NR 224 Fundamentals of Nursing Week 10 Study Guide 2026
|Chamberlain College
1. When identifying a patient before medication administration, which action is
most appropriate?
A. Asking the patient their room number
B. Checking the name on the door to the patient’s room
C. Verifying the ID band and asking the patient to state their name and date of birth
D. Asking a family member to identify the patient
Answer: C
Rationale: The nurse must use at least two identifiers, such as the patient’s full name and
date of birth, compared against the MAR and the identification band.
2. A patient refuses to take a prescribed medication. What is the nurse’s priority
action?
A. Crush the medication and hide it in food
B. Discuss the patient’s reasons for refusal and document the occurrence
C. Call the physician immediately to report the refusal
D. Inform the patient that they must take it to get better
Answer: B
Rationale: Patients have the right to refuse medication. The nurse should explore the
reasons, provide education, and document the refusal and notification of the provider.
,3. Which site is preferred for intramuscular (IM) injections in infants under 12
months?
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 that age.
4. Which of the following is a primary intervention for preventing falls in the
hospital setting?
A. Keeping all four side rails up at all times
B. Administering sedatives at bedtime
C. Placing the patient in a room far from the nurse’s station
D. Keeping the bed in the lowest position with the wheels locked
Answer: D
Rationale: Keeping the bed low and locked ensures safety during egress. Using four side
rails is considered a restraint.
5. A nurse observes a clear, watery discharge from a wound. How should this be
documented?
A. Sanguineous
B. Serosanguineous
C. Purulent
D. Serous
Answer: D
Rationale: Serous drainage is clear and watery; sanguineous is bloody; purulent is thick
and yellow/green; serosanguineous is pale pink and watery.
, 6. What is the first action a nurse should take if a patient’s surgical wound
eviscerates?
A. Push the organs back into the abdominal cavity
B. Cover the protruding organs with sterile towels moistened with sterile normal saline
C. Call the surgeon immediately without touching the wound
D. Apply a tight pressure dressing to the site
Answer: B
Rationale: Evisceration is a medical emergency. The nurse must protect the organs from
drying and infection using sterile, saline-soaked dressings.
7. Which type of precautions should be implemented for a patient with
suspected Tuberculosis (TB)?
A. Droplet precautions
B. Airborne precautions
C. Contact precautions
D. Standard precautions only
Answer: B
Rationale: TB is transmitted via small droplets that remain in the air; therefore, airborne
precautions (including N95 mask and negative pressure room) are required.
8. In what order should Personal Protective Equipment (PPE) be removed after
caring for a patient?
A. Mask, Gown, Goggles, Gloves
B. Goggles, Mask, Gloves, Gown
C. Gloves, Goggles, Gown, Mask
D. Gown, Gloves, Mask, Goggles
Answer: C
Rationale: PPE should be removed in an order that prevents self-contamination: usually
gloves first, followed by eyewear, gown, and then the mask/respirator.
|Chamberlain College
1. When identifying a patient before medication administration, which action is
most appropriate?
A. Asking the patient their room number
B. Checking the name on the door to the patient’s room
C. Verifying the ID band and asking the patient to state their name and date of birth
D. Asking a family member to identify the patient
Answer: C
Rationale: The nurse must use at least two identifiers, such as the patient’s full name and
date of birth, compared against the MAR and the identification band.
2. A patient refuses to take a prescribed medication. What is the nurse’s priority
action?
A. Crush the medication and hide it in food
B. Discuss the patient’s reasons for refusal and document the occurrence
C. Call the physician immediately to report the refusal
D. Inform the patient that they must take it to get better
Answer: B
Rationale: Patients have the right to refuse medication. The nurse should explore the
reasons, provide education, and document the refusal and notification of the provider.
,3. Which site is preferred for intramuscular (IM) injections in infants under 12
months?
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 that age.
4. Which of the following is a primary intervention for preventing falls in the
hospital setting?
A. Keeping all four side rails up at all times
B. Administering sedatives at bedtime
C. Placing the patient in a room far from the nurse’s station
D. Keeping the bed in the lowest position with the wheels locked
Answer: D
Rationale: Keeping the bed low and locked ensures safety during egress. Using four side
rails is considered a restraint.
5. A nurse observes a clear, watery discharge from a wound. How should this be
documented?
A. Sanguineous
B. Serosanguineous
C. Purulent
D. Serous
Answer: D
Rationale: Serous drainage is clear and watery; sanguineous is bloody; purulent is thick
and yellow/green; serosanguineous is pale pink and watery.
, 6. What is the first action a nurse should take if a patient’s surgical wound
eviscerates?
A. Push the organs back into the abdominal cavity
B. Cover the protruding organs with sterile towels moistened with sterile normal saline
C. Call the surgeon immediately without touching the wound
D. Apply a tight pressure dressing to the site
Answer: B
Rationale: Evisceration is a medical emergency. The nurse must protect the organs from
drying and infection using sterile, saline-soaked dressings.
7. Which type of precautions should be implemented for a patient with
suspected Tuberculosis (TB)?
A. Droplet precautions
B. Airborne precautions
C. Contact precautions
D. Standard precautions only
Answer: B
Rationale: TB is transmitted via small droplets that remain in the air; therefore, airborne
precautions (including N95 mask and negative pressure room) are required.
8. In what order should Personal Protective Equipment (PPE) be removed after
caring for a patient?
A. Mask, Gown, Goggles, Gloves
B. Goggles, Mask, Gloves, Gown
C. Gloves, Goggles, Gown, Mask
D. Gown, Gloves, Mask, Goggles
Answer: C
Rationale: PPE should be removed in an order that prevents self-contamination: usually
gloves first, followed by eyewear, gown, and then the mask/respirator.
