NUR 210 Nursing Fundamentals Week 8 Study Guide 2026 |Galen
College
1. When administering a medication, which of the following is the priority
nursing action if the patient refuses?
A. Inform the patient of the risks of refusal and document it
B. Crush the medication and mix it with food
C. Force the patient to take the medication for their own good
D. Leave the medication at the bedside to be taken later
Answer: A
Rationale: Patients have the right to refuse treatment; the nurse must educate the patient
on the consequences and document the refusal.
2. Which angle is most appropriate for an intradermal injection?
A. 90 degrees
B. 5 to 15 degrees
C. 45 degrees
D. 30 degrees
Answer: B
Rationale: Intradermal injections are administered at a shallow angle of 5 to 15 degrees
into the dermis.
,3. The nurse is mixing regular and NPH insulin in one syringe. Which action is
correct?
A. Draw up the NPH (cloudy) insulin first
B. Draw up the regular (clear) insulin first
C. Shake the NPH bottle vigorously before drawing it up
D. Administer the clear insulin separately from the cloudy
Answer: B
Rationale: The clear (regular) insulin should be drawn first to prevent contaminating the
clear vial with the long-acting cloudy insulin.
4. A patient has an order for a medication to be given ‘sublingual.’ How should
the nurse administer this?
A. Placed under the tongue to dissolve
B. Placed between the cheek and the gum
C. Applied to the skin as a patch
D. Swallowed with a full glass of water
Answer: A
Rationale: Sublingual medications are placed under the tongue for rapid absorption
through the mucous membranes.
5. Which site is considered the safest and most preferred for an intramuscular
injection in an adult?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Answer: D
Rationale: The ventrogluteal site is preferred for IM injections because it is away from
major nerves and blood vessels.
, 6. What is the first step the nurse should take if a medication error occurs?
A. Complete an incident report
B. Assess the patient’s condition
C. Call the physician immediately
D. Notify the nurse manager
Answer: B
Rationale: Patient safety is the priority; the nurse must first assess the patient for any
adverse effects before reporting.
7. When administering ear drops to an adult, how should the nurse position the
pinna?
A. Straight back
B. Down and back
C. Up and back
D. Pull forward
Answer: C
Rationale: For adults, the pinna is pulled up and back to straighten the ear canal; for
children under 3, it is pulled down and back.
8. Which of the following is NOT one of the ‘Six Rights’ of medication
administration?
A. Right Patient
B. Right Route
C. Right Room
D. Right Documentation
Answer: C
Rationale: The Six Rights are: Right patient, drug, dose, route, time, and documentation.
Room number is not a reliable identifier.
College
1. When administering a medication, which of the following is the priority
nursing action if the patient refuses?
A. Inform the patient of the risks of refusal and document it
B. Crush the medication and mix it with food
C. Force the patient to take the medication for their own good
D. Leave the medication at the bedside to be taken later
Answer: A
Rationale: Patients have the right to refuse treatment; the nurse must educate the patient
on the consequences and document the refusal.
2. Which angle is most appropriate for an intradermal injection?
A. 90 degrees
B. 5 to 15 degrees
C. 45 degrees
D. 30 degrees
Answer: B
Rationale: Intradermal injections are administered at a shallow angle of 5 to 15 degrees
into the dermis.
,3. The nurse is mixing regular and NPH insulin in one syringe. Which action is
correct?
A. Draw up the NPH (cloudy) insulin first
B. Draw up the regular (clear) insulin first
C. Shake the NPH bottle vigorously before drawing it up
D. Administer the clear insulin separately from the cloudy
Answer: B
Rationale: The clear (regular) insulin should be drawn first to prevent contaminating the
clear vial with the long-acting cloudy insulin.
4. A patient has an order for a medication to be given ‘sublingual.’ How should
the nurse administer this?
A. Placed under the tongue to dissolve
B. Placed between the cheek and the gum
C. Applied to the skin as a patch
D. Swallowed with a full glass of water
Answer: A
Rationale: Sublingual medications are placed under the tongue for rapid absorption
through the mucous membranes.
5. Which site is considered the safest and most preferred for an intramuscular
injection in an adult?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Answer: D
Rationale: The ventrogluteal site is preferred for IM injections because it is away from
major nerves and blood vessels.
, 6. What is the first step the nurse should take if a medication error occurs?
A. Complete an incident report
B. Assess the patient’s condition
C. Call the physician immediately
D. Notify the nurse manager
Answer: B
Rationale: Patient safety is the priority; the nurse must first assess the patient for any
adverse effects before reporting.
7. When administering ear drops to an adult, how should the nurse position the
pinna?
A. Straight back
B. Down and back
C. Up and back
D. Pull forward
Answer: C
Rationale: For adults, the pinna is pulled up and back to straighten the ear canal; for
children under 3, it is pulled down and back.
8. Which of the following is NOT one of the ‘Six Rights’ of medication
administration?
A. Right Patient
B. Right Route
C. Right Room
D. Right Documentation
Answer: C
Rationale: The Six Rights are: Right patient, drug, dose, route, time, and documentation.
Room number is not a reliable identifier.
