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NUR 155: Fundamentals of Nursing – Combined
Examinations (Exams 2, 3 & 4)220 Questions with Answers &
Rationales | 2025-26 Update NUR 155 Exam 2, 3 and 4
Combined | 100% Correct – Galen College
EXAM 2: Foundations of Nursing (Questions 1-75)
Question 1
The nurse is teaching an adult female client about health promotion. Which of the following
should the nurse recommend as a primary prevention intervention?
A) Performing a breast self-examination (BSE)
B) Having a yearly physical with labs
C) Receiving family planning services
D) Checking blood pressure every 3 months
☑ CORRECT ANSWER: C) Receiving family planning services
Rationale: Primary prevention aims to prevent disease before it occurs. Family planning
services are primary prevention because they prevent unintended pregnancies and promote
reproductive health before any illness occurs. BSE and BP checks are secondary prevention
(early detection); yearly physicals can be both but primarily secondary prevention .
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Question 2
The nurse is caring for a client who has joint pain. The nurse incorporates the nutritional status,
sleep patterns, energy level, and sense of well-being into the plan of care. Which of the
following concepts is the nurse practicing?
A) Homeostasis
B) Individuality
C) Health promotion
D) Holism
☑ CORRECT ANSWER: D) Holism
Rationale: Holism considers the person as a whole—including physical, emotional, social, and
spiritual dimensions. By incorporating nutritional status, sleep patterns, energy level, and well-
being, the nurse is addressing the whole person rather than just the joint pain .
Question 3
The community health nurse is preparing to provide education to an adolescent client regarding
health promotion. Which of the following health promotion topics is most appropriate for this
client?
A) Dental checkups
B) Preventive health screenings
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C) Weight control
D) Peer group influences
☑ CORRECT ANSWER: D) Peer group influences
Rationale: Adolescents are developmentally focused on peer relationships and social
acceptance. Health promotion for this age group should address peer pressure, risky behaviors,
and social influences on health decisions .
Question 4
The nurse is caring for a client who has a low serum albumin level. Which statement by the
nurse indicates a correct understanding of albumin levels?
A) "The client is experiencing a rapid breakdown of protein."
B) "This indicates a low level of iron circulating in the blood."
C) "The results indicate prolonged malnutrition."
D) "This indicates that the client has experienced blood loss."
☑ CORRECT ANSWER: C) "The results indicate prolonged malnutrition."
Rationale: Albumin is a protein synthesized by the liver. Low serum albumin (normal 3.5-5.5
g/dL) typically indicates prolonged malnutrition or liver disease because albumin has a long
half-life of about 20 days .
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Question 5
The nurse is preparing to discharge an elderly client who is at risk for aspiration. Which of the
following should the nurse recommend?
A) Prepare liquids at prescribed consistency
B) Tilt the head back when swallowing
C) Drink warm water instead of cold
D) Use extra pillow when eating in bed
☑ CORRECT ANSWER: A) Prepare liquids at prescribed consistency
Rationale: For clients at risk for aspiration, liquids should be thickened to the prescribed
consistency (nectar-thick, honey-thick, or pudding-thick). Tilting the head back increases
aspiration risk; eating in bed (even with pillows) is less safe than sitting upright at 90 degrees .
Question 6
The nurse is administering an intermittent gastrointestinal (GT) feeding to a client. Which of the
following actions is appropriate for the nurse to take?
A) Aspiration and disposal of any residual prior to feeding delivery
B) Setting up feeding bag system to deliver the feeding at a fast rate
C) Raising and lowering the syringe to adjust the flow rate of the feeding
D) Placing the head of the bed at 15 degrees with the client on their left side
NUR 155: Fundamentals of Nursing – Combined
Examinations (Exams 2, 3 & 4)220 Questions with Answers &
Rationales | 2025-26 Update NUR 155 Exam 2, 3 and 4
Combined | 100% Correct – Galen College
EXAM 2: Foundations of Nursing (Questions 1-75)
Question 1
The nurse is teaching an adult female client about health promotion. Which of the following
should the nurse recommend as a primary prevention intervention?
A) Performing a breast self-examination (BSE)
B) Having a yearly physical with labs
C) Receiving family planning services
D) Checking blood pressure every 3 months
☑ CORRECT ANSWER: C) Receiving family planning services
Rationale: Primary prevention aims to prevent disease before it occurs. Family planning
services are primary prevention because they prevent unintended pregnancies and promote
reproductive health before any illness occurs. BSE and BP checks are secondary prevention
(early detection); yearly physicals can be both but primarily secondary prevention .
, 2
Question 2
The nurse is caring for a client who has joint pain. The nurse incorporates the nutritional status,
sleep patterns, energy level, and sense of well-being into the plan of care. Which of the
following concepts is the nurse practicing?
A) Homeostasis
B) Individuality
C) Health promotion
D) Holism
☑ CORRECT ANSWER: D) Holism
Rationale: Holism considers the person as a whole—including physical, emotional, social, and
spiritual dimensions. By incorporating nutritional status, sleep patterns, energy level, and well-
being, the nurse is addressing the whole person rather than just the joint pain .
Question 3
The community health nurse is preparing to provide education to an adolescent client regarding
health promotion. Which of the following health promotion topics is most appropriate for this
client?
A) Dental checkups
B) Preventive health screenings
, 3
C) Weight control
D) Peer group influences
☑ CORRECT ANSWER: D) Peer group influences
Rationale: Adolescents are developmentally focused on peer relationships and social
acceptance. Health promotion for this age group should address peer pressure, risky behaviors,
and social influences on health decisions .
Question 4
The nurse is caring for a client who has a low serum albumin level. Which statement by the
nurse indicates a correct understanding of albumin levels?
A) "The client is experiencing a rapid breakdown of protein."
B) "This indicates a low level of iron circulating in the blood."
C) "The results indicate prolonged malnutrition."
D) "This indicates that the client has experienced blood loss."
☑ CORRECT ANSWER: C) "The results indicate prolonged malnutrition."
Rationale: Albumin is a protein synthesized by the liver. Low serum albumin (normal 3.5-5.5
g/dL) typically indicates prolonged malnutrition or liver disease because albumin has a long
half-life of about 20 days .
, 4
Question 5
The nurse is preparing to discharge an elderly client who is at risk for aspiration. Which of the
following should the nurse recommend?
A) Prepare liquids at prescribed consistency
B) Tilt the head back when swallowing
C) Drink warm water instead of cold
D) Use extra pillow when eating in bed
☑ CORRECT ANSWER: A) Prepare liquids at prescribed consistency
Rationale: For clients at risk for aspiration, liquids should be thickened to the prescribed
consistency (nectar-thick, honey-thick, or pudding-thick). Tilting the head back increases
aspiration risk; eating in bed (even with pillows) is less safe than sitting upright at 90 degrees .
Question 6
The nurse is administering an intermittent gastrointestinal (GT) feeding to a client. Which of the
following actions is appropriate for the nurse to take?
A) Aspiration and disposal of any residual prior to feeding delivery
B) Setting up feeding bag system to deliver the feeding at a fast rate
C) Raising and lowering the syringe to adjust the flow rate of the feeding
D) Placing the head of the bed at 15 degrees with the client on their left side
