Worksheets334 Exam 1 Practice 05.24
Total questions: 42
Worksheet time: 21mins
A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?
Institutional policies regarding routine medication administration times
Specific characteristics of the medications
Schedule of administration that the client follows at home
Time at which the medication can be available from the pharmacy
A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?
Carbonated beverage
Milk
Orange juice
Grapefruit juice
A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?
Offer the child a choice of taking the medication with juice or water.
Tell the child it is candy.
Hide the medication in a large dish of ice cream.
Tell the child he will have to have a shot instead.
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Crushing the medication might cause you to have a stomachache or indigestion.
Crushing the medication is a good idea, and I can mix it in some ice cream for you.
Crushing the medication would release all the medication at once, rather than over time.
Crushing is unsafe, as it destroys the ingredients in the medication.
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
I signed up for a swimming class.
I've been taking an antacid to help with indigestion.
I've lost 2 pounds since my appointment 2 weeks ago.
The naproxen is easier to take when I crush it and put it in applesauce.
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
The client not been taking the medication properly.
The client is experiencing episodes of confusion.
The client has become addicted to the medication.
The client developed a tolerance to the medication.
A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?
Warm the ointment by placing the tube in glass of hot tap water.
Cleanse the eye with a wet cotton ball in a direction towards the inner canthus before applying the ointment.
Discard the first bead of ointment before each application.
Instruct your child to squeeze his eyes shut following application.
A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority?
Pupil reaction
Urine output
Bowel sounds
Respiratory rate
A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication?
Report of recent migraine headaches
History of gastric ulcers
Current diagnosis of glaucoma
Prior reports of amenorrhea
A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?
Constipation
Bleeding
Blurred vision
Insomnia
A nurse is planning to administer butorphanol to a client who is in labor. Which of the following medications should the nurse plan to have available to reverse the action of this medication?
Protamine
Diphenhydramine
Atropine
Naloxone
A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for which of the following potential adverse effects of this medication?
Miosis
Joint pain
Diarrhea
Oliguria
A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?
Pull the skin 1.3 cm (1/2 inch) to the side.
Insert the needle slowly and gently.
Use a 45° angle of insertion.
Aspirate for 5 to 10 seconds.
A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side.
Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion.
Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body.
Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body.
A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?
Sim's position
Prone position
Lying on the right side
Supine
The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take?
Give the medication.
Discard the medication.
Notify the provider.
Return the medication to the pharmacy.
A nurse is preparing to administer medications to a client who states, "I don't want to take those drugs." Which of the following actions should the nurse take?
Tell the client the physician wants him to take the medications.
Ask the client why he is refusing to take the medications.
Explain the purpose for the medications.
Document that the client refuses the medications.
A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?
Pull the auricle down and back.
Pull the auricle down and out.
Pull the auricle up and back.
Pull the auricle up and out.
A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment?
Blood pressure
Apical heart rate
Respiratory rate
Temperature
A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." Which of the following responses should the nurse make?
A. "Describe what the pill looks like."
B. "This is the medication prescribed by your provider."
C. "This pill is probably from a different lot number than yours at home."
D. "This hospital might use a different manufacturer, but the medication is the same."
A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse use?
Pull the auricle down and back.
Pull the auricle down and out.
Pull the auricle up and back.
Pull the auricle up and out.
A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
Tinnitus
Muscle pain
Hyperglycemia
Jaundice
A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?
Do not include over-the-counter medications in the medication reconciliation report.
Provide a list of the client’s current medications during the change of shift report.
Do not perform reconciliation for a client at discharge from a health care facility.
Provide a list of the client's current medications during admission to a health care facility.
A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following actions by the parent indicates a need for further instruction?
Allows the infant to swallow some of the medication before administering more
Administers medication with an oral syringe
Positions the infant in a supine position
Inserts the medication in the infant's buccal cavity
A nurse is preparing to administer oral medication to a 3-month-old infant. Which of the following actions should the nurse plan to take?
Measure elixir using a medicine cup.
Mix medication with formula.
Place infant supine in the crib.
Position the syringe to the side of the infant’s tongue.
A nurse is teaching a client who reports taking ginkgo biloba to improve his memory. Which of the following adverse effects should the nurse include?
Bad breath
Decreased alertness
Breast enlargement
Bleeding gums
A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse?
I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you witnessed it.
I noted that my client pushed the PCA button six times in the last hour, and the PCA lockout is set for 10 minutes.
I gave my client a bolus dose of morphine when I initiated the PCA pump.
I told the client’s family that they must not push the PCA button for the client.
A nurse is caring for a client who is in her third trimester of pregnancy. The client asks the nurse about over-the-counter medications. The nurse should recognize which of the following medications is a pregnancy risk category?
Naproxen
Acetaminophen
Aspirin
Ibuprofen
A nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of the following statements by the client indicates the need for further teaching?
I might need to increase my regular insulin during this time.
I will gradually stop the prednisone when my rash goes away.
I should expect my stools to become very dark and sticky while on this medication.
I might have a hard time falling asleep while taking prednisone.
A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
Verifies the medication against the prescription and medication label.
Scans the bar code on the medication administration record and the client’s arm band.
Checks the provider's orders and confirmed dosage in a medication reference guide.
Documents medication administration prior to administering it.
A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?
Discard the extra medication in a sharps container.
Save the extra medication for a later dosing.
Send the waste amount to the pharmacy.
Have another nurse witness the disposal of the extra medication.
A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?
Amylase
Creatinine
Aspartate aminotransferase (AST)
Antidiuretic hormone (ADH)
A nurse is monitoring a client who took an overdose of acetaminophen 72 hr ago. The nurse should identify which of the following findings as a manifestation of acetaminophen poisoning?
Constipation
Xerostomia
Tinnitus
Vomiting
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?
Take the medication with an aspirin to increase effectiveness.
Take the medication with food.
Taking the maximum dose will offer stroke prevention.
Sustained-release forms may be crushed for easier administration.
A nurse is preparing a presentation about echinacea for a group of clients. Which of the following information should the nurse include?
Echinacea blocks testosterone receptors.
Echinacea boosts the immune system.
Echinacea is used to treat vertigo.
Echinacea increases the ability to walk further distances for clients who have PAD.
A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?
Acetaminophen
Aspirin
Ibuprofen
Naproxen
A nurse is preparing to administer aspirin 650 mg PO every 12 hr. The amount available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
2 tablets
1 tablet
3 tablets
4 tablets
A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.4 mL
0.2 mL
2.5 mL
0.8 mL
A nurse is preparing to administer 0.9% sodium chloride 1,200 mL IV to infuse over 24 hr. 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 the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
13 gtt/min
08 gtt/min
21 gtt/min
16 gtt/min
A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose subcutaneous every 12 hr. The client weighs 185 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
84.1 mg
92.5 mg
68.2 mg
100.0 mg
A nurse is preparing to administer lactated Ringer's 400 mL IV bolus to infuse over 3 hr. 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 the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
44 gtt/min
22 gtt/min
36 gtt/min
67 gtt/min
A nurse is preparing to administer hydromorphone 2.5 mg. The amount available is 5 mg/5 mL elixir. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
2.5 mL
1.0 mL
0.5 mL
5.0 mL
