GALEN COLLEGE OF NURSING NUR 155 EXAM 4 QUESTIONS ON MEDICATION
ADMINISTRATION, INJECTIONS, PERIOPERATIVE CARE, END-OF-LIFE CARE AND
SENSORY PERCEPTION WITH ANSWERS AND RATIONALES
Question 1
The nurse is preparing to administer a medication. Which action best reflects the “right patient”
of medication administration?
A. Asking the roommate to identify the patient
B. Checking the patient’s ID band and comparing it with the MAR
C. Looking only at the room number
D. Asking another nurse if this is the correct patient
Correct Answer: B
Rationale:
B is correct because verifying the patient using the ID band and MAR ensures correct
identification.
A is unsafe because roommates are not reliable identifiers.
C is incorrect because room numbers can change.
D is insufficient without direct verification.
Question 2
The nurse is administering an oral tablet. Which patient should the nurse question before giving
the medication?
A. Patient sitting upright
B. Patient who has difficulty swallowing
C. Patient requesting water
D. Patient who ate breakfast
Correct Answer: B
Rationale:
B is correct because swallowing difficulty increases aspiration risk.
A, C, and D are not immediate contraindications.
Question 3
,A provider prescribes 500 mg of a medication. Available tablets are 250 mg each. How many
tablets should the nurse administer?
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
Correct Answer: B
Rationale:
500 ÷ 250 = 2 tablets.
A is too little.
C and D are too much.
Question 4
The nurse is administering eye drops. Which action is correct?
A. Place drops directly on the cornea
B. Pull down the lower conjunctival sac and instill drops
C. Ask the patient to blink rapidly during instillation
D. Touch the dropper tip to the eye for accuracy
Correct Answer: B
Rationale:
B is correct because drops should be placed in the conjunctival sac.
A causes discomfort.
C may force medication out.
D contaminates the dropper.
Question 5
A patient is prescribed an inhaler. Which instruction is most important?
A. Shake the inhaler if appropriate before use
B. Swallow the medication after spraying
C. Exhale after pressing the inhaler
D. Lie flat immediately after use
Correct Answer: A
, Rationale:
A is correct because proper preparation improves medication delivery.
B, C, and D are incorrect techniques.
Question 6
The nurse is preparing to administer insulin subcutaneously. Which site is most appropriate?
A. Deltoid muscle
B. Abdomen
C. Forearm vein
D. Dorsogluteal muscle
Correct Answer: B
Rationale:
B is correct because the abdomen is a common SQ insulin site with reliable absorption.
A and D are IM sites.
C is incorrect.
Question 7
A provider orders 1,000 mL IV fluids over 8 hours. What is the hourly rate?
A. 100 mL/hr
B. 125 mL/hr
C. 150 mL/hr
D. 175 mL/hr
Correct Answer: B
Rationale:
1000 ÷ 8 = 125 mL/hr.
Other options are incorrect calculations.
Question 8
Which needle is most commonly used for intradermal injections?
ADMINISTRATION, INJECTIONS, PERIOPERATIVE CARE, END-OF-LIFE CARE AND
SENSORY PERCEPTION WITH ANSWERS AND RATIONALES
Question 1
The nurse is preparing to administer a medication. Which action best reflects the “right patient”
of medication administration?
A. Asking the roommate to identify the patient
B. Checking the patient’s ID band and comparing it with the MAR
C. Looking only at the room number
D. Asking another nurse if this is the correct patient
Correct Answer: B
Rationale:
B is correct because verifying the patient using the ID band and MAR ensures correct
identification.
A is unsafe because roommates are not reliable identifiers.
C is incorrect because room numbers can change.
D is insufficient without direct verification.
Question 2
The nurse is administering an oral tablet. Which patient should the nurse question before giving
the medication?
A. Patient sitting upright
B. Patient who has difficulty swallowing
C. Patient requesting water
D. Patient who ate breakfast
Correct Answer: B
Rationale:
B is correct because swallowing difficulty increases aspiration risk.
A, C, and D are not immediate contraindications.
Question 3
,A provider prescribes 500 mg of a medication. Available tablets are 250 mg each. How many
tablets should the nurse administer?
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
Correct Answer: B
Rationale:
500 ÷ 250 = 2 tablets.
A is too little.
C and D are too much.
Question 4
The nurse is administering eye drops. Which action is correct?
A. Place drops directly on the cornea
B. Pull down the lower conjunctival sac and instill drops
C. Ask the patient to blink rapidly during instillation
D. Touch the dropper tip to the eye for accuracy
Correct Answer: B
Rationale:
B is correct because drops should be placed in the conjunctival sac.
A causes discomfort.
C may force medication out.
D contaminates the dropper.
Question 5
A patient is prescribed an inhaler. Which instruction is most important?
A. Shake the inhaler if appropriate before use
B. Swallow the medication after spraying
C. Exhale after pressing the inhaler
D. Lie flat immediately after use
Correct Answer: A
, Rationale:
A is correct because proper preparation improves medication delivery.
B, C, and D are incorrect techniques.
Question 6
The nurse is preparing to administer insulin subcutaneously. Which site is most appropriate?
A. Deltoid muscle
B. Abdomen
C. Forearm vein
D. Dorsogluteal muscle
Correct Answer: B
Rationale:
B is correct because the abdomen is a common SQ insulin site with reliable absorption.
A and D are IM sites.
C is incorrect.
Question 7
A provider orders 1,000 mL IV fluids over 8 hours. What is the hourly rate?
A. 100 mL/hr
B. 125 mL/hr
C. 150 mL/hr
D. 175 mL/hr
Correct Answer: B
Rationale:
1000 ÷ 8 = 125 mL/hr.
Other options are incorrect calculations.
Question 8
Which needle is most commonly used for intradermal injections?
