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Galen NU 131 Exam 1 2026/2027 | Nursing and Healthcare I | Complete Study Guide with Q&A | History of Nursing, Health Promotion, Critical Thinking & Nurse Practice Act | Verified Answers with Rationales

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INSTANT PDF DOWNLOAD—This comprehensive study guide is specifically designed for Galen College of Nursing students preparing for NU 131 Nursing and Healthcare I Exam 1 for the 2026/2027 academic year. Based on verified exam materials from top-selling student resources , this resource contains expertly verified practice questions and 100% correct answers with detailed rationales to help you master core foundational nursing concepts and achieve a top score (Grade A+). This comprehensive guide covers all major topics tested on NU 131 Exam 1 : History of Nursing : First school of nursing founded in Kaiserswerth, Germany (1863) with Florence Nightingale as its most famous pupil . Florence Nightingale's contributions include stressing the importance of environment, careful observation, holistic care, and critical thinking . Clara Barton founded the American Red Cross; Lillian Wald founded public health nursing; Dorothea Dix advocated for the mentally ill and organized a corps of female nurses during the Civil War . Mary Seacole was a Jamaican nurse who treated soldiers during the Crimean War using tropical medicine and herbs . Healthcare Reform & National Goals : The Affordable Care Act (2010) expanded Medicaid, required employer-provided health insurance, prevented discrimination based on pre-existing conditions, and imposed a surtax for non-coverage . Healthy People 2020 has two major goals: increasing the quality and years of healthy living and eliminating health disparities . Health, Wellness & Prevention : The WHO defines health as "a state of complete physical, mental, and social well-being, not merely the absence of disease" . Health promotion is goal-oriented toward achieving optimal wellness . Primary prevention focuses on preventing disease (immunizations, health education); secondary prevention focuses on early detection (screenings); tertiary prevention focuses on restoring function and compensating for losses (rehabilitation) . Holistic health considers physical, mental, social, and spiritual well-being . Nursing Roles & Care Delivery Models : Primary nursing gives an RN responsibility for total patient care; a disadvantage is staffing cost . Case management focuses on achieving patient outcomes within a specified timeframe, providing cost-effective, quality care for patients with complex needs . Team nursing involves an RN, LPN/LVN, and CNA working together . LVN/LPNs comprise the second largest group of healthcare workers in the U.S. . Surgical technicians assist in setting up equipment and supplies in the operating room . Nurse Practice Act & Legal Framework : The Nurse Practice Act (NPA) is based on state legislation that regulates nursing practice, aimed at protecting the public and establishing State Boards of Nursing . The NPA defines the practice of professional nursing, sets minimal educational qualifications, sets legal titles, and provides for disciplinary action . Common disciplinary actions include: fraud and deceit, criminal activity, negligence, violation of the NPA, incompetence, unethical conduct, and alcohol/other drug abuse . Informed consent requires that an adult has been informed of all risks before agreeing to participate . Critical Thinking & the Nursing Process : Critical thinking is purposeful, outcome-focused thinking driven by patient needs, based on logic and intuition, guided by professional standards, and involves constant reevaluation . The nursing process consists of four steps: Assessment (gathering and reviewing information), Planning (developing diagnosis, goals, and interventions), Implementation (providing care), and Evaluation (comparing actual outcomes to expected outcomes) . Non-focused thinking occurs when the brain is engaged without conscious thought; habitual thinking is "automatic pilot" . Directed thinking is purposeful and outcome-oriented . Sample Questions Include : "Year the first school of nursing was founded" → 1863 (Kaiserswerth, Germany) "Who founded the American Red Cross?" → Clara Barton "Healthy People 2020's two major goals are increasing quality and years of healthy life and:" → Eliminating health disparities "In early civilization, illness was believed to be caused by:" → Supernatural forces "Mrs. Jackson brings her 6-month-old infant to the clinic for immunization. This demonstrates which level of prevention?" → Primary prevention "A disadvantage of primary nursing is the:" → Cost of staffing "What does the Nurse Practice Act primarily do?" → Defines nursing practice and establishes standards for nurses in each state "The first understanding of disease processes occurred with the:" → Advent of bacteriology "Mental health is best described as:" → Realistic and adaptive All questions include complete rationales based on current evidence-based practice, nursing fundamentals standards, and Galen College curriculum requirements. DOCUMENT ACCESS: This study guide is available as an instant digital download (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime through your user account. 100% satisfaction guarantee. Trusted by thousands of Galen nursing students for NU 131 exam preparation and mastering foundational nursing concepts.

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NU 131 Exam 1 2026/2027 Nursing and Healthcare I

Actual Exam Verified Answers with Detailed Rationales

Study Guide Grade A


1. A nursing student is reviewing the history of the nursing profession. Which individual

was a teacher who became a Civil War volunteer, organized supplies for soldiers,

worked on the front lines, and later founded the American Red Cross?

A. Florence Nightingale

B. Dorothea Dix

C. Clara Barton

D. Lillian Wald

Correct Answer: C. Clara Barton

Rationale: Clara Barton is known as the "Angel of the Battlefield" for her Civil War

service. She founded the American Red Cross in 1881. Florence Nightingale is associated

with the Crimean War, Dorothea Dix with mental health reform and Union Army nursing

recruitment, and Lillian Wald with the Henry Street Settlement and public health

nursing.

, 2|Page




2. A licensed practical/vocational nurse (LPN/LVN) is working on a medical-surgical unit.

Which action falls within the scope of practice for an LPN/LVN?

A. Performing the initial admission assessment

B. Formulating the nursing diagnosis

C. Collecting data and contributing to ongoing patient assessment

D. Evaluating the overall effectiveness of the care plan

Correct Answer: C. Collecting data and contributing to ongoing patient assessment

Rationale: The LPN/LVN role includes data collection and assisting with ongoing

assessment. The RN is responsible for the initial assessment, nursing diagnosis, and

overall evaluation of the care plan. LPNs function interdependently and collaborate with

the RN.



3. A nurse is applying the Clinical Judgment Measurement Model (CJMM) to patient

care. The nurse identifies that a patient's oxygen saturation is 88% on room air. This

action represents which step of the CJMM?

A. Analyze cues

B. Generate solutions

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