PHARM - Safe Dosage & Medication Administration ATI Modules
What is 4:00 p.m. on the 24-hour clock?
1600
Which of the following IV solutions should a nurse use when preparing to administer a blood transfusion? A. 5% dextrose in water (D5W) B. Lactated Ringer's (LR) C. 5% dextrose in 0.9% sodium chloride (D5NS) D. 0.9% sodium chloride (0.9% NaCl or NS)
D. 0.9% sodium chloride (0.9% NaCl or NS)
A nurse is caring for a child who weighs 12.5kg. What is the child's daily maintenance fluid requirement in millilitrs?
1125 ml/day
A provider prescribes Lactated Ringer's 1.5L IV to infuse over 12hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
125 ml/hr
A nurse is preparing to administer Lactated Ringer's (LR) 250ml IV to infuse over 30 min. The nurse should set the IV pump to deliver how many ml/hr? (Round to nearest whole number)
500 ml/hr
A nurse is preparing to administer Lactated Ringer's 2L IV to infuse over 12hr. The drop factor of the manual IV tubing is 20 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number)
56 gtt/min
What is 1900 on the 12-hour clock?
7:00 p.m.
A nurse is preparing to administer 0.9% NaCl 450ml IV to infuse over 30 min. The nurse should set the IV pump to deliver how many ml/hr? (Round to nearest whole number)
900 ml/hr
Convert the following 12-hour clock times to 24-hour clock times A. 10:00 p.m. B. 1:15 p.m. C. 1:15 a.m. D. 10:00 a.m. E. 3:45 a.m. F. 4:15 a.m. G. 3:15 p.m. H. 8:45 a.m. I. 12:45 p.m. J. 8:45 p.m.
A. 2200 B. 1315 C. 0115 D. 1000 E. 0345 F. 0415 G. 1515 H. 0845 I. 1245 J. 2045
Hemolysis can occur with the administration of which of the following types of solution? A. isotonic B. hypotonic C. hypertonic
B. hypotonic
A nurse administers a solution of 3% NaCl to a client. What type of solution is this? A. isotonic B. hypotonic C. hypertonic
C. hypertonic
How many calories does 1 liter of 5% dextrose in water (D5W) provide?
170 calories (not significant factor in providing necessary nutrition to a client)
A nurse is preparing to administer D5W 500ml IV to infuse over 6hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number)
21 gtt/min
Convert the following 24-hour clock times to 12-hour clock times A. 2245 B. 1715 C. 0445 D. 2115 E. 0515 F. 0215 G. 1215 H. 1945 I. 1815 J. 0545
A. 10:45 p.m. B. 5:15 p.m. C. 4:45 a.m. D. 9:15 p.m. E. 5:15 a.m. F. 2:15 a.m. G. 12:15 p.m. H. 7:45 p.m. I. 6:15 p.m. J. 5:45 a.m.
Convert the following 24-hour clock times to 12-hour clock times A. 1625 B. 0515 C. 2100 D. 0020 E. 0900 F. 0037 G. 1325 H. 1945 I. 0515 J. 2330
A. 4:25 p.m. B. 5:15 a.m. C. 9:00 p.m. D. 12:20 a.m. E. 9:00 a.m. F. 13:37 a.m. G. 1:25 p.m. H. 7:45 p.m. I. 5:15 a.m. J. 11:30 p.m.
A nurse is preparing to administer ceftriaxone 2g by intermittent IV bolus every 12hr. Available is ceftriaxone 2g in D5W 100ml to infuse over 45 min. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
133 ml/hr
A nurse is caring for a child who weighs 19kg. What is the child's daily maintenance fluid requirement in millilitrs?
1450 ml/day
A nurse is caring for a child who weighs 31kg. What is the child's daily maintenance fluid requirement in millilitrs?
1720 ml/day
A nurse is caring for a child who weighs 37.5kg. What is the child's daily maintenance fluid requirement in millilitrs?
1850 ml/day
A nurse is preparing to administer ceftazidime 1g by intermittent IV bolus every 12hr. Available is ceftazidime 1g in 0.9% NaCl 50ml to infuse over 15 min. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
200 ml/hr
A nurse is preparing to administer famotidine 20mg by intermittent IV bolus every 12hr. Available is famotidine 20mg in D5W 100ml to infuse over 30 min. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
200 ml/hr
A provider prescribes dextrose 5% in 0.45% NaCl 800ml IV to infuse over 4hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
200 ml/hr
A nurse is caring for a child who weighs 46kg. What is the child's daily maintenance fluid requirement in milliliters?
2020 ml/day
A nurse is preparing to administer dextrose 5% in 0.45% NaCl 800ml IV to infuse over 6hr. The drop factor of the manual IV tubing is 10 gtt/ml. The nurse should set the manual IV to deliver how many gtt/min? (Round to the nearest whole number)
22 gtt/min
A nurse is preparing to administer ceftriaxone 1g by intermittent IV bolus every 24hr. Available is ceftriaxone 1g in D5W 100ml to infuse over 45 min. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number)
33 gtt/min
A nurse is caring for an infant who weighs 4kg. What is the child's daily maintenance fluid requirement in millilitrs?
400 ml/day
A nurse is preparing to administer Lactated Ringer's 1.5L IV to infuse over 8hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV to deliver how many gtt/min? (Round to the nearest whole number)
47 gtt/min
A nurse is preparing to administer ceftazidime 2g by intermittent IV bolus every 12hr. Available is ceftazidime 2g in 0.9% NaCl 50ml to infuse over 15 min. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number)
50 gtt/min
A nurse is preparing to administer famotidine 20mg by intermittent IV bolus every 12hr. Available is famotidine 20mg in D5W 100ml to infuse over 30 min. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to nearest whole number)
50 gtt/min
A nurse is preparing to administer 0.45% NaCl 500ml IV to infuse over 8hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
63 ml/hr
A nurse is preparing to administer 0.9% NaCl 500ml IV to infuse over 45 min. The nurse should set the IV pump to deliver how many ml/hr? (Round to nearest whole number)
667 ml/hr
A nurse is preparing to administer Lactated Ringer's (LR) 1000ml IV to infuse over 1.5hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to nearest whole number)
667 ml/hr
A provider prescribes 0.9% NaCl 1000ml IV to infuse over 4hr. The drop factor of the manual IV tubing is 20 gtt/ml. The nurse should set the manual IV to deliver how many gtt/min? (Round to the nearest whole number)
83 gtt/min
A nurse is preparing to administer D5W 500ml IV to infuse over 6hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
83 ml/hr
A nurse is preparing to administer Lactated Ringer's 2L IV to infuse over 24hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
83 ml/hr
A charge nurse is reviewing techniques for the safe administration of medications to children with a newly licensed nurse. Which of the following statements should the nurse make? A. "Confirm chemotherapy medication dosages using a body surface area nomogram." B. "Ask preschoolers their name to confirm their identity prior to administering medication." C. "Calculate medication dosages based on a child's age, not their weight." D. "Use paper cups to administer liquid dosages of medications."
A. "Confirm chemotherapy medication dosages using a body surface area nomogram."
A nurse is caring for a child who is dehydrated. Which of the following findings is consistent with severe dehydration? A. absence of tears B. capillary refill of 2 to 4 seconds C. slightly increased heart rate D. systolic blood pressure within expected parameters
A. absence of tears
A nurse is administering medications to four clients. The nurse should identify which of the following nursing actions as a part of the evaluation phase of the nursing process? A. collecting information about a client's pain level following administration of a narcotic B. taking the blood pressure of a client before administering an antihypertensive medication C. lowering the level of a client's bed before administering a benzodiazepine medication D. instructing the client to rinse their mouth following administration of an inhalation corticosteroid
A. collecting information about a client's pain level following administration of a narcotic
A nurse is administering medications to four clients using an automated dispensing system. Which of the following actions should the nurse take to prevent medication administration errors? (SELECT ALL THAT APPLY) A. compare the medication label with the medication administration record B. take out medications for more than one client at once C. check the expiration date on the medication label D. document the medication immediately after administering it E. remove the medication from the unit-dose package immediately after removing it from the automated dispensing system
A. compare the medication label with the medication administration record C. check the expiration date on the medication label D. document the medication immediately after administering it
A nurse working in a medical-surgical unit is preparing to administer medications to a client. The nurse plans to use two forms of identification to verify that she has the right client. Which of the following actions can the nurse take to identify the client? (SELECT ALL THAT APPLY) A. compare the name on the client's wristband with the name in the medication administration record (MAR) B. ask the client to state his date of birth C. check the room number in the medication administration record (MAR) with the room number of the client D. ask the client to state his name E. use the bar code scan to identify the client
A. compare the name on the client's wristband with the name in the medication administration record (MAR) B. ask the client to state his date of birth D. ask the client to state his name E. use the bar code scan to identify the client
A nurse on a medical unit is assisting with the orientation of a newly licensed nurse. The nurse should remind the newly licensed nurse to have a second nurse review the dosage of which of the following medications prior to administration? A. heparin B. acetaminophen C. acetylcysteine D. hydroxychloroquine
A. heparin
A nurse is preparing to administer an oral medication. Which of the following actions should the nurse take? (SELECT ALL THAT APPLY) A. provide client education about the medication B. check the expiration date of the medication C. verify the dosage of the medication D. call the client by name to confirm their identity E. ask the client if they have any allergies
A. provide client education about the medication B. check the expiration date of the medication C. verify the dosage of the medication E. ask the client if they have any allergies
A nurse is preparing to administer digoxin 225mcg for a pediatric client who has a heart rate above 90/min. Which of the following actions should the nurse take to ensure administration of the right dose? (SELECT ALL THAT APPLY) A. validate that the dosage is within the safe range B. confirm the medication amount is appropriate for the child C. verify that the medication is not expired D. check the client's heart rate prior to administration E. document the administration in the medication administration record (MAR)
A. validate that the dosage is within the safe range B. confirm the medication amount is appropriate for the child
A nurse is preparing to administer a time-critical medication to a client at 0800. Which of the following times are appropriate for the nurse to administer the medication? (SELECT ALL THAT APPLY) A. 0700 B. 0745 C. 0830 D. 0845 E. 0900
B. 0745 C. 0830
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? A. phenytoin 100mg PO every 8hr B. morphine 2.5mg IV bolus PRN for incisional pain C. regular insulin 7 units subcutaneous 30 min before breakfast and dinner D. lisinopril 20mg PO every 12hr. Hold for systolic BP less than 110 mm Hg
B. morphine 2.5mg IV bolus PRN for incisional pain
A nurse is caring for a client who is to receive topiramate XR 100mg PO daily. The client tells the nurse that the capsule is too hard to swallow. Which of the following actions should the nurse take? A. crush the contents of the capsule to administer in a small amount of pudding B. request extended-release sprinkles from the pharmacy C. ask the charge nurse to clarify the prescription with the provider D. withhold the medication until the time for the next dose
B. request extended-release sprinkles from the pharmacy
A nurse is teaching a newly licensed nurse about administering IM injections to children. Which of the following statements should the nurse make? A. "You should use the deltoid muscle for intramuscular injections in young infants." B. "Insert the needle at a 60-degree angle for an intramuscular injection." C. "Do not inject more than 1 milliliter for an intramuscular injection in infants." D. "You should aspirate for blood when administering intramuscular vaccines."
C. "Do not inject more than 1 milliliter for an intramuscular injection in infants."
A charge nurse is reviewing the types of prescriptions with a newly licensed nurse. Which of the following prescriptions should the nurse include as an example of a standing prescription? A. oxycodone 5mg by mouth every 4hr as needed for pain B. furosemide 20mg IV stat C. acetaminophen 650mg by mouth every 6hr for temperature greater than 38.4*C (101.2*F) D. diazepam 10mg IV 30 min prior to procedure
C. acetaminophen 650mg by mouth every 6hr for temperature greater than 38.4*C (101.2*F)
A nurse is caring for a client who reports severe back pain at 1400. The client's prescriptions include oxycodone extended-release 20mg PO every 12hr (last dose received at 0600) and oxycodone immediate-release 5mg PO every 4hr PRN (last dose received at 2300 the day before). Which of the following actions should the nurse take? A. contact the provider to request an order for a different pain medication B. administer oxycodone immediate-release 5mg PO at 1600 C. administer oxycodone immediate-release 5mg PO now D. contact the provider to request an increase in the oxycodone extended-release dose
C. administer oxycodone immediate-release 5mg PO now
A nurse is planning to administer a liquid oral medication to a preschool-aged child who is refusing to take the medication. Which of the following actions should the nurse take? A. offer the child the medication again in 2hr B. bribe the child with a gift if they cooperate C. ask the child why they are refusing the medicine D. disguise the medication in a glass of milk
C. ask the child why they are refusing the medicine
A nurse discovers a medication error in which the client received twice the prescribed amount of medication. Which of the following actions should the nurse take first? A. notify the provider B. complete an incident report C. assess the client D. report the error to the nurse manager
C. assess the client
A nurse manager is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication. Which of the following actions should the nurse manager take first? A. complete an incident report B. notify the provider about the medication error C. assess the client for adverse effects D. report the error to the risk manager
C. assess the client for adverse effects
A nurse is providing teaching regarding medication administration to a group of newly licensed nurses. Which of the following is a legal responsibility of a nurse? A. prescribing the correct dosage B. modifying the medication regimen C. reporting medication errors D. delegating administration to assistive personnel
C. reporting medication errors
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? A. ampicillin 100mg/kg/day by mouth in 4 equally divided doses B. phenytoin 300mg by mouth every 12hr C. metronidazole 500mg IV bolus every 6hr D. acetaminophen 325mg every 6hr PRN for headache
D. acetaminophen 325mg every 6hr PRN for headache
A nurse is preparing to administer immunizations to a preschooler. Which of the following actions should the nurse take? A. request the preschooler's parents leave the room during the injections B. tell the preschooler that the injections are not going to hurt C. tell the preschooler to remain quiet during the injections D. have the preschooler blow bubbles during the injections
D. have the preschooler blow bubbles during the injections
What order do you follow when solving a mg/kg/day calculation?
(1) - convert oz to lb (2) - convert lb to kg (3) - calculate mg/kg/day (4) - calculate mg/dose (5) - calculate ml/dose
What IV solution would be prescribed for a client who has hypernatremia?
- a hypotonic solution (it dilutes body fluids and rehydrates the cells)
How many categories are there for fluid losses?
- insensible (fluid losses thru the skin and respiratory system) - urinary - fecal
How many IV solutions are available?
- more than 200
What is 1500 on the 12-hour clock?
3:00 p.m.
A nurse is caring for a child who weighs 22.5kg. What is the child's daily maintenance fluid requirement in millilitrs?
1550 ml/day
A nurse is caring for a child who weighs 28kg. What is the child's daily maintenance fluid requirement in millilitrs?
1660 ml/day
A nurse is preparing to administer 0.9% NaCl 1000ml IV to infuse over 10hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
100 ml/hr
A nurse is preparing to administer D5W 200ml IV to infuse over 3hr. The drop factor of the manual IV tubing is 10 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to nearest whole number)
11 gtt/min
A nurse administers Lactated Ringer's by continuous IV infusion. What type of solution is this? A. isotonic B. hypotonic C. hypertonic
A. isotonic
A nurse is preparing to administer 5ml of oral liquid medication to a 10-month-old infant. Which of the following devices should the nurse use to measure the medication? A. general use dropper B. household teaspoon C. oral syringe D. paper medication cup
C. oral syringe
A nurse is planning to administer an IM medication to a 2-month-old infant. Which of the following actions should the nurse plan to take? A. draw the medication up using a 3-ml syringe B. use a needle that is 1 1/4 inches long C. apply lidocaine cream to the site 10 min prior to the injection D. use a 25-gauge needle for the injection
D. use a 25-gauge needle for the injection
A nurse is planning care for a client who is receiving IV therapy. Which of the following measures should the nurse include to prevent phlebitis? A. change IV site weekly B. apply warm compress to IV site C. use clean technique when replacing the transparent dressing over the IV site D. use a small-gauge catheter when initiating IV therapy
D. use a small-gauge catheter when initiating IV therapy
MATCH THE IV SOLUTION WITH ITS DESCRIPTION A. isotonic B. hypotonic C. hypertonic
MATCH THE DESCRIPTION WITH THE IV SOLUTION A. remains in the intravascular space B. moves fluid from the veins to the cells and interstitial spaces C. pulls fluid out of the cells and into the veins
What is 10:00 p.m. on the 24-hour clock?
2200
A nurse is transcribing a provider's prescription for a client. The prescription reads morphine 2mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders? A. routine order B. stat order C. PRN order D. single order
D. single order
A nurse is caring for a client who is receiving norepinephrine by continuous IV infusion. During a routine assessment of the IV site, the nurse notes that the catheter is no longer in the vein and the vesicant medication has infused into the subcutaneous tissue. Which of the following actions should the nurse take? A. apply a tourniquet proximal to the IV site B. call the rapid response team and start oxygen C. prepare to administer a diuretic D. stop the infusion and prepare to administer an antidote
D. stop the infusion and prepare to administer an antidote
A nurse is teaching a newly licensed nurse about crushing medications. The nurse should explain that which of the following medications can be crushed? A. extended-release oxycodone B. sublingual nitroglycerin C. enteric-coated aspirin D. sucralfate tablets
D. sucralfate tablets
0.9% sodium chloride (0.9% NaCl)
USES - increase intracellular fluid volume - administration of blood transfusions - replace fluid losses CONTRAINDICATIONS - heart failure - pulmonary edema - renal failure - hypernatremia
Lactated Ringer's (LR)
USES - provide fluid resuscitation - correct metabolic acidosis CONTRAINDICATIONS - heart failure - renal failure - head injury - liver disease - respiratory alkalosis
A nurse is preparing to administer D5W 200ml IV to infuse over 6hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number)
33 ml/hr
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 750ml IV to infuse over 2hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to nearest whole number)
375 ml/hr
Which of the following is the abbreviation for the IV solution half normal saline? A. 0.25% NaCl B. 0.45% NaCl C. 0.5% NaCl D. 0.9% NaCl
B. 0.45% NaCl
A nurse is preparing to administer an IV medication using the IV tandem method. The nurse should attach the secondary tubing to which port on the primary set?
- the nurse should attach the secondary tubing at the lower port - the nurse then regulates the secondary flow rate by adjusting the roller clamp on the primary tubing
A nurse is preparing to administer 0.45% NaCl 600ml IV to infuse over 8hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number)
19 gtt/min
A nurse is administering Lactated Ringer's (LR), which contains lactate. LR is used to treat a client who has which of the following disorders? A. acidosis B. alkadosis C. caloric deficit D. caloric excess
A. acidosis
A nurse is transcribing medication prescriptions for a group of clients. Which of the following is the appropriate way for the nurse to record medications that require the use of a decimal point? A. .4 ml B. 0.6 ml C. 8.0 ml D. 125.0 ml
B. 0.6 ml
A nurse is preparing to administer a medication to a client who has a prescription for docusate sodium 50mg capsule PO twice daily. The client refuses to take the medication because of nausea. Which of the following actions should the nurse take? A. administer a docusate sodium capsule rectally B. withhold the medication C. administer 100mg docusate sodium with the next scheduled administration D. encourage the client to take the medication as the provider prescribed
B. withhold the medication
A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means. Which of the following is an appropriate response by the nurse? A. "Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose." B. "Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the medication." C. "Anaphylaxis is an unusual response that can occur due to an inherited predisposition." D. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening."
D. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening."
A nurse is preparing to administer a medication to a newly admitted client. The nurse should clarify which of the following actions as a part of the assessment phase of the nursing process? A. asking the client about a history of medication allergies B. instructing the client about the medication's adverse effects C. determining whether the medication should be administered with or without meals D. monitoring the client's response to the medication
A. asking the client about a history of medication allergies
A nurse is reviewing the label affixed to a bag of IV medication to be given as an intermittent IV bolus. Which of the following information must be included to meet ISMP recommendations? (SELECT ALL THAT APPLY) A. client's medical record number B. provider's name C. infusion time for medication D. diluent solution E. expiration date of medication
A. client's medical record number C. infusion time for medication D. diluent solution E. expiration date of medication
A nurse is preparing to use the piggyback method to administer a secondary IV medication. Where should the nurse place the secondary bag? A. higher than the primary bag B. lower than the primary bag C. equal in height to the primary bag
A. higher than the primary bag
A nurse is reviewing instructions with a client about how to take a sublingual medication. Which of the following instructions should the nurse include? A. swallow the medication whole B. allow the medication to dissolve completely C. take the medication with a glass of water D. chew the medication carefully
B. allow the medication to dissolve completely
A nurse administers dextrose 5% in water (D5W) IV solution. After the dextrose is metabolized, what type of solution is this? A. isotonic B. hypotonic C. hypertonic
B. hypotonic
A nurse is caring for an 18-month-old child who has a prescription for a medication to be administered by intramuscular injection. Which of the following interventions should the nurse perform? A. plan to administer the injection while the child is sleeping B. use the dorsal gluteal site to administer the medication C. choose a 1.5- to 2-inch needle D. restrain the toddler while administering the injection
D. restrain the toddler while administering the medication
A nurse is caring for a client who received lisinopril 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first? A. obtain the client's vital signs B. notify the provider C. document the client's response in the medical record D. tell the client to change positions slowly
A. obtain the client's vital signs
A nurse is observing a newly licensed nurse administer an intermittent IV bolus to a client who has a continuous IV. The IV bolus is compatible with the continuous IV fluids. Which of the following actions by the newly licensed nurse requires intervention? A. choosing the port closest to the client to administer the medication B. flushing the line with 0.9% NaCl prior to administering the medication C. pinching the IV tubing above the port while administering the medication D. donning clean gloves prior to the procedure
B. flushing the line with 0.9% NaCl prior to administering the medication
A nurse is preparing to reconstitute and administer a powdered medication in a multidose vial. Which of the following actions should the nurse plan to take? A. use a filtered needle to administer the medication B. briskly shake the medication vial after adding the diluent C. label the vial with the date and time before administering the medication D. swab the rubber seal on the vial with triclosan prior to adding the diluent
C. label the vial with the date and time before administering the medication
A charge nurse is teaching a newly licensed nurse about medication reconciliation. Which of the following information should the charge nurse include in the teaching? A. perform medication reconciliation daily during a client's hospitalization B. only newly prescribed medications need to be reviewed during a medication reconciliation C. vitamins, supplements, and over-the-counter (OTC) medications should be included in a medication reconciliation D. the goal of medication reconciliation is to minimize the financial impact of prescription medications to the client
C. vitamins, supplements, and over-the-counter (OTC) medications should be included in a medication reconciliation
A nurse is caring for a client who has fluid overload following continuous IV infusion of 200 ml/hr. Which of the following actions by the nurse is appropriate? A. reduce the IV fluid rate B. place the client in the orthopneic position C. remove the IV catheter D. place the client in modified Trendelenburg position
A. reduce the IV fluid rate
A nurse is monitoring a client who is receiving an IV medication. The client reports dizziness and a feeling of chest tightness. The nurse notes that the client's face is flushed. These findings indicate which of the following systemic complications of IV therapy? A. speed shock B. extravasation C. anaphylactic shock D. fluid overload
A. speed shock
A nurse is assessing a client following administration of an antibiotic. The nurse should identify that which of the following findings is a manifestation of an anaphylactic reaction to the medication? A. swollen lips B. hypertension C. low heart rate D. constipation
A. swollen lips
A nurse is preparing to administer insulin subcutaneously to a client. The nurse should document the administration of the medication immediately after which of the following actions? A. taking the insulin from the automated dispensing machine B. injecting the insulin C. checking the client's blood glucose level D. checking the correct dosage of the insulin
B. injecting the insulin
A nurse is caring for a client who is receiving an antibiotic by intermittent IV infusion. The client reports feeling short of breath and is wheezing. Which of the following actions should the nurse take? (SELECT ALL THAT APPLY) A. initiate oxygen B. call the rapid response team C. prepare to administer acetylcysteine D. remove the IV catheter E. elevate the head of the bed to 45*
A. initiate oxygen B. call the rapid response team E. elevate the head of the bed to 45*
A nurse is preparing to administer a dose of a liquid medication to a 6-month-old infant. Which of the following actions should the nurse take? A. offer the infant a feeding after administering the medication B. place the medication dropper on the center of the infant's tongue to administer the medication C. mix the medication in a bottle with 30ml (1 oz) of infant formula to disguise the taste D. use a household teaspoon to measure and administer the medication
A. offer the infant a feeding after administering the medication
What is a common name for the IV solution 0.9% sodium chloride? A. half normal saline B. normal saline C. Lactated Ringer's D. sodium lactate
B. normal saline
A nurse is preparing to administer a unit-dose medication. Which of the following information should the nurse expect to find on the medication label? (SELECT ALL THAT APPLY) A. administration times B. generic name C. storage instructions D. client diagnosis E. expiration date
B. generic name C. storage instructions E. expiration date
A nurse is planning atraumatic care for a preschool-aged child. Which of the following should the nurse include in the plan of care? (SELECT ALL THAT APPLY) A. insert an intravenous catheter in the child's room B. perform nursing assessments outside of the play area C. apply EMLA cream before administering an intramuscular injection D. ask the child's parents to leave the room during a procedure E. explain a procedure using the child's favorite toy F. use phrases such as "bee sting" and "stick" to describe the injection
B. perform nursing assessments outside of the play area C. apply EMLA cream before administering an intramuscular injection E. explain a procedure using the child's favorite toy
A nurse is preparing to administer a high-alert pain medication to a client. Which of the following actions should the nurse perform during the planning stage of medication administration? A. assess the effectiveness of the pain medication B. verify the dosage calculation with another nurse C. teach the client about the action of the medication D. ask the client to state their name and birthdate
B. verify the dosage calculation with another nurse
A nurse is preparing to administer medications. Which of the following forms of medication should the nurse instruct the client not to swallow? A. sustained-release capsule B. enteric-coated tablet C. elixir D. troche
D. troche