NURSING REVIEW LATEST 2026 2027
UPDATE GALEN COMPLETE STUDY GUIDE
WITH VERIFIED QUESTIONS AND ANSWERS
FOR EXAM SUCCESS
• This study guide contains 200 verified multiple-choice questions with correct
answers and EXPERT RATIONALE, designed to help you master every core
concept tested in NU 136 Fundamentals of Nursing for exam success.
• Each question is structured with five answer options, a clearly highlighted correct
answer, and a detailed EXPERT RATIONALE — use it by attempting each
question first, then reviewing the EXPERT RATIONALE to reinforce your
understanding before your exam.
NU 136 — FUNDAMENTALS OF NURSING REVIEW
LATEST 2026–2027 | GALEN COMPLETE STUDY GUIDE
200 VERIFIED QUESTIONS & ANSWERS
1. A nurse is preparing to perform hand hygiene using an alcohol-based hand
rub. Which of the following actions should the nurse take?
A. Apply the hand rub to dry hands and rub until completely absorbed
B. Wet hands first, then apply the hand rub and rinse after 15 seconds
C. Apply the hand rub only to the palms and fingertips
D. Use the hand rub only when hands are visibly soiled
E. Apply the hand rub after donning gloves to ensure sterility
Correct Answer: A. Apply the hand rub to dry hands and rub until
completely absorbed
EXPERT RATIONALE: Alcohol-based hand rubs are applied to dry hands and
rubbed together covering all surfaces until the product has completely evaporated
,and hands are dry. They should not be rinsed off. They are not used when hands
are visibly soiled — soap and water is required in that case.
2. A nurse is caring for a patient on contact precautions. Which personal
protective equipment (PPE) is required upon entering the room?
A. Mask and goggles only
B. Gown and gloves
C. N95 respirator and face shield
D. Gloves only
E. Gown, gloves, and N95 respirator
Correct Answer: B. Gown and gloves
EXPERT RATIONALE: Contact precautions require the nurse to wear a gown and
gloves upon entry into the patient's room to prevent transmission of
microorganisms spread by direct or indirect contact. An N95 respirator is required
for airborne precautions, not contact.
3. A patient's temperature is 38.9°C (102°F). Which term correctly describes
this finding?
A. Hypothermia
B. Normothermia
C. Hyperpyrexia
D. Pyrexia
E. Afebrile
Correct Answer: D. Pyrexia
EXPERT RATIONALE: Pyrexia (fever) is defined as a body temperature above the
normal range (37°C/98.6°F). Hyperpyrexia refers to an extremely high fever (above
,41.1°C/106°F). Hypothermia is a below-normal temperature. 38.9°C is
fever/pyrexia.
4. When assessing a patient's blood pressure, the nurse should position the
patient's arm at which level?
A. Above the level of the heart
B. Below the level of the heart
C. At the level of the heart
D. Anywhere as long as the patient is comfortable
E. At the level of the xiphoid process
Correct Answer: C. At the level of the heart
EXPERT RATIONALE: The arm should be positioned at heart level (the fourth
intercostal space, midsternal line) to obtain an accurate blood pressure reading.
Positioning the arm above heart level produces a falsely low reading, while
positioning below heart level produces a falsely high reading.
5. A nurse is assessing the apical pulse of an adult patient. Where should the
nurse place the stethoscope?
A. Second intercostal space, right sternal border
B. Second intercostal space, left sternal border
C. Fifth intercostal space, midclavicular line
D. Fourth intercostal space, right sternal border
E. Third intercostal space, midaxillary line
Correct Answer: C. Fifth intercostal space, midclavicular line
, EXPERT RATIONALE: The apical pulse is auscultated at the apex of the heart,
located at the fifth intercostal space at the left midclavicular line. This is the point of
maximal impulse (PMI). The nurse should count for a full 60 seconds for accuracy.
6. A nurse is reviewing the rights of medication administration. Which of the
following is NOT one of the traditional "six rights"?
A. Right patient
B. Right drug
C. Right nurse
D. Right dose
E. Right route
Correct Answer: C. Right nurse
EXPERT RATIONALE: The traditional six rights of medication administration are:
right patient, right drug, right dose, right route, right time, and right documentation.
"Right nurse" is not one of the six rights. Some institutions now use eight or nine
rights, but the nurse is not listed.
7. A nurse is preparing to administer a subcutaneous injection. What is the
correct needle length and angle?
A. 1–1.5 inch needle at 90 degrees
B. 5/8 inch needle at 45–90 degrees
C. 1.5 inch needle at 15 degrees
D. 3/8 inch needle at 90 degrees
E. 2 inch needle at 45 degrees
Correct Answer: B. 5/8 inch needle at 45–90 degrees