NUR 210 Nursing Fundamentals Week 7 Study Guide 2026 |Galen
College
1. Which stage of the nursing process involves the systematic collection of
subjective and objective data?
A. Planning
B. Implementation
C. Assessment
D. Diagnosis
Answer: C
Rationale: Assessment is the first step of the nursing process and involves gathering all
relevant data about the patient’s health status.
2. A nurse is caring for a patient who is at risk for falls. Which intervention is the
highest priority?
A. Placing a fall-risk ID band on the patient
B. Teaching the patient how to use the call light
C. Keeping the bed in the lowest position
D. Providing nonskid socks
Answer: C
Rationale: While all are important, keeping the bed in the lowest position is a primary
safety measure to minimize injury if a fall occurs.
,3. The nurse is performing hand hygiene. What is the minimum recommended
time for scrubbing hands with soap and water?
A. 10 seconds
B. 15 seconds
C. 60 seconds
D. 20 seconds
Answer: D
Rationale: CDC and WHO guidelines recommend scrubbing all surfaces of the hands for at
least 20 seconds to effectively remove pathogens.
4. Which type of isolation precaution is required for a patient diagnosed with
tuberculosis?
A. Airborne Precautions
B. Droplet Precautions
C. Standard Precautions
D. Contact Precautions
Answer: A
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring an airborne infection isolation room (AIIR) and N95 mask.
5. A patient has a pressure injury that presents as an area of intact skin with
non-blanchable redness. What stage is this?
A. Stage 3
B. Stage 2
C. Stage 1
D. Deep Tissue Injury
Answer: C
Rationale: Stage 1 pressure injuries are characterized by intact skin with localized non-
blanchable erythema (redness).
, 6. What is the first action a nurse should take when discovering a fire in a
patient’s room?
A. Activate the fire alarm
B. Rescue the patient
C. Extinguish the fire
D. Close the doors
Answer: B
Rationale: Following the RACE acronym (Rescue, Alarm, Confine, Extinguish), the first
priority is to rescue and remove anyone in immediate danger.
7. Which vital sign should be assessed first in a patient who just consumed a hot
cup of coffee?
A. Oral temperature
B. Blood pressure
C. Radial pulse
D. Respiratory rate
Answer: C
Rationale: Eating or drinking hot/cold liquids affects oral temperature. The nurse should
wait 20-30 minutes for temperature, so pulse can be checked first.
8. A nurse finds a patient’s radial pulse to be irregular. What should the nurse
do next?
A. Check the pulse again in 30 minutes
B. Document the pulse as ‘irregular’ and move on
C. Measure the apical pulse for one full minute
D. Notify the physician immediately
Answer: C
Rationale: The apical pulse is the most accurate measurement of heart rate and rhythm
when a peripheral pulse is irregular.
College
1. Which stage of the nursing process involves the systematic collection of
subjective and objective data?
A. Planning
B. Implementation
C. Assessment
D. Diagnosis
Answer: C
Rationale: Assessment is the first step of the nursing process and involves gathering all
relevant data about the patient’s health status.
2. A nurse is caring for a patient who is at risk for falls. Which intervention is the
highest priority?
A. Placing a fall-risk ID band on the patient
B. Teaching the patient how to use the call light
C. Keeping the bed in the lowest position
D. Providing nonskid socks
Answer: C
Rationale: While all are important, keeping the bed in the lowest position is a primary
safety measure to minimize injury if a fall occurs.
,3. The nurse is performing hand hygiene. What is the minimum recommended
time for scrubbing hands with soap and water?
A. 10 seconds
B. 15 seconds
C. 60 seconds
D. 20 seconds
Answer: D
Rationale: CDC and WHO guidelines recommend scrubbing all surfaces of the hands for at
least 20 seconds to effectively remove pathogens.
4. Which type of isolation precaution is required for a patient diagnosed with
tuberculosis?
A. Airborne Precautions
B. Droplet Precautions
C. Standard Precautions
D. Contact Precautions
Answer: A
Rationale: Tuberculosis is transmitted via small droplets that remain suspended in the air,
requiring an airborne infection isolation room (AIIR) and N95 mask.
5. A patient has a pressure injury that presents as an area of intact skin with
non-blanchable redness. What stage is this?
A. Stage 3
B. Stage 2
C. Stage 1
D. Deep Tissue Injury
Answer: C
Rationale: Stage 1 pressure injuries are characterized by intact skin with localized non-
blanchable erythema (redness).
, 6. What is the first action a nurse should take when discovering a fire in a
patient’s room?
A. Activate the fire alarm
B. Rescue the patient
C. Extinguish the fire
D. Close the doors
Answer: B
Rationale: Following the RACE acronym (Rescue, Alarm, Confine, Extinguish), the first
priority is to rescue and remove anyone in immediate danger.
7. Which vital sign should be assessed first in a patient who just consumed a hot
cup of coffee?
A. Oral temperature
B. Blood pressure
C. Radial pulse
D. Respiratory rate
Answer: C
Rationale: Eating or drinking hot/cold liquids affects oral temperature. The nurse should
wait 20-30 minutes for temperature, so pulse can be checked first.
8. A nurse finds a patient’s radial pulse to be irregular. What should the nurse
do next?
A. Check the pulse again in 30 minutes
B. Document the pulse as ‘irregular’ and move on
C. Measure the apical pulse for one full minute
D. Notify the physician immediately
Answer: C
Rationale: The apical pulse is the most accurate measurement of heart rate and rhythm
when a peripheral pulse is irregular.
