NURS 101L Fundamentals of Nursing Skills Lab Week 8 Comprehensive
Quiz 2026 |WCU
1. A nurse is preparing to administer an intramuscular (IM) injection in the
ventrogluteal site. Which anatomical landmark should the nurse use to identify
the injection point?
A. The acromion process and the axillary line
B. The posterior superior iliac spine and the gluteal fold
C. The patella and the greater trochanter of the femur
D. The greater trochanter, the anterior superior iliac spine, and the iliac crest
Answer: D
Rationale: The ventrogluteal site is located by placing the palm over the greater
trochanter, the index finger on the anterior superior iliac spine, and the middle finger
toward the iliac crest.
2. When inserting a nasogastric (NG) tube, how should the nurse measure the
length of the tube to ensure correct placement?
A. From the tip of the nose to the earlobe, then to the xiphoid process
B. From the bridge of the nose to the umbilicus
C. From the mouth to the stomach and add 10 centimeters
D. From the earlobe to the xiphoid process and subtract 5 inches
Answer: A
Rationale: The NEX measurement (Nose, Earlobe, Xiphoid) is the standard method for
determining the approximate length needed for NG tube insertion.
,3. A nurse discovers that a patient’s peripheral IV site is cool to the touch,
swollen, and the infusion has slowed. Which complication is most likely
occurring?
A. Phlebitis
B. Thrombosis
C. Infiltration
D. Extravasation
Answer: C
Rationale: Infiltration is characterized by coolness, pallor, and edema as fluid leaks into
the subcutaneous tissue.
4. During Foley catheterization of a female patient, the nurse accidentally
inserts the catheter into the vagina. What is the appropriate next action?
A. Remove the catheter and immediately attempt to re-insert it into the meatus
B. Inflate the balloon to secure it until the primary care provider arrives
C. Clean the catheter with alcohol and re-insert it
D. Leave the catheter in the vagina as a landmark and obtain a new sterile kit
Answer: D
Rationale: Leaving the misplaced catheter in place helps identify the vaginal opening to
avoid a second error; a completely new sterile kit is required to ensure sterility.
5. Which action is a priority for a nurse when a patient experiences a suspected
blood transfusion reaction?
A. Slow the infusion rate and notify the physician
B. Stop the infusion immediately and disconnect the tubing from the IV hub
C. Administer Benadryl as per standing orders
D. Flush the blood through the line with normal saline
Answer: B
, Rationale: The first action is to stop the transfusion to prevent further exposure to the
allergen/incompatible blood, and then disconnect to ensure no more blood enters the
patient.
6. When performing sterile wound irrigation, in which direction should the
nurse direct the flow of the solution?
A. From the least contaminated area to the most contaminated area
B. From the most contaminated area to the least contaminated area
C. From the bottom of the wound to the top
D. In a circular motion from the outer edges toward the center
Answer: A
Rationale: To prevent introducing pathogens into the cleaner parts of the wound,
irrigation should flow from the cleanest (least contaminated) to the dirtiest (most
contaminated) area.
7. A nurse is administering 10 units of Regular insulin and 20 units of NPH
insulin. Which step is correct when mixing these in one syringe?
A. Draw up the NPH insulin first
B. Inject air into the Regular insulin vial first
C. Mix the two insulins in the vial before drawing them up
D. Inject air into the NPH vial first, then air into the Regular vial
Answer: D
Rationale: The ‘Clear before Cloudy’ rule requires injecting air into the cloudy (NPH) first,
then air into clear (Regular), then drawing clear, then drawing cloudy.
Quiz 2026 |WCU
1. A nurse is preparing to administer an intramuscular (IM) injection in the
ventrogluteal site. Which anatomical landmark should the nurse use to identify
the injection point?
A. The acromion process and the axillary line
B. The posterior superior iliac spine and the gluteal fold
C. The patella and the greater trochanter of the femur
D. The greater trochanter, the anterior superior iliac spine, and the iliac crest
Answer: D
Rationale: The ventrogluteal site is located by placing the palm over the greater
trochanter, the index finger on the anterior superior iliac spine, and the middle finger
toward the iliac crest.
2. When inserting a nasogastric (NG) tube, how should the nurse measure the
length of the tube to ensure correct placement?
A. From the tip of the nose to the earlobe, then to the xiphoid process
B. From the bridge of the nose to the umbilicus
C. From the mouth to the stomach and add 10 centimeters
D. From the earlobe to the xiphoid process and subtract 5 inches
Answer: A
Rationale: The NEX measurement (Nose, Earlobe, Xiphoid) is the standard method for
determining the approximate length needed for NG tube insertion.
,3. A nurse discovers that a patient’s peripheral IV site is cool to the touch,
swollen, and the infusion has slowed. Which complication is most likely
occurring?
A. Phlebitis
B. Thrombosis
C. Infiltration
D. Extravasation
Answer: C
Rationale: Infiltration is characterized by coolness, pallor, and edema as fluid leaks into
the subcutaneous tissue.
4. During Foley catheterization of a female patient, the nurse accidentally
inserts the catheter into the vagina. What is the appropriate next action?
A. Remove the catheter and immediately attempt to re-insert it into the meatus
B. Inflate the balloon to secure it until the primary care provider arrives
C. Clean the catheter with alcohol and re-insert it
D. Leave the catheter in the vagina as a landmark and obtain a new sterile kit
Answer: D
Rationale: Leaving the misplaced catheter in place helps identify the vaginal opening to
avoid a second error; a completely new sterile kit is required to ensure sterility.
5. Which action is a priority for a nurse when a patient experiences a suspected
blood transfusion reaction?
A. Slow the infusion rate and notify the physician
B. Stop the infusion immediately and disconnect the tubing from the IV hub
C. Administer Benadryl as per standing orders
D. Flush the blood through the line with normal saline
Answer: B
, Rationale: The first action is to stop the transfusion to prevent further exposure to the
allergen/incompatible blood, and then disconnect to ensure no more blood enters the
patient.
6. When performing sterile wound irrigation, in which direction should the
nurse direct the flow of the solution?
A. From the least contaminated area to the most contaminated area
B. From the most contaminated area to the least contaminated area
C. From the bottom of the wound to the top
D. In a circular motion from the outer edges toward the center
Answer: A
Rationale: To prevent introducing pathogens into the cleaner parts of the wound,
irrigation should flow from the cleanest (least contaminated) to the dirtiest (most
contaminated) area.
7. A nurse is administering 10 units of Regular insulin and 20 units of NPH
insulin. Which step is correct when mixing these in one syringe?
A. Draw up the NPH insulin first
B. Inject air into the Regular insulin vial first
C. Mix the two insulins in the vial before drawing them up
D. Inject air into the NPH vial first, then air into the Regular vial
Answer: D
Rationale: The ‘Clear before Cloudy’ rule requires injecting air into the cloudy (NPH) first,
then air into clear (Regular), then drawing clear, then drawing cloudy.
