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Medication Administration, Pain, Culture & Death/Loss – Galen Exam 4 | Study Guide, Practice Questions & Exam Review 2026/2027

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Prepare for Galen Exam 4 with focused nursing review of medication administration, pain management, cultural considerations, and death and loss. Covers medication safety, administration principles, pain assessment and interventions, culturally sensitive nursing care, end-of-life care, grief, loss, patient support, and exam-style practice questions with detailed answer explanations. Ideal for Galen College of Nursing students preparing for Exam 4 and reviewing essential nursing fundamentals for 2026/2027.

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Medication Admin, Pain, Culture & Death Loss - Galen Exam 4
Medication Admin, Pain, Culture & Death/Loss - Galen Exam 4
Study online at https://quizlet.com/_j3c9m1

1. What is the appropriate angle for A) 45°
a subcutaneous injection using a
5/8in needle? *TIP 5/8 - 45° starts & ends with a "5"*

A) 45° X- 5-15° is the recommended angle for intradermal in-
B) 5-15° jections
C) 25° X- 25° is the recommended angle for initiating an intra-
D) 120° venous (IV) injection or IV catheter
X- 120° is not a valid angle of injection

2. What is the best patient position A) Sim's on the left side with upper leg flexed at the knee
for a rectal suppository?

A) Sim's on the left side with upper
leg flexed at the knee
B) Supine with slightly bent knees
C) Sim's on the right side with the
lower leg slightly bent
D) Prone 180°

3. "Pain Tolerance" is defined as A) the intensity or duration of pain that a patient is willing
to endure
A) the intensity or duration of pain
that a patient is willing to endure
B) the expected pain of a process
or procedure
C) the lowest intensity at which the
brain deems stimuli as pain
D) pain originating in one area that
is felt in another area

4. The inner feelings and outward ex- D) Bereavement
pressions that people who are ex-

9/18/2026, 12:56:21 PM

, Medication Admin, Pain, Culture & Death Loss - Galen Exam 4
Medication Admin, Pain, Culture & Death/Loss - Galen Exam 4
Study online at https://quizlet.com/_j3c9m1

periencing loss demonstrate. Bereavement is an objective state referencing the factual
loss of life - specifically death.
A) Grief
B) Delayed grief While grief is the subjective emotional, physical and cog-
C) Anxiety nitive response to any loss and not exclusive to death.
D) Bereavement Grief can be for a person, item, ability or even sense of
normalcy and does not have to include a death.

5. What is the correct patient posi- D) Semi Fowlers
tion for enteral medication admin-
istration? Patient is laying flat on their back with the head of the
bed elevated 30-45° - patient should maintain position
A) Sim's position for at least 30-60 minutes afterwards
B) Dorsal Recumbent
C) Supine *remember Enteral medications are administered direct-
D) Semi Fowlers ly into the GI tract for absorption*




6. A drop in body temperature as the C) Algor Mortis
body begins to cool after death &
is the forensic indicator of time of This is the post mortem (after death) colling of the body
death. and is the forensic indicator of death time

A) Rigor mortis X- Rigor mortis is the muscle stiffening that begins within
B) Livor mortis 2-4 hours of death & fully developes in 12 hours
C) Algor mortis X-Livor mortis is the pooling of blood in the lower por-
D) Pallor mortis tions of the body & starts around 20-30 mins after death
creating a reddish-purple discoloration
X- Pallor mortis is the paleness of the skin occuring within
15-20 mins after death due to lack of capillary circulation



9/18/2026, 12:56:21 PM

, Medication Admin, Pain, Culture & Death Loss - Galen Exam 4
Medication Admin, Pain, Culture & Death/Loss - Galen Exam 4
Study online at https://quizlet.com/_j3c9m1

7. What does it indicate if there C) The catheter may not be in the vein
is no blood flashback in the IV
catheter? IV INSERTION PROCEDURE:
1) Hold the needle in your dominant hand bevel up at
A) No indication about a 25° (between 15°-30°) from the arm (or area of
B) Correct insertion angle and insertion)
depth
C) The catheter may not be in the 2) With your non-dominant hand, hold the skin taught
vein over the vein so it doesn't move as you try to insert the
D) A new needle is needed needle.

3) When you have inserted the needle correctly, you will
see a flashback of blood in the flash chamber.

*You might also see this flashback in the catheter, de-
pending on the size and type of catheter you are using*

8. Which pharmacokinetic process B) Absorption - the transfer of a drug from its site of
determines how quickly the med- administration into the systemic circulation
ication enters the bloodstream?
X - Dilution is the reduction of a drug's concentration
A) Dilution within a body fluid typically plasma or tissue
B) Absorption X- Injection is a route of medication administration
C) Injection X- Distribution occurs after absorption to distribute drugs
D) Distribution based on blood flow

9. Which injection type is used pri- B) Intradermal
marily for diagnostic testing?

A) Intravenous
B) Intradermal
C) Intramuscular
D) Subcutaneous


9/18/2026, 12:56:21 PM

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