NURS 101L | Fundamentals of Nursing Skills Lab | Week 11 Quiz 2026
|WCU
1. A nurse is preparing to administer an intramuscular (IM) injection using the Z-
track technique. What is the primary rationale for using this method?
A. To ensure the medication is absorbed more rapidly into the bloodstream
B. To reduce the amount of pain felt by the patient during the needle insertion
C. To prevent the medication from leaking back into the subcutaneous tissue
D. To allow for a larger volume of medication to be administered in a single site
Answer: C
Rationale: The Z-track method creates a zigzag path that seals the medication in the
muscle tissue and prevents irritation or staining of subcutaneous tissue.
2. When performing tracheostomy suctioning, what is the maximum amount of
time the nurse should apply suction?
A. 5 seconds
B. 20 to 25 seconds
C. 10 to 15 seconds
D. 30 seconds
Answer: C
Rationale: Suctioning should be limited to 10-15 seconds to prevent hypoxia and mucosal
trauma.
,3. The nurse is assessing a patient’s peripheral IV site and notes warmth,
redness, and a palpable cord along the vein. Which complication is suspected?
A. Infiltration
B. Extravasation
C. Phlebitis
D. Hematoma
Answer: C
Rationale: Warmth, redness, and a palpable cord are classic signs of phlebitis
(inflammation of the vein). Infiltration involves coolness and swelling.
4. A nurse is preparing to insert a nasogastric (NG) tube. How should the nurse
determine the correct length of the tube for insertion?
A. Measure from the mouth to the stomach using a tape measure
B. Measure from the bridge of the nose to the umbilicus
C. Measure from the tip of the nose to the earlobe, then to the xiphoid process
D. Measure from the earlobe to the xiphoid process, then to the nose
Answer: C
Rationale: The standard measurement for NG tube insertion is the distance from the tip of
the nose to the earlobe and then to the xiphoid process.
5. Which action is a priority for the nurse immediately after an indwelling
urinary catheter is inserted?
A. Clean the perineal area with antiseptic wipes
B. Hang the drainage bag on the side rail of the bed
C. Secure the catheter to the patient’s thigh
D. Inflate the balloon with 20 mL of sterile water
Answer: C
Rationale: Securing the catheter to the thigh prevents movement and urethral trauma. The
bag should never be hung on the side rail (it must be below the bladder on the frame).
, 6. A nurse is preparing to mix regular and NPH insulin in one syringe. Which
action should the nurse take first?
A. Draw up the NPH insulin first
B. Withdraw the regular insulin
C. Inject air into the regular vial
D. Inject air into the NPH vial
Answer: D
Rationale: The correct sequence is: Inject air into NPH (cloudy), inject air into regular
(clear), withdraw regular (clear), then withdraw NPH (cloudy).
7. The nurse is caring for a patient with a Stage III pressure injury. Which
characteristic is expected with this stage?
A. Non-blanchable erythema of intact skin
B. Full-thickness skin loss with visible adipose tissue
C. Partial-thickness skin loss involving epidermis
D. Full-thickness skin loss with exposed bone or muscle
Answer: B
Rationale: Stage III involves full-thickness skin loss where subcutaneous fat (adipose) may
be visible, but bone, tendon, or muscle are not exposed (that would be Stage IV).
8. While changing a sterile dressing, the nurse accidentally touches the sterile
field with a clean glove. What is the appropriate next action?
A. Continue the procedure if the glove was not visibly soiled
B. Discard the supplies and start over with a new sterile field
C. Apply a sterile glove over the clean glove and continue
D. Wipe the contaminated area of the field with an alcohol swab
Answer: B
Rationale: Any break in sterile technique requires the nurse to stop and restart with new
sterile supplies to prevent infection.
|WCU
1. A nurse is preparing to administer an intramuscular (IM) injection using the Z-
track technique. What is the primary rationale for using this method?
A. To ensure the medication is absorbed more rapidly into the bloodstream
B. To reduce the amount of pain felt by the patient during the needle insertion
C. To prevent the medication from leaking back into the subcutaneous tissue
D. To allow for a larger volume of medication to be administered in a single site
Answer: C
Rationale: The Z-track method creates a zigzag path that seals the medication in the
muscle tissue and prevents irritation or staining of subcutaneous tissue.
2. When performing tracheostomy suctioning, what is the maximum amount of
time the nurse should apply suction?
A. 5 seconds
B. 20 to 25 seconds
C. 10 to 15 seconds
D. 30 seconds
Answer: C
Rationale: Suctioning should be limited to 10-15 seconds to prevent hypoxia and mucosal
trauma.
,3. The nurse is assessing a patient’s peripheral IV site and notes warmth,
redness, and a palpable cord along the vein. Which complication is suspected?
A. Infiltration
B. Extravasation
C. Phlebitis
D. Hematoma
Answer: C
Rationale: Warmth, redness, and a palpable cord are classic signs of phlebitis
(inflammation of the vein). Infiltration involves coolness and swelling.
4. A nurse is preparing to insert a nasogastric (NG) tube. How should the nurse
determine the correct length of the tube for insertion?
A. Measure from the mouth to the stomach using a tape measure
B. Measure from the bridge of the nose to the umbilicus
C. Measure from the tip of the nose to the earlobe, then to the xiphoid process
D. Measure from the earlobe to the xiphoid process, then to the nose
Answer: C
Rationale: The standard measurement for NG tube insertion is the distance from the tip of
the nose to the earlobe and then to the xiphoid process.
5. Which action is a priority for the nurse immediately after an indwelling
urinary catheter is inserted?
A. Clean the perineal area with antiseptic wipes
B. Hang the drainage bag on the side rail of the bed
C. Secure the catheter to the patient’s thigh
D. Inflate the balloon with 20 mL of sterile water
Answer: C
Rationale: Securing the catheter to the thigh prevents movement and urethral trauma. The
bag should never be hung on the side rail (it must be below the bladder on the frame).
, 6. A nurse is preparing to mix regular and NPH insulin in one syringe. Which
action should the nurse take first?
A. Draw up the NPH insulin first
B. Withdraw the regular insulin
C. Inject air into the regular vial
D. Inject air into the NPH vial
Answer: D
Rationale: The correct sequence is: Inject air into NPH (cloudy), inject air into regular
(clear), withdraw regular (clear), then withdraw NPH (cloudy).
7. The nurse is caring for a patient with a Stage III pressure injury. Which
characteristic is expected with this stage?
A. Non-blanchable erythema of intact skin
B. Full-thickness skin loss with visible adipose tissue
C. Partial-thickness skin loss involving epidermis
D. Full-thickness skin loss with exposed bone or muscle
Answer: B
Rationale: Stage III involves full-thickness skin loss where subcutaneous fat (adipose) may
be visible, but bone, tendon, or muscle are not exposed (that would be Stage IV).
8. While changing a sterile dressing, the nurse accidentally touches the sterile
field with a clean glove. What is the appropriate next action?
A. Continue the procedure if the glove was not visibly soiled
B. Discard the supplies and start over with a new sterile field
C. Apply a sterile glove over the clean glove and continue
D. Wipe the contaminated area of the field with an alcohol swab
Answer: B
Rationale: Any break in sterile technique requires the nurse to stop and restart with new
sterile supplies to prevent infection.
