Fundamentals of Nursing: Test 7 (Ch. 35-38)
Before preparing the equipment to administer peripheral venipuncture, the nurse correctly washes her hands for at least A) 1 minute. B) 45 seconds. C) 30 seconds. D) 15 seconds.
D) 15 seconds.
A physician has ordered 5 grains of aspirin. Aspirin is available in 300-mg tablets. The nurse should give ____________________ tablet(s).
1
The nurse needs to infuse a dose of 250 mL gentamicin over 120 minutes. What drip rate should the nurse use, in mL/hr? Record your answer as a whole number. ____________________
125
The nurse is preparing to give fluoxetine (Prozac) 30 mg daily dose. The medication is provided in 15-mg tablets. The nurse should provide ____________________ tablets. Record your answer as a whole number.
2
Place the following steps for hanging a new intravenous (IV) bag in the proper order (1-6).(Enter the number of each step in the proper sequence, do not use commas). 1. Remove the piercing pin. 2. Assess the IV site. 3. Remove the IV bag from the pole. 4. Hang the bag on the IV pole. 5. Stop the infusion. 6. Insert the piercing pin into the tubing port.
253164
A patient has an order for miconazole nitrate (Monistat) vaginal cream to treat a yeast infection. Place the following actions in the order in which the nurse would perform them to correctly administer the vaginal cream (1-5). (Enter the number of each step in the proper sequence, do not use commas). 1. Squeeze the tube to fill the applicator. 2. Depress the plunger until all of the cream is inserted. 3. Attach the applicator to the end of the tube containing the cream. 4. Detach the applicator from the tube of medication. 5. Wearing gloves, insert the applicator into the patient's vagina along the posterior wall for approximately 3 inches.
31452
The nurse is preparing to provide 100 mg phenytoin (Dilantin) liquid. The medication is provided as 125 mg/5 mL. The nurse should provide ____________________ mL. Record your answer as a whole number.
4
Place the following steps of withdrawing medication from a vial in the order in which a nurse would appropriately perform them (1-6). (Enter the number of each step in the proper sequence, do not use commas). 1. Pierce the rubber stopper at a 90-degree angle. 2. Invert the vial and syringe. 3. Inject air into the vial. 4. Pull the plunger back to the desired level to fill the syringe with air. 5. Withdraw the appropriate amount of medication into the syringe. 6. Wash hands.
641325
The nurse is providing care for a 32-year-old with suspected bowel obstruction who is receiving intramuscular injections of narcotic pain medication. The patient states, "I hate shots. Why can't I just take a pill?" The nurse could best respond with A) "We want to avoid giving you medication that you have to digest." B) "Giving the pain medication this way will make it last longer." C) "Narcotic medications are destroyed by the acid in your stomach." D) "The drug will be absorbed more slowly this way."
A) "We want to avoid giving you medication that you have to digest."
The nurse asks the patient about allergies before cleansing the skin with which of the following solutions? A) 10% povidone-iodine B) 2% tincture of iodine C) 2% aqueous chlorhexidine gluconate D) 70% isopropyl alcohol
A) 10% povidone-iodine
A nurse will correctly administer which of the following IV solutions via a central vein rather than a peripheral vein? A) 15% dextrose B) 10% dextrose C) 5% dextrose D) 3% sodium chloride
A) 15% dextrose
Which of the following represent the dosages, over the counter and prescription strength, of ibuprofen? Select all that apply. A) 200 mg B) 400 mg C) 600 mg D) 800 mg E) 1000 mg
A) 200 mg D) 800 mg
A nurse correctly instructs a patient not to exhale into A) A dry-powder inhaler (DPI). B) A metered-dose inhaler (MDI). C) A Nicotrol inhaler. D) All of the above.
A) A dry-powder inhaler (DPI).
When a nurse administers an intramuscular injection of a viscous medication into a muscular adult, she correctly uses A) A long needle with a small gauge. B) A long needle with a large gauge. C) A short needle with a small gauge. D) A short needle with a large gauge.
A) A long needle with a small gauge.
The home care nurse is preparing to provide an intramuscular injection to a 42-year-old woman. Which of the following supplies will the nurse need to complete this task? Select all that apply. A) Alcohol prep pad B) Sterile gloves C) Syringe D) 25 g ´ 1/2-inch needle E) Needle disposal container
A) Alcohol prep pad C) Syringe E) Needle disposal container
The nurse understands that Schedule II drugs have a high potential for abuse but do serve a medical purpose. Which of the following is a Schedule II drug? A) Codeine B) Diazepam C) Heroin D) Anabolic steroids
A) Codeine
To detect any possible transcription errors, before administering medications the nurse will A) Compare the order on the medication administration record (MAR) with the prescriber's original order. B) Telephone the prescriber and review each medication order with him or her. C) Have another nurse verify that the MAR is written correctly. D) Have the unit secretary double-check all transcribed orders.
A) Compare the order on the medication administration record (MAR) with the prescriber's original order.
The nurse is providing care to a patient who is receiving a blood transfusion and who becomes acutely short of breath and anxious within a few minutes of the nurse's initiating the transfusion. Which of the following actions will be included in the nurse's care? Select all that apply. A) Frequent checks of the vital signs B) Stopping the blood transfusion and notifying the physician C) Sending tubing and unused blood to the blood bank D) Obtaining a urine sample for analysis E) Discontinuing the intravenous (IV) site
A) Frequent checks of the vital signs B) Stopping the blood transfusion and notifying the physician C) Sending tubing and unused blood to the blood bank D) Obtaining a urine sample for analysis
If a nurse commits a medication error, she should do all of the following except A) Have another nurse assigned to the patient. B) Check for adverse reactions to the erroneous medication. C) Report the error to the prescribing physician. D) Fill out an incident report per facility procedures.
A) Have another nurse assigned to the patient.
The nurse assumes responsibility for a blood transfusion that was initiated 2.5 hours ago. The patient is tolerating the procedure well, and there is roughly 50% of the blood remaining. The best action by the nurse is to A) Increase the transfusion rate. B) Stop the infusion and return the unused blood to the blood bank. C) Chart the current vital signs. D) Notify the charge nurse.
A) Increase the transfusion rate.
The nursing student is studying how to provide medications via parenteral routes. Which of the following would be topics under study? Select all that apply. A) Intradermal tuberculin test (PPD) B) Intravenous morphine (morphine sulfate) C) Oral warfarin (Coumadin) D) Intramuscular ketorolac (Toradol) E) Subcutaneous regular insulin (Humulin R)
A) Intradermal tuberculin test (PPD) B) Intravenous morphine (morphine sulfate) D) Intramuscular ketorolac (Toradol) E) Subcutaneous regular insulin (Humulin R)
While caring for a patient taking tetracycline, the nurse recognizes that teaching has been effective if the patient avoids which of the following? Select all that apply. A) Milk B) Grapefruit juice C) Cranberry juice D) Cottage cheese E) Ice cream
A) Milk D) Cottage cheese E) Ice cream
While reviewing new orders for patient medications, the nurse recognizes that the order is complete if which of the following is included? Select all that apply. A) Name of the medication B) Route of administration C) Physician signature D) Patient name E) Name of hospital or facility where medication was prescribed
A) Name of the medication B) Route of administration C) Physician signature D) Patient name
The nurse is preparing to administer insulin that was drawn up in the medication room. To recap the needle before walking to the patient's room, it is necessary for the nurse to do which of the following? Select all that apply. A) Place the cap on a flat surface. B) Lay the cap with the open end extending beyond the countertop edge. C) Push the cap onto the exposed needle using the dominant hand. D) Maintain sterility of the syringe and needle. E) Scoop the cap onto the tip of the syringe needle.
A) Place the cap on a flat surface. D) Maintain sterility of the syringe and needle. E) Scoop the cap onto the tip of the syringe needle.
The nurse is preparing to provide a subcutaneous injection. The nurse's technique would correctly include A) Pointing the bevel of the needle up before piercing the skin. B) Selecting a 14 gauge, 1-1/2?8" needle. C) Placing the total dose of 2.5 mL medication in one syringe. D) Donning sterile gloves.
A) Pointing the bevel of the needle up before piercing the skin.
While being admitted to the unit, a new patient reports, "I'm allergic to Vicodin; it makes me sick to my stomach." The nurse's best action is to A) Record Vicodin under allergies, along with the patient's reported symptoms. B) Inform the patient this is not a true allergy. C) Make a note on the chart that the patient cannot take Vicodin. D) Contact the physician to report the patient's allergies.
A) Record Vicodin under allergies, along with the patient's reported symptoms.
A nurse correctly recognizes that which of the following types of syringe is calibrated in milliliters? A) Regular syringe B) Tuberculin syringe C) Insulin syringe D) Single-dose syringe
A) Regular syringe
If a nurse administers a liquid medication via the oral route and then realizes it was ordered to be administered via the parenteral route, the nurse should A) Report it as a medication error. B) Take no special action because a liquid medication can be administered either way. C) Log it on the patient's chart but inform the physician of the change in administration. D) Give another dose via the parenteral route because the incorrectly administered dose will be ineffective.
A) Report it as a medication error.
While preparing to provide medications, the nursing student correctly recognizes that which of the following safety checks are part of the Six Rights of Medication Administration? Select all that apply. A) Right dose B) Right time C) Right room D) Right medication E) Right documentation
A) Right dose B) Right time D) Right medication E) Right documentation
The nurse is providing intravenous (IV) push meperidine (Demerol) through a free-flowing IV line and notes a hazy appearance in the tubing. It is necessary to A) Stop the infusion. B) Discontinue the IV site. C) Put all doses of meperidine on hold. D) Notify the supervisor.
A) Stop the infusion.
The presence of phlebitis is indicated by which of the following? Select all that apply. A) Swelling and redness noted at the site B) The site being warm to the touch C) The patient reporting burning along the vein D) The site appearing bruised E) The vein feeling soft and spongy on palpation
A) Swelling and redness noted at the site B) The site being warm to the touch C) The patient reporting burning along the vein
A patient refuses to take a medication for depression, even after the nurse explains its purpose and the intended effect to help the patient. The nurse will document which of the following? Select all that apply. A) The date, time, and reason for withholding the medication B) That the patient is being uncooperative C) The name of the prescriber notified of patient's refusal to take the medication D) Any information about times the patient has refused medication in the past E) The response of the prescriber
A) The date, time, and reason for withholding the medication C) The name of the prescriber notified of patient's refusal to take the medication E) The response of the prescriber
A nurse appropriately remains with a patient until after the patient has swallowed narcotic medication because A) The patient may rarely "cheek" the medication in an attempt to save it up and take an overdose later. B) Narcotic medications pose extra safety risks because they depress respiration and lower blood pressure. C) The patient may be afraid to take narcotic medication because of the risk for addiction. D) All of the above.
A) The patient may rarely "cheek" the medication in an attempt to save it up and take an overdose later.
When continuous intravenous (IV) infusion of a drug is desired, a nurse understands that which of the following is true? Select all that apply. A) The physician must order the dosage of medication to be administered. B) The physician must perform the calculations to determine the amount of drug to add to a specific volume of IV solution. C) The volume of solution may vary from 250 to 1000 mL. D) The nurse must determine whether the medication is compatible with the IV solution. E) The nurse must monitor the IV solution carefully to maintain the desired rate of IV infusion.
A) The physician must order the dosage of medication to be administered. C) The volume of solution may vary from 250 to 1000 mL. E) The nurse must monitor the IV solution carefully to maintain the desired rate of IV infusion.
A nurse correctly recognizes that the safest and most comfortable site for an intramuscular (IM) injection is A) The ventrogluteal site. B) The dorsal gluteal site. C) The vastus lateralis site. D) The left deltoid site.
A) The ventrogluteal site.
In which of the following situations would the nurse use a larger-bore needle when administering an IV? Select all that apply. A) There is a risk for hemorrhage, fluctuation of vital signs, or shock, such as when a patient is scheduled for surgery B) The patient has small veins, such as in a young child or older adult C) Intravenous (IV) access is needed only intermittently, such as to administer IV antibodies every 6 hours D) The patient has experienced major trauma or disease and may need rapid infusion of fluids E) The patient has fragile veins, such as in older adults or those who have had IV medications administered repeatedly
A) There is a risk for hemorrhage, fluctuation of vital signs, or shock, such as when a patient is scheduled for surgery D) The patient has experienced major trauma or disease and may need rapid infusion of fluids
While preparing a dose of liquid medication for administration through a gastrostomy tube, the nurse measures 15 mL into a plastic medicine cup. Which of the following indicates the appropriate dose of medication? A) When the cup is held at eye level, the lowest level of the medication meniscus rests on the 15-mL calibration line. B) When the cup is held up to the light, the middle of the medication meniscus rests on the 15-mL calibration line. C) When the cup is sitting on a level table, the top of the medication meniscus rests on the 15-mL calibration line. D) When the cup is placed on a countertop, any part of the medication meniscus rests on the 15-mL calibration line.
A) When the cup is held at eye level, the lowest level of the medication meniscus rests on the 15-mL calibration line.
As the nurse is giving an intramuscular injection, she notes blood returning into the syringe with aspiration. The best action by the nurse is to A) Withdraw the needle and dispose of the syringe. B) Withdraw the needle, replace the needle, and then provide the injection in a different location. C) Push the needle deeper into the muscle and aspirate again. D) This is a normal finding with an intramuscular injection; the nurse should proceed with the injection.
A) Withdraw the needle and dispose of the syringe.
As a nurse, it is preferable to use electronic medication administration records (eMARs) whenever possible because A) eMAR systems help prevent medication errors due to built-in safeguards. B) Using eMAR systems reduces bookkeeping costs and thus helps reduce the cost of care for patients. C) Paper MAR systems are frowned on by regulators. D) eMAR systems increase security by preventing theft of narcotics and other drugs.
A) eMAR systems help prevent medication errors due to built-in safeguards.
When discussing discharge instructions provided to the parents of a 2-year-old with an ear infection, the nurse would know that more teaching is required if the mother states: A) "I will pull her pinna down and back to straighten the ear canal before I put in the eardrops." B) "I will pull her pinna up and back to straighten the ear canal before I put in the eardrops." C) "I will position the dropper so that the drop rolls down the wall of the canal, to prevent it from landing on her eardrum." D) "I will be careful not to let the dropper touch her skin to prevent contamination of the medicine."
B) "I will pull her pinna up and back to straighten the ear canal before I put in the eardrops."
A nurse is planning the care of a diverse group of patients. He will plan to monitor the rate of infusion and assess the condition of an IV site every 2 hours for which of the following patients? A) A 4-year-old child B) A 38-year-old woman C) A 72-year-old man D) A 42-year-old who is prone to circulatory fluid overload
B) A 38-year-old woman
A nurse would most appropriately administer medication via the rectal route to A) A 56-year-old who has had surgery for rectal cancer. B) A 45-year-old with severe nausea and vomiting, who is unable to keep anything down. C) A 58-year-old with a recent myocardial infarction and ventricular dysrhythmias. D) A 2-year-old with a newly diagnosed seizure disorder.
B) A 45-year-old with severe nausea and vomiting, who is unable to keep anything down.
While providing care and medications to a number of patients during the shift, the nurse correctly recognizes that which of the following patients has the greatest risk for an adverse drug reaction? A) A 29-year-old man with a history of asthma B) A 55-year-old man with a liver infection C) A 41-year-old woman being treated for pneumonia D) A 68-year-old woman with a cerebral vascular accident (CVA)
B) A 55-year-old man with a liver infection
A nurse knows that if a patient needs intravenous (IV) fluid replacement because of low blood volume, he or she should be given A) An isotonic solution. B) A hypertonic solution. C) A hypotonic solution. D) Any of the above.
B) A hypertonic solution.
The nurse sees that the physician has ordered a subcutaneous heparin injection for a patient. The nurse will plan to give the injection in the A) Back of the upper arms. B) Abdomen. C) Upper buttocks. D) Anterior thighs.
B) Abdomen.
The patient has an order for a calcium channel blocker antihypertensive medication bid. Before administering this medication, the nurse will A) Check the patient's pulse to prevent tachycardia. B) Check the patient's blood pressure to prevent hypotension. C) Check the patient's blood levels to prevent toxicity. D) Check the patient's potassium levels to prevent hyperkalemia.
B) Check the patient's blood pressure to prevent hypotension.
A nurse correctly administers digoxin (Lanoxin) and propranolol (Inderal) via a feeding tube by A) Flushing with water, administering the digoxin, administering the propranolol, and flushing with water. B) Checking the residual, flushing with water, administering the digoxin, flushing with water, administering the propranolol, and flushing with water. C) Flushing with water, administering the digoxin, flushing with water, administering the propranolol, and flushing with water. D) Checking the residual, flushing with water, administering the digoxin, administering the propranolol, and flushing with water.
B) Checking the residual, flushing with water, administering the digoxin, flushing with water, administering the propranolol, and flushing with water.
The nurse is providing home care for a client who takes crushed medications via a gastrostomy tube. Which of the following over-the-counter medications could be included in the patient's plan of care? Select all that apply. A) Sustained-release analgesics B) Chewable antacids C) Liquid-filled gel caps D) Effervescent antacids E) Antihistamine tablets
B) Chewable antacids E) Antihistamine tablets
The nurse is caring for a patient who reports that the intravenous (IV) site is sore. The nurse notes swelling and tenderness at the site, as well as a red streak up the arm. The nurse's care should include A) Applying an ice pack to the area. B) Discontinuing the IV and applying warm packs. C) Requesting a new order for IV antibiotics to be infused at the site. D) Sending the IV catheter and tubing to the laboratory for analysis.
B) Discontinuing the IV and applying warm packs.
When preparing to administer medication through a feeding route, the nurse correctly A) Dissolves the medication in cold water. B) Dissolves and administers each medication separately. C) Flushes the tube with 30 to 60 mL apple or orange juice between administrations. D) Mixes different medications together to simplify administration.
B) Dissolves and administers each medication separately.
The nurse is providing care to a patient who was admitted with a suspected Coumarin overdose. Which of the following blood products will most likely be included in the patient's plan of care? A) Cryoprecipitate B) Fresh frozen plasma C) Whole blood D) Albumin
B) Fresh frozen plasma
A nurse correctly understands that the name assigned to a drug by the U.S. Adopted Name Council (USANC) is the drug's A) Chemical name. B) Generic name. C) Brand name. D) Proprietary name.
B) Generic name.
While reviewing laboratory values, the student notes a patient's digoxin level is increased. Which of the following actions should the nurse take regarding the patient's scheduled dose of digoxin? A) The nurse should continue with digoxin until the physician changes the order. B) Increased levels of digoxin are toxic, so the nurse should hold the patient's digoxin. C) The nurse should continue with digoxin but notify the physician of the level. D) Increased levels of digoxin are not cause for concern as long as vital signs do not register changes, so the nurse should check the patient's pulse and blood pressure before administration.
B) Increased levels of digoxin are toxic, so the nurse should hold the patient's digoxin.
The nurse is preparing to reconstitute a medication in a multiple-dose vial. The nurse correctly understands that the most essential step in this process is A) Wiping the rubber stopper of the vial with alcohol before and after needle insertion. B) Instilling the accurate amount of diluent into the vial. C) Using a filtered needle to draw up the medication. D) Instilling air into the vial before withdrawing medication.
B) Instilling the accurate amount of diluent into the vial.
The nurse is administering an intradermal injection for tuberculin testing. Unless contraindicated, the nurse will use the patient's A) Right ventral forearm. B) Left ventral forearm. C) Upper chest. D) Upper back.
B) Left ventral forearm.
The nurse is providing care for a patient who is receiving a blood transfusion. Pre-transfusion vital signs were blood pressure (BP), 144/78 mm Hg; temperature (T), 98.4°F; pulse (P), 86; respirations (R), 14. Now, approximately an hour after the transfusion was initiated, the patient's vital signs are BP, 168/92 mm Hg; P, 98; R, 20. Next, the nurse should A) Record the vital signs. B) Listen to the patient's breath sounds. C) Notify the physician. D) Slow the transfusion rate.
B) Listen to the patient's breath sounds.
To prevent complications from intramuscular injections, a nurse should do all of the following except A) Wash the hands before preparing injections and on entering a patient's room. B) Make the needle puncture slowly and with caution. C) Apply a bandage after giving the injection. D) Document the site of the injection.
B) Make the needle puncture slowly and with caution.
Which of the following storage systems must a nurse take the most care to lock after obtaining medication from it? A) Computerized cabinet B) Medication cart C) Locked bin in patient's room D) All of the above
B) Medication cart
A nurse correctly instructs a patient not to leave which of the following in a car? A) Dry-powder inhalers (DPI) B) Metered-dose inhalers (MDI) C) Narcotics D) Sublingual medications
B) Metered-dose inhalers (MDI)
When administering medication via intravenous (IV) push, the nurse A) Must administer the medication quickly to assure that it takes effect rapidly. B) Must research the length of time over which the medication must be administered. C) Must ensure that the medication remains undiluted before administering it. D) May delegate the administration to an LVN or LPN.
B) Must research the length of time over which the medication must be administered.
The nurse is preparing to provide a dose of liquid oral antibiotic to a 2-year-old whose mother reports, "She doesn't like the taste of that and won't take it without a fight." To successfully provide the medication, the nurse could appropriately do which of the following? Select all that apply. A) Offer the child a warm bottle with the medication mixed in. B) Offer the child a frozen juice bar before medication administration. C) Discuss the addition of a flavoring with the pharmacist. D) Place a syringe at the tip of the child's tongue and encourage the child to suck out the medication. E) Place the dose in a plastic medicine cup and encourage the child to "drink it like a big girl."
B) Offer the child a frozen juice bar before medication administration. C) Discuss the addition of a flavoring with the pharmacist. E) Place the dose in a plastic medicine cup and encourage the child to "drink it like a big girl." Table for Individual Question Feedback
A nurse is planning the administration of medications to patients under his care. The nurse correctly understands that drugs administered via the topical route include A) Capsules. B) Ointments. C) Suppositories. D) Inhalants.
B) Ointments.
A student nurse needs to look up 12 medications that have been prescribed for the patient. Which of the following would be appropriate resources for the nurse to use to gather information? Select all that apply. A) Pathophysiology book B) Physicians' Desk Reference C) Pharmacology textbook D) Drug guide app on smartphone or tablet E) Reliable Internet site
B) Physicians' Desk Reference C) Pharmacology textbook D) Drug guide app on smartphone or tablet E) Reliable Internet site
The nurse who is working on a medical-surgical floor recognizes that vesicant precautions should be taken with which of the following? Select all that apply. A) Ampicillin sodium (ampicillin) B) Potassium chloride C) Promethazine (Phenergan) D) Vancomycin (Vancocin) E) Gentamicin sulfate (gentamicin)
B) Potassium chloride C) Promethazine (Phenergan) D) Vancomycin (Vancocin)
The student nurse is preparing to provide 25 mg meperidine (Demerol) IM for pain. The Pyxis is loaded with prefilled 50 mg meperidine syringes. The supervising nurse appropriately intervenes if the student nurse A) Obtains a Carpuject system to administer the medication. B) Recaps the needle after the injection. C) Wastes 25 mg of the meperidine before administration. D) Unscrews the syringe from the holder before discarding it in the sharps container.
B) Recaps the needle after the injection.
While helping a student nurse apply a nitroglycerine patch to the patient's skin, the nursing instructor would appropriately intervene if A) The student nurse removed a patch that was applied yesterday before applying the new patch. B) The student nurse removed her gloves before placing the patch. C) The student nurse wrote the date, time, and her initials on the patch before applying it to the patient's skin. D) The student nurse placed the new patch on the patient's right shoulder because the last patch was on the left shoulder.
B) The student nurse removed her gloves before placing the patch.
While observing a student pass medications, the nursing instructor correctly recognizes that further teaching is necessary if A) The student asks the patient to state his or her name and birth date before administration. B) The student opens the pills and places them in a medicine cup at the medication cart before administration. C) The student performs three safety checks to evaluate right medication, dose, and time before administration. D) The student compares the name and patient number on the medication administration record with that on the patient's armband before administration.
B) The student opens the pills and places them in a medicine cup at the medication cart before administration.
The nurse asks a nursing student to help initiate a transfusion. Which of the following would require immediate intervention? A) The patient's blood type is A-positive, and the student's blood type is A-negative. B) The tubing is hanging and primed with D5 LR. C) The student is using Y-tubing for the transfusion. D) The student verifies the patient's name, birth date, and blood identification tags.
B) The tubing is hanging and primed with D5 LR.
Which of the following is considered an essential step for the nurse to follow while withdrawing medication from an ampule? A) Injecting air into the ampule before withdrawing medication B) Using a filtered needle to withdraw medication C) Tapping the bottom of the ampule before breaking the neck D) Taking care not to invert the ampule while withdrawing medication
B) Using a filtered needle to withdraw medication
The nurse correctly recognizes that which of the following medications may cause toxicity? Select all that apply. A) Acetaminophen B) Valproic acid C) Gentamicin D) Penicillin E) Metoprolol
B) Valproic acid C) Gentamicin
A nurse could correctly provide which of the following via intravenous (IV) therapy as part of a maintenance fluid? Select all that apply. A) Medication B) Water C) Glucose D) Vitamins E) Blood products
B) Water C) Glucose D) Vitamins
The nurse verifies the patient, medication, dose, and route several times when preparing medications for administration. These required safety checks occur at what point? Select all that apply. A) At the beginning of each shift B) When the nurse removes the medication from the cart, bin, or PYXIS machine C) After documenting the medication on the medication administration record (MAR) D) Before placing the medication in the cup and returning the container to the drawer E) At the bedside, before opening the medication and administering it to the patient
B) When the nurse removes the medication from the cart, bin, or PYXIS machine D) Before placing the medication in the cup and returning the container to the drawer E) At the bedside, before opening the medication and administering it to the patient
A patient who is alert and oriented refuses to take her blood pressure medication this morning. The nurse appropriately tells the patient: A) "You really should take your medicine so you can get well." B) "That is fine. I'll just throw the pill away, and we'll keep an eye on your blood pressure." C) "Is there a reason why you don't want to take your blood pressure medicine today?" D) "We can try again later and see if you feel like taking it with lunch."
C) "Is there a reason why you don't want to take your blood pressure medicine today?"
A patient tells the nurse, "I have been using a decongestant nasal spray for 3 months, but I still have terrible nasal congestion." The nurse could appropriately respond: A) "You probably need an antibiotic to clear up the congestion." B) "Are you sure you are administering the nasal spray correctly?" C) "Nasal decongestant sprays can cause rebound congestion with long-term use." D) "Who told you to use that kind of nasal spray for 3 months?"
C) "Nasal decongestant sprays can cause rebound congestion with long-term use."
The nurse is providing care to a patient with colorectal cancer who typically takes sustained-release morphine (MS Contin), furosemide (Lasix), and metoprolol (Lopressor). The patient's wife reports that because the patient has bad mouth sores and has a hard time swallowing pills, she has crushed the pills and given him his medications in ice cream. The nurse correctly tells the patient's wife: A) "Mixing the medication with ice cream is a bad idea, because dairy products reduce the absorption of blood pressure medications." B) "I'm sure it has been hard for him to swallow. Has he lost any weight?" C) "The morphine tablets shouldn't be crushed because that releases all of the medication at once." D) "We usually tell people with mouth sores to suck on ice or popsicles before they try to swallow pills."
C) "The morphine tablets shouldn't be crushed because that releases all of the medication at once."
A patient asks the nurse when a brand-name medication that the patient is taking will be available as a generic. The nurse correctly responds that a drug can be manufactured, sold, and prescribed as a generic drug approximately ____ after it was patented. A) 3 years. B) 5 years. C) 10 years. D) 15 years.
C) 10 years.
A nurse knows that a patient who needs an IV to provide simple water replacement because of lack of fluid intake should be given A) An isotonic solution. B) A hypertonic solution. C) A hypotonic solution. D) Plain water.
C) A hypotonic solution.
A nurse correctly recognizes that a liquid medication with undissolved particles is A) An elixir and should not be shaken before use. B) A solution and should be shaken before use. C) A suspension and should be shaken before use. D) A syrup and should not be shaken before use.
C) A suspension and should be shaken before use.
The nurse is providing meperidine (Demerol) to a patient who reports postsurgical pain 8/10. The order is for 50 mg to be orally administered to the patient in tablet form every 4 hours, but each tablet contains 100 mg. The best action by the nurse is to A) Call the doctor to request that the order be changed to 100 mg every 8 hours. B) Administer half of the tablet to the patient and then discard the other half by flushing it down the toilet. C) Administer half the tablet to the patient and dispose of the other half in a chemical waste container with another licensed nurse as a witness, recording the narcotic drug wastage on the narcotic record and having the witness cosign. D) Administer half the tablet to the patient and save the other half for the next dose.
C) Administer half the tablet to the patient and dispose of the other half in a chemical waste container with another licensed nurse as a witness, recording the narcotic drug wastage on the narcotic record and having the witness cosign.
The nurse recognizes that a 22 g ´ 1.50-inch needle would be most appropriate for a(n) A) Adult intradermal injection (ID). B) Child subcutaneous injection. C) Adult intramuscular (IM) injection. D) Newborn IM injection.
C) Adult intramuscular (IM) injection.
The nurse is providing care for a patient with an allergy to corn. Which of the following solutions, if ordered by the physician, would the nurse question? A) 0.9% sodium chloride (NS) B) 0.45% sodium chloride (1/2NS) C) Dextrose 5% in water (D5W) D) Lactated Ringer's (LR)
C) Dextrose 5% in water (D5W)
If a patient is using two types of inhalers—a bronchodilator and a steroid—the nurse correctly instructs the patient to A) First use the bronchodilator, then wait 5 minutes, then use the steroid. B) First rinse out his mouth, then use the steroid, then wait 5 minutes, then use the bronchodilator. C) First use the bronchodilator, then wait 5 minutes, then use the steroid, then rinse out his mouth. D) First use the steroid, then wait 5 minutes, then use the bronchodilator, then rinse out his mouth.
C) First use the bronchodilator, then wait 5 minutes, then use the steroid, then rinse out his mouth.
A nurse knows that there is a risk for cerebral edema, increased intracranial pressure, rupture of brain cells, and death if there is an infusion of an excessive volume of A) Isotonic solution. B) Hypertonic solution. C) Hypotonic solution. D) Any of the above.
C) Hypotonic solution.
The nurse who is caring for a patient with an infusion of D5 1/2NS 1000 mL with 20 mEq KCL at 100 mL/hr notes that there is slight swelling at the insertion site and no blood return when aspirating at the injection port closest to the IV site. Which of the following problems does the nurse suspect? A) Air embolism B) Fluid overload C) Infiltration D) Thrombophlebitis
C) Infiltration
When teaching a student nurse about using syringes, the nurse correctly describes the part of a syringe that screws into the needle hub as the A) Barrel. B) Plunger. C) Luer-Lok tip. D) Slip tip.
C) Luer-Lok tip.
The nurse is teaching a 64-year-old with impaired vision and newly diagnosed diabetes to manage diabetes and insulin provision. The nurse's most appropriate course of action is to A) Have the patient practice injecting her thigh with an empty syringe. B) Encourage the patient to identify a family member who will be giving the insulin shots. C) Obtain small insulin syringes that the patient can use to draw up the insulin. D) Instruct the patient to attend a diabetic support group that is offered on a monthly basis.
C) Obtain small insulin syringes that the patient can use to draw up the insulin.
As a nurse, which of the following would you recognize as accurately describing the phenomenon of first-pass metabolism? A) Sublingual medications pass first through the mucosal lining of the mouth. B) Intradermal medications are absorbed first by the skin and then by underlying tissue. C) Oral medications are metabolized by the liver before entering the bloodstream. D) Intramuscular injections pass through the subcutaneous layer of skin into muscle.
C) Oral medications are metabolized by the liver before entering the bloodstream.
If a nurse has her license suspended because she has been diverting drugs, this means the nurse has been A) Rerouting medications to a different unit or facility after a patient has been transferred there. B) Administering less expensive generic drugs instead of prescribed brand-name drugs. C) Personally taking medications prescribed for patients. D) Refusing to administer medications after determining the patient could have an adverse reaction.
C) Personally taking medications prescribed for patients.
Select the correct order in which a nurse follows the listed steps to replace a transdermal patch for a patient. A) Select a location for the new patch, cleanse the new location with an alcohol swab, apply the new patch, and remove the old patch. B) Cleanse the location where the new patch is to be placed; remove the old patch; write the date, time, and nurse's initials on the new patch; and apply the new patch. C) Remove the old patch; cleanse the old patch's location with an alcohol swab; write the date, time, and nurse's initials on the new patch; and apply the new patch. D) Remove the old patch, select a location for the new patch, cleanse the location of the new patch with an alcohol swab, and apply the new patch.
C) Remove the old patch; cleanse the old patch's location with an alcohol swab; write the date, time, and nurse's initials on the new patch; and apply the new patch.
The nurse administering medications to a patient realizes that a medication error has been made on the previous shift. The nurse's first action should be to A) Notify the prescriber immediately and give him or her the name of the nurse who made the error. B) Call the nurse who made the error and ask that nurse to fill out an incident report as soon as possible. C) Report the error according to facility policy and complete an incident report. D) Say nothing because the error has already occurred and cannot be changed.
C) Report the error according to facility policy and complete an incident report.
To prevent lipoatrophy and lipohypertrophy in patients receiving insulin injections, a nurse should A) Massage the injection site. B) Occasionally administer injections in the ventrogluteal site. C) Rotate injection sites around the abdomen. D) Always inject in the same site.
C) Rotate injection sites around the abdomen.
The nurse correctly administers a medication by having the patient drink it through a straw if A) The medication can cause nausea. B) The medication must be taken in small gulps. C) The medication can stain teeth. D) The medication has an unpleasant taste.
C) The medication can stain teeth.
Under the supervision of a registered nurse (RN), an LVN/LPN is providing parents with instructions for administering eye drops to their young child, who has been diagnosed with pink eye. The nurse correctly tells the parents: A) "Have your child tip his head back and look down." B) "Brace your hand against the child's chin as you steady the dropper." C) "Gently raise the upper lid to expose the eyeball before putting in the eye drops." D) "Place the drop in the middle part of the space created when you pull down the lower lid."
D) "Place the drop in the middle part of the space created when you pull down the lower lid."
A nurse correctly recognizes that administration of medication via the rectal route is appropriate for A) A small child who does not like the taste of orally administered medication. B) A patient being treated for a heart attack. C) A patient who is recovering from prostate cancer surgery. D) A patient with severe hemorrhoids.
D) A patient with severe hemorrhoids.
When administering medication via the oral route, a nurse correctly recognizes that he must measure which of the following medications carefully, using a medicine cup, to ensure that the dosage is correct? A) Suspensions B) Elixirs C) Solutions D) All of the above
D) All of the above
Before administering an intramuscular injection, the nurse should first check to see whether the patient is taking A) Aspirin. B) Acetaminophen. C) Ginseng. D) All of the above.
D) All of the above.
The nurse is preparing to administer a medication by the sublingual route. The highest priority is to A) Determine whether the patient can swallow safely. B) Identify what time the patient typically takes the medication at home. C) Crush the medication and mix it with applesauce. D) Assess the patient's mouth for lesions.
D) Assess the patient's mouth for lesions.
A nurse correctly administers parenteral drugs A) By mouth. B) By inhalation. C) By application to the skin. D) By injection.
D) By injection.
A nurse understands that Schedule V drugs have the lowest potential for abuse while still requiring a prescription. Which of the following is a Schedule V drug? A) Chloral hydrate B) Peyote C) Acetaminophen with codeine D) Cough medicine with codeine
D) Cough medicine with codeine
A nurse correctly notifies the prescribing physician that a prescription for an elixir is inappropriate if the patient A) Does not like the taste of most medicine. B) Cannot swallow solid food. C) Has sores in the mouth. D) Is a recovering alcoholic.
D) Is a recovering alcoholic.
Which of the following intravenous solutions is most similar to the electrolyte content of the blood? A) 0.22% sodium chloride (1/4NS) B) Dextrose 5% in 0.45% sodium chloride (D5 1/2NS) C) Dextrose 5% in water (D5W) D) Lactated Ringer's (LR)
D) Lactated Ringer's (LR)
The prescriber's order reads, "Lortab 7.5 mg q4h prn incisional pain." The nurse will correctly give the pain medication A) Every 6 hours, unless the patient asks for it sooner. B) Anytime the patient states he or she is in pain. C) Only if the patient specifically requests a Lortab. D) No sooner than 4 hours after the last dose, if the patient is experiencing pain
D) No sooner than 4 hours after the last dose, if the patient is experiencing pain
The nurse is providing care for a patient who has a central line and a suspected air embolism. The best action by the nurse is to A) Elevate the head of the bed. B) Place telemetry leads on the patient's chest. C) Instruct the patient to bear down. D) Place the patient on her left side in Trendelenburg position.
D) Place the patient on her left side in Trendelenburg position.
A nurse handling a syringe before administering an injection correctly keeps all parts of the syringe sterile except the A) Plunger. B) Inside of the barrel. C) Syringe tip. D) Plastic needle cap.
D) Plastic needle cap.
When checking to make sure that he or she is administering the right medication, the nurse should always A) Check the size, shape, and color of the pills. B) Ask the patient to confirm that the medication is the correct one. C) Ask the nurse who worked the previous shift to confirm that the medication is the correct one. D) Read the label on the medication and compare it with the MAR.
D) Read the label on the medication and compare it with the MAR.
The nurse is providing acetaminophen (Tylenol) suspension to a patient via percutaneous gastrostomy tube. First, the nurse should A) Measure the appropriate dose of medication using a medicine cup. B) Draw up the medication into a catheter-tipped syringe. C) Uncap the bottle while wearing clean gloves. D) Shake the bottle of medication gently.
D) Shake the bottle of medication gently.
The nurse is called to the room of a patient who is receiving an intravenous antibiotic. The patient is flushed, anxious, and short of breath. First, the nurse should A) Determine the patient's blood pressure. B) Contact the physician. C) Listen to the patient's breath sounds. D) Stop the intravenous infusion.
D) Stop the intravenous infusion.
The nurse is providing medications to a patient who is currently receiving continuous tube feeding via gastrostomy tube. The patient has a dose of phenytoin (Dilantin) due. The nurse's best course of action is to A) Determine whether the patient is experiencing any pain. B) Flush the gastrostomy tube with 30 mL of water before administration. C) Hold the medication for the day. D) Stop the tube feeding for at least 1 hour before administration.
D) Stop the tube feeding for at least 1 hour before administration.
After withdrawing medication and removing the needle from the vial, the nurse notes there is an air bubble in the syringe. The nurse should A) Return the medication to the vial and attempt to draw it again. B) Gently shake the syringe in a downward motion. C) Roll the syringe gently between her hands. D) Tap the barrel of the syringe to float the bubble toward the needle.
D) Tap the barrel of the syringe to float the bubble toward the needle.
While caring for a patient who recently took a new anticonvulsant medication, the nurse correctly contacts the physician immediately if A) The patient reports a rash across the abdomen. B) The patient reports feeling nauseated. C) The patient reports itching across the chest and neck. D) The patient reports feeling short of breath.
D) The patient reports feeling short of breath.
A newborn requires an intramuscular injection. Which of the following sites will the nurse first seek to use for the injection? A) Ventrogluteal site B) Deltoid C) Rectus femoris D) Vastus lateralis
D) Vastus lateralis
Before administering a heparin injection, a nurse needs to have a second nurse verify A) The strength and dosage of the heparin. B) The type and dosage of the heparin. C) The patient's laboratory results. D) Whether it should be given via the intramuscular route.
D) Whether it should be given via the intramuscular route.