NCLEX Questions (week 7)

A client is to receive medication via patient-controlled analgesia (PCA), and the nursing instructor asks the nursing student caring for the client to describe the use of the PCA. The instructor determines there is a need for further teaching about the PCA when the student makes which statement?

"Asking the client to rate pain is unnecessary when the client has a PCA."

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? Fill in the blank.

0.5 mL

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? Fill in the blank.

0.6 mL

The medication prescribed is haloperidol, 4 mg intramuscularly, immediately. The medication label states 5 mg/1 mL. The nurse prepares how much medication to administer the dose? Fill in the blank and round the answer to one decimal place.

0.8 mL

The nurse is preparing to hang an intravenous (IV) solution of 1000 mL 5% dextrose in lactated Ringer's to flow at 80 mL/hour. The nurse time-tapes the bag with a start time of 07.00. After making hourly marks on the time-tape, the nurse notes that the completion time for the bag would be what?

19.30

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

2

The medication prescribed is zidovudine, 0.2 g orally, three times daily. The medication label states zidovudine, 100-mg tablets. The nurse prepares to administer how many tablets for one dose? Fill in the blank.

2 tablets

The intravenous prescription is 1000 mL of 0.9% NaCl (normal saline) to run over 12 hours. The drop factor is 15 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.

21 gtts/minute

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? Fill in the blank.

375 mL

The nurse is teaching a client, newly diagnosed with diabetes mellitus, to mix 24 units NPH and 12 units regular insulin in the same syringe. Which instructions would the nurse give to the client to take after wiping the vials with an alcohol wipe?

Inject 24 units of air into the NPH insulin vial.

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

The nurse is caring for a client with a diagnosis of chronic kidney disease who is receiving dialysis. Epoetin alfa has been prescribed for the client. How would the nurse prepare to administer the medication?

The subcutaneous route

The licensed practical nurse employed in the ambulatory clinic is assisting the registered nurse in preparing to administer a dose of intravenous immune globulin (IVIG). The licensed practical nurse would ensure that which medication is readily available before the medication is administered?

Epinephrine

The nurse has just been told by the primary health care provider that a prescription has been written to administer a heparin injection to a client every 12 hours. The nurse anticipates using which technique to administer the medication?

Subcutaneous using the abdomen

A licensed practical nurse (LPN) is asked to prepare an intravenous (IV) infusion of 1000 mL 5% dextrose in lactated Ringer's at 80 mL/hr to be administered to an assigned client. The LPN time-tapes the bag with a start time of 09:00. After making hourly marks on the time-tape, the LPN notes that which time would mark the completion time for the bag?

21:30

The nurse is caring for a client who takes ibuprofen for pain. The nurse is gathering information on the client's medication history and determines it is necessary to consult with the registered nurse if the client is also taking which medications? Select all that apply.

-Amlodipine -Glimepiride -Warfarin

The nurse is preparing to administer an enema to an adult client. Which interventions would the nurse plan to perform for this procedure? Select all that apply.

-Ensure that the temperature of the solution is between 100°F (37.8°C) and 105°F (40.5°C). -Clamp the tubing if the client expresses discomfort during the procedure. -Lubricate the enema tube and insert it approximately 4 inches. -Apply disposable gloves.

The nurse is preparing to administer eardrops to an infant. How would the nurse administer the eardrops?

Pull down and back on the ear, and direct the solution toward the wall of the canal.

The medication prescription states to administer acetaminophen 650 mg orally for a temperature of more than 38° C. The medication bottle states acetaminophen, 325 mg tablets. The nurse takes the client's temperature and notes that it is 101° F. The nurse plans to take which action?

Administer two tablets.

The nurse reinforces teaching a client on how to administer enoxaparin subcutaneously. The nurse determines that the client understands the correct procedure if the client does which on a return demonstration?

Bunches the skin before injection

The nurse is reinforcing instructions to a client regarding the administration of lypressin. The nurse instructs the client that the medication will be taken by which routes?

Intranasal

A licensed practical nurse (LPN) is administering medications to a client who has difficulty swallowing. A time-released film-coated medication is prescribed and the client is unable to swallow the pill. Which action by the LPN is most appropriate?

Consult with the registered nurse (RN) about contacting the primary health care provider (PHCP) regarding a medication change

The nurse in the delivery room is caring for a newborn delivered 10 minutes ago. The nurse assists in preparing which medications that will be prescribed to be given within the first hour of life? Select all that apply.

-Erythromycin eye drops -Phytonadione

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

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

The nurse has a prescription to give ear drops to a 2-year-old child. To administer the drops, the nurse would pull the pinna of the ear in which direction?

Downward and backward