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,NUR 155 Exam 2, 3 and 4 Combined: 150 Practice Questions & Detailed Explanations (2025/2026 Update)
Below are 150 exam-style questions drawn from official Galen College NUR 155 exams, each with multiple answer
, choices, the correct answer, and a detailed rationale explaining the clinical reasoning. Use this guide to master
foundational nursing concepts.
Exam 2: Health Promotion, Fluids/Electrolytes, Nutrition, & Elimination
Q1. The nurse is teaching an adult female client about health promotion. Which 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
Explanation: Primary prevention aims to prevent disease before it occurs. Family planning services prevent unintended
pregnancies and promote reproductive health before any illness develops. BSE and BP checks are secondary
prevention (early detection), while yearly physicals with labs can be secondary or tertiary depending on findings.
Q2. The nurse incorporates nutritional status, sleep patterns, and sense of well-being into the plan of care for a client
with joint pain. Which concept is the nurse practicing?
• A) Homeostasis
• B) Individuality
• C) Health promotion
• D) Holism
Correct Answer: D) Holism
Explanation: Holism considers the whole person—physical, emotional, social, and spiritual needs—rather than just the
presenting symptom. The nurse is addressing multiple dimensions (nutrition, rest, emotional state), demonstrating
holistic care.
Q3. Which health promotion topic is most appropriate for an adolescent client?
• A) Dental checkups
• B) Preventive health screenings
• C) Weight control
• D) Peer group influences
Correct Answer: D) Peer group influences
Explanation: Adolescents are developmentally focused on peer relationships and social identity. Discussing peer
influences on health behaviors (smoking, substance use, risky behaviors) is more relevant and effective for this age grou
than general screenings.
Q4. The nurse is caring for a client with a low serum albumin level. Which statement indicates correct understanding?
• A) "The client is experiencing 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."
Explanation: Albumin is a protein synthesized by the liver. Low albumin levels (normal: 3.5-5.5 g/dL) suggest chronic
,NUR 155 Exam 2, 3 and 4 Combined: 150 Practice Questions & Detailed Explanations (2025/2026 Update)
Below are 150 exam-style questions drawn from official Galen College NUR 155 exams, each with multiple answer
, choices, the correct answer, and a detailed rationale explaining the clinical reasoning. Use this guide to master
foundational nursing concepts.
Exam 2: Health Promotion, Fluids/Electrolytes, Nutrition, & Elimination
Q1. The nurse is teaching an adult female client about health promotion. Which 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
Explanation: Primary prevention aims to prevent disease before it occurs. Family planning services prevent unintended
pregnancies and promote reproductive health before any illness develops. BSE and BP checks are secondary
prevention (early detection), while yearly physicals with labs can be secondary or tertiary depending on findings.
Q2. The nurse incorporates nutritional status, sleep patterns, and sense of well-being into the plan of care for a client
with joint pain. Which concept is the nurse practicing?
• A) Homeostasis
• B) Individuality
• C) Health promotion
• D) Holism
Correct Answer: D) Holism
Explanation: Holism considers the whole person—physical, emotional, social, and spiritual needs—rather than just the
presenting symptom. The nurse is addressing multiple dimensions (nutrition, rest, emotional state), demonstrating
holistic care.
Q3. Which health promotion topic is most appropriate for an adolescent client?
• A) Dental checkups
• B) Preventive health screenings
• C) Weight control
• D) Peer group influences
Correct Answer: D) Peer group influences
Explanation: Adolescents are developmentally focused on peer relationships and social identity. Discussing peer
influences on health behaviors (smoking, substance use, risky behaviors) is more relevant and effective for this age grou
than general screenings.
Q4. The nurse is caring for a client with a low serum albumin level. Which statement indicates correct understanding?
• A) "The client is experiencing 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."
Explanation: Albumin is a protein synthesized by the liver. Low albumin levels (normal: 3.5-5.5 g/dL) suggest chronic
