NU 155 NURSING FOUNDATIONS FINAL
EXAM QUESTIONS & ANSWERS 100%
GUARANTEE PASS | GALEN COLLEGE
OF NURSING
1. A nurse is preparing to administer an intramuscular injection to an obese patient. Which of
the following techniques should the nurse prioritize to ensure the medication reaches the
muscle tissue?
A. Using a 5/8-inch needle at a 45-degree angle
B. Using a 1.5 to 3-inch needle at a 90-degree angle
C. Employing the Z-track method with a 1-inch needle
D. Selecting the deltoid site as the primary location
Answer: B
Conceptual Explanation: Obese patients require longer needles (1.5 to 3 inches) to
penetrate the subcutaneous fat layer and reach the muscle. A 90-degree angle is standard
for IM injections.
2. When performing a physical assessment, the nurse notes a high-pitched, musical sound
during expiration in a patient with asthma. How should the nurse document this finding?
A. Rhonchi
,B. Crackles
C. Wheezes
D. Pleural friction rub
Answer: C
Conceptual Explanation: Wheezes are high-pitched, musical sounds caused by air passing
through narrowed airways, commonly heard in asthma.
3. A patient with a stage III pressure injury is being treated. Which of the following findings is
characteristic of a Stage III injury?
A. Non-blanchable erythema of intact skin
B. Full-thickness skin loss involving damage to subcutaneous tissue
C. Partial-thickness loss of dermis presenting as a shallow open ulcer
D. Full-thickness tissue loss with exposed bone or tendon
Answer: B
Conceptual Explanation: Stage III involves full-thickness skin loss where subcutaneous fat
may be visible, but bone, tendon, or muscle are not exposed.
4. A nurse discovers a medication error and immediately assesses the patient. What is the
next most appropriate action according to legal and ethical standards?
A. Document the error in the patient’s medical record only
B. Wait until the end of the shift to report the error to the supervisor
, C. Notify the provider and complete an incident report
D. Contact the pharmacy to verify the drug’s side effects
Answer: C
Conceptual Explanation: Patient safety is priority. After assessment, the provider must be
notified for potential orders, and an incident report must be filed (though not mentioned in
the medical record itself).
5. Which ethical principle is the nurse upholding when supporting a patient’s decision to
refuse chemotherapy despite the family’s wishes?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: D
Conceptual Explanation: Autonomy refers to the patient’s right to make their own
healthcare decisions.
6. During the ‘Implementation’ phase of the nursing process, which action is the nurse
performing?
A. Carrying out planned nursing interventions
B. Setting measurable goals with the patient
EXAM QUESTIONS & ANSWERS 100%
GUARANTEE PASS | GALEN COLLEGE
OF NURSING
1. A nurse is preparing to administer an intramuscular injection to an obese patient. Which of
the following techniques should the nurse prioritize to ensure the medication reaches the
muscle tissue?
A. Using a 5/8-inch needle at a 45-degree angle
B. Using a 1.5 to 3-inch needle at a 90-degree angle
C. Employing the Z-track method with a 1-inch needle
D. Selecting the deltoid site as the primary location
Answer: B
Conceptual Explanation: Obese patients require longer needles (1.5 to 3 inches) to
penetrate the subcutaneous fat layer and reach the muscle. A 90-degree angle is standard
for IM injections.
2. When performing a physical assessment, the nurse notes a high-pitched, musical sound
during expiration in a patient with asthma. How should the nurse document this finding?
A. Rhonchi
,B. Crackles
C. Wheezes
D. Pleural friction rub
Answer: C
Conceptual Explanation: Wheezes are high-pitched, musical sounds caused by air passing
through narrowed airways, commonly heard in asthma.
3. A patient with a stage III pressure injury is being treated. Which of the following findings is
characteristic of a Stage III injury?
A. Non-blanchable erythema of intact skin
B. Full-thickness skin loss involving damage to subcutaneous tissue
C. Partial-thickness loss of dermis presenting as a shallow open ulcer
D. Full-thickness tissue loss with exposed bone or tendon
Answer: B
Conceptual Explanation: Stage III involves full-thickness skin loss where subcutaneous fat
may be visible, but bone, tendon, or muscle are not exposed.
4. A nurse discovers a medication error and immediately assesses the patient. What is the
next most appropriate action according to legal and ethical standards?
A. Document the error in the patient’s medical record only
B. Wait until the end of the shift to report the error to the supervisor
, C. Notify the provider and complete an incident report
D. Contact the pharmacy to verify the drug’s side effects
Answer: C
Conceptual Explanation: Patient safety is priority. After assessment, the provider must be
notified for potential orders, and an incident report must be filed (though not mentioned in
the medical record itself).
5. Which ethical principle is the nurse upholding when supporting a patient’s decision to
refuse chemotherapy despite the family’s wishes?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: D
Conceptual Explanation: Autonomy refers to the patient’s right to make their own
healthcare decisions.
6. During the ‘Implementation’ phase of the nursing process, which action is the nurse
performing?
A. Carrying out planned nursing interventions
B. Setting measurable goals with the patient
