,NU 136 Exam 4 | Fundamentals of Nursing
(2026/2027) PDF | Nursing | Galen College
1. The nurse is preparing to administer a medication from a glass ampule. What
is the correct technique to ensure patient safety?
A) Break the ampule neck toward the body to avoid glass particles.
B) Use a blunt-tip needle to extract the medication.
C) Inject air into the ampule before withdrawing the medication.
D) Use a filter needle to withdraw the medication from the ampule.
Correct Answer: D) Use a filter needle to withdraw the medication from the
ampule.
Rationale: A filter needle or straw is required to withdraw medication from a
glass ampule to prevent microscopic glass particles from being drawn into the
syringe and injected into the patient. The neck should be broken away from the
body, not toward it. A blunt-tip needle is used for vials, and injecting air is not
appropriate for ampules.
2. According to the six rights of medication administration, which right ensures
the correct medication is given to the correct patient?
A) Right dose
B) Right route
C) Right patient
D) Right time
Correct Answer: C) Right patient
,Rationale: The six rights of medication administration are right patient, right
drug, right dose, right route, right time, and right documentation. The right
patient ensures the medication is being given to the intended individual, which
is a critical step in preventing medication errors.
3. A patient who is to have a treadmill stress test at 11:00 AM today should not
consume which of the following?
A) A light meal
B) Water
C) Coffee and cream
D) A small snack
Correct Answer: C) Coffee and cream
Rationale: The patient should avoid caffeine and smoking for 6 hours before the
test, but may have a light meal 2 or more hours beforehand. Coffee contains
caffeine, which can affect the results of a stress test.
4. How should the nurse measure a patient's daily weight?
A) At different times each day
B) After eating a meal
C) Same time, same clothing, same scale, after voiding, before eating
D) Before and after administering diuretics
, Correct Answer: C) Same time, same clothing, same scale, after voiding, before
eating
Rationale: Daily weight should be measured at the same time, with the same
clothing, on the same scale, after voiding, and before eating to ensure accurate
and consistent results.
5. A weight gain or loss of 1 kg in 24 hours indicates a gain or loss of how much
fluid?
A) 0.5 L
B) 1 L
C) 1.5 L
D) 2 L
Correct Answer: B) 1 L
Rationale: A weight gain or loss of 1 kg in 24 hours indicates a gain or loss of 1 L
of fluid. This is an important concept for monitoring fluid balance.
6. The nurse should check for Chvostek's and Trousseau's signs when which
electrolyte deficit is possible?
A) Sodium deficit
B) Potassium deficit
C) Calcium deficit
D) Magnesium deficit
(2026/2027) PDF | Nursing | Galen College
1. The nurse is preparing to administer a medication from a glass ampule. What
is the correct technique to ensure patient safety?
A) Break the ampule neck toward the body to avoid glass particles.
B) Use a blunt-tip needle to extract the medication.
C) Inject air into the ampule before withdrawing the medication.
D) Use a filter needle to withdraw the medication from the ampule.
Correct Answer: D) Use a filter needle to withdraw the medication from the
ampule.
Rationale: A filter needle or straw is required to withdraw medication from a
glass ampule to prevent microscopic glass particles from being drawn into the
syringe and injected into the patient. The neck should be broken away from the
body, not toward it. A blunt-tip needle is used for vials, and injecting air is not
appropriate for ampules.
2. According to the six rights of medication administration, which right ensures
the correct medication is given to the correct patient?
A) Right dose
B) Right route
C) Right patient
D) Right time
Correct Answer: C) Right patient
,Rationale: The six rights of medication administration are right patient, right
drug, right dose, right route, right time, and right documentation. The right
patient ensures the medication is being given to the intended individual, which
is a critical step in preventing medication errors.
3. A patient who is to have a treadmill stress test at 11:00 AM today should not
consume which of the following?
A) A light meal
B) Water
C) Coffee and cream
D) A small snack
Correct Answer: C) Coffee and cream
Rationale: The patient should avoid caffeine and smoking for 6 hours before the
test, but may have a light meal 2 or more hours beforehand. Coffee contains
caffeine, which can affect the results of a stress test.
4. How should the nurse measure a patient's daily weight?
A) At different times each day
B) After eating a meal
C) Same time, same clothing, same scale, after voiding, before eating
D) Before and after administering diuretics
, Correct Answer: C) Same time, same clothing, same scale, after voiding, before
eating
Rationale: Daily weight should be measured at the same time, with the same
clothing, on the same scale, after voiding, and before eating to ensure accurate
and consistent results.
5. A weight gain or loss of 1 kg in 24 hours indicates a gain or loss of how much
fluid?
A) 0.5 L
B) 1 L
C) 1.5 L
D) 2 L
Correct Answer: B) 1 L
Rationale: A weight gain or loss of 1 kg in 24 hours indicates a gain or loss of 1 L
of fluid. This is an important concept for monitoring fluid balance.
6. The nurse should check for Chvostek's and Trousseau's signs when which
electrolyte deficit is possible?
A) Sodium deficit
B) Potassium deficit
C) Calcium deficit
D) Magnesium deficit
