Galen College of Nursing NUR 170 Comprehensive Fundamentals
Bundle 2026 |Galen College
1. Which phase of the nursing process involves the systematic collection of data
to determine a patient’s health status?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: A
Rationale: Assessment is the first step of the nursing process, involving the collection,
verification, and analysis of data.
2. A nurse is using an open-ended question to facilitate communication. Which
statement is the best example?
A. Tell me more about the pain you are experiencing.
B. Are you feeling better today?
C. Did you sleep well last night?
D. What is your date of birth?
Answer: A
Rationale: Open-ended questions allow patients to provide more information and express
their feelings rather than giving simple yes/no answers.
,3. What is the single most effective way to prevent the spread of healthcare-
associated infections?
A. Wearing gloves at all times
B. Performing thorough hand hygiene
C. Using prophylactic antibiotics
D. Coughing into the elbow
Answer: B
Rationale: Hand hygiene is recognized as the most important practice to reduce the
transmission of infectious agents.
4. A patient is placed on Contact Precautions for C. difficile. Which personal
protective equipment (PPE) is mandatory?
A. N95 respirator and goggles
B. Gown and gloves
C. No PPE is needed unless splashing is expected
D. Surgical mask and shoe covers
Answer: B
Rationale: Contact precautions require the use of gloves and a gown to prevent the spread
of organisms by direct or indirect contact.
5. When assessing orthostatic hypotension, which finding indicates a positive
result?
A. A rise in heart rate of 5 beats per minute
B. A drop in systolic BP of 20 mmHg when standing
C. A rise in diastolic BP of 10 mmHg
D. A systolic BP reading of 120/80 mmHg while sitting
Answer: B
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg
or diastolic BP of at least 10 mmHg within 3 minutes of standing.
, 6. A nurse shares a patient’s lab results with a family member who is not the
designated proxy. This is a violation of:
A. HIPAA (Health Insurance Portability and Accountability Act)
B. The Patient’s Bill of Rights
C. The Nurse Practice Act
D. Informed Consent
Answer: A
Rationale: HIPAA mandates the protection of patient health information and limits who
can access or receive that data.
7. Which of the following is considered ‘subjective’ data?
A. A patient’s report of a headache
B. A blood pressure of 140/90
C. A skin rash on the left arm
D. An oxygen saturation of 92%
E.
Answer: A
Rationale: Subjective data are information provided by the patient that cannot be directly
observed or measured by the nurse.
8. According to the chain of infection, a contaminated stethoscope serves as
which link?
A. Infectious agent
B. Portal of entry
C. Fomite (Reservoir/Source)
D. Susceptible host
Answer: C
Bundle 2026 |Galen College
1. Which phase of the nursing process involves the systematic collection of data
to determine a patient’s health status?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: A
Rationale: Assessment is the first step of the nursing process, involving the collection,
verification, and analysis of data.
2. A nurse is using an open-ended question to facilitate communication. Which
statement is the best example?
A. Tell me more about the pain you are experiencing.
B. Are you feeling better today?
C. Did you sleep well last night?
D. What is your date of birth?
Answer: A
Rationale: Open-ended questions allow patients to provide more information and express
their feelings rather than giving simple yes/no answers.
,3. What is the single most effective way to prevent the spread of healthcare-
associated infections?
A. Wearing gloves at all times
B. Performing thorough hand hygiene
C. Using prophylactic antibiotics
D. Coughing into the elbow
Answer: B
Rationale: Hand hygiene is recognized as the most important practice to reduce the
transmission of infectious agents.
4. A patient is placed on Contact Precautions for C. difficile. Which personal
protective equipment (PPE) is mandatory?
A. N95 respirator and goggles
B. Gown and gloves
C. No PPE is needed unless splashing is expected
D. Surgical mask and shoe covers
Answer: B
Rationale: Contact precautions require the use of gloves and a gown to prevent the spread
of organisms by direct or indirect contact.
5. When assessing orthostatic hypotension, which finding indicates a positive
result?
A. A rise in heart rate of 5 beats per minute
B. A drop in systolic BP of 20 mmHg when standing
C. A rise in diastolic BP of 10 mmHg
D. A systolic BP reading of 120/80 mmHg while sitting
Answer: B
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg
or diastolic BP of at least 10 mmHg within 3 minutes of standing.
, 6. A nurse shares a patient’s lab results with a family member who is not the
designated proxy. This is a violation of:
A. HIPAA (Health Insurance Portability and Accountability Act)
B. The Patient’s Bill of Rights
C. The Nurse Practice Act
D. Informed Consent
Answer: A
Rationale: HIPAA mandates the protection of patient health information and limits who
can access or receive that data.
7. Which of the following is considered ‘subjective’ data?
A. A patient’s report of a headache
B. A blood pressure of 140/90
C. A skin rash on the left arm
D. An oxygen saturation of 92%
E.
Answer: A
Rationale: Subjective data are information provided by the patient that cannot be directly
observed or measured by the nurse.
8. According to the chain of infection, a contaminated stethoscope serves as
which link?
A. Infectious agent
B. Portal of entry
C. Fomite (Reservoir/Source)
D. Susceptible host
Answer: C
