NU-136 Fundamentals of Nursing Exam 3 Comprehensive
Review Questions and Correct Answers with Rationale |
Newest Update | Galen College of Nursing
1. When preparing to administer medications to a patient, which action should
the nurse take first?
A. Check the patient’s identification band
B. Explain the purpose of the medication to the patient
C. Compare the medication label with the Medication Administration Record (MAR)
D. Verify the patient’s allergies in the medical record
Answer: C
Rationale: The first of the ‘three checks’ of medication administration is comparing the
medication label against the MAR to ensure accuracy before moving to the bedside.
2. A nurse is preparing to administer an intramuscular (IM) injection to an
infant. Which site is the most appropriate?
A. Vastus Lateralis
B. Dorsogluteal
C. Deltoid
D. Ventrogluteal
Answer: A
,Rationale: The vastus lateralis is the preferred site for IM injections in infants because it is
the most developed muscle at birth.
3. The nurse is teaching a patient about using a metered-dose inhaler (MDI).
Which instruction should the nurse include?
A. Inhale rapidly immediately after activating the canister
B. Hold your breath for 10 seconds after inhalation
C. Exhale through the nose while activating the inhaler
D. Wait 10 seconds between puffs if two puffs are ordered
Answer: B
Rationale: Holding the breath for about 10 seconds allows the medication to settle in the
airways and reach the lower lungs.
4. Which of the following is a primary safety precaution when administering a
liquid medication to a patient via a nasogastric (NG) tube?
A. Mix all medications together to save time
B. Check for tube placement by aspirating stomach contents
C. Administer the medication using a 10 mL syringe
D. Position the patient in a supine position
Answer: B
Rationale: Verifying tube placement is essential to prevent aspiration into the lungs.
Medications should never be mixed, and the head of the bed should be elevated.
, 5. A nurse is documentating a medication error. What is the most important
action for the nurse to take?
A. Complete an incident report and notify the healthcare provider
B. Record the error in the patient’s permanent medical record only
C. Wait until the end of the shift to see if the patient has any side effects
D. Place a copy of the incident report in the patient’s chart
Answer: A
Rationale: Patient safety is the priority; the provider must be notified, and an incident
report (not placed in the chart) must be completed for quality improvement.
6. When performing hand hygiene with an alcohol-based hand rub, the nurse
should:
A. Rinse hands with water after using the rub
B. Rub hands together until the alcohol is dry
C. Use a paper towel to dry the hands immediately
D. Only apply the rub to the palms of the hands
Answer: B
Rationale: For alcohol-based rubs to be effective, hands should be rubbed together until
the solution is completely dry.
Review Questions and Correct Answers with Rationale |
Newest Update | Galen College of Nursing
1. When preparing to administer medications to a patient, which action should
the nurse take first?
A. Check the patient’s identification band
B. Explain the purpose of the medication to the patient
C. Compare the medication label with the Medication Administration Record (MAR)
D. Verify the patient’s allergies in the medical record
Answer: C
Rationale: The first of the ‘three checks’ of medication administration is comparing the
medication label against the MAR to ensure accuracy before moving to the bedside.
2. A nurse is preparing to administer an intramuscular (IM) injection to an
infant. Which site is the most appropriate?
A. Vastus Lateralis
B. Dorsogluteal
C. Deltoid
D. Ventrogluteal
Answer: A
,Rationale: The vastus lateralis is the preferred site for IM injections in infants because it is
the most developed muscle at birth.
3. The nurse is teaching a patient about using a metered-dose inhaler (MDI).
Which instruction should the nurse include?
A. Inhale rapidly immediately after activating the canister
B. Hold your breath for 10 seconds after inhalation
C. Exhale through the nose while activating the inhaler
D. Wait 10 seconds between puffs if two puffs are ordered
Answer: B
Rationale: Holding the breath for about 10 seconds allows the medication to settle in the
airways and reach the lower lungs.
4. Which of the following is a primary safety precaution when administering a
liquid medication to a patient via a nasogastric (NG) tube?
A. Mix all medications together to save time
B. Check for tube placement by aspirating stomach contents
C. Administer the medication using a 10 mL syringe
D. Position the patient in a supine position
Answer: B
Rationale: Verifying tube placement is essential to prevent aspiration into the lungs.
Medications should never be mixed, and the head of the bed should be elevated.
, 5. A nurse is documentating a medication error. What is the most important
action for the nurse to take?
A. Complete an incident report and notify the healthcare provider
B. Record the error in the patient’s permanent medical record only
C. Wait until the end of the shift to see if the patient has any side effects
D. Place a copy of the incident report in the patient’s chart
Answer: A
Rationale: Patient safety is the priority; the provider must be notified, and an incident
report (not placed in the chart) must be completed for quality improvement.
6. When performing hand hygiene with an alcohol-based hand rub, the nurse
should:
A. Rinse hands with water after using the rub
B. Rub hands together until the alcohol is dry
C. Use a paper towel to dry the hands immediately
D. Only apply the rub to the palms of the hands
Answer: B
Rationale: For alcohol-based rubs to be effective, hands should be rubbed together until
the solution is completely dry.
