NCLEX-PN Exam

Penicillin G procaine 1 million units intramuscularly has been prescribed for a child with a throat infection. The child's weight is 62 pounds. The safe pediatric dosage for a child that weighs greater than 60 pounds is 600,000 to 1,200,000 units daily. Which would the nurse determine about the medication dosage?

The dosage is within the safe range

The nurse is preparing to administer 30 mEq of liquid potassium chloride (KCl) to an adult client. The label on the medication bottle reads 40 mEq/15 mL. The nurse prepares how many milliliters of KCl to administer the correct dose of medication?

11 mL

The nurse is administering a medication intramuscularly to an assigned client. The nurse would include which actions in administering the medication?

-Use a Z-track method for administration -Hold the syringe as if it is a dart to insert the needle. -Select an appropriate injection site such as the ventral gluteus.

A primary health care provider has prescribed phytonadione 2.5 mg intramuscularly. The nurse reads the label on the medication vial and administers how many mL to the client? Record your answer to two decimal places.

0.25 mL

The medication prescribed is heparin 5000 units subcutaneously, every 12 hours. The medication vial reads heparin 10,000 units/mL. The nurse prepares how many milliliters to administer one dose?

0.5 mL

Penicillin G procaine, 1,000,000 units given intramuscularly, is prescribed for an adolescent with an infection. The medication label reads as follows: "1,200,000 units/2 mL." The nurse has determined that the prescribed dose is safe. How many milliliters per dose would the nurse administer to the adolescent?

1.66 mL

A primary health care provider prescribes phenobarbital, 10 mg by mouth daily. The medication bottle is labeled 15 mg/5 mL. How many milliliters (mL) will the nurse administer?

3.3 mL

The nurse is preparing a small dose of a medication for administration to an infant. The nurse selects which syringe for preparing the medication?

Tuberculin syringe

A primary health care provider prescribes 2000 mL of 5% dextrose in water to run over 24 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate at how many drops per minute?

21 gtts

The nurse is preparing to administer a continuous tube feeding to a client with a nasogastric tube. The primary health care provider has prescribed an amount of 100 mL/hr. The tube feeding setup is an open system, a bag that has formula added at intervals. How much formula would the nurse plan to add to fill the feeding bag?

400 mL of formula

The medication prescribed is metoclopramide hydrochloride 10 mg intramuscularly times one dose. The medication label reads metoclopramide hydrochloride 5 mg/mL. The nurse prepares how much medication to administer the dose?

2

Ampicillin sodium 250 mg in 50 mL of 0.9% NaCl is being administered over a period of 30 minutes. The drop (gtt) factor is 10 drops (gtts) per mL. The nurse is asked to check the flow rate of the infusion. The nurse determines that the infusion is running at the prescribed rate if the infusion is delivering how many drops per minute?

17

A primary health care provider's prescription reads ciprofloxacin 0.5 g orally twice daily. The medication label reads ciprofloxacin 500-mg tablets. The nurse prepares how many tablet(s) to administer 1 dose?

1 tablet

The nurse hangs a 1000-mL intravenous (IV) bag of 5% dextrose in water (D5W) at 0700. The IV is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag. At noon the nurse would expect that the infusion line on the IV bag would be at which point?

2

A primary health care provider's prescription reads potassium chloride 20 mEq in 1000 mL 0.9% NaCl and infuse at 100 mL/hr. The nurse assisting in caring for the client determines that the client will receive how many milliequivalents (mEq) of potassium every hour?

2 mEq

Morphine 8 mg IM has been prescribed by the primary health care provider. The medication label reads morphine 4 mg/mL. The nurse would prepare how many milliliters to administer the correct dose?

2 mL

A primary health care provider prescribes 1000 mL of 0.9% normal saline (NS) to run over 8 hours. The drop (gtt) factor is 10 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many drops per minute?

21 gtts/minute

The primary health care provider prescribes ibuprofen 5 mg per kg for a child who weighs 13 pounds. How many milligrams (mg) would the nurse administer to the child?

29.5 mg

The nurse is checking the remaining volume in a 1000-mL intravenous (IV) bag that is scheduled to infuse over 8 hours on an electronic infusion pump. The nurse has just noted at 11:00 a.m. that the remaining IV fluid is at the 500-mL level. At 12:00 noon, at which numerical level (mL) would the IV fluid be?

375 mL

The nurse reinforces instructions to a client to increase the amount of riboflavin in the diet. The nurse would tell the client to select which food item that is high in riboflavin?

Milk

The staff nurse is observing a new graduate nurse provide indwelling urinary catheter care to an uncircumsized male client. Which action by the new graduate nurse would indicate a need for further teaching?

Removes a loose catheter anchor and places a new anchor on the shin

The nurse is inserting an indwelling urinary catheter in a client and begins to inflate the balloon when the client starts complaining of pain. Which action would the nurse take?

Stop inflating the balloon, allow the saline solution to drain into the syringe and advance the catheter further before reinflating the balloon

The nurse is preparing to administer an intramuscular injection to a 1-year-old child. Which location would the nurse select to administer the medication?

Vastus lateralis muscle

A primary health care provider's prescription reads atenolol 0.025 grams orally daily. The medication bottle reads atenolol 50-mg tablets. The nurse prepares how many tablet(s) to administer the dose?

0.5 tablets

The medication prescribed is morphine sulfate 6 mg subcutaneously. The medication label states morphine sulfate 10 mg/1 mL. The nurse plans to prepare how much medication to administer the dose?

0.6 mL