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NU 131 Nursing and Healthcare I Exam 2 — Galen
College of Nursing ACTUAL QUESTIONS AND
DETAILED SOLUTIONS LATEST
NU 131 Nursing and Healthcare I Exam 2 — Galen College of Nursing (Summarized Coverage)
NU 131 Exam 2 at Galen College of Nursing commonly focuses on foundational nursing concepts,
ethics, communication, patient safety, nursing process application, professionalism, and introductory
clinical reasoning in NCLEX-style scenarios. Publicly shared study objectives and review materials
consistently emphasize ethics, patient advocacy, communication, safety, and basic nursing
assessment/application concepts.
1. Ethics, morals, values, and professional nursing ethics concepts
2. Ethical principles: autonomy, beneficence, nonmaleficence, justice, fidelity, veracity
3. Patient advocacy responsibilities and nurse accountability
4. Peer reporting and unsafe practice reporting obligations
5. Nursing process (ADPIE): assessment, diagnosis, planning, implementation, evaluation
6. Critical thinking and clinical judgment in patient care scenarios
7. Therapeutic communication techniques and nurse-patient relationship building
8. Nontherapeutic communication barriers and inappropriate responses
9. Documentation standards and legal charting principles
10. HIPAA regulations and patient confidentiality requirements
11. Delegation basics and scope of nursing responsibilities
12. Patient safety principles and prevention of harm
13. Infection prevention and standard precautions
14. Vital signs assessment and interpretation of abnormal findings
15. Pain assessment scales and nonpharmacologic pain management approaches
16. Maslow’s hierarchy of needs and priority setting in nursing care
17. Cultural competence and patient-centered care concepts
18. Stages of growth and development across the lifespan
19. Health promotion, wellness, and disease prevention strategies
20. Basic physical assessment techniques and inspection findings
21. Professionalism, appearance, and conduct expectations in nursing
22. Teamwork and interdisciplinary healthcare communication
23. Legal concepts in nursing: negligence, malpractice, informed consent
24. Stress, coping mechanisms, and adaptation responses in patients
25. Basic pharmacology safety principles and medication administration rights
26. Introductory fluid and electrolyte imbalance recognition concepts
27. Mobility, positioning, and pressure injury prevention basics
28. Nutrition and hydration assessment fundamentals
29. NCLEX-style prioritization and “best nursing action” questions
30. Scenario-based questions integrating ethics, safety, communication, assessment, and nursing
judgment in beginner-level clinical situations
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NU 131 Nursing and Healthcare I Exam 2 — NCLEX-Style Practice Questions (Batch 1: Questions 1–50)
Q1. A nurse respects a competent patient’s decision to refuse treatment even when the healthcare
team disagrees. Which ethical principle is demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy supports the patient’s right to make personal healthcare decisions independently.
Q2. A nurse notices another nurse administering medication without verifying patient identification.
What is the best initial nursing action?
A. Ignore the situation
B. Report the concern according to facility policy
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C. Tell the patient afterward
D. Document the incident in the chart only
Answer: B
Rationale: Nurses are obligated to report unsafe practices to protect patient safety.
Q3. Which statement by the nurse demonstrates therapeutic communication with a grieving patient?
A. “Everything happens for a reason.”
B. “At least your loved one lived a long life.”
C. “Tell me how you are feeling right now.”
D. “You should try to stay positive.”
Answer: C
Rationale: Open-ended questions encourage expression of feelings and support therapeutic
communication.
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Q4. During assessment, a nurse collects subjective patient information. Which statement is considered
subjective data?
A. Blood pressure is 130/84 mm Hg
B. Temperature is 99.1°F
C. “I feel dizzy when standing up.”
D. Skin appears pale
Answer: C
Rationale: Subjective data are symptoms or feelings reported directly by the patient.
Q5. A nurse documents patient care immediately after completing interventions. What is the primary
purpose of timely documentation?
A. Reduce paperwork
B. Improve staffing ratios
C. Ensure accurate legal and clinical records
D. Avoid speaking with providers
NU 131 Nursing and Healthcare I Exam 2 — Galen
College of Nursing ACTUAL QUESTIONS AND
DETAILED SOLUTIONS LATEST
NU 131 Nursing and Healthcare I Exam 2 — Galen College of Nursing (Summarized Coverage)
NU 131 Exam 2 at Galen College of Nursing commonly focuses on foundational nursing concepts,
ethics, communication, patient safety, nursing process application, professionalism, and introductory
clinical reasoning in NCLEX-style scenarios. Publicly shared study objectives and review materials
consistently emphasize ethics, patient advocacy, communication, safety, and basic nursing
assessment/application concepts.
1. Ethics, morals, values, and professional nursing ethics concepts
2. Ethical principles: autonomy, beneficence, nonmaleficence, justice, fidelity, veracity
3. Patient advocacy responsibilities and nurse accountability
4. Peer reporting and unsafe practice reporting obligations
5. Nursing process (ADPIE): assessment, diagnosis, planning, implementation, evaluation
6. Critical thinking and clinical judgment in patient care scenarios
7. Therapeutic communication techniques and nurse-patient relationship building
8. Nontherapeutic communication barriers and inappropriate responses
9. Documentation standards and legal charting principles
10. HIPAA regulations and patient confidentiality requirements
11. Delegation basics and scope of nursing responsibilities
12. Patient safety principles and prevention of harm
13. Infection prevention and standard precautions
14. Vital signs assessment and interpretation of abnormal findings
15. Pain assessment scales and nonpharmacologic pain management approaches
16. Maslow’s hierarchy of needs and priority setting in nursing care
17. Cultural competence and patient-centered care concepts
18. Stages of growth and development across the lifespan
19. Health promotion, wellness, and disease prevention strategies
20. Basic physical assessment techniques and inspection findings
21. Professionalism, appearance, and conduct expectations in nursing
22. Teamwork and interdisciplinary healthcare communication
23. Legal concepts in nursing: negligence, malpractice, informed consent
24. Stress, coping mechanisms, and adaptation responses in patients
25. Basic pharmacology safety principles and medication administration rights
26. Introductory fluid and electrolyte imbalance recognition concepts
27. Mobility, positioning, and pressure injury prevention basics
28. Nutrition and hydration assessment fundamentals
29. NCLEX-style prioritization and “best nursing action” questions
30. Scenario-based questions integrating ethics, safety, communication, assessment, and nursing
judgment in beginner-level clinical situations
, Page 2 of 114
NU 131 Nursing and Healthcare I Exam 2 — NCLEX-Style Practice Questions (Batch 1: Questions 1–50)
Q1. A nurse respects a competent patient’s decision to refuse treatment even when the healthcare
team disagrees. Which ethical principle is demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy supports the patient’s right to make personal healthcare decisions independently.
Q2. A nurse notices another nurse administering medication without verifying patient identification.
What is the best initial nursing action?
A. Ignore the situation
B. Report the concern according to facility policy
, Page 3 of 114
C. Tell the patient afterward
D. Document the incident in the chart only
Answer: B
Rationale: Nurses are obligated to report unsafe practices to protect patient safety.
Q3. Which statement by the nurse demonstrates therapeutic communication with a grieving patient?
A. “Everything happens for a reason.”
B. “At least your loved one lived a long life.”
C. “Tell me how you are feeling right now.”
D. “You should try to stay positive.”
Answer: C
Rationale: Open-ended questions encourage expression of feelings and support therapeutic
communication.
, Page 4 of 114
Q4. During assessment, a nurse collects subjective patient information. Which statement is considered
subjective data?
A. Blood pressure is 130/84 mm Hg
B. Temperature is 99.1°F
C. “I feel dizzy when standing up.”
D. Skin appears pale
Answer: C
Rationale: Subjective data are symptoms or feelings reported directly by the patient.
Q5. A nurse documents patient care immediately after completing interventions. What is the primary
purpose of timely documentation?
A. Reduce paperwork
B. Improve staffing ratios
C. Ensure accurate legal and clinical records
D. Avoid speaking with providers
