GALEN COLLEGE OF NURSING
NUR 155 — Fundamentals of Nursing
NUR 155 — Exam 4 Review Academic Year: 2026/2027
Comprehensive Question Bank
Question 1
When administering a rectal suppository, what is the correct patient position?
A. Supine with knees flexed
B. Left lateral position with upper knee flexed
C. Right lateral position with lower knee flexed
D. Prone position
CORRECT ANSWER B. Left lateral position with upper knee flexed
RATIONALE
For rectal suppository administration, position the patient on the left side with the upper knee
flexed (left lateral position). This facilitates insertion and retention. Supine is for vaginal
suppositories.
, Question 2
Clinical manifestations of pain in the gastrointestinal system include:
A. Increased gastric emptying
B. Delayed gastric emptying, constipation, weight loss
C. Diarrhea and nausea
D. No gastrointestinal effects
CORRECT ANSWER B. Delayed gastric emptying, constipation, weight loss
RATIONALE
Pain can slow gastrointestinal motility, leading to delayed gastric emptying, constipation, and
weight loss. These effects are due to autonomic nervous system activation.
Question 3
Which site is commonly used for intradermal injections?
A. Inner forearm, upper arm, and scapular area
B. Abdomen and lateral aspects of the upper arm
C. Ventrogluteal and vastus lateralis
D. Deltoid and gluteal muscles
CORRECT ANSWER A. Inner forearm, upper arm, and scapular area
RATIONALE
Common intradermal injection sites include the inner forearm, upper arm, and scapular area. The
abdomen and lateral thigh are for subcutaneous injections. Ventrogluteal and vastus lateralis are
for intramuscular injections.
, Question 4
The stages of grief according to Kubler-Ross (in order) are:
A. Denial, Anger, Bargaining, Depression, Acceptance (DABDA)
B. Anger, Denial, Depression, Bargaining, Acceptance
C. Denial, Bargaining, Anger, Depression, Acceptance
D. Acceptance, Depression, Bargaining, Anger, Denial
CORRECT ANSWER A. Denial, Anger, Bargaining, Depression, Acceptance (DABDA)
RATIONALE
Kubler-Ross's five stages of grief are Denial, Anger, Bargaining, Depression, and Acceptance
(DABDA). These stages are not necessarily linear, and individuals may move back and forth.
Question 5
Clinical manifestations of pain in the cardiovascular system include:
A. Decreased HR and BP
B. Increased HR and systolic BP, decreased systolic BP and pulse, chest pain, and
hypercoagulation
C. No change in vital signs
D. Bradycardia and hypotension
CORRECT ANSWER
B. Increased HR and systolic BP, decreased systolic BP and pulse, chest pain, and
hypercoagulation
RATIONALE
Pain can cause increased heart rate and systolic blood pressure initially. In severe or prolonged
pain, systolic BP and pulse may decrease. Chest pain and hypercoagulation are also possible
manifestations.
, Question 6
Which of the following is a type of pain scale?
A. SOCRATES, PQRST, OLDCARTS, numeric scale, Wong-Baker faces scale, activity tolerance
scale
B. GCS, APGAR, Braden scale
C. BMI, CBC, BMP
D. Glasgow Coma Scale, Morse scale
CORRECT ANSWER
A. SOCRATES, PQRST, OLDCARTS, numeric scale, Wong-Baker faces scale, activity
tolerance scale
RATIONALE
Common pain scales include SOCRATES, PQRST, OLDCARTS, numeric (1-10), Wong-Baker Faces,
and activity tolerance scales. GCS, APGAR, and Braden are not pain scales; they assess other
parameters.
Question 7
What is the correct position for vaginal suppository administration?
A. Left lateral
B. Dorsal recumbent (lying on back with knees flexed)
C. Prone
D. Sitting upright
CORRECT ANSWER B. Dorsal recumbent (lying on back with knees flexed)
RATIONALE
For vaginal suppository administration, place the patient in the dorsal recumbent position (on back
with knees flexed). This provides optimal access to the vaginal canal. Left lateral is for rectal
suppositories.
NUR 155 — Fundamentals of Nursing
NUR 155 — Exam 4 Review Academic Year: 2026/2027
Comprehensive Question Bank
Question 1
When administering a rectal suppository, what is the correct patient position?
A. Supine with knees flexed
B. Left lateral position with upper knee flexed
C. Right lateral position with lower knee flexed
D. Prone position
CORRECT ANSWER B. Left lateral position with upper knee flexed
RATIONALE
For rectal suppository administration, position the patient on the left side with the upper knee
flexed (left lateral position). This facilitates insertion and retention. Supine is for vaginal
suppositories.
, Question 2
Clinical manifestations of pain in the gastrointestinal system include:
A. Increased gastric emptying
B. Delayed gastric emptying, constipation, weight loss
C. Diarrhea and nausea
D. No gastrointestinal effects
CORRECT ANSWER B. Delayed gastric emptying, constipation, weight loss
RATIONALE
Pain can slow gastrointestinal motility, leading to delayed gastric emptying, constipation, and
weight loss. These effects are due to autonomic nervous system activation.
Question 3
Which site is commonly used for intradermal injections?
A. Inner forearm, upper arm, and scapular area
B. Abdomen and lateral aspects of the upper arm
C. Ventrogluteal and vastus lateralis
D. Deltoid and gluteal muscles
CORRECT ANSWER A. Inner forearm, upper arm, and scapular area
RATIONALE
Common intradermal injection sites include the inner forearm, upper arm, and scapular area. The
abdomen and lateral thigh are for subcutaneous injections. Ventrogluteal and vastus lateralis are
for intramuscular injections.
, Question 4
The stages of grief according to Kubler-Ross (in order) are:
A. Denial, Anger, Bargaining, Depression, Acceptance (DABDA)
B. Anger, Denial, Depression, Bargaining, Acceptance
C. Denial, Bargaining, Anger, Depression, Acceptance
D. Acceptance, Depression, Bargaining, Anger, Denial
CORRECT ANSWER A. Denial, Anger, Bargaining, Depression, Acceptance (DABDA)
RATIONALE
Kubler-Ross's five stages of grief are Denial, Anger, Bargaining, Depression, and Acceptance
(DABDA). These stages are not necessarily linear, and individuals may move back and forth.
Question 5
Clinical manifestations of pain in the cardiovascular system include:
A. Decreased HR and BP
B. Increased HR and systolic BP, decreased systolic BP and pulse, chest pain, and
hypercoagulation
C. No change in vital signs
D. Bradycardia and hypotension
CORRECT ANSWER
B. Increased HR and systolic BP, decreased systolic BP and pulse, chest pain, and
hypercoagulation
RATIONALE
Pain can cause increased heart rate and systolic blood pressure initially. In severe or prolonged
pain, systolic BP and pulse may decrease. Chest pain and hypercoagulation are also possible
manifestations.
, Question 6
Which of the following is a type of pain scale?
A. SOCRATES, PQRST, OLDCARTS, numeric scale, Wong-Baker faces scale, activity tolerance
scale
B. GCS, APGAR, Braden scale
C. BMI, CBC, BMP
D. Glasgow Coma Scale, Morse scale
CORRECT ANSWER
A. SOCRATES, PQRST, OLDCARTS, numeric scale, Wong-Baker faces scale, activity
tolerance scale
RATIONALE
Common pain scales include SOCRATES, PQRST, OLDCARTS, numeric (1-10), Wong-Baker Faces,
and activity tolerance scales. GCS, APGAR, and Braden are not pain scales; they assess other
parameters.
Question 7
What is the correct position for vaginal suppository administration?
A. Left lateral
B. Dorsal recumbent (lying on back with knees flexed)
C. Prone
D. Sitting upright
CORRECT ANSWER B. Dorsal recumbent (lying on back with knees flexed)
RATIONALE
For vaginal suppository administration, place the patient in the dorsal recumbent position (on back
with knees flexed). This provides optimal access to the vaginal canal. Left lateral is for rectal
suppositories.
