FINAL REVIEW QUESTIONS PART 1

The nurse is preparing to administer a client's scheduled medication. What measuring system should the nurse utilize?

metric system

A middle-aged client describes her headaches as "utterly debilitating" and tells the nurse, "It's hard to explain, but I just know when one is coming, and I'm never wrong." This client's statement suggests what diagnosis?

migraines

A client loses consciousness after strenuous exercise and needs to be admitted to a health care facility. The client is diagnosed with dehydration. The nurse knows that the client needs restoration of:

electrolytes

Which term is used to describe intestinal gas?

flatus

A nurse is administering a medication to a client for acute pain. Of the various routes for drug administration, which would be chosen because it is absorbed most rapidly?

injected medications

A nurse is assessing the stoma of a client with a colostomy. Which finding would the nurse interpret as indicating that the stoma is healthy?

pink color

The health care provider notifies a client of a diagnosis of glycosuria. When the provider leaves the room, the client states to the nurse, "I don't knwo what glycosuria means." What is the appropriate nursing response?

"Laboratory findings indicate there is glucose in your urine."

The nurse is using Teach-Back to evaluate the client's understanding of new information given during discharge. Which statement indicates the use of this technique?

"Please repeat to me the different signs and symptoms of stroke."

A client scheduled to have hip replacement surgery states, "I am so scared of the surgery and of the anesthetic." What is the best response by the nurse?

"What questions do you have about the surgery?"

A client tells the nurse, "I increased my fiber, but I am very constipated." What further information does the nurse need to tell the client?

"When you increase fiber in your diet, you also need to increase liquids."

A home health care nurse is assessing a client's medication during a home visit. The client is prescribed atorvastatin 10 mg daily, a change from the previous order of 20 mg daily. The client shows the nurse the medication container from the pharmacy. The label reads atorvastatin 20 mg. The nurse determines that the client is taking the correct dosage when the client states he is taking how much of the drug?

"You should be taking only 0.5 tablet every day."

An LPN/LVN is preparing to administer medications and knows that which route of drug administration may only delivered by the health care provider? Select all that apply

- intra-articular - intra-arterial - intracardial

A nurse is preparing an in service on the subject of preventing medication errors. Which actions will the nurse illustrate in the discussion? Select all that apply

- rechecking all calculations - avoiding distractions and concentrating on only one task at a time -confirming any questionable orders -practicing the five +1 rights of drug administration

The nurse recognizes which routes for parenteral medication administration?

- subcutaneous - intramuscular - intradermal - intravenous

Opioids have adverse effects on what body systems that are potentially life threatening? Select all that apply

-central nervous (CNS) -respiratory

The World Health Organizations's (WHO) pain-relief ladder includes which components? Select all that apply

-it consists of three steps -each step of the ladder is based upon the intensity of the perceived pain -the goal of treatment is freedom from pain -all steps of the ladder may incorporate use of an adjuvant

A nursing student is preparing information about the controlled substances act of 1970. The student can correctly teach a client which factors are regulated by the at? Select all that apply.

-manufacturing -distribution -dispensing

A nursing instructor determines a class on NSAIDs is successful when the students correctly choose which drugs? Select all that apply

-meloxicam (Mobic) -ibuprofen (Motrin)

A group of nursing students are reviewing the various systems of measurement. The students demonstrate understanding of the information when they identify which of the following as a metric system unit? Select all that apply

-milligram -centimeter

A nursing student is preparing to administer a prescribed drug. Which factors are most important for the student to explain to the mentor before administering this drug? Select all that apply

-normal dosage range -special precautions in administration -drug's most common adverse effects -drugs general action -reason for use of the drug

The nurse is researching a medication by its generic name. What is another term for a drug's generic name? Select all that apply

-official -nonproprietary

When caring for a client at a health care facility, the nurse has to record the client's daily urinary output. Which would indicate a normal urine volume?

2,000 mL/day

What is the rationale for using zero when there is no number to the left of the decimal in a medication dosage?

reduces chance of drug errors

A client experiencing cancer pain is receiving morphine every 2 hours. What assessment should the family be taught to make while caring for this client at home?

respiratory depression

The client is 65-year-old and has diagnosis of cancer. Morphine has been ordered for pain management. Before the administration of morphine, the initial action of the nurse would be to check which?

respiratory rate depth rhythm

Opioids exert widespread pharmacologic effects, especially in the CNS and the gastrointestinal (GI) system. What are two major adverse effects of opioids that are potentially life threatening?

sedation and respiratory depression

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

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

An older adult client has a history of constipation and currently self-treats with over-the-counter laxatives. What should the nurse educate the client regarding the use of laxatives? Select all that apply

-oral laxatives take longer to effect change than laxatives administered rectally -older adults are at particular risk for laxative abuse -rectal suppositories tend to work within 60 minutes of administration

A nurse, who is required to administer a drug twice a day to a client, forgets to administer the first dose. What would be most appropriate for the nurse to do? Select all that apply

-report the drug error immediately -complete an unusual occurrence report regarding the error -notify the primary care provider immediately

A nursing mentor is monitoring a student as they prepare a prescribed drug for a client. The mentor determines the student is well prepared as they correctly verify which factors? Select all that apply

-right client -right route -right drug

A nurse is teaching a client how to read the label of an OTC medication. Which differences between the trade and generic name should the nurse include in the teaching? Select all that apply

-the trade name is usually capitalized -the trade name is followed by a registration symbol -the trade name is often in parentheses -the trade name is written in smaller print -the trade name is found under the generic name

What are recommended guidelines for daily care of an indwelling Foley catheter? Select all that apply

-use an antiseptic cleansing agent of plain soap and water on a clean washcloth -clean 6 to 8 in. (15 to 20 cm) of the catheter, moving form the meatus downward -inspect the meatus for drainage and note the characteristic of the urine

The client is taking NSAIDs for pain. The nurse explains to the client that NSAIDs act by which actions?

inhibiting the synthesis of prostaglandins

For which client would a cleansing enema most likely be indicated?

a client who is scheduled to be screened for colorectal cancer the following morning

The nurse is caring for a client with a history of migraine headaches. The client asks what is happening during the migraine. The nurse's best response would be which?

a migraine headache is caused by vascular spasms

The risk for developing colorectal cancer during one's lifetime is 1 in 19. Nurses play an integral role in the promotion of colorectal cancer screening. What are risk factors for colorectal cancer? Select all that apply

age 50 and older a positive family history a history of inflammatory bowl disease

A nurse is caring for a client at the health care facility. The client has to provide a voided urine sample for a routine examination. At what time of day should the nurse ask the client to obtain the urine sample?

at the beginning of the day

The nurse is teaching a client about foods with high fiber. Which food will the nurse recommend that the client consume?

brown rice

A nurse is caring for a client whose physician has just written a new medication order. While reviewing the order, the nurse has difficulty reading the prescribed dosage because the physician's handwriting is illegible. What should the nurse do?

call the physician and request clarification

A nurse is caring for a client who has an order for a medication to be administered buccally. Where will the nurse insert it?

cheek

When a client is diagnosed with a urinary tract infection, the nurse anticipates that the client's urine will be:

cloudy with an offensive odor

The nurse works in a long-term care facility. When administering narcotics to clients, the nurse must monitor for which side effect?

constipation

Which legislation classified drugs according to potential for abuse?

controlled substances act

The nurse is required to provide formal education to a client admitted to the health care facility. Which should the nurse consider first when providing formal education?

creating a plan

A nurse is preparing a discharge note for an older adult client with constipation. Which suggestion should the nurse write in the client's discharge note for a healthier bowel elimination habit?

drink 8 to 10 glasses of liquid daily

A nurse is educating a client on the amount of water to drink each day. What is the recommended daily fluid intake for adults?

eight to ten 8-oz (2,000 to 2,400mL) glasses per day

The nurse's morning assessment of a client who has a history of heart failure reveals the presence of 2+ pitting edema in the client's ankles and feet bilaterally. This assessment finding is suggestive of:

fluid volume excess

A client is admitted to the emergency department with a suspected overdose of acetaminophen. What adverse effect is the most common is acute or chronic overdose of acetaminophen?

hepatotoxicity

A nurse is providing care to a client with arthritis in several large weight-bearing joints who is receiving NSAID therapy. Which nursing diagnosis would be most appropriate?

impaired physical mobility

A client who visits a health care facility for a routine assessment reports to the nurse that he is unable to control his urinary elimination. This has resulted in him soiling clothes and has led to a lot of embarrassment. how should the nurse document the client's condition?

incontinence

Which individual with diarrhea for three days is most likely to suffer from fluid and electrolyte imbalance?

infant

A nurse is preparing a prescribed dosage of an inhalant medication for a client with asthma. Which statement explains why inhalation is a good route for medication administration?

it allows the lungs to quickly absorb the medication

A nurse notes that the volume of the client's urinary elimination is less that 300 mL/day. What could be the possible cause for the low volume of urination by the client?

kidney dysfunction

Which statement should be included in the nurse's education plan for older adults regarding urinary elimination?

nocturia and urinary retention are more common in older adults

Which route of medication administration is most commonly prescribed?

oral

A client with colorectal cancer reports constipation. Which signs or symptoms accompany constipation?

pain on defecation

The nurse is caring for an older adult client with diarrhea. which assessment finding requires immediate nursing intervention?

skin turgor response 6 seconds

Upon assessment of the urine in a client's indwelling catheter drain bag, the nurse notes the urine to be dark yellow. This assessment finding indicates:

the client is underhydrated