NU 131 Exam 3: Nursing and Healthcare I Questions and Answers and
Explanations | Latest -Galen
1. When preparing to administer medication, which of the following is the most
reliable method to identify the patient?
A. Check the room number on the medication administration record.
B. Ask the patient to state their name and date of birth.
C. Ask the patient’s roommate to verify the patient’s identity.
D. Refer to the name written on the patient’s whiteboard.
Answer: B
Explanation: The Joint Commission requires two identifiers, such as name and DOB, to
ensure patient safety and prevent medication errors.
2. A nurse is caring for a patient on airborne precautions for tuberculosis. Which
personal protective equipment (PPE) is mandatory?
A. N95 respirator
B. Surgical mask
C. Goggles
D. Gown and gloves only
Answer: A
,Explanation: Airborne precautions require the use of an N95 respirator or higher-level
respirator to filter small infectious droplets.
3. What is the first action a nurse should take when discovering a fire in a
patient’s room?
A. Extinguish the fire.
B. Rescue the patient from immediate danger.
C. Contain the fire by closing the door.
D. Activate the fire alarm.
Answer: B
Explanation: According to the RACE acronym, the first priority is Rescue/Remove the
patient from immediate danger.
4. A pressure injury that presents as non-blanchable erythema of intact skin is
classified as which stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: A
Explanation: Stage 1 pressure injuries are characterized by intact skin with localized
redness that does not blanch when pressed.
,5. How often must a nurse assess the skin integrity and neurovascular status of
a patient in mechanical restraints?
A. Every 15 minutes
B. Every 2 hours
C. Every 30 minutes
D. Every 4 hours
Answer: B
Explanation: Standard nursing protocol requires skin assessment and range of motion for
restrained patients at least every 2 hours.
6. Which of the following describes the ‘Beneficence’ principle in nursing ethics?
A. The duty to do no harm.
B. The duty to act in the best interest of the patient.
C. The right of the patient to make their own decisions.
D. The fair distribution of healthcare resources.
Answer: B
Explanation: Beneficence refers to taking positive actions to help others and doing good
for the patient.
, 7. A nurse is administering a subcutaneous injection of heparin. Which angle is
most appropriate for a patient with average adipose tissue?
A. 15 degrees
B. 30 degrees
C. 90 degrees only
D. 45 to 90 degrees
Answer: D
Explanation: Subcutaneous injections are generally administered at 45 to 90 degrees
depending on the thickness of the patient’s adipose tissue.
8. Which type of wound drainage is thin, watery, and pale red to pink in color?
A. Serosanguineous
B. Sanguineous
C. Serous
D. Purulent
Answer: A
Explanation: Serosanguineous drainage is a mixture of serum and red blood cells,
appearing pale pink and watery.
9. A nurse finds a medication error has occurred. What is the priority action?
A. Fill out an incident report.
B. Assess the patient’s condition.
Explanations | Latest -Galen
1. When preparing to administer medication, which of the following is the most
reliable method to identify the patient?
A. Check the room number on the medication administration record.
B. Ask the patient to state their name and date of birth.
C. Ask the patient’s roommate to verify the patient’s identity.
D. Refer to the name written on the patient’s whiteboard.
Answer: B
Explanation: The Joint Commission requires two identifiers, such as name and DOB, to
ensure patient safety and prevent medication errors.
2. A nurse is caring for a patient on airborne precautions for tuberculosis. Which
personal protective equipment (PPE) is mandatory?
A. N95 respirator
B. Surgical mask
C. Goggles
D. Gown and gloves only
Answer: A
,Explanation: Airborne precautions require the use of an N95 respirator or higher-level
respirator to filter small infectious droplets.
3. What is the first action a nurse should take when discovering a fire in a
patient’s room?
A. Extinguish the fire.
B. Rescue the patient from immediate danger.
C. Contain the fire by closing the door.
D. Activate the fire alarm.
Answer: B
Explanation: According to the RACE acronym, the first priority is Rescue/Remove the
patient from immediate danger.
4. A pressure injury that presents as non-blanchable erythema of intact skin is
classified as which stage?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: A
Explanation: Stage 1 pressure injuries are characterized by intact skin with localized
redness that does not blanch when pressed.
,5. How often must a nurse assess the skin integrity and neurovascular status of
a patient in mechanical restraints?
A. Every 15 minutes
B. Every 2 hours
C. Every 30 minutes
D. Every 4 hours
Answer: B
Explanation: Standard nursing protocol requires skin assessment and range of motion for
restrained patients at least every 2 hours.
6. Which of the following describes the ‘Beneficence’ principle in nursing ethics?
A. The duty to do no harm.
B. The duty to act in the best interest of the patient.
C. The right of the patient to make their own decisions.
D. The fair distribution of healthcare resources.
Answer: B
Explanation: Beneficence refers to taking positive actions to help others and doing good
for the patient.
, 7. A nurse is administering a subcutaneous injection of heparin. Which angle is
most appropriate for a patient with average adipose tissue?
A. 15 degrees
B. 30 degrees
C. 90 degrees only
D. 45 to 90 degrees
Answer: D
Explanation: Subcutaneous injections are generally administered at 45 to 90 degrees
depending on the thickness of the patient’s adipose tissue.
8. Which type of wound drainage is thin, watery, and pale red to pink in color?
A. Serosanguineous
B. Sanguineous
C. Serous
D. Purulent
Answer: A
Explanation: Serosanguineous drainage is a mixture of serum and red blood cells,
appearing pale pink and watery.
9. A nurse finds a medication error has occurred. What is the priority action?
A. Fill out an incident report.
B. Assess the patient’s condition.
