NURS 1023 Module 3&4 Exam
Questions with Answers
When administering an intradermal injection, which outcome would require the nurse to
withdraw the needle and begin again?
A. Aspiration of blood prior to injecting the medication
B. Inability to feel resistance when injecting the medication
C. Formation of a 6-mm bleb at the injection site
D. Appearance of a lesion resembling a mosquito bite at the injection site - ✔✔B
Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a
patient who is prescribed an intradermal injection?
A. "Be sure to wear clean gloves during the injection."
B. "Tell him it's OK; the site should look like a mosquito bite."
C. "Immediately report any patient complaints of itching or dyspnea."
D. "Remind the patient to come back in 48 to 72 hours so we can evaluate the site." - ✔✔C
Which finding tells the nurse that a patient may have had a positive reaction to a tuberculin
test?
A. A raised wheal the size of a mosquito bite
B. A bruised area 10 mm or greater in diameter
C. A hard, raised area 15 mm or greater in diameter
D. A flat, reddened area 5 mm or greater in diameter - ✔✔C
In which site would it be inappropriate to administer an intradermal injection?
A. Lower abdomen of an obese patient
B. Upper back of a patient who is on bed rest
,C. Right deltoid of a high school softball pitcher
D. Left forearm of a patient with right-sided weakness - ✔✔C
How can the nurse determine that the needle tip for an intradermal injection is in the dermis?
A. A bleb the size of a mosquito bite will appear.
B. The needle will enter at a 5- to 15-degree angle.
C. The bulge of the needle tip will be visible through the skin.
D. The needle will penetrate through the epidermis to a depth of about ⅛ inch. - ✔✔C
As the nurse is at the bedside preparing to administer a new medication, the patient mentions
that he is allergic to the drug. What will the nurse do first?
A. Notify the physician.
B. Withhold the medication.
C. Check to see if the patient is wearing a red allergy ID band.
D. Review the medication administration record (MAR) for allergies. - ✔✔B
As the nurse prepares to administer oral acetaminophen, the patient refuses to accept the drug
because it doesn't look like the Tylenol she takes at home. After verifying that the medication
and dosage are correct, what is the nurse's best response?
A. Inform the patient that the medication is a form of Tylenol.
B. Explain that she will probably have increased pain if she refuses the medication.
C. Show the patient a picture of the medication.
D. Explain that drugs often come in different physical forms, depending on the manufacturer. -
✔✔D
What is the nurse's first response when a patient requests another dose of narcotic pain
medication before it is time for the next dose?
A. Consult with the physical therapy department to arrange for a visit with the patient.
B. Work with the patient to find alternative nonpharmacologic means of pain management.
, C. Contact the patient's provider to request an order for additional pain medication.
D. Give the patient a detailed explanation of the need to limit the amount of narcotic
medication she takes. - ✔✔B
The patient has requested a PRN medication for nausea. Which of the following should the
nurse do first?
A. Offer dry crackers and ice chips if not contraindicated.
B. Ask the patient about his allergies.
C. Explain the specific purpose of the medication.
D. Check to see when the medication was given last, and make sure the time interval is up. -
✔✔D
After requesting a narcotic pain medication, the patient refuses it after the nurse prepares the
injection. What is the nurse's best initial response?
A. Ask the patient the reason for his refusal.
B. Notify the physician and ask for a different type of pain medication.
C. Have another registered nurse witness the proper discarding of the drug.
D. Explain to the patient the need to manage pain effectively. - ✔✔A
How might the nurse safely administer an extended-release capsule to a patient with
dysphagia?
A. Encourage the patient to drink plenty of water when swallowing the capsule.
B. Open the capsule, and place the contents into 90 mL (3 fl. oz.) of juice.
C. Place the capsule in a spoonful of the patient's applesauce.
D. Save the capsule to be administered last. - ✔✔C
The nurse is preparing to administer several oral medications when the patient says he would
like to take his pills with orange juice. What is the nurse's best response?
A. Determine whether the patient's prescribed diet includes orange juice.
Questions with Answers
When administering an intradermal injection, which outcome would require the nurse to
withdraw the needle and begin again?
A. Aspiration of blood prior to injecting the medication
B. Inability to feel resistance when injecting the medication
C. Formation of a 6-mm bleb at the injection site
D. Appearance of a lesion resembling a mosquito bite at the injection site - ✔✔B
Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a
patient who is prescribed an intradermal injection?
A. "Be sure to wear clean gloves during the injection."
B. "Tell him it's OK; the site should look like a mosquito bite."
C. "Immediately report any patient complaints of itching or dyspnea."
D. "Remind the patient to come back in 48 to 72 hours so we can evaluate the site." - ✔✔C
Which finding tells the nurse that a patient may have had a positive reaction to a tuberculin
test?
A. A raised wheal the size of a mosquito bite
B. A bruised area 10 mm or greater in diameter
C. A hard, raised area 15 mm or greater in diameter
D. A flat, reddened area 5 mm or greater in diameter - ✔✔C
In which site would it be inappropriate to administer an intradermal injection?
A. Lower abdomen of an obese patient
B. Upper back of a patient who is on bed rest
,C. Right deltoid of a high school softball pitcher
D. Left forearm of a patient with right-sided weakness - ✔✔C
How can the nurse determine that the needle tip for an intradermal injection is in the dermis?
A. A bleb the size of a mosquito bite will appear.
B. The needle will enter at a 5- to 15-degree angle.
C. The bulge of the needle tip will be visible through the skin.
D. The needle will penetrate through the epidermis to a depth of about ⅛ inch. - ✔✔C
As the nurse is at the bedside preparing to administer a new medication, the patient mentions
that he is allergic to the drug. What will the nurse do first?
A. Notify the physician.
B. Withhold the medication.
C. Check to see if the patient is wearing a red allergy ID band.
D. Review the medication administration record (MAR) for allergies. - ✔✔B
As the nurse prepares to administer oral acetaminophen, the patient refuses to accept the drug
because it doesn't look like the Tylenol she takes at home. After verifying that the medication
and dosage are correct, what is the nurse's best response?
A. Inform the patient that the medication is a form of Tylenol.
B. Explain that she will probably have increased pain if she refuses the medication.
C. Show the patient a picture of the medication.
D. Explain that drugs often come in different physical forms, depending on the manufacturer. -
✔✔D
What is the nurse's first response when a patient requests another dose of narcotic pain
medication before it is time for the next dose?
A. Consult with the physical therapy department to arrange for a visit with the patient.
B. Work with the patient to find alternative nonpharmacologic means of pain management.
, C. Contact the patient's provider to request an order for additional pain medication.
D. Give the patient a detailed explanation of the need to limit the amount of narcotic
medication she takes. - ✔✔B
The patient has requested a PRN medication for nausea. Which of the following should the
nurse do first?
A. Offer dry crackers and ice chips if not contraindicated.
B. Ask the patient about his allergies.
C. Explain the specific purpose of the medication.
D. Check to see when the medication was given last, and make sure the time interval is up. -
✔✔D
After requesting a narcotic pain medication, the patient refuses it after the nurse prepares the
injection. What is the nurse's best initial response?
A. Ask the patient the reason for his refusal.
B. Notify the physician and ask for a different type of pain medication.
C. Have another registered nurse witness the proper discarding of the drug.
D. Explain to the patient the need to manage pain effectively. - ✔✔A
How might the nurse safely administer an extended-release capsule to a patient with
dysphagia?
A. Encourage the patient to drink plenty of water when swallowing the capsule.
B. Open the capsule, and place the contents into 90 mL (3 fl. oz.) of juice.
C. Place the capsule in a spoonful of the patient's applesauce.
D. Save the capsule to be administered last. - ✔✔C
The nurse is preparing to administer several oral medications when the patient says he would
like to take his pills with orange juice. What is the nurse's best response?
A. Determine whether the patient's prescribed diet includes orange juice.
