NU 136 Exam 5 Questions and Correct
Answers plus Rationale | Newly Update 2026-
2027 | Graded A+
MEDICATION ADMINISTRATION AND DOCUMENTATION
Question 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. Initializing 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. It is essential to document the reason
for refusal and notify the PHCP (not just document). Initialing medications BEFORE
administration (A) is a medication error—it falsely records administration.
Notifying the PHCP (B) is appropriate but is not the primary action after
administering medications—documentation is. Providing a copy of the MAR (D) is
not standard practice; the client should speak with the pharmacist or PHCP.
,NUTRITION AND ANEMIA
Question 2
The nurse is caring for a client diagnosed with anemia. Which of the following
should the nurse encourage the client to increase in their diet?
A. Folic acid
B. Vitamin A
C. Vitamin E
D. Niacin
Correct Answer: A. Folic acid
Rationale: Folic acid (folate) is essential for red blood cell production. Deficiency
can cause megaloblastic anemia. Clients with anemia should increase intake of
folic acid-rich foods (leafy greens, fortified cereals, legumes). Vitamin A (B),
Vitamin E (C), and Niacin (D) are not directly involved in RBC production in the
same way. Folic acid deficiency is a common cause of anemia, and
supplementation is often indicated.
DEFENSE MECHANISMS
Question 3
The nurse observes a coworker who has been dealing with a difficult family
member yell at unlicensed assistive personnel (UAP) for taking a bathroom
break without notifying the coworker. The nurse understands that the coworker
is using which of the following defense mechanisms?
A. Rationalization
B. Displacement
C. Reaction-formation
D. Sublimation
Correct Answer: B. Displacement
, Rationale: Displacement is a defense mechanism where feelings are redirected
from the original source to a safer or less threatening target. The coworker is
angry with a family member but displaces that anger onto the UAP. Rationalization
(A) involves creating logical explanations for unacceptable behavior. Reaction-
formation (C) involves expressing the opposite of what is felt. Sublimation (D)
involves channeling unacceptable impulses into socially acceptable activities.
Displacement is the correct answer.
ANXIETY MANAGEMENT
Question 4
A nurse is caring for a client who reports feeling anxious about an upcoming
procedure. Which of the following actions should the nurse take to help reduce
the client's anxiety?
A. Ask the primary healthcare provider (PHCP) to prescribe anti-anxiety
medications.
B. Check on the client every 15 minutes until the anxiety has passed.
C. Listen carefully to the client about their concerns.
D. Limit the number of visitors until the client is coping more effectively.
Correct Answer: C. Listen carefully to the client about their concerns.
Rationale: Therapeutic communication—active listening—is the priority
intervention for anxiety. The nurse should explore the client's concerns and
provide emotional support. Medications (A) should not be the first-line response.
Checking every 15 minutes (B) may increase anxiety rather than reduce it. Limiting
visitors (D) is not appropriate unless the client requests it. Listening to concerns is
a fundamental nursing intervention.
STRESS INDICATORS
Question 5
Answers plus Rationale | Newly Update 2026-
2027 | Graded A+
MEDICATION ADMINISTRATION AND DOCUMENTATION
Question 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. Initializing 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. It is essential to document the reason
for refusal and notify the PHCP (not just document). Initialing medications BEFORE
administration (A) is a medication error—it falsely records administration.
Notifying the PHCP (B) is appropriate but is not the primary action after
administering medications—documentation is. Providing a copy of the MAR (D) is
not standard practice; the client should speak with the pharmacist or PHCP.
,NUTRITION AND ANEMIA
Question 2
The nurse is caring for a client diagnosed with anemia. Which of the following
should the nurse encourage the client to increase in their diet?
A. Folic acid
B. Vitamin A
C. Vitamin E
D. Niacin
Correct Answer: A. Folic acid
Rationale: Folic acid (folate) is essential for red blood cell production. Deficiency
can cause megaloblastic anemia. Clients with anemia should increase intake of
folic acid-rich foods (leafy greens, fortified cereals, legumes). Vitamin A (B),
Vitamin E (C), and Niacin (D) are not directly involved in RBC production in the
same way. Folic acid deficiency is a common cause of anemia, and
supplementation is often indicated.
DEFENSE MECHANISMS
Question 3
The nurse observes a coworker who has been dealing with a difficult family
member yell at unlicensed assistive personnel (UAP) for taking a bathroom
break without notifying the coworker. The nurse understands that the coworker
is using which of the following defense mechanisms?
A. Rationalization
B. Displacement
C. Reaction-formation
D. Sublimation
Correct Answer: B. Displacement
, Rationale: Displacement is a defense mechanism where feelings are redirected
from the original source to a safer or less threatening target. The coworker is
angry with a family member but displaces that anger onto the UAP. Rationalization
(A) involves creating logical explanations for unacceptable behavior. Reaction-
formation (C) involves expressing the opposite of what is felt. Sublimation (D)
involves channeling unacceptable impulses into socially acceptable activities.
Displacement is the correct answer.
ANXIETY MANAGEMENT
Question 4
A nurse is caring for a client who reports feeling anxious about an upcoming
procedure. Which of the following actions should the nurse take to help reduce
the client's anxiety?
A. Ask the primary healthcare provider (PHCP) to prescribe anti-anxiety
medications.
B. Check on the client every 15 minutes until the anxiety has passed.
C. Listen carefully to the client about their concerns.
D. Limit the number of visitors until the client is coping more effectively.
Correct Answer: C. Listen carefully to the client about their concerns.
Rationale: Therapeutic communication—active listening—is the priority
intervention for anxiety. The nurse should explore the client's concerns and
provide emotional support. Medications (A) should not be the first-line response.
Checking every 15 minutes (B) may increase anxiety rather than reduce it. Limiting
visitors (D) is not appropriate unless the client requests it. Listening to concerns is
a fundamental nursing intervention.
STRESS INDICATORS
Question 5
