INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
NUR231 — Comprehensive Study Guide 2026–2027
NUR 231 | Concepts of Nursing: The Childbearing/Child Caring Family
Institution / scope: Galen College of Nursing
Contents: 120 independently authored educational practice questions with one keyed answer and a rationale per question;
quick answer key at the end.
Original practice questions
Worked Medication Calculations
1. A fictional prescription specifies 300 mg orally; each tablet is 100 mg and is scored when a half-tablet is required.
How many tablets provide the ordered amount?
A. 1.5 tablet(s)
B. 3 tablet(s)
C. 30 tablet(s)
D. 6 tablet(s)
Correct Answer: B — 3 tablet(s)
Rationale: Calculation: 300 mg ÷ 100 mg/tablet = 3 tablet(s). Use scored tablets only if product policy permits
splitting.
2. A fictional weight-based order specifies 10 mg/kg per dose for a 12-kg patient. What is the prescribed number of
milligrams per dose?
A. 60 mg
B. 1200 mg
C. 120 mg
D. 240 mg
Correct Answer: C — 120 mg
Rationale: Weight-based calculation: 10 mg/kg × 12 kg = 120 mg per dose. Verify clinically appropriate maximum
doses before any real use.
3. A fictional weight-based order specifies 3 mg/kg per dose for a 18-kg patient. What is the prescribed number of
milligrams per dose?
A. 54 mg
B. 540 mg
C. 27 mg
D. 108 mg
Correct Answer: A — 54 mg
Rationale: Weight-based calculation: 3 mg/kg × 18 kg = 54 mg per dose. Verify clinically appropriate maximum doses
before any real use.
4. A simulated medication order states 0.5 mg. Express that amount in micrograms.
A. 5000 micrograms
B. 250 micrograms
C. 1000 micrograms
NUR231 | Original educational practice • 1
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
D. 500 micrograms
Correct Answer: D — 500 micrograms
Rationale: Convert mg to micrograms: 0.5 × 1,000 = 500 micrograms.
5. A simulated medication order states 2.5 mg. Express that amount in micrograms.
A. 5000 micrograms
B. 25000 micrograms
C. 2500 micrograms
D. 1250 micrograms
Correct Answer: C — 2500 micrograms
Rationale: Convert mg to micrograms: 2.5 × 1,000 = 2500 micrograms.
6. A training-only oral-liquid order is 30 mg. The bottle contains 125 mg per 5 mL. What volume supplies the ordered
dose?
A. 12 mL
B. 0.6 mL
C. 1.2 mL
D. 2.4 mL
Correct Answer: C — 1.2 mL
Rationale: Concentration method: (30 mg × 5 mL)/(125 mg) = 1.2 mL.
7. A training-only oral-liquid order is 30 mg. The bottle contains 50 mg per 2 mL. What volume supplies the ordered
dose?
A. 1.2 mL
B. 12 mL
C. 0.6 mL
D. 2.4 mL
Correct Answer: A — 1.2 mL
Rationale: Concentration method: (30 mg × 2 mL)/(50 mg) = 1.2 mL.
8. For a supervised nursing calculation exercise, 120 mL is prescribed to infuse evenly over 4 hours. What is the
pump rate?
A. 15 mL/hour
B. 60 mL/hour
C. 300 mL/hour
D. 30 mL/hour
Correct Answer: D — 30 mL/hour
Rationale: Pump rate = total volume/time = 120/4 = 30 mL/hour. Confirm the device, line and authorized order
clinically.
9. For a supervised nursing calculation exercise, 300 mL is prescribed to infuse evenly over 5 hours. What is the
pump rate?
A. 60 mL/hour
B. 30 mL/hour
NUR231 | Original educational practice • 2
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
C. 120 mL/hour
D. 600 mL/hour
Correct Answer: A — 60 mL/hour
Rationale: Pump rate = total volume/time = 300/5 = 60 mL/hour. Confirm the device, line and authorized order
clinically.
10. For a supervised nursing calculation exercise, 400 mL is prescribed to infuse evenly over 8 hours. What is the
pump rate?
A. 50 mL/hour
B. 25 mL/hour
C. 100 mL/hour
D. 500 mL/hour
Correct Answer: A — 50 mL/hour
Rationale: Pump rate = total volume/time = 400/8 = 50 mL/hour. Confirm the device, line and authorized order
clinically.
Family
11. A client has mild ankle swelling at the end of a long day but no other symptoms. What assessment is most
appropriate?
A. Assess blood pressure, onset, and associated warning signs before giving tailored advice
B. Recommend a diuretic without an order
C. Ignore all swelling in pregnancy
D. Label the client with preeclampsia immediately
Correct Answer: A — Assess blood pressure, onset, and associated warning signs before giving tailored advice
Rationale: Mild dependent swelling can occur in pregnancy, but sudden swelling or hypertension-related symptoms
require further assessment.
12. A client who may become pregnant asks about routine rubella immunity review. What is the appropriate advice?
A. Use antibiotics to create immunity
B. Administer live rubella vaccine during any trimester routinely
C. Ignore immunity if the client feels healthy
D. Review immunization status before pregnancy and consult a provider about needed vaccination
Correct Answer: D — Review immunization status before pregnancy and consult a provider about needed
vaccination
Rationale: Rubella immunity is ideally assessed before pregnancy because live-attenuated vaccination is generally
avoided during pregnancy.
13. A labouring patient declines a vaginal examination. What is the best response?
A. Threaten to withhold all pain relief
B. Respect refusal, explain the indication and alternatives, and inform the team
C. Proceed because labour examinations are routine
D. Document consent that was not obtained
Correct Answer: B — Respect refusal, explain the indication and alternatives, and inform the team
Rationale: Informed consent applies to obstetric examinations; refusal should be respected and clinically managed.
NUR231 | Original educational practice • 3
NUR231 — Comprehensive Study Guide 2026–2027
NUR 231 | Concepts of Nursing: The Childbearing/Child Caring Family
Institution / scope: Galen College of Nursing
Contents: 120 independently authored educational practice questions with one keyed answer and a rationale per question;
quick answer key at the end.
Original practice questions
Worked Medication Calculations
1. A fictional prescription specifies 300 mg orally; each tablet is 100 mg and is scored when a half-tablet is required.
How many tablets provide the ordered amount?
A. 1.5 tablet(s)
B. 3 tablet(s)
C. 30 tablet(s)
D. 6 tablet(s)
Correct Answer: B — 3 tablet(s)
Rationale: Calculation: 300 mg ÷ 100 mg/tablet = 3 tablet(s). Use scored tablets only if product policy permits
splitting.
2. A fictional weight-based order specifies 10 mg/kg per dose for a 12-kg patient. What is the prescribed number of
milligrams per dose?
A. 60 mg
B. 1200 mg
C. 120 mg
D. 240 mg
Correct Answer: C — 120 mg
Rationale: Weight-based calculation: 10 mg/kg × 12 kg = 120 mg per dose. Verify clinically appropriate maximum
doses before any real use.
3. A fictional weight-based order specifies 3 mg/kg per dose for a 18-kg patient. What is the prescribed number of
milligrams per dose?
A. 54 mg
B. 540 mg
C. 27 mg
D. 108 mg
Correct Answer: A — 54 mg
Rationale: Weight-based calculation: 3 mg/kg × 18 kg = 54 mg per dose. Verify clinically appropriate maximum doses
before any real use.
4. A simulated medication order states 0.5 mg. Express that amount in micrograms.
A. 5000 micrograms
B. 250 micrograms
C. 1000 micrograms
NUR231 | Original educational practice • 1
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
D. 500 micrograms
Correct Answer: D — 500 micrograms
Rationale: Convert mg to micrograms: 0.5 × 1,000 = 500 micrograms.
5. A simulated medication order states 2.5 mg. Express that amount in micrograms.
A. 5000 micrograms
B. 25000 micrograms
C. 2500 micrograms
D. 1250 micrograms
Correct Answer: C — 2500 micrograms
Rationale: Convert mg to micrograms: 2.5 × 1,000 = 2500 micrograms.
6. A training-only oral-liquid order is 30 mg. The bottle contains 125 mg per 5 mL. What volume supplies the ordered
dose?
A. 12 mL
B. 0.6 mL
C. 1.2 mL
D. 2.4 mL
Correct Answer: C — 1.2 mL
Rationale: Concentration method: (30 mg × 5 mL)/(125 mg) = 1.2 mL.
7. A training-only oral-liquid order is 30 mg. The bottle contains 50 mg per 2 mL. What volume supplies the ordered
dose?
A. 1.2 mL
B. 12 mL
C. 0.6 mL
D. 2.4 mL
Correct Answer: A — 1.2 mL
Rationale: Concentration method: (30 mg × 2 mL)/(50 mg) = 1.2 mL.
8. For a supervised nursing calculation exercise, 120 mL is prescribed to infuse evenly over 4 hours. What is the
pump rate?
A. 15 mL/hour
B. 60 mL/hour
C. 300 mL/hour
D. 30 mL/hour
Correct Answer: D — 30 mL/hour
Rationale: Pump rate = total volume/time = 120/4 = 30 mL/hour. Confirm the device, line and authorized order
clinically.
9. For a supervised nursing calculation exercise, 300 mL is prescribed to infuse evenly over 5 hours. What is the
pump rate?
A. 60 mL/hour
B. 30 mL/hour
NUR231 | Original educational practice • 2
, INDEPENDENT STUDY RESOURCE • NUR231 • 2026–2027
C. 120 mL/hour
D. 600 mL/hour
Correct Answer: A — 60 mL/hour
Rationale: Pump rate = total volume/time = 300/5 = 60 mL/hour. Confirm the device, line and authorized order
clinically.
10. For a supervised nursing calculation exercise, 400 mL is prescribed to infuse evenly over 8 hours. What is the
pump rate?
A. 50 mL/hour
B. 25 mL/hour
C. 100 mL/hour
D. 500 mL/hour
Correct Answer: A — 50 mL/hour
Rationale: Pump rate = total volume/time = 400/8 = 50 mL/hour. Confirm the device, line and authorized order
clinically.
Family
11. A client has mild ankle swelling at the end of a long day but no other symptoms. What assessment is most
appropriate?
A. Assess blood pressure, onset, and associated warning signs before giving tailored advice
B. Recommend a diuretic without an order
C. Ignore all swelling in pregnancy
D. Label the client with preeclampsia immediately
Correct Answer: A — Assess blood pressure, onset, and associated warning signs before giving tailored advice
Rationale: Mild dependent swelling can occur in pregnancy, but sudden swelling or hypertension-related symptoms
require further assessment.
12. A client who may become pregnant asks about routine rubella immunity review. What is the appropriate advice?
A. Use antibiotics to create immunity
B. Administer live rubella vaccine during any trimester routinely
C. Ignore immunity if the client feels healthy
D. Review immunization status before pregnancy and consult a provider about needed vaccination
Correct Answer: D — Review immunization status before pregnancy and consult a provider about needed
vaccination
Rationale: Rubella immunity is ideally assessed before pregnancy because live-attenuated vaccination is generally
avoided during pregnancy.
13. A labouring patient declines a vaginal examination. What is the best response?
A. Threaten to withhold all pain relief
B. Respect refusal, explain the indication and alternatives, and inform the team
C. Proceed because labour examinations are routine
D. Document consent that was not obtained
Correct Answer: B — Respect refusal, explain the indication and alternatives, and inform the team
Rationale: Informed consent applies to obstetric examinations; refusal should be respected and clinically managed.
NUR231 | Original educational practice • 3
