NU 136 NU136 Exam 3 – Fundamentals of Nursing Review (Latest 2026-2027
Update) Galen Complete Study Guide Verified Questions & Answers 100%
Correct Solutions Grade A
How to Use This Guide
Multiple Choice Questions mimic the style of your actual nursing exams.
Rationales explain why the answer is correct and why the other options are
incorrect, which is key for building clinical judgment.
ABCD Format helps you practice process of elimination.
Section 1: Communication & Patient Interaction (Questions 1-20)
1. The nurse is collecting data for a newly admitted school-age child who is sitting
in the lap of a parent. Which of the following actions should the nurse take to
facilitate effective communication?
A. Sit in a chair across the room
B. Sit eye level with the child
C. Ask the parent to leave the room
D. Stand over the child to assert authority
,Answer: B. Sit eye level with the child
Rationale: Sitting at eye level reduces intimidation and helps establish rapport
with children . This positioning conveys respect and makes the child feel more
secure. Option A creates distance; Option C removes the child's support system
unnecessarily; Option D is intimidating.
2. The nurse is preparing to reinforce teaching about new medications with a
client who speaks little English. Which of the following actions is the BEST for the
nurse to take?
A. Use family members as interpreters
B. Speak slowly and loudly in English
C. Obtain an approved facility interpreter
D. Use hand gestures exclusively
Answer: C. Obtain an approved facility interpreter
Rationale: Using a certified medical interpreter ensures accurate communication
and maintains patient confidentiality . Family members may misinterpret medical
,information or feel uncomfortable. Speaking louder does not improve
understanding.
3. The nurse is caring for a client who begins crying during a conversation about
their upcoming surgery and possible malignancy. Which of the following
responses should the nurse make?
A. "Don't cry, everything will be fine"
B. "I'll come back when you are feeling better"
C. "Here is a tissue. I'd like to sit here for a while if you want to talk."
D. "You need to stay positive for your family"
Answer: C. "Here is a tissue. I'd like to sit here for a while if you want to talk."
Rationale: This response demonstrates offering self and silence as therapeutic
communication techniques . It validates the client's emotions and provides
presence without pressure. Options A and D dismiss the client's feelings; Option B
abandons the client during distress.
, 4. The nurse is collecting data on a newly admitted client who has a hearing
impairment. Which of the following techniques should the nurse use when
communicating with the client?
A. Shout loudly and slowly
B. Turn away while speaking to allow privacy
C. Describe procedures in short, simple sentences
D. Speak only to the family member
Answer: C. Describe procedures in short, simple sentences
Rationale: Using short, simple sentences and facing the client allows for lip-
reading and reduces confusion . Shouting distorts sound and is not helpful.
Speaking to family members excludes the client from their own care.
5. The nurse is caring for a client who is considering a vegetarian diet to lose
weight. Which of the following responses should the nurse make?
A. "Vegetarian diets are unhealthy and not recommended"
B. "You will need to take iron supplements for life"
Update) Galen Complete Study Guide Verified Questions & Answers 100%
Correct Solutions Grade A
How to Use This Guide
Multiple Choice Questions mimic the style of your actual nursing exams.
Rationales explain why the answer is correct and why the other options are
incorrect, which is key for building clinical judgment.
ABCD Format helps you practice process of elimination.
Section 1: Communication & Patient Interaction (Questions 1-20)
1. The nurse is collecting data for a newly admitted school-age child who is sitting
in the lap of a parent. Which of the following actions should the nurse take to
facilitate effective communication?
A. Sit in a chair across the room
B. Sit eye level with the child
C. Ask the parent to leave the room
D. Stand over the child to assert authority
,Answer: B. Sit eye level with the child
Rationale: Sitting at eye level reduces intimidation and helps establish rapport
with children . This positioning conveys respect and makes the child feel more
secure. Option A creates distance; Option C removes the child's support system
unnecessarily; Option D is intimidating.
2. The nurse is preparing to reinforce teaching about new medications with a
client who speaks little English. Which of the following actions is the BEST for the
nurse to take?
A. Use family members as interpreters
B. Speak slowly and loudly in English
C. Obtain an approved facility interpreter
D. Use hand gestures exclusively
Answer: C. Obtain an approved facility interpreter
Rationale: Using a certified medical interpreter ensures accurate communication
and maintains patient confidentiality . Family members may misinterpret medical
,information or feel uncomfortable. Speaking louder does not improve
understanding.
3. The nurse is caring for a client who begins crying during a conversation about
their upcoming surgery and possible malignancy. Which of the following
responses should the nurse make?
A. "Don't cry, everything will be fine"
B. "I'll come back when you are feeling better"
C. "Here is a tissue. I'd like to sit here for a while if you want to talk."
D. "You need to stay positive for your family"
Answer: C. "Here is a tissue. I'd like to sit here for a while if you want to talk."
Rationale: This response demonstrates offering self and silence as therapeutic
communication techniques . It validates the client's emotions and provides
presence without pressure. Options A and D dismiss the client's feelings; Option B
abandons the client during distress.
, 4. The nurse is collecting data on a newly admitted client who has a hearing
impairment. Which of the following techniques should the nurse use when
communicating with the client?
A. Shout loudly and slowly
B. Turn away while speaking to allow privacy
C. Describe procedures in short, simple sentences
D. Speak only to the family member
Answer: C. Describe procedures in short, simple sentences
Rationale: Using short, simple sentences and facing the client allows for lip-
reading and reduces confusion . Shouting distorts sound and is not helpful.
Speaking to family members excludes the client from their own care.
5. The nurse is caring for a client who is considering a vegetarian diet to lose
weight. Which of the following responses should the nurse make?
A. "Vegetarian diets are unhealthy and not recommended"
B. "You will need to take iron supplements for life"
