NURS 101L Fundamentals of Nursing Skills Lab Module Exam 2 2026
|WCU
1. When preparing to administer a medication, the nurse realizes the dose is
significantly higher than the typical range. Which action should the nurse take
first?
A. Administer the dose as prescribed by the provider
B. Consult with a colleague for their opinion
C. Contact the prescribing provider to clarify the order
D. Document that the medication was withheld
Answer: C
Rationale: Safety is the priority. If a dose is outside the safe range, the nurse must clarify it
with the provider before administration.
2. Which site is preferred for an intramuscular (IM) injection in an infant who is
not yet walking?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred site for infants because it is the most
developed muscle at that age.
,3. When mixing regular and NPH insulin in one syringe, which of the following is
the correct sequence?
A. Draw NPH first, then regular
B. Inject air into regular, then NPH
C. Draw regular first, then NPH
D. The order does not matter as long as the total dose is correct
Answer: C
Rationale: The sequence is ‘clear before cloudy’ to prevent contaminating the regular
(clear) insulin with NPH (cloudy).
4. What is the primary purpose of using the Z-track technique for intramuscular
injections?
A. To prevent medication from leaking back into the subcutaneous tissue
B. To ensure the medication enters the subcutaneous tissue
C. To reduce the risk of hitting a bone
D. To speed up the absorption of the drug
Answer: A
Rationale: Z-track seals the medication in the muscle and prevents irritation to the
subcutaneous tissue.
5. A nurse is preparing to administer an intradermal injection. At what angle
should the needle be inserted?
A. 45 degrees
B. 5 to 15 degrees
C. 90 degrees
D. 30 degrees
Answer: B
Rationale: Intradermal injections are given at a shallow 5 to 15-degree angle to create a
bleb/wheal.
, 6. While setting up a sterile field, a nurse notices a small drop of water on the
sterile drape. What should the nurse do?
A. Dry the spot with a sterile gauze
B. Ignore it if the spot is on the edge
C. Discard the field and start over
D. Cover the spot with another sterile drape
Answer: C
Rationale: Contamination occurs by capillary action when moisture touches a sterile field;
it is no longer sterile.
7. The nurse is assessing a surgical wound and notices the underlying organs are
protruding. This is known as:
A. Evisceration
B. Dehiscence
C. Fistula
D. Erythema
Answer: A
Rationale: Evisceration is the protrusion of visceral organs through a wound opening.
8. What is the maximum volume of medication that can be safely injected into
the deltoid muscle of an adult?
A. 1 mL
B. 2 mL
C. 0.5 mL
D. 3 mL
Answer: A
Rationale: The deltoid is a small muscle and is generally limited to 1 mL of fluid or less.
|WCU
1. When preparing to administer a medication, the nurse realizes the dose is
significantly higher than the typical range. Which action should the nurse take
first?
A. Administer the dose as prescribed by the provider
B. Consult with a colleague for their opinion
C. Contact the prescribing provider to clarify the order
D. Document that the medication was withheld
Answer: C
Rationale: Safety is the priority. If a dose is outside the safe range, the nurse must clarify it
with the provider before administration.
2. Which site is preferred for an intramuscular (IM) injection in an infant who is
not yet walking?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred site for infants because it is the most
developed muscle at that age.
,3. When mixing regular and NPH insulin in one syringe, which of the following is
the correct sequence?
A. Draw NPH first, then regular
B. Inject air into regular, then NPH
C. Draw regular first, then NPH
D. The order does not matter as long as the total dose is correct
Answer: C
Rationale: The sequence is ‘clear before cloudy’ to prevent contaminating the regular
(clear) insulin with NPH (cloudy).
4. What is the primary purpose of using the Z-track technique for intramuscular
injections?
A. To prevent medication from leaking back into the subcutaneous tissue
B. To ensure the medication enters the subcutaneous tissue
C. To reduce the risk of hitting a bone
D. To speed up the absorption of the drug
Answer: A
Rationale: Z-track seals the medication in the muscle and prevents irritation to the
subcutaneous tissue.
5. A nurse is preparing to administer an intradermal injection. At what angle
should the needle be inserted?
A. 45 degrees
B. 5 to 15 degrees
C. 90 degrees
D. 30 degrees
Answer: B
Rationale: Intradermal injections are given at a shallow 5 to 15-degree angle to create a
bleb/wheal.
, 6. While setting up a sterile field, a nurse notices a small drop of water on the
sterile drape. What should the nurse do?
A. Dry the spot with a sterile gauze
B. Ignore it if the spot is on the edge
C. Discard the field and start over
D. Cover the spot with another sterile drape
Answer: C
Rationale: Contamination occurs by capillary action when moisture touches a sterile field;
it is no longer sterile.
7. The nurse is assessing a surgical wound and notices the underlying organs are
protruding. This is known as:
A. Evisceration
B. Dehiscence
C. Fistula
D. Erythema
Answer: A
Rationale: Evisceration is the protrusion of visceral organs through a wound opening.
8. What is the maximum volume of medication that can be safely injected into
the deltoid muscle of an adult?
A. 1 mL
B. 2 mL
C. 0.5 mL
D. 3 mL
Answer: A
Rationale: The deltoid is a small muscle and is generally limited to 1 mL of fluid or less.
