GALEN COLLEGE OF NURSING
NUR 155 — Fundamentals of Nursing
NUR 155 — Exam 4 Review Academic Year: 2026/2027
Comprehensive Question Bank
Question 1
The nurse is preparing to administer eye drops. Which interventions should the nurse
take to administer the drops? Select all that apply.
A. Wash hands
B. Put gloves on
C. Place the drop in the conjunctival sac
D. Pull the lower lid down against the cheekbone
E. Instruct the client to squeeze the eyes shut after instilling the eye drop
F. Instruct the client to tilt the head forward, open the eyes, and look down
CORRECT ANSWER
A, B, C, D. Wash hands, put gloves on, place the drop in the conjunctival sac, pull the
lower lid down against the cheekbone
RATIONALE
Proper eye drop administration includes washing hands, wearing gloves, pulling down the lower
lid to expose the conjunctival sac, and instilling the drop into the sac. The client should close the
eyes gently (not squeeze) and apply pressure to the nasolacrimal duct to minimize systemic
absorption. Tilting the head forward is incorrect.
, Question 2
A client has requested that she have a special item present in her room and explains
that it gives her a feeling of comfort and a sense of organization. On which
psychosocial component is this client focusing?
A. Religion
B. Spirituality
C. Ethnicity
D. Culture
CORRECT ANSWER B. Spirituality
RATIONALE
The client is focusing on spirituality, which provides comfort, meaning, and a sense of
organization. Religion is an organized system of beliefs, ethnicity is cultural identity, and culture is
the broader set of values and practices. Spiritual practices can be individual and personal.
Question 3
The nurse is preparing to administer an intradermal medication. Which action should
the nurse take before administering the medication?
A. Cleanse the site of injection with an alcohol swab and wait for the alcohol to dry
B. Cleanse the site with an alcohol swab and immediately administer the injection
C. Cleanse the site with soap and water only
D. No cleansing is required before intradermal injections
CORRECT ANSWER
A. Cleanse the site of injection with an alcohol swab and wait for the alcohol to dry
RATIONALE
Before an intradermal injection, the site should be cleansed with an alcohol swab and allowed to
dry completely to prevent stinging and ensure proper absorption. Injecting while the alcohol is still
wet can cause discomfort and affect the test results.
, Question 4
A new graduate nurse is working in a busy emergency department of a hospital,
situated in a culturally diverse area of the city. In striving to be culturally sensitive,
what should the nurse do?
A. Try to learn about the attitudes toward health care and traditions of the different cultures
in that area
B. Treat all clients the same regardless of culture
C. Avoid asking about cultural preferences
D. Assume all clients share the same health beliefs
CORRECT ANSWER
A. Try to learn about the attitudes toward health care and traditions of the different
cultures in that area
RATIONALE
To be culturally sensitive, the nurse should learn about the health care attitudes and traditions of
the different cultures in the area. Treating all clients the same, avoiding cultural questions, and
making assumptions are not culturally sensitive practices.
, Question 5
The nurse educator is orienting a new nurse to the pediatric unit and is including tips
for medication administration. Which statement by the new nurse indicates that the
teaching has been effective?
A. It helps to use magical thinking with the infant-age group
B. It helps to use magical thinking with the school-age group
C. It helps to use magical thinking with the toddler-age group
D. It helps to use magical thinking with the preschool-age group
CORRECT ANSWER D. It helps to use magical thinking with the preschool-age group
RATIONALE
Preschool-age children engage in magical thinking and may respond well to imaginative
explanations. Infants and toddlers are not developmentally capable of magical thinking, and
school-age children are more logical and concrete in their thinking.
Question 6
The nurse manager is concerned that a staff nurse provides client care with a cultural
prejudice. Which situation did the manager observe to come to this conclusion?
A. Bringing previous negative information and experiences into this situation
B. Asking the client about cultural preferences
C. Using a professional interpreter
D. Respecting the client's religious beliefs
CORRECT ANSWER
A. Bringing previous negative information and experiences into this situation
RATIONALE
Cultural prejudice occurs when a nurse brings previous negative information or experiences into a
current situation, leading to biased assumptions. Asking about cultural preferences, using
interpreters, and respecting religious beliefs are culturally competent practices.
NUR 155 — Fundamentals of Nursing
NUR 155 — Exam 4 Review Academic Year: 2026/2027
Comprehensive Question Bank
Question 1
The nurse is preparing to administer eye drops. Which interventions should the nurse
take to administer the drops? Select all that apply.
A. Wash hands
B. Put gloves on
C. Place the drop in the conjunctival sac
D. Pull the lower lid down against the cheekbone
E. Instruct the client to squeeze the eyes shut after instilling the eye drop
F. Instruct the client to tilt the head forward, open the eyes, and look down
CORRECT ANSWER
A, B, C, D. Wash hands, put gloves on, place the drop in the conjunctival sac, pull the
lower lid down against the cheekbone
RATIONALE
Proper eye drop administration includes washing hands, wearing gloves, pulling down the lower
lid to expose the conjunctival sac, and instilling the drop into the sac. The client should close the
eyes gently (not squeeze) and apply pressure to the nasolacrimal duct to minimize systemic
absorption. Tilting the head forward is incorrect.
, Question 2
A client has requested that she have a special item present in her room and explains
that it gives her a feeling of comfort and a sense of organization. On which
psychosocial component is this client focusing?
A. Religion
B. Spirituality
C. Ethnicity
D. Culture
CORRECT ANSWER B. Spirituality
RATIONALE
The client is focusing on spirituality, which provides comfort, meaning, and a sense of
organization. Religion is an organized system of beliefs, ethnicity is cultural identity, and culture is
the broader set of values and practices. Spiritual practices can be individual and personal.
Question 3
The nurse is preparing to administer an intradermal medication. Which action should
the nurse take before administering the medication?
A. Cleanse the site of injection with an alcohol swab and wait for the alcohol to dry
B. Cleanse the site with an alcohol swab and immediately administer the injection
C. Cleanse the site with soap and water only
D. No cleansing is required before intradermal injections
CORRECT ANSWER
A. Cleanse the site of injection with an alcohol swab and wait for the alcohol to dry
RATIONALE
Before an intradermal injection, the site should be cleansed with an alcohol swab and allowed to
dry completely to prevent stinging and ensure proper absorption. Injecting while the alcohol is still
wet can cause discomfort and affect the test results.
, Question 4
A new graduate nurse is working in a busy emergency department of a hospital,
situated in a culturally diverse area of the city. In striving to be culturally sensitive,
what should the nurse do?
A. Try to learn about the attitudes toward health care and traditions of the different cultures
in that area
B. Treat all clients the same regardless of culture
C. Avoid asking about cultural preferences
D. Assume all clients share the same health beliefs
CORRECT ANSWER
A. Try to learn about the attitudes toward health care and traditions of the different
cultures in that area
RATIONALE
To be culturally sensitive, the nurse should learn about the health care attitudes and traditions of
the different cultures in the area. Treating all clients the same, avoiding cultural questions, and
making assumptions are not culturally sensitive practices.
, Question 5
The nurse educator is orienting a new nurse to the pediatric unit and is including tips
for medication administration. Which statement by the new nurse indicates that the
teaching has been effective?
A. It helps to use magical thinking with the infant-age group
B. It helps to use magical thinking with the school-age group
C. It helps to use magical thinking with the toddler-age group
D. It helps to use magical thinking with the preschool-age group
CORRECT ANSWER D. It helps to use magical thinking with the preschool-age group
RATIONALE
Preschool-age children engage in magical thinking and may respond well to imaginative
explanations. Infants and toddlers are not developmentally capable of magical thinking, and
school-age children are more logical and concrete in their thinking.
Question 6
The nurse manager is concerned that a staff nurse provides client care with a cultural
prejudice. Which situation did the manager observe to come to this conclusion?
A. Bringing previous negative information and experiences into this situation
B. Asking the client about cultural preferences
C. Using a professional interpreter
D. Respecting the client's religious beliefs
CORRECT ANSWER
A. Bringing previous negative information and experiences into this situation
RATIONALE
Cultural prejudice occurs when a nurse brings previous negative information or experiences into a
current situation, leading to biased assumptions. Asking about cultural preferences, using
interpreters, and respecting religious beliefs are culturally competent practices.
