NU 136 Exam 5 Questions with Answers | Pass
Guaranteed| 2027 Updated-Galen
NU 136 Exam 5 Practice Exam – Galen College of Nursing
Questions with Verified Answers & Rationales
SECTION 1: MEDICATION ADMINISTRATION & SAFETY
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. Initialing 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. 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.
,2. The nurse is caring for a client who takes 6 tablets of methotrexate once every
week on Friday. How many milligrams (mg) of methotrexate does the client take
per dose according to the exhibit below? Methotrexate tablets, USP: 2.5 mg
tablets
A. 15 mg
B. 2.4 mg
C. 6 mg
D. 2.5 mg
Correct Answer: A. 15 mg. Rationale: 6 tablets × 2.5 mg per tablet = 15 mg per
dose.
3. A nurse is preparing to don personal protective equipment (PPE) before
entering a patient's room who has a suspected Clostridioides difficile infection.
Which sequence demonstrates the correct order for donning PPE?
A. Gown → Mask → Gloves → Eye protection
B. Mask → Gown → Eye protection → Gloves
C. Gloves → Gown → Mask → Eye protection
D. Gown → Mask → Eye protection → Gloves
Correct Answer: B. Mask → Gown → Eye protection → Gloves. Rationale: The
correct sequence for donning PPE is: 1) Mask, 2) Gown, 3) Eye protection, and 4)
Gloves last. Gloves are always applied last to prevent contamination during the
donning process.
4. A patient has been diagnosed with a Clostridioides difficile infection. Which
infection control measure is most appropriate for this patient?
A. Standard precautions only
B. Contact precautions with alcohol-based hand sanitizer
C. Contact precautions with soap and water hand hygiene
D. Droplet precautions with soap and water hand hygiene
,Correct Answer: C. Contact precautions with soap and water hand hygiene.
Rationale: C. difficile requires contact precautions due to spore transmission via
the fecal-oral route. Alcohol-based hand sanitizers are ineffective against C.
difficile spores; therefore, soap and water must be used for hand hygiene.
5. Which action most effectively interrupts the chain of infection at the mode-of-
transmission link?
A. Administering an antibiotic
B. Identifying the susceptible host
C. Increasing the patient's nutritional intake
D. Performing hand hygiene before and after patient contact
Correct Answer: D. Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is one of the most effective ways to prevent transmission
of microorganisms between people and surfaces. It interrupts the mode of
transmission by removing or reducing organisms carried on the hands.
6. Which practice is appropriate when removing contaminated gloves?
A. Avoid touching the contaminated glove surface with bare skin
B. Pull both gloves off simultaneously from the fingertips
C. Wash the gloves before removing them
D. Touch the outside of the first glove with the opposite bare hand
Correct Answer: A. Avoid touching the contaminated glove surface with bare
skin. Rationale: The outside of contaminated gloves should be treated as
contaminated. The nurse should use proper glove-removal technique to avoid
touching contaminated surfaces with bare skin. Hand hygiene should be
performed immediately after glove removal.
, 7. A nurse is preparing to care for a patient on Contact Precautions due to
Clostridium difficile (C. diff). After removing PPE, which hand hygiene method
should the nurse use?
A. Alcohol-based hand sanitizer
B. Soap and water
C. Chlorhexidine
D. Hydrogen peroxide
Correct Answer: B. Soap and water. Rationale: C. difficile spores are resistant to
alcohol-based hand sanitizers. Soap and water must be used to physically remove
the spores from the hands.
8. Which of the following best describes the purpose of standard precautions?
A. Used only for patients with known infections
B. Used for every patient contact
C. Used only in surgical settings
D. Used only for patients on isolation
Correct Answer: B. Used for every patient contact. Rationale: Standard
precautions are used for every patient contact and include the use of hand hygiene
and PPE based on anticipated exposure. They are the foundation of infection
prevention.
9. A nurse is performing medical asepsis while changing a patient's wound
dressing. Which action violates the principles of medical asepsis?
A. Cleaning the wound from the least contaminated area to the most
contaminated area
B. Using sterile gloves when performing the dressing change
C. Placing the sterile field at waist level
D. Touching the sterile field with sterile gloves after reaching over the field
Guaranteed| 2027 Updated-Galen
NU 136 Exam 5 Practice Exam – Galen College of Nursing
Questions with Verified Answers & Rationales
SECTION 1: MEDICATION ADMINISTRATION & SAFETY
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. Initialing 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. 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.
,2. The nurse is caring for a client who takes 6 tablets of methotrexate once every
week on Friday. How many milligrams (mg) of methotrexate does the client take
per dose according to the exhibit below? Methotrexate tablets, USP: 2.5 mg
tablets
A. 15 mg
B. 2.4 mg
C. 6 mg
D. 2.5 mg
Correct Answer: A. 15 mg. Rationale: 6 tablets × 2.5 mg per tablet = 15 mg per
dose.
3. A nurse is preparing to don personal protective equipment (PPE) before
entering a patient's room who has a suspected Clostridioides difficile infection.
Which sequence demonstrates the correct order for donning PPE?
A. Gown → Mask → Gloves → Eye protection
B. Mask → Gown → Eye protection → Gloves
C. Gloves → Gown → Mask → Eye protection
D. Gown → Mask → Eye protection → Gloves
Correct Answer: B. Mask → Gown → Eye protection → Gloves. Rationale: The
correct sequence for donning PPE is: 1) Mask, 2) Gown, 3) Eye protection, and 4)
Gloves last. Gloves are always applied last to prevent contamination during the
donning process.
4. A patient has been diagnosed with a Clostridioides difficile infection. Which
infection control measure is most appropriate for this patient?
A. Standard precautions only
B. Contact precautions with alcohol-based hand sanitizer
C. Contact precautions with soap and water hand hygiene
D. Droplet precautions with soap and water hand hygiene
,Correct Answer: C. Contact precautions with soap and water hand hygiene.
Rationale: C. difficile requires contact precautions due to spore transmission via
the fecal-oral route. Alcohol-based hand sanitizers are ineffective against C.
difficile spores; therefore, soap and water must be used for hand hygiene.
5. Which action most effectively interrupts the chain of infection at the mode-of-
transmission link?
A. Administering an antibiotic
B. Identifying the susceptible host
C. Increasing the patient's nutritional intake
D. Performing hand hygiene before and after patient contact
Correct Answer: D. Performing hand hygiene before and after patient contact.
Rationale: Hand hygiene is one of the most effective ways to prevent transmission
of microorganisms between people and surfaces. It interrupts the mode of
transmission by removing or reducing organisms carried on the hands.
6. Which practice is appropriate when removing contaminated gloves?
A. Avoid touching the contaminated glove surface with bare skin
B. Pull both gloves off simultaneously from the fingertips
C. Wash the gloves before removing them
D. Touch the outside of the first glove with the opposite bare hand
Correct Answer: A. Avoid touching the contaminated glove surface with bare
skin. Rationale: The outside of contaminated gloves should be treated as
contaminated. The nurse should use proper glove-removal technique to avoid
touching contaminated surfaces with bare skin. Hand hygiene should be
performed immediately after glove removal.
, 7. A nurse is preparing to care for a patient on Contact Precautions due to
Clostridium difficile (C. diff). After removing PPE, which hand hygiene method
should the nurse use?
A. Alcohol-based hand sanitizer
B. Soap and water
C. Chlorhexidine
D. Hydrogen peroxide
Correct Answer: B. Soap and water. Rationale: C. difficile spores are resistant to
alcohol-based hand sanitizers. Soap and water must be used to physically remove
the spores from the hands.
8. Which of the following best describes the purpose of standard precautions?
A. Used only for patients with known infections
B. Used for every patient contact
C. Used only in surgical settings
D. Used only for patients on isolation
Correct Answer: B. Used for every patient contact. Rationale: Standard
precautions are used for every patient contact and include the use of hand hygiene
and PPE based on anticipated exposure. They are the foundation of infection
prevention.
9. A nurse is performing medical asepsis while changing a patient's wound
dressing. Which action violates the principles of medical asepsis?
A. Cleaning the wound from the least contaminated area to the most
contaminated area
B. Using sterile gloves when performing the dressing change
C. Placing the sterile field at waist level
D. Touching the sterile field with sterile gloves after reaching over the field
