week 5

a nurse is preparing to administer an otic antibiotic to an adult pt who has otic media. which of the following actions should the nurse plan to take? a. hold the dropper 1cm (0.5in) above the ear canal during administration b. apply pressure to the nasolacrimal duct following administration c. place a cotton ball into the inner ear for 30 min following administration d. straighten the ear canal by pulling the auricle down and back prior to administration

hold the dropper 1cm (0.5in) above the ear canal during administration

a nurse recently administered oral medication to a pt who notified the AP that they just vomited. which of the following actions should the nurse take first? a. notify the provider and obtain further directions b. inspect the vomit for any presence of medication c. document that the pt vomited after med administration d. instruct the AP to provide mouth care to the pt

inspect the vomit for any presence of medication

a pt who has glaucoma of the right eye self-administers timolol eye drops by looking at the ceiling, instilling a drop into the center of the conjunctival sac, and applying gentle pressure to the lower lid with a facial tissue. after observing this process, which of the following actions should the nurse take? a. confirm the pt performed the procedure correctly b. instruct the pt to look at the floor while instilling the eye drop c. remind the pt to avoid using a facial tissue after instillation d. instruct the pt to apply pressure to the corner of the eye after instillation

instruct the pt to apply pressure to the corner of the eye after instillation

a nurse is preparing to administer merperidine to a pt who is post op and reports a pain level of 8 on scale 0 to 10. which of the following routes of admin will deliver the medication with the shortest time of onset? a. oral b. intravenous c. Intramuscular d. Subcutaneous

intravenous

a nurse is preparing to administer medication to a pt who has gout. the nurse discovers that an error was made during the previous shift in which the pt received atenolol instead of allopurinol. which of the following interventions is the nurse's priority? a. measure the pt's apical pulse b. administer the allopurinol to the pt c. inform the nurse manager d. complete an incident report

measure the pt's apical pulse

a nurse is leading an education session about disposing of biohazards materials. which of the following instructions should the nurse include in the teaching? a. use isopropyl alcohol to clean blood spills b. discard empty blood bags in a bedside trash can c. break used needles before discarding d. place soiled linen in a single linen bag

place soiled linen in a single linen bag

a home health nurse enters a pt's home and finds a used insulin syringe without a cap on the table. which of the following actions should the nurse take? a. recap the needle on the syringe b. schedule a nurse to administer future injections for this pt c. explain to the pt that syringe should be disposed of in the bathroom trash can d. place the syringe in a puncture proof disposal container

place the syringe in a puncture proof disposal container

a nurse is preparing to administer an IM injection to a pt who is overweight. which of the following sites should the nurse select for the injection? a. lower medial quadrant of the buttock near the coccyx b. side hip between the iliac crest and anterior iliac spine c. tissue of the posterior upper arm d. lower inner thigh 4 finger widths above the patella

side hip between the iliac crest and anterior iliac spine

a nurse is preparing to administer a medication to a pt. which of the following administration schedules should the nurse identify as a prescription to administer the medication once and as soon as possible? a. stat prescription b. PRN prescription c. standing prescription d. single prescription

stat prescription

a nurse is administering medication to a pt who asks the nurse to leave the medication at the bedside to be taken at a later time. which of the following responses should the nurse make? a. "call me when you are ready, and i will return with the medication" b. "since you were taking this medication at home, i will leave it for you to take." c. "i will come back in 30 minutes to check that you took the medication so i can chart the time" d. "if you refuse to take the medication now, i can't give it again until your next scheduled time"

"call me when you are ready, and i will return with the medication"

a nurse is caring for a pt who takes warfarin to treat chronic atrial fibrillation and has early manifestations of alzheimer's disease. the pt's partner asks the nurse if the pt would benefit from taking ginkgo biloba. which of the following responses should the nurse make? a. "ginkgo biloba will likely interfere with the effectiveness of his other medications" b. "you should ask his provider if ginkgo biloba is safe" c. "ginkgo biloba is most effective in the later stages of alzheimer's disease d. "people who have alzheimer's disease should adhere to the medication regimen their provider prescribes"

"ginkgo biloba will likely interfere with the effectiveness of his other medications"

a nurse is caring for a 16 year old pt who reports dysmenorrhea and asks about alternative therapies for treatment. which of the following statements should the nurse make? a. "herbal medication can be effective but should be monitored by your provider" b. "you should place a cold compress on your lower abdomen to decrease inflammation" c. "you should limit exercise, which can increase the pain" d. "avoid touching the painful areas because this can increase your discomfort"

"herbal medication can be effective but should be monitored by your provider"

a nurse is preparing to administer warfarin to a pt who has a new onset of atrial fibrillation. the pt asks the nurse, "what should the medication do?" which of the following responses should the nurse make? a. "it helps your heart return to a normal rhythm" b. "it dissolves blood clots" c. "it can reduce your risk of having strokes" d. "it helps to prevent bleeding in atrial fibrillation"

"it can reduce your risk of having strokes"

a nurse is caring for a pt who receives gastrostomy tube feedings and insulin. the pt is scheduled to receive a tube feeding at 0700. at which of the following times should the nurse plan to administer insulin lispro subcutaneously? a. 0600 b. 0630 c. 0645 d. 0730

0645

a nurse preparing to administer 150 units/hr of regular insulin to a pt. regular insulin is available at 1500units in 0.9% sodium chloride 500mL. the nurse should set the IV pump to deliver how many mL/hr? (round to the nearest whole number)

50ml/hr

a nurse is administering subcutaneous heparin to a pt who is at risk for DVT. which of the following actions should the nurse take? a. administer the medication into pt's abdomen b. inject the medication into a muscle c. massage the site after administering the medication d. use a 22 gauge needle to administer the medication

administer the medication into pt's abdomen

a nurse has administered a medication to a pt. which of the following circumstances should the nurse identify as a med error that resulted from a performance deficit by the nurse? a. medication safety coordinator was not present b. verbal prescription was transcribed incorrectly c. medication with a similar name was dispensed instead of the correct medication d. an IM injection was given instead of a subcutaneous injection

an IM injection was given instead of a subcutaneous injection

a nurse is preparing to administer eye drops for a pt who has glaucoma. when instilling the medication, which of the following actions should the nurse take? a. instruct the pt to blink several times after instilling the medication b. ask the pt to look straight ahead during instillation of the medication c. apply pressure to the puncta after instilling the medication d. place each drop of the medication directly onto the pt's cornea

apply pressure to the puncta after instilling the medication

a nurse is beginning her shift and reviewing the medication administration records (MARs) for her pts. she notices a dosage of a medication above the safe range and sees that a nurse administered that dosage during the previous shift. which of the following actions should the nurse take? a. call the nurse to verify that the pt received that dosage b. give the medication in a safe dosage c. give the dose the provider prescribed d. call the provider to clarify the dosage

call the provider to clarify the dosage

a nurse is preparing to administer oral phenytoin to a pt who has a seizure disorder. before the administering the medication, which of the following actions should the nurse take? a. document the administration of the medication b. count the amount of available medication on hand and sign for it c. measure the pt's respiratory rate d. check the medication dose and pt's id

check the medication dose and pt's id

a nurse is preparing to administer a TB skin test to a pt. after performing hand hygiene, which of the following actions should the nurse take? a. select a 23 gauge needle b. insert the needle into the skin at 25 degree angle c. massage the area of injection following removal of the needle d. circle the injection area with a pen

circle the injection area with a pen

a nurse is preparing to administer medications to a pt who is unconscious. the nurse should bring the MAR to the pt's bedside and perform which of the following verification procedures? a. check the pt's name and medical record number on the MAR against the room and bed number b. call the pt by name and check the name on her identification band against the MAR c. compare the medical record number and name on the MAR with the pt's id band d. ask the pt's visitor to identify the pt by the name and state the pt's birthday

compare the medical record number and name on the MAR with the pt's id band

a nurse is preparing to administer eye drops to a pt following surgery. which of the following actions should the nurse take when instilling the eye drops? a. drop the eye medication into the lower conjunctival sac b. apply gentle pressure to the outer opening of the eye for 2 min c. hold the eyedropper 0.5cm (0.2in) from the cornea d. instruct the pt to close their eyes tightly after administration

drop the eye medication into the lower conjunctival sac

a nurse is performing a pre op assessment of a pt who is about to undergo an aneurysm clipping. the nurse should identify a risk for increased bleeding when the pt reports taking which of the following substances? a. soy b. garlic c. black cohosh d. green tea

garlic

a nurse manager is instructing a newly licensed nurse about routs of med admin. which of the following routes involves medication absorption through the mucous membranes under the tongue? a. oral b. topical c. parenteral d. sublingual

sublingual

a nurse in a long-term care facility is administering medications to a group of older adult pts. which of the following factors of pharmacokinetics should the nurse consider when caring for this age group? a. the excretion of medication is reduced b. the percentage of medication absorbed is increased c. the liver metabolizes medication more quickly d. the rate at which the liver metabolizes medication declines with age

the excretion of medication is reduced

a nurse is developing a plan of care for a pt. which of the following pieces of info should the nurse consider when planning care that is culturally congruent? a. illness is not influenced by culture b. the meaning of disease can vary widely across cultures c. assigning pts to specific cultural categories facilitates communication d. predetermined criteria should generate pt care activities

the meaning of disease can vary widely across cultures

a nurse is preparing to administer an IM injection for a pt. which of the following factors should the nurse identify as a potential contraindication to administering the medication via IM route? a. the medication is a depot preparation b. the pt is taking an anticoagulant c. the medication is a particulate suspension d. the pt has been vomiting

the pt is taking an anticoagulant

a nurse is caring for a pt who is at 16 weeks gestation and has severe iron deficiency anemia. the provider prescribes an injection of iron dextran IM. which of the following methods should the nurse administer the medication? a. use a 20-gauge needle and administer medication using the z track method b. use a 22 gauge needle and administer the medication deep into the thigh c. use a 25 gauge needle and administer the medication into the deltoid muscle d. use an 18 gauge needle and administer the medication into the rectus femoris muscle

use a 20-gauge needle and administer medication using the z track method

a nurse is preparing to administer an IM injection to a 2 month old infant. which of the following sites should the nurse plan to administer the injection? a. vastus lateralis b. dorsogluteal c. deltoid d. abdomen 5 cm (2in) from the umbilicus

vastus lateralis