NU-136 Fundamentals of Nursing Exam 1 Questions and
Correct Answers with Rationale | Newest Update | Galen
College of Nursing
1. Which step of the nursing process involves the systematic collection of data
about a patient’s health status?
A. Assessment
B. Implementation
C. Planning
D. Diagnosis
Answer: A
Rationale: Assessment is the first step of the nursing process and involves collecting,
validating, and documenting patient data.
2. A nurse is caring for a patient who refuses a scheduled blood transfusion. The
nurse respects the patient’s right to make this decision. Which ethical principle
is being applied?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
,Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care.
3. When measuring blood pressure, what is the effect of using a cuff that is too
small for the patient’s arm?
A. The reading will be accurate
B. The reading will be falsely low
C. The reading will be falsely high
D. The diastolic pressure will be unmeasurable
Answer: C
Rationale: A blood pressure cuff that is too narrow or small will result in a falsely elevated
blood pressure reading.
4. Which link in the chain of infection is broken by performing proper hand
hygiene?
A. Reservoir
B. Mode of transmission
C. Susceptible host
D. Portal of entry
Answer: B
Rationale: Hand hygiene is the single most effective way to break the chain of infection at
the mode of transmission link.
, 5. A patient has a temperature of 102.4°F. Which term best describes this
finding?
A. Hypothermia
B. Pyrexia
C. Afebrile
D. Eupnea
Answer: B
Rationale: Pyrexia, or fever, is a body temperature above the normal range.
6. Which nursing theorist focused on the patient’s environment as the primary
factor in healing?
A. Florence Nightingale
B. Dorothea Orem
C. Virginia Henderson
D. Jean Watson
Answer: A
Rationale: Florence Nightingale’s Environmental Theory emphasized clean air, water, and
light for patient recovery.
Correct Answers with Rationale | Newest Update | Galen
College of Nursing
1. Which step of the nursing process involves the systematic collection of data
about a patient’s health status?
A. Assessment
B. Implementation
C. Planning
D. Diagnosis
Answer: A
Rationale: Assessment is the first step of the nursing process and involves collecting,
validating, and documenting patient data.
2. A nurse is caring for a patient who refuses a scheduled blood transfusion. The
nurse respects the patient’s right to make this decision. Which ethical principle
is being applied?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
,Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care.
3. When measuring blood pressure, what is the effect of using a cuff that is too
small for the patient’s arm?
A. The reading will be accurate
B. The reading will be falsely low
C. The reading will be falsely high
D. The diastolic pressure will be unmeasurable
Answer: C
Rationale: A blood pressure cuff that is too narrow or small will result in a falsely elevated
blood pressure reading.
4. Which link in the chain of infection is broken by performing proper hand
hygiene?
A. Reservoir
B. Mode of transmission
C. Susceptible host
D. Portal of entry
Answer: B
Rationale: Hand hygiene is the single most effective way to break the chain of infection at
the mode of transmission link.
, 5. A patient has a temperature of 102.4°F. Which term best describes this
finding?
A. Hypothermia
B. Pyrexia
C. Afebrile
D. Eupnea
Answer: B
Rationale: Pyrexia, or fever, is a body temperature above the normal range.
6. Which nursing theorist focused on the patient’s environment as the primary
factor in healing?
A. Florence Nightingale
B. Dorothea Orem
C. Virginia Henderson
D. Jean Watson
Answer: A
Rationale: Florence Nightingale’s Environmental Theory emphasized clean air, water, and
light for patient recovery.
