NUR 155 EXAM 4 (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED
PASS A+ [2026]
1. A patient with hypoglycemia exhibits:
A. Flushed skin
B. Confusion
C. Polyuria
D. Hyperventilation
Answer: B
Rationale: Confusion, sweating, and shakiness are early signs of low blood glucose.
2. A nurse is preparing to administer a blood transfusion. Which action is
priority?
A. Verify the prescription
B. Hang blood without tubing
C. Administer rapidly
D. Check vitals after 15 minutes
Answer: A
Rationale: Verification prevents transfusion errors.
3. A client receiving heparin should have which lab monitored?
A. INR
B. aPTT
C. Platelets only
D. Creatinine
Answer: B
4. Which client can the nurse delegate to a UAP?
A. Newly admitted patient
B. Stable patient needing vital signs
,C. Post-op patient on IV dopamine
D. Unstable COPD patient
Answer: B
Which medication has the highest potential for abuse? - CORRECT ANSWER
Methylphenidate (Ritalin)—schedule II
How can the nurse best determine that a patient understands self-administration of
injections? - CORRECT ANSWER Watch the patient self-administer an injection.
Which option provides the most rapid pain relief? - CORRECT ANSWER
Hydromorphone (Dilaudid) 1 mg IV push
What is the priority action if a patient develops an itchy rash after medication
administration? - CORRECT ANSWER Determine if the patient is having any
difficulty breathing.
Which medication order is administered PRN? - CORRECT ANSWER Zolpidem
(Ambien) 10 mg PO tonight if the patient cannot sleep.
What is the nurse's assessment if a patient develops difficulty breathing and hives after
an antibiotic? - CORRECT ANSWER The patient is having an anaphylactic
reaction and epinephrine should be administered.
What should the nurse do first after making a medication error? - CORRECT
ANSWER Assess the patient for any adverse reactions.
What instruction should the nurse give before administering MS Contin ER? -
CORRECT ANSWER Be sure to swallow the pill whole.
Which patient should the nurse assess first? - CORRECT ANSWER A patient who
just received nitroglycerin for chest pain.
What observation indicates the highest risk for serious drug-drug interactions? -
CORRECT ANSWER The patient is taking a large number of medications.
What direction will help a patient avoid dangerous drug interactions? - CORRECT
ANSWER Have all of the prescriptions filled at the same pharmacy.
Which prescription drug order needs to be corrected before it is given to the patient? -
CORRECT ANSWER Methotrexate (Trexall) 8 tablets PO once weekly on
Saturdays
, What symptoms indicate an allergic reaction rather than a side effect? - CORRECT
ANSWER Itchy rash and difficulty breathing
Which question will the nurse ask to confirm suspicion of drug toxicity? - CORRECT
ANSWER Have you been taking extra doses of the medication?
What time will the nurse draw the vancomycin serum trough level if the next dose is at
10:00 a.m.? - CORRECT ANSWER 9:30 a.m.
What type of drug interaction is the nurse avoiding when administering phenytoin
through IV? - CORRECT ANSWER Incompatibility
What times will the nurse plan to administer a medication given TID? - CORRECT
ANSWER 9 a.m., 1 p.m., and 5 p.m.
What is the best action of the nurse for a patient who is NPO and needs carvedilol? -
CORRECT ANSWER Contact the patient's provider to clarify the order
Which syringe will the nurse select to administer 1 mL of prochlorperazine IM? -
CORRECT ANSWER 3 mL syringe with 23 gauge, 1 1/2 inch needle
How much morphine liquid will the nurse draw up to administer 15 mg? - CORRECT
ANSWER 0.75 mL
What is the appropriate Nursing diagnosis for a patient having difficulty taking multiple
medications on time? - CORRECT ANSWER Impaired health maintenance related
to complexity of medication schedule
How many mg of methotrexate does the patient take per dose if they take 6 tablets of
2.5 mg each? - CORRECT ANSWER 15 mg
How many tablets will the patient receive if administering 45 mg of phenobarbital? -
CORRECT ANSWER 3 tablets
Which medications can the nurse administer through a PEG tube? - CORRECT
ANSWER Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours, Potassium
chloride oral solution 20 mEq daily, Cefaclor (Ceclor) for oral suspension 250 mg q 6
hours
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) | GUARANTEED
PASS A+ [2026]
1. A patient with hypoglycemia exhibits:
A. Flushed skin
B. Confusion
C. Polyuria
D. Hyperventilation
Answer: B
Rationale: Confusion, sweating, and shakiness are early signs of low blood glucose.
2. A nurse is preparing to administer a blood transfusion. Which action is
priority?
A. Verify the prescription
B. Hang blood without tubing
C. Administer rapidly
D. Check vitals after 15 minutes
Answer: A
Rationale: Verification prevents transfusion errors.
3. A client receiving heparin should have which lab monitored?
A. INR
B. aPTT
C. Platelets only
D. Creatinine
Answer: B
4. Which client can the nurse delegate to a UAP?
A. Newly admitted patient
B. Stable patient needing vital signs
,C. Post-op patient on IV dopamine
D. Unstable COPD patient
Answer: B
Which medication has the highest potential for abuse? - CORRECT ANSWER
Methylphenidate (Ritalin)—schedule II
How can the nurse best determine that a patient understands self-administration of
injections? - CORRECT ANSWER Watch the patient self-administer an injection.
Which option provides the most rapid pain relief? - CORRECT ANSWER
Hydromorphone (Dilaudid) 1 mg IV push
What is the priority action if a patient develops an itchy rash after medication
administration? - CORRECT ANSWER Determine if the patient is having any
difficulty breathing.
Which medication order is administered PRN? - CORRECT ANSWER Zolpidem
(Ambien) 10 mg PO tonight if the patient cannot sleep.
What is the nurse's assessment if a patient develops difficulty breathing and hives after
an antibiotic? - CORRECT ANSWER The patient is having an anaphylactic
reaction and epinephrine should be administered.
What should the nurse do first after making a medication error? - CORRECT
ANSWER Assess the patient for any adverse reactions.
What instruction should the nurse give before administering MS Contin ER? -
CORRECT ANSWER Be sure to swallow the pill whole.
Which patient should the nurse assess first? - CORRECT ANSWER A patient who
just received nitroglycerin for chest pain.
What observation indicates the highest risk for serious drug-drug interactions? -
CORRECT ANSWER The patient is taking a large number of medications.
What direction will help a patient avoid dangerous drug interactions? - CORRECT
ANSWER Have all of the prescriptions filled at the same pharmacy.
Which prescription drug order needs to be corrected before it is given to the patient? -
CORRECT ANSWER Methotrexate (Trexall) 8 tablets PO once weekly on
Saturdays
, What symptoms indicate an allergic reaction rather than a side effect? - CORRECT
ANSWER Itchy rash and difficulty breathing
Which question will the nurse ask to confirm suspicion of drug toxicity? - CORRECT
ANSWER Have you been taking extra doses of the medication?
What time will the nurse draw the vancomycin serum trough level if the next dose is at
10:00 a.m.? - CORRECT ANSWER 9:30 a.m.
What type of drug interaction is the nurse avoiding when administering phenytoin
through IV? - CORRECT ANSWER Incompatibility
What times will the nurse plan to administer a medication given TID? - CORRECT
ANSWER 9 a.m., 1 p.m., and 5 p.m.
What is the best action of the nurse for a patient who is NPO and needs carvedilol? -
CORRECT ANSWER Contact the patient's provider to clarify the order
Which syringe will the nurse select to administer 1 mL of prochlorperazine IM? -
CORRECT ANSWER 3 mL syringe with 23 gauge, 1 1/2 inch needle
How much morphine liquid will the nurse draw up to administer 15 mg? - CORRECT
ANSWER 0.75 mL
What is the appropriate Nursing diagnosis for a patient having difficulty taking multiple
medications on time? - CORRECT ANSWER Impaired health maintenance related
to complexity of medication schedule
How many mg of methotrexate does the patient take per dose if they take 6 tablets of
2.5 mg each? - CORRECT ANSWER 15 mg
How many tablets will the patient receive if administering 45 mg of phenobarbital? -
CORRECT ANSWER 3 tablets
Which medications can the nurse administer through a PEG tube? - CORRECT
ANSWER Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours, Potassium
chloride oral solution 20 mEq daily, Cefaclor (Ceclor) for oral suspension 250 mg q 6
hours
