Prep U questions and answers math

A nurse has to instill two separate ophthalmic medications into a client's eyes. How many minutes should the nurse wait between administrations? Record your answer using a whole number.

5

A client has been admitted to the health care facility with an asthmatic attack. The medication order for the client indicates that the nurse administer the prescribed medication immediately. Which standard abbreviation indicates immediate medication?

Stat

A code is called and Nurse A hands several drugs to Nurse B, stating while rushing off, "Give these to my client while I help with the code." What is Nurse B's appropriate response?

State, "I cannot give medications for other nurses."

A nurse is administering an inunction. Which measure would the nurse take to speed absorption of the drug?

apply heat to the area where the drug was administered

A nurse is preparing to apply a liquid inunction to a client's lower leg. Which action would be least appropriate?

apply ice to the site after administration

A client has been prescribed benzocaine gel. What intervention should the nurse utilize to dilate the peripheral blood vessels and speed absorption?

applying local hat to the area if desired

The nurse is reading an order that indicates that a drug is to be given to a client "PRN". How will the nurse administer the medication?

as needed

A nurse has prepared an oral dose of acetaminophen for a client and the client has taken the medication while the nurse remained at the bedside. At what point should the nurse document the fact that the client took the medication as ordered?

as soon as the nurse is able to document this

A nurse is caring for a client in the nursing unit when the physician, during the rounds, prescribes a medication for the client. What appropriate action should the nurse take to ensure the accuracy of the verbal medication order?

ask the physician to write out the order

A nurse is caring for a client who is being tube fed. What care should the nurse take when administering medications through an enteral tube?

avoid crushing sustained-release pellets

A client is scheduled to receive a sustained-release capsule of an antidepressant medication each morning at 0800. Recent changes in the client's level of consciousness have resulted in some difficulty swallowing and occasional coughing while eating and drinking. The nurse has been instructed by a colleague to crush the client's pills and administer them mixed with applesauce in an effort to make the medications easier to swallow. How should the nurse respond to this colleague's advice?

avoid opening the capsule in order to preserve the sustained release of the drug

A client with a complex cardiac history has been prescribed digoxin 0.0625 mg PO. The drug is available as 125 mcg tablets. How many of the tablets will the nurse administer?

0.5 1.0 mg = 1000 mcg. 0.125 mg =125 mcg. 0.0625 mg is exactly one half of 0.125 mg. If the digoxin tablet is 0.125 mg or 125 mcg, than the nurse would administer 0.5 tablet which is 0.0625mg or 65.5mcg.

The nurse is teaching a client about zolpidem CR (Ambien CR) for sleep. When the client asks, "What does the CR mean?" what is the appropriate nursing response?

"Continuous release"

The nurse is caring for an older adult client who sees several different health care providers and specialists. Which question will the nurse ask?

"Do you get all of your medications filled at the same pharmacy?"

The nurse is teaching a client with arthritis about taking medications at home. Which client statement indicates, that nursing teaching has been effective?

"I will ask my pharmacist about an easy-to-open lid"

A hospital client who is experiencing acute anxiety has been prescribed a sublingual dose of a benzodiazepine, a drug that relieves anxiety. What instruction should the nurse provide to the client when administering this medication?

"Put this pill under your tongue and let it dissolve there"

The client refuses a medication. Which is the best response from the nurse?

"What is the reason you do not want to take this medication?"

A nurse is caring for a client who has been prescribed codeine, a narcotic medication to relieve severe postoperative pain. Which responsibility does the nurse have to complete when handling narcotic medications? Select all that apply

-Maintain an accurate account of the use of the medication. -Record each medication used from the stock supply. -Count each narcotic medication at the change of each shift.

The nurse is administering an oral opioid medication to a client who reported pain. The client dropped the medication on the floor. What actions would the nurse take now? Select all that apply.

-Obtain another dose of the medication for the client. -Search for the pill on the floor until the pill is found. -Discard the pill in an appropriate container with a witnessing nurse present.

The nurse is providing discharge teaching about multiple medications to a client with mild dementia. Which nursing intervention is appropriate? Select all that apply.

-Obtain referral for skilled nursing visits at home. -Teach family members about medication administration. -Recommend use of a medication dispenser.

Which nursing actions should be performed in the required "checks" for safe medication administration? Select all that apply.

-Read the medication label when reaching for the unit dose package. -Read the medication label after retrieving the medication from the drawer. -Read the medication label just before administering a unit dose medication to the client.

The nurse manager is reviewing medication order protocols with staff nurses. Which teaching will the nurse include? Select all that apply.

-Refrain from using abbreviations. -Be mindful of look-alike and sound-alike drugs. -Nurses and health care providers are accountable for drug safety.

A client who has been taking no medications has just been diagnosed as having diabetes. The client is prescribed an injectable medication once a day and an oral medication twice a day for blood glucose control. What would the nurse teach the client about taking these medications? Select all that apply.

-Take medications at the same time each day -Do not abruptly stop the medication or alter the dosage. -The intended effects and adverse effects of the medications -the appropriate timing of the medications in relation to food

When providing discharge teaching to a client who has been diagnosed with early stage Alzheimer disease, which nursing intervention is appropriate? Select all that apply.

-Teach caregivers how to administer medication -provide family with information about skilled home nursing visits -demonstrate proper use of a medication dispenser.

When administering oral medications, which practices should the nurse follow? Select all that apply.

-Verify the client's response to the medication 30 minutes after administration, or as appropriate for the drug. -Stay at the bedside until the client has swallowed all the medications. -Perform hand hygiene before and after medication administration.

A medication order for a hospitalized client is written on the chart as follows: "cephalexin 500 three times a day for 10 days." The physician has signed the order. What should the order also include? Select all that apply.

-date and time the order is written -route of administration -dose to be administered

The client reports shortness of breath even after using a metered-dose inhaler (MDI). The nurse evaluates that the client is using the MDI incorrectly. A nursing diagnosis of ineffective breathing pattern is established. How the nurse intervene? Select all that apply.

-monitoring respiratory rate -checking oxygen saturation level -demonstrating the use of an MDI

The nurse is administering an oral opioid medication to a client who reported pain. The client dropped the medication on the floor. What actions would the nurse take now? Select all that apply.

-search for the pill on the floor until the pill is found -discard the pill in an appropriate container with a witnessing nurse present -obtain another dose of the medication for the client

Nurses who will soon complete their 12-hour shift are preparing to account for controlled substances. Which nursing action is appropriate? Select all that apply.

-two nurses must ensure that the counts of controlled substances must agree. -one nurse counts the supply; another nurse checks the record of administration

When administering oral medications, which practices should the nurse follow? Select all that apply

-verify the client's response to the medication 30 minutes after administration, or as appropriate for the drug -perform hand hygiene before and after medication administration -stay at the bedside until the client has swallowed all the medications

Which medication dosage is properly written?

0.25 mg

A nurse is converting the dosage of a medication to a different unit in the metric system. The medication label specifies the drug as being 0.5 g per tablet. The order is for 500 mg. How many tablets will the nurse give?

1 -To convert in the metric system from a smaller unit to a larger unit, move the decimal point three places to the right. As 0.5 g = 500 mg, the nurse would administer one tablet.

The nurse has prepared medications in the Medication Room. Place the steps the nurse follows next in the correct sequence, from first to last.

1. Wash hands or use an alcohol-based hand rub. 2. Verify the client's name by two methods. 3. Offer a cup of water with the medications. 4. Remain with the client until the client has swallowed the medications. 5. Record administration of medications and fluid intake.

The nurse has prepared medications in the Medication Room. Place the steps the nurse follows next in the correct sequence, from first to last.

1.) wash hands or use an alcohol-based hand rub 2.) verify the clients name by two methods 3.) offer a cup of water with the medications 4.) remain with the client until the client has swallowed the medications. 5.) record administration of medication and fluid intake

A physician at the health care facility orders 500 mg of a medication to be administered by the oral route, four times a day for a client. The medication is available in a liquid form of 250 mg per 5 mL. What quantity of the medication should the nurse administer to the client?

10 mL -The nurse needs to administer 10 mL of the medication as per the physician's prescription in the medication order. The nurse uses the following formula in order to calculate the amount of medication to administer: Desired Dose/Dose on Hand (supplied dose) × Quantity. Applying the formula to the information provided in the medication order: 500 mg/250 mg × 5 mL = 10mL.

A nurse is taking care of a 56-year-old man with end-stage liver disease. The nurse has a prescription to give 20 g of lactulose every 6 hours to treat the client's hepatic encephalopathy. On hand, the nurse has containers of lactulose which have 30 g in 45 mL. How many milliliters is the nurse going to administer every 6 hours to the client?

30 mL -The formula to calculate the correct medication amount is: (Dose on hand/Quantity on hand = Dose desired/X). If you use this for this scenario you would have 30 g/45 mL = 20 g/X, where X = 30 mL.

The health care provider has given and signed an order for a specific client for zolpidem, 10 mg by mouth once daily at hour of sleep, and recorded the specific date and time of the order. What is the appropriate nursing action?

Administer the drug

The nurse has inadvertently administered medication ordered for Client A to Client B. What is the appropriate nursing action? Select all that apply.

Assess Client B thoroughly, complete an incident report, contact the provider

The nurse is caring for a client who has a newly written order for "fluoxetine 20 mg by mouth daily for treatment of depression." The nurse is unfamiliar with this medication. Which action is most appropriate?

Consult a professional medication reference before preparing to administer the medication

The nurse is preparing to give medications to a client with anxiety. The order indicates that the client is to have bupropion, 7.5 mg by mouth twice daily. What is the appropriate nursing action?

Contact health care provider for order clarification

The client has a nursing diagnosis of "Noncompliance due to inadequately taking prescribed medications." The nurse has employed interventions to facilitate the client's adherence to the medication schedule. How can the nurse evaluate the interventions' effectiveness? Select all that apply.

Encourage the client to relate problems encountered with self-administration. Verify how many pills are left in the medication containers Have the client state the frequency of self-administration and time of last dose.

A nurse at the health care facility is preparing the medication dosage for a client. Why should the nurse read and compare the label on the medication with the MAR at least three times (before, during, and after) while preparing the medication for administration?

Ensures that the right medication is given at the right time by the right route

The nurse is teaching a client how to take medications upon discharge. The client is alert and oriented, but unable to articulate teaching back to the nurse. What is the appropriate nursing action?

Give written instructions to the client and caregivers

The nurse is preparing to administer the second dose of ordered antibiotics to a client and notes that the first dose of medication is still in the automated medication-dispensing system. The medication administration record (MAR) does not show that the initial dose was given. What is the appropriate nursing action?

Notify the healthcare provider

Nurses who will soon complete their 12-hour shift are preparing to account for controlled substances. Which nursing action is appropriate? Select all that apply.

One nurse counts the supply; another nurse checks the record of administration. Two nurses must ensure that the counts of controlled substances must agree.

Which action describes buccal medication administration?

Placing a medication underneath the upper lip or in the side of the mouth

The nurse has received a telephone order for a client from a health care provider. How will the nurse indicate in the documentation that the order was received via telephone?

Record "T.O." at the end of the order.

Which "rights" are included in the "six rights for medication administration"?

Right Medication Right client Right dose Right route Route time Right documentation

What would be considered a "right" of drug administration. (Select all that apply.)

Right drug Right documentation Right dose Right client

Which is not true regarding Nurse Practice Acts?

They describe what medications nurses can prescribe

A healthcare provider who just arrived on the unit gives a verbal order to the nurse regarding a non-emergent client situation. What is the nurse's appropriate response?

Tactfully request the provider to input the order into the computerized provider order system

A healthcare provider who just arrived on the unit gives a verbal order to the nurse regarding a non-emergent client situation. What is the nurse's appropriate response?

Tactfully request the provider to input the order into the computerized provider order system.

Regarding medication administration, what must occur at the change of shifts?

The narcotics for the division are counted

The nurse has provided a client with oral medications in a small plastic cup. What is the appropriate nursing intervention?

Wait with the client until the medication are taken

The nurse has withdrawn opioid pain medication into a syringe. When preparing to administer the medication, the client refuses, stating that pain is controlled currently at a level of 2 on a scale of 1 to 10. What is the appropriate nursing action?

Waste the medication with another nurse witness present

To which client would the nurse be most likely to administer a prn medication?

a client who is reporting pain near the surgical site

A community health nurse who provides care for numerous older adults is aware of the problem of polypharmacy among this population. Which individual is at greatest risk for polypharmacy?

a woman whose prescribed medication regiman includes many different drugs

A community health nurse who provides care for numerous older adults is aware of the problem of polypharmacy among this population. Which individual is at greatest risk for polypharmacy?

a woman whose prescribed medication regimen includes many different drugs

The health care provider has given and signed an order for a specific client for zolpidem, 10 mg by mouth once daily at hour of sleep, and recorded the specific date and time of the order. What is the appropriate nursing action?

administer the drug

The nurse is caring for a client with pneumonia who requires administration of medications. When does the nurse document administration in the medication administration record (MAR)?

after completion of administration of each drug

The nurse observes an order for a client to receive furosemide, 20 mg once daily, and recorded the specific date and time of the order. What is the appropriate nursing action?

call the healthcare provider for order clarification

The nurse applied a prescribed nitroglycerin patch. Thirty minutes after the application, the client reports dizziness. The first action of the nurse is to:

check blood pressure and pulse

A nurse is providing care for a client who has a history of dementia. Which method should the nurse use in order to determine the client's identity prior to medication administration?

check the client's ID band

The nurse is to administer an oral medication through a nasogastric tube that is connected to low intermittent suction. The nurse:

clamp the nasogastric tubule for 30 minutes after medication administration

A nurse knows that ophthalmic medications are applied to which eye structures?

conjuctiva

Which substance could contain an inunction? Select all that apply.

cream, lotion, and oil

A nurse needs to use a moisturizer for an older adult client with dry skin. Why is the onset of the medication action atypical in an older adult client?

diminished subcutaneous fat

The nurse is teaching a client how to take medications upon discharge. The client is alert and oriented, but unable to articulate teaching back to the nurse. What is the appropriate nursing action?

give written instructions to the client and caregivers

Which medication would most likely be administered via a transdermal patch?

hormonal medications

The nurse is caring for a client with a yeast infection. Which medication does the nurse anticipate will be prescribed?

miconazole

The nurse is preparing to administer the second dose of ordered antibiotics to a client and notes that the first dose of medication is still in the automated medication-dispensing system. The medication administration record (MAR) does not show that the initial dose was given. What is the appropriate nursing action?

notify the healthcare provider

The nurse is preparing to administer an oral medication to a client with xerostomia. Which nursing action is appropriate?

offer a sip of water before administering medication

What type of order would a physician most likely write to treat a client whose pain levels vary widely throughout the day?

p.r.n.

A nurse uses a nitroglycerin paste to dilate the coronary arteries of a client at the health care facility. What should the nurse do to facilitate the medication absorption?

place application paper on a non-hairy are of the skin

A client has one medication prescribed for twice a day and another medication prescribed for three times a day. The client informs the nurse, "I am so busy at my job. I forget if I took my medications." To best assist the client, the nurse instructs the client to:

place the medications in a pill organizer each day.

An older adult with bronchitis has been prescribed an inhaled medication. However, the client is having difficulty coordinating breathing with the metered dose inhaler. How can the nurse best enhance the therapeutic benefit that the client receives from this medication?

provide a spacer for the client to use with the inhaler

Which technique should the nurse employ when instilling otic medication in an adult ear?

pull the client's ear up and back

The client is a 6-year-old child who has hydrocortisone, neomycin, and polymyxin (Cortisporin Otic) prescribed for administration in the left ear. To assist with instillation of the medication, the nurse:

pulls the left ear down and back

A physician writes an order for ampicillin 1 gram every 6 hours for a client. What is missing in this order?

route

An acute care facility follows the unit dose supply method to supply medication to the clients. What is meant by the unit dose supply method?

self-contained packets that hold one tablet or capsule for individual clients

The nurse has confirmed the client's identity and provided a client with oral medications to take. What is the next appropriate nursing intervention?

stay with the client while medication are taken

The nurse has confirmed the client's identity and provided a client with oral medications to take. What is the next appropriate nursing intervention?

stay with the client while medications are taken

What is an example of drug diversion? The nurse:

takes a medication from one client's container to use for another person

The nurse is preparing to administer a transdermal medication. How should this be accomplished?

the nurse should apply the medication directly to the skin

A nurse is administering a medication that is formulated as enteric-coated tablets. What is the rationale for not crushing or chewing enteric-coated tablets?

to prevent gastric irrittion

A client with chronic obstructive pulmonary disease (COPD) has been prescribed an inhaled bronchodilator. Which technique should the nurse implement in order to ensure safe and complete delivery of the prescribed medication?

use a spacer with the metered-dose inhaler