NURS 101L | Fundamentals of Nursing Skills Lab | Week 4 Quiz 2026
|WCU
1. When a nurse performs the ‘three checks’ of medication administration, at
which point is the third check typically performed?
A. When reaching for the unit dose package or container
B. Immediately after pouring the medication into a secondary container
C. After scanning the patient’s identification band at the bedside
D. Before placing the medication back into the storage drawer
Answer: C
Rationale: The third check occurs at the bedside, just before administering the medication
to the patient, often after confirming the patient’s identity.
2. Which landmark is essential for identifying the ventrogluteal site for an
intramuscular injection?
A. The acromion process and the mid-axillary line
B. The patella and the greater trochanter of the femur
C. The greater trochanter and the anterior superior iliac spine
D. The posterior superior iliac spine and the iliac crest
Answer: C
Rationale: The ventrogluteal site is located by placing the palm over the greater trochanter
and the index finger on the anterior superior iliac spine.
,3. The nurse is preparing to administer a 0.5 mL subcutaneous injection of
Heparin. Which needle gauge and length is most appropriate?
A. 21 gauge, 1.5 inch
B. 25 gauge, 5/8 inch
C. 18 gauge, 1 inch
D. 30 gauge, 1/2 inch
Answer: B
Rationale: Subcutaneous injections typically require a 25- to 27-gauge needle, 3/8 to 5/8
inch long.
4. A patient is prescribed a sublingual medication. What instruction should the
nurse provide?
A. ‘Place the tablet under your tongue and let it dissolve.’
B. ‘Dissolve the tablet in a small amount of water.’
C. ‘Chew the tablet thoroughly before swallowing.’
D. ‘Place the tablet between your cheek and gum.’
Answer: A
Rationale: Sublingual medications are placed under the tongue to be absorbed through the
mucous membranes.
5. What is the primary purpose of using the Z-track technique for intramuscular
injections?
A. To decrease the pain associated with the needle puncture
B. To prevent the medication from leaking back into the subcutaneous tissue
C. To ensure the medication reaches the bone for faster absorption
D. To allow for a larger volume of medication to be injected
Answer: B
Rationale: Z-track seals the medication in the muscle and prevents irritation of the
subcutaneous tissue.
, 6. When administering ear drops to a 2-year-old child, how should the nurse
manipulate the pinna?
A. Pull the pinna downward and backward
B. Pull the pinna straight back
C. Pull the pinna upward and backward
D. Pull the pinna upward and forward
Answer: A
Rationale: For children under 3, the pinna is pulled down and back; for adults, it is pulled
up and back.
7. Which ‘right’ of medication administration is being followed when the nurse
checks the patient’s wristband against the MAR?
A. Right Patient
B. Right Route
C. Right Documentation
D. Right Dose
Answer: A
Rationale: Checking the patient’s identity using two identifiers ensures the right patient
receives the medication.
8. A nurse discovers a medication error. What is the priority action?
A. Complete an incident report immediately
B. Assess the patient’s condition
C. Notify the healthcare provider
D. Document the error in the patient’s medical record
Answer: B
Rationale: Patient safety is the priority; the nurse must first assess for any adverse effects
of the error.
|WCU
1. When a nurse performs the ‘three checks’ of medication administration, at
which point is the third check typically performed?
A. When reaching for the unit dose package or container
B. Immediately after pouring the medication into a secondary container
C. After scanning the patient’s identification band at the bedside
D. Before placing the medication back into the storage drawer
Answer: C
Rationale: The third check occurs at the bedside, just before administering the medication
to the patient, often after confirming the patient’s identity.
2. Which landmark is essential for identifying the ventrogluteal site for an
intramuscular injection?
A. The acromion process and the mid-axillary line
B. The patella and the greater trochanter of the femur
C. The greater trochanter and the anterior superior iliac spine
D. The posterior superior iliac spine and the iliac crest
Answer: C
Rationale: The ventrogluteal site is located by placing the palm over the greater trochanter
and the index finger on the anterior superior iliac spine.
,3. The nurse is preparing to administer a 0.5 mL subcutaneous injection of
Heparin. Which needle gauge and length is most appropriate?
A. 21 gauge, 1.5 inch
B. 25 gauge, 5/8 inch
C. 18 gauge, 1 inch
D. 30 gauge, 1/2 inch
Answer: B
Rationale: Subcutaneous injections typically require a 25- to 27-gauge needle, 3/8 to 5/8
inch long.
4. A patient is prescribed a sublingual medication. What instruction should the
nurse provide?
A. ‘Place the tablet under your tongue and let it dissolve.’
B. ‘Dissolve the tablet in a small amount of water.’
C. ‘Chew the tablet thoroughly before swallowing.’
D. ‘Place the tablet between your cheek and gum.’
Answer: A
Rationale: Sublingual medications are placed under the tongue to be absorbed through the
mucous membranes.
5. What is the primary purpose of using the Z-track technique for intramuscular
injections?
A. To decrease the pain associated with the needle puncture
B. To prevent the medication from leaking back into the subcutaneous tissue
C. To ensure the medication reaches the bone for faster absorption
D. To allow for a larger volume of medication to be injected
Answer: B
Rationale: Z-track seals the medication in the muscle and prevents irritation of the
subcutaneous tissue.
, 6. When administering ear drops to a 2-year-old child, how should the nurse
manipulate the pinna?
A. Pull the pinna downward and backward
B. Pull the pinna straight back
C. Pull the pinna upward and backward
D. Pull the pinna upward and forward
Answer: A
Rationale: For children under 3, the pinna is pulled down and back; for adults, it is pulled
up and back.
7. Which ‘right’ of medication administration is being followed when the nurse
checks the patient’s wristband against the MAR?
A. Right Patient
B. Right Route
C. Right Documentation
D. Right Dose
Answer: A
Rationale: Checking the patient’s identity using two identifiers ensures the right patient
receives the medication.
8. A nurse discovers a medication error. What is the priority action?
A. Complete an incident report immediately
B. Assess the patient’s condition
C. Notify the healthcare provider
D. Document the error in the patient’s medical record
Answer: B
Rationale: Patient safety is the priority; the nurse must first assess for any adverse effects
of the error.
