NUR 254 Exam 3 Questions and Answers
Correct-Galen College of Nursing
1. The nurse is preparing to administer a medication. Which step is essential
to prevent a medication error?
A. Ask another nurse to confirm the medication.
B. Verify the 6 rights of medication administration.
C. Document before giving the medication.
D. Administer based on the pharmacy label.:
Answer: B
Rationale: The six rights (right patient, drug, dose, route, time, and documentation)
are critical to safe medication administration.
2. A patient refuses to take a prescribed medication. What is the nurse's best
action?
A. Hide the medication in food.
B. Document the refusal and reason.
C. Notify the healthcare provider only if it happens again.
D. Explain the medication's benefits, then give it.:
Answer: B
,Rationale: Patient rights include refusing medication. The nurse must document the
refusal and notify the provider if needed.
3. The nurse is collecting a urine sample for culture. What action ensures
accurate results?
A. Use urine from a catheter bag.
B. Collect the first urine voided in the morning.
C. Obtain a clean-catch midstream specimen.
D. Refrigerate the sample for 8 hours before sending.:
Answer: C
Rationale: A clean-catch midstream sample avoids contamination and is the stan-
dard for culture and sensitivity testing.
4. A nurse is educating a patient on the importance of completing a stool
guaiac test. Which instruction is appropriate?
A. "Do not collect stool in a sterile container."
B. "Avoid red meat and aspirin 72 hours before the test."
C. "Use a urine sample for convenience."
D. "Eat a high-fiber diet before the test.":
Answer: B
Rationale: Red meat and certain medications can cause false positives. These
, should be avoided to ensure accurate test results.
5. A patient is ordered furosemide 40 mg IV. The vial is labeled 10 mg/mL. How
many mL should the nurse administer?
A. 2 mL
B. 4 mL
C. 5 mL
D. 6 mL:
Answer: B
Rationale: 40 mg ÷ 10 mg/mL = 4 mL.
6. Which patient is most at risk for constipation?
A. A 45-year-old on a high-fiber diet
B. A 30-year-old who exercises daily
C. A 70-year-old on opioid analgesics
D. A 22-year-old postpartum woman:
Answer: C
Rationale: Opioids and aging reduce bowel motility, increasing the risk for constipa-
tion.
7. A nurse is monitoring a client receiving a contrast CT scan. What is the
priority post-procedure assessment?
Correct-Galen College of Nursing
1. The nurse is preparing to administer a medication. Which step is essential
to prevent a medication error?
A. Ask another nurse to confirm the medication.
B. Verify the 6 rights of medication administration.
C. Document before giving the medication.
D. Administer based on the pharmacy label.:
Answer: B
Rationale: The six rights (right patient, drug, dose, route, time, and documentation)
are critical to safe medication administration.
2. A patient refuses to take a prescribed medication. What is the nurse's best
action?
A. Hide the medication in food.
B. Document the refusal and reason.
C. Notify the healthcare provider only if it happens again.
D. Explain the medication's benefits, then give it.:
Answer: B
,Rationale: Patient rights include refusing medication. The nurse must document the
refusal and notify the provider if needed.
3. The nurse is collecting a urine sample for culture. What action ensures
accurate results?
A. Use urine from a catheter bag.
B. Collect the first urine voided in the morning.
C. Obtain a clean-catch midstream specimen.
D. Refrigerate the sample for 8 hours before sending.:
Answer: C
Rationale: A clean-catch midstream sample avoids contamination and is the stan-
dard for culture and sensitivity testing.
4. A nurse is educating a patient on the importance of completing a stool
guaiac test. Which instruction is appropriate?
A. "Do not collect stool in a sterile container."
B. "Avoid red meat and aspirin 72 hours before the test."
C. "Use a urine sample for convenience."
D. "Eat a high-fiber diet before the test.":
Answer: B
Rationale: Red meat and certain medications can cause false positives. These
, should be avoided to ensure accurate test results.
5. A patient is ordered furosemide 40 mg IV. The vial is labeled 10 mg/mL. How
many mL should the nurse administer?
A. 2 mL
B. 4 mL
C. 5 mL
D. 6 mL:
Answer: B
Rationale: 40 mg ÷ 10 mg/mL = 4 mL.
6. Which patient is most at risk for constipation?
A. A 45-year-old on a high-fiber diet
B. A 30-year-old who exercises daily
C. A 70-year-old on opioid analgesics
D. A 22-year-old postpartum woman:
Answer: C
Rationale: Opioids and aging reduce bowel motility, increasing the risk for constipa-
tion.
7. A nurse is monitoring a client receiving a contrast CT scan. What is the
priority post-procedure assessment?
