NU 136 Exam 5 Questions with Answers | Pass
Guaranteed| 2027 Updated-Galen
NU 136 Exam 5 – Galen College of Nursing
Practice Questions & Verified Answers (2026/2027 Update)
SECTION 1: MEDICATION ADMINISTRATION & SAFETY
1. The nurse working on a medical-surgical unit is administering medications to
an assigned client. Which of the following actions is appropriate for the nurse to
take?
A. Initialing medications on the medication administration record (MAR) as given
prior to entering the room
B. Notifying the primary healthcare provider (PHCP) that the client has received
their assigned medications
C. Documenting reasons the client declined taking any medications on the
medication administration record (MAR)
D. Providing the client with a copy of their medication administration record
(MAR) upon request
*Correct Answer: C. Documenting reasons the client declined taking any
medications on the medication administration record (MAR). Rationale: The
nurse must accurately document medication administration, including when a
client refuses medication. Initialing medications BEFORE administration is a
medication error—it falsely records administration. Providing a copy of the MAR is
not standard practice .
,2. The nurse is caring for a client who takes 6 tablets of methotrexate once every
week on Friday. How many milligrams (mg) of methotrexate does the client take
per dose according to the exhibit below? Methotrexate tablets, USP: 2.5 mg
tablets
A. 15 mg
B. 2.4 mg
C. 6 mg
D. 2.5 mg
*Correct Answer: A. 15 mg. Rationale: 6 tablets × 2.5 mg per tablet = 15 mg per
dose .
3. A nurse is preparing to don personal protective equipment (PPE) before
entering a patient's room who has a suspected Clostridioides difficile infection.
Which sequence demonstrates the correct order for donning PPE?
A. Gown → Mask → Gloves → Eye protection
B. Mask → Gown → Eye protection → Gloves
C. Gloves → Gown → Mask → Eye protection
D. Gown → Mask → Eye protection → Gloves
*Correct Answer: B. Mask → Gown → Eye protection → Gloves. Rationale: The
correct sequence for donning PPE is: 1) Mask, 2) Gown, 3) Eye protection, and 4)
Gloves last .
4. A patient has been diagnosed with a Clostridioides difficile infection. Which
infection control measure is most appropriate for this patient?
A. Standard precautions only
B. Contact precautions with alcohol-based hand sanitizer
, C. Contact precautions with soap and water hand hygiene
D. Droplet precautions with soap and water hand hygiene
*Correct Answer: C. Contact precautions with soap and water hand hygiene.
Rationale: C. difficile requires contact precautions. Alcohol-based hand sanitizers
are ineffective against C. difficile spores; soap and water must be used .
5. Which action most effectively interrupts the chain of infection at the mode-of-
transmission link?
A. Administering an antibiotic
B. Identifying the susceptible host
C. Increasing the patient's nutritional intake
D. Performing hand hygiene before and after patient contact
*Correct Answer: D. Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is one of the most effective ways to prevent transmission
of microorganisms between people and surfaces .
6. Which practice is appropriate when removing contaminated gloves?
A. Avoid touching the contaminated glove surface with bare skin
B. Pull both gloves off simultaneously from the fingertips
C. Wash the gloves before removing them
D. Touch the outside of the first glove with the opposite bare hand
*Correct Answer: A. Avoid touching the contaminated glove surface with bare
skin. Rationale: The outside of contaminated gloves should be treated as
contaminated. Proper glove-removal technique prevents touching contaminated
surfaces with bare skin .
7. Which of the following best describes the purpose of standard precautions?
Guaranteed| 2027 Updated-Galen
NU 136 Exam 5 – Galen College of Nursing
Practice Questions & Verified Answers (2026/2027 Update)
SECTION 1: MEDICATION ADMINISTRATION & SAFETY
1. The nurse working on a medical-surgical unit is administering medications to
an assigned client. Which of the following actions is appropriate for the nurse to
take?
A. Initialing medications on the medication administration record (MAR) as given
prior to entering the room
B. Notifying the primary healthcare provider (PHCP) that the client has received
their assigned medications
C. Documenting reasons the client declined taking any medications on the
medication administration record (MAR)
D. Providing the client with a copy of their medication administration record
(MAR) upon request
*Correct Answer: C. Documenting reasons the client declined taking any
medications on the medication administration record (MAR). Rationale: The
nurse must accurately document medication administration, including when a
client refuses medication. Initialing medications BEFORE administration is a
medication error—it falsely records administration. Providing a copy of the MAR is
not standard practice .
,2. The nurse is caring for a client who takes 6 tablets of methotrexate once every
week on Friday. How many milligrams (mg) of methotrexate does the client take
per dose according to the exhibit below? Methotrexate tablets, USP: 2.5 mg
tablets
A. 15 mg
B. 2.4 mg
C. 6 mg
D. 2.5 mg
*Correct Answer: A. 15 mg. Rationale: 6 tablets × 2.5 mg per tablet = 15 mg per
dose .
3. A nurse is preparing to don personal protective equipment (PPE) before
entering a patient's room who has a suspected Clostridioides difficile infection.
Which sequence demonstrates the correct order for donning PPE?
A. Gown → Mask → Gloves → Eye protection
B. Mask → Gown → Eye protection → Gloves
C. Gloves → Gown → Mask → Eye protection
D. Gown → Mask → Eye protection → Gloves
*Correct Answer: B. Mask → Gown → Eye protection → Gloves. Rationale: The
correct sequence for donning PPE is: 1) Mask, 2) Gown, 3) Eye protection, and 4)
Gloves last .
4. A patient has been diagnosed with a Clostridioides difficile infection. Which
infection control measure is most appropriate for this patient?
A. Standard precautions only
B. Contact precautions with alcohol-based hand sanitizer
, C. Contact precautions with soap and water hand hygiene
D. Droplet precautions with soap and water hand hygiene
*Correct Answer: C. Contact precautions with soap and water hand hygiene.
Rationale: C. difficile requires contact precautions. Alcohol-based hand sanitizers
are ineffective against C. difficile spores; soap and water must be used .
5. Which action most effectively interrupts the chain of infection at the mode-of-
transmission link?
A. Administering an antibiotic
B. Identifying the susceptible host
C. Increasing the patient's nutritional intake
D. Performing hand hygiene before and after patient contact
*Correct Answer: D. Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is one of the most effective ways to prevent transmission
of microorganisms between people and surfaces .
6. Which practice is appropriate when removing contaminated gloves?
A. Avoid touching the contaminated glove surface with bare skin
B. Pull both gloves off simultaneously from the fingertips
C. Wash the gloves before removing them
D. Touch the outside of the first glove with the opposite bare hand
*Correct Answer: A. Avoid touching the contaminated glove surface with bare
skin. Rationale: The outside of contaminated gloves should be treated as
contaminated. Proper glove-removal technique prevents touching contaminated
surfaces with bare skin .
7. Which of the following best describes the purpose of standard precautions?
