,NUR 155 Exam 4 | Concepts of Foundations of
Nursing (2026) Q&A | Galen College
1. The nurse is preparing to administer a medication. Which action best
demonstrates safe, skilled nursing practice?
A) Verify the patient's room number matches the MAR
B) Identify the patient by comparing name and birth date to the MAR
C) Ask the patient to state their name
D) Check the armband only
Correct Answer: Identify the patient by comparing name and birth date to the
MAR
Rationale: At least two patient identifiers must be used to ensure correct
patient identification. Room number is never an acceptable identifier. The nurse
should compare the patient's stated name and date of birth against the MAR
and armband.
2. The nurse is performing the three checks of medication administration. When
is the third check performed?
A) When taking the drug from the dispensing unit
B) During preparation, comparing the drug with the MAR
C) At the bedside immediately before administration
D) After documenting the dose given
Correct Answer: At the bedside immediately before administration
,Rationale: The three checks are done when removing the drug, when preparing
the drug, and at the bedside before administration. This triple-check system
prevents medication errors and is performed before the patient receives the
medication.
3. A client with a Candida albicans infection is being assessed. Which finding
does the nurse expect?
A) Frothy, greenish discharge
B) Foul-smelling, gray discharge
C) Cottage cheese-like discharge
D) Bloody, purulent discharge
Correct Answer: Cottage cheese-like discharge
Rationale: Candida infections present with thick, white, curd-like discharge and
itching. Greenish discharge may indicate Trichomonas, gray suggests bacterial
vaginosis, and bloody or purulent discharge is not typical for uncomplicated
yeast infections.
4. The nurse palpates a patient's sinuses. Which sinus is assessed by applying
gentle upward pressure below the cheekbones?
A) Ethmoidal sinus
B) Frontal sinus
C) Maxillary sinus
D) Sphenoidal sinus
Correct Answer: Maxillary sinus
, Rationale: The maxillary sinuses are located in the cheek area and are palpated
by pressing upward below the cheekbones. Frontal sinuses are above the
eyebrows. Ethmoidal and sphenoidal sinuses are not accessible by external
palpation.
5. A client reports blurred vision with halos around lights and reduced
peripheral vision. Which condition does the nurse suspect?
A) Macular degeneration
B) Cataracts
C) Glaucoma
D) Retinal detachment
Correct Answer: Glaucoma
Rationale: Glaucoma increases intraocular pressure, causing optic nerve damage
with symptoms of blurred vision, halos, and tunnel vision. Macular
degeneration causes central vision loss; cataracts cause clouding; retinal
detachment presents with flashes and a curtain.
6. A nurse is preparing to administer a medication to a critically ill patient.
Which condition is a contraindication for the oral route?
A) Nausea
B) Vomiting
C) Mild confusion
D) Headache
Nursing (2026) Q&A | Galen College
1. The nurse is preparing to administer a medication. Which action best
demonstrates safe, skilled nursing practice?
A) Verify the patient's room number matches the MAR
B) Identify the patient by comparing name and birth date to the MAR
C) Ask the patient to state their name
D) Check the armband only
Correct Answer: Identify the patient by comparing name and birth date to the
MAR
Rationale: At least two patient identifiers must be used to ensure correct
patient identification. Room number is never an acceptable identifier. The nurse
should compare the patient's stated name and date of birth against the MAR
and armband.
2. The nurse is performing the three checks of medication administration. When
is the third check performed?
A) When taking the drug from the dispensing unit
B) During preparation, comparing the drug with the MAR
C) At the bedside immediately before administration
D) After documenting the dose given
Correct Answer: At the bedside immediately before administration
,Rationale: The three checks are done when removing the drug, when preparing
the drug, and at the bedside before administration. This triple-check system
prevents medication errors and is performed before the patient receives the
medication.
3. A client with a Candida albicans infection is being assessed. Which finding
does the nurse expect?
A) Frothy, greenish discharge
B) Foul-smelling, gray discharge
C) Cottage cheese-like discharge
D) Bloody, purulent discharge
Correct Answer: Cottage cheese-like discharge
Rationale: Candida infections present with thick, white, curd-like discharge and
itching. Greenish discharge may indicate Trichomonas, gray suggests bacterial
vaginosis, and bloody or purulent discharge is not typical for uncomplicated
yeast infections.
4. The nurse palpates a patient's sinuses. Which sinus is assessed by applying
gentle upward pressure below the cheekbones?
A) Ethmoidal sinus
B) Frontal sinus
C) Maxillary sinus
D) Sphenoidal sinus
Correct Answer: Maxillary sinus
, Rationale: The maxillary sinuses are located in the cheek area and are palpated
by pressing upward below the cheekbones. Frontal sinuses are above the
eyebrows. Ethmoidal and sphenoidal sinuses are not accessible by external
palpation.
5. A client reports blurred vision with halos around lights and reduced
peripheral vision. Which condition does the nurse suspect?
A) Macular degeneration
B) Cataracts
C) Glaucoma
D) Retinal detachment
Correct Answer: Glaucoma
Rationale: Glaucoma increases intraocular pressure, causing optic nerve damage
with symptoms of blurred vision, halos, and tunnel vision. Macular
degeneration causes central vision loss; cataracts cause clouding; retinal
detachment presents with flashes and a curtain.
6. A nurse is preparing to administer a medication to a critically ill patient.
Which condition is a contraindication for the oral route?
A) Nausea
B) Vomiting
C) Mild confusion
D) Headache
