note the time
symptoms began or were last known well
Original educational practice material • Verify against your course syllabus
, NU 136 | FUNDAMENTALS OF NURSING REVIEW
Detailed Rationale: Sudden facial droop and speech difficulty may indicate stroke. Activate
the emergency pathway promptly and establish symptom onset/last-known-well time.
Why the Other Options Are Incorrect
A. Oral intake may be unsafe with possible swallowing impairment.
C. Delay can reduce access to time-sensitive treatment.
D. Walking is unsafe and delays emergency assessment.
Question 3. A client has a respiratory rate of 30/min, new confusion, and oxygen saturation
below the prescribed target. What should the nurse do first?
A. Assess airway and breathing, provide appropriate immediate support, and summon urgent
assistance
B. Finish routine charting first
C. Give oral fluids to every client with confusion
D. Leave the client alone to obtain supplies
Correct Answer: A — Assess airway and breathing, provide appropriate immediate support,
and summon urgent assistance
Detailed Rationale: Tachypnea, confusion, and low oxygen saturation may indicate acute
deterioration. Prioritize airway/breathing assessment, immediate support within
scope/protocol, and escalation.
Why the Other Options Are Incorrect
B. Documentation must not delay urgent care.
C. Oral fluids may be unsafe and do not treat hypoxemia.
D. The client needs observation and prompt assistance.
Question 4. Which action best reflects the nursing process when a client reports new pain?
Original educational practice material • Verify against your course syllabus
NU 136 Exam 3
Review Guide | Fundamentals of Nursing Practice Questions
& Answers
2026–2027
Purpose and Scope
This review guide contains 40 original A–D practice questions on clinical prioritization, acute
deterioration, wound and pressure injury complications, aspiration prevention, fluid and
electrolyte safety, mobility-related complications, medication safety, oxygenation,
documentation, delegation, and patient-centered care. NU 136 course content varies by
institution; compare this guide with your syllabus and learning outcomes.
Instructions
Select the single best answer for each question. Review the correct answer, detailed rationale,
and explanations for the incorrect options. This is original educational practice material
Original educational practice material • Verify against your course syllabus
,NU 136 | FUNDAMENTALS OF NURSING REVIEW
Section 1 — Practice Questions
Question 1. A nurse is preparing to administer a medication and discovers that the client’s
name on the wristband differs from the medication record. What should the nurse do?
A. Use the room number to decide which record is correct
B. Pause administration and resolve the identity discrepancy using approved identifiers and
policy
C. Ask the nearest visitor to confirm the client
D. Give the medication and correct the record later
Correct Answer: B — Pause administration and resolve the identity discrepancy using
approved identifiers and policy
Detailed Rationale: Medication administration must stop until identity is accurately verified.
Use approved identifiers and resolve discrepancies according to policy before proceeding.
Why the Other Options Are Incorrect
A. Room numbers are not approved unique identifiers.
C. A visitor cannot replace the required identification process.
D. Administering before verification risks a wrong-patient medication error.
Question 2. A client suddenly develops facial drooping and difficulty speaking. What is the
priority nursing action?
A. Offer food and water
B. Activate the facility’s emergency/stroke response and note the time symptoms began or
were last known well
C. Wait to see if symptoms resolve
D. Ask the client to walk to assess balance
Correct Answer: B — Activate the facility’s emergency/stroke response and note the time
symptoms began or were last known well
Original educational practice material • Verify against your course syllabus
, NU 136 | FUNDAMENTALS OF NURSING REVIEW
Detailed Rationale: Sudden facial droop and speech difficulty may indicate stroke. Activate
the emergency pathway promptly and establish symptom onset/last-known-well time.
Why the Other Options Are Incorrect
A. Oral intake may be unsafe with possible swallowing impairment.
C. Delay can reduce access to time-sensitive treatment.
D. Walking is unsafe and delays emergency assessment.
Question 3. A client has a respiratory rate of 30/min, new confusion, and oxygen saturation
below the prescribed target. What should the nurse do first?
A. Assess airway and breathing, provide appropriate immediate support, and summon urgent
assistance
B. Finish routine charting first
C. Give oral fluids to every client with confusion
D. Leave the client alone to obtain supplies
Correct Answer: A — Assess airway and breathing, provide appropriate immediate support,
and summon urgent assistance
Detailed Rationale: Tachypnea, confusion, and low oxygen saturation may indicate acute
deterioration. Prioritize airway/breathing assessment, immediate support within
scope/protocol, and escalation.
Why the Other Options Are Incorrect
B. Documentation must not delay urgent care.
C. Oral fluids may be unsafe and do not treat hypoxemia.
D. The client needs observation and prompt assistance.
Question 4. Which action best reflects the nursing process when a client reports new pain?
Original educational practice material • Verify against your course syllabus
