NURS 6121 EXAM PREPARATION QUESTIONS
WITH FULL RATIONALES 2026
▶ The nurse is reviewing a medication prescription for a client prior to
administration and observes that the route of administration is not present
in the prescription. What is the appropriate action by the nurse to address
this omission?
A. Add the route to the prescription and administer the medication since the
nurse is familiar with the drug.
B. Call to ask the pharmacy how the drug should be administered.
C. Omit the administration of the medication since it was written incorrectly.
D. Notify the health care provider to add the route and then administer the
medication when complete.. Answer: D. Notify the health care provider to
add the route and then administer the medication when complete.
▶ The Z-track technique is utilized during drug administration by which
route?
A. intramuscular
B. intravenous
C. intradermal
D. subcutaneous. Answer: A. intramuscular
▶ A nurse is caring for a client in the nursing unit when the health care
provider, during the rounds, verbalizes a prescription for a medication.
What appropriate action should the nurse take to ensure the accuracy of
the verbal medication order?
A. Ask the health care provider to spell out the medication name.
B. Ask the health care provider to repeat the dosage.
C. Ask the health care provider to write out the order.
D. Ask a second nurse to listen for accuracy.. Answer: C. Ask the health
care provider to write out the order.
▶ The nurse is educating a client on how to self-administer subcutaneous
insulin injections. The client asks why the needle must be removed at the
same angle as that of insertion. How will the nurse respond?
, A. It prevents needlestick injuries.
B. It minimizes tissue trauma.
C. This helps to control placement of the needle.
D. This verifies correct injection of the drug.. Answer: B. It minimizes tissue
trauma.
▶ The nurse is teaching a client how to take medications upon discharge.
The client is alert and oriented but unable to articulate the teaching back to
the nurse. What is the appropriate nursing action?
A. Request another nurse to reteach the material.
B. Give written instructions to the client and caregivers.
C. Provide discharge paperwork to the client.
D. Arrange for home health to see the client.. Answer: B. Give written
instructions to the client and caregivers.
▶ The nurse has a prescription to administer 25 mg of furosemide IV to a
client. The drug is supplied in a vial 40 mg/4 ml. How many milliliters will
the nurse administer of the medication? Record your answer using one
decimal place.. Answer: 2.5 mL
▶ A client with chronic obstructive pulmonary disease has been prescribed
a bronchodilator to be administered by small-volume nebulizer. The nurse
should ensure that the client:
A. breathes through his or her mouth until all the medication has been
inhaled.
B. takes rapid, shallow breaths until the medication is complete.
C. rinses his or her mouth with water before the medication is administered.
D. coughs intermittently while the medication is being administered..
Answer: A. breathes through his or her mouth until all the medication has
been inhaled.
▶ A client is taking numerous eye drops to prepare for cataract surgery.
Which teaching about ophthalmic application will the nurse provide?
A. "If you cannot instill these drops from the bottle, you will be unable to
have surgery."
B. "Dispose of these medications every 7 days due to possible bacterial
contamination."
C. "Rest the eye dropper on the inner canthus to make it easier to instill the
drops."
WITH FULL RATIONALES 2026
▶ The nurse is reviewing a medication prescription for a client prior to
administration and observes that the route of administration is not present
in the prescription. What is the appropriate action by the nurse to address
this omission?
A. Add the route to the prescription and administer the medication since the
nurse is familiar with the drug.
B. Call to ask the pharmacy how the drug should be administered.
C. Omit the administration of the medication since it was written incorrectly.
D. Notify the health care provider to add the route and then administer the
medication when complete.. Answer: D. Notify the health care provider to
add the route and then administer the medication when complete.
▶ The Z-track technique is utilized during drug administration by which
route?
A. intramuscular
B. intravenous
C. intradermal
D. subcutaneous. Answer: A. intramuscular
▶ A nurse is caring for a client in the nursing unit when the health care
provider, during the rounds, verbalizes a prescription for a medication.
What appropriate action should the nurse take to ensure the accuracy of
the verbal medication order?
A. Ask the health care provider to spell out the medication name.
B. Ask the health care provider to repeat the dosage.
C. Ask the health care provider to write out the order.
D. Ask a second nurse to listen for accuracy.. Answer: C. Ask the health
care provider to write out the order.
▶ The nurse is educating a client on how to self-administer subcutaneous
insulin injections. The client asks why the needle must be removed at the
same angle as that of insertion. How will the nurse respond?
, A. It prevents needlestick injuries.
B. It minimizes tissue trauma.
C. This helps to control placement of the needle.
D. This verifies correct injection of the drug.. Answer: B. It minimizes tissue
trauma.
▶ The nurse is teaching a client how to take medications upon discharge.
The client is alert and oriented but unable to articulate the teaching back to
the nurse. What is the appropriate nursing action?
A. Request another nurse to reteach the material.
B. Give written instructions to the client and caregivers.
C. Provide discharge paperwork to the client.
D. Arrange for home health to see the client.. Answer: B. Give written
instructions to the client and caregivers.
▶ The nurse has a prescription to administer 25 mg of furosemide IV to a
client. The drug is supplied in a vial 40 mg/4 ml. How many milliliters will
the nurse administer of the medication? Record your answer using one
decimal place.. Answer: 2.5 mL
▶ A client with chronic obstructive pulmonary disease has been prescribed
a bronchodilator to be administered by small-volume nebulizer. The nurse
should ensure that the client:
A. breathes through his or her mouth until all the medication has been
inhaled.
B. takes rapid, shallow breaths until the medication is complete.
C. rinses his or her mouth with water before the medication is administered.
D. coughs intermittently while the medication is being administered..
Answer: A. breathes through his or her mouth until all the medication has
been inhaled.
▶ A client is taking numerous eye drops to prepare for cataract surgery.
Which teaching about ophthalmic application will the nurse provide?
A. "If you cannot instill these drops from the bottle, you will be unable to
have surgery."
B. "Dispose of these medications every 7 days due to possible bacterial
contamination."
C. "Rest the eye dropper on the inner canthus to make it easier to instill the
drops."
