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WorksheetsNCLEX - FUNDAMENTALS Day2
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
A new graduate nurse is preparing to administer analgesics to clients with postoperative pain. Which situation would require intervention by the precepting nurse?
a)
Chooses to administer 50 mcg of the prescribed 50–100 mcg of IV fentanyl for the first dose
b)
Dilutes hydromorphone with 5 mL of normal saline and injects IV push over 2 minutes
c)
Injects 1 mg of morphine sulfate undiluted via IV push over 5 minutes
d)
Selects a 25-gauge 1/2-inch needle to inject ketorolac intramuscularly
e)
-
2.
Which staff action during IV push medication administration requires intervention?
a)
Cleanses the injection port with antiseptic swab
b)
Prepares to administer via line that is infusing parenteral nutrition
c)
Flushes the device with 0.9% sodium chloride before administration
d)
Flushes the device at same rate as medication
e)
-
3.
Which parent statement reflects proper understanding of ophthalmic medication administration for child with conjunctivitis?
a)
Child looks down when drops given
b)
Child squeezes eyes shut after drops
c)
Apply firm pressure after ointment
d)
Apply ointment from inner to outer eyelid
e)
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4.
What action should the nurse take when giving ear drops to a 5-year-old client?
a)
Pull pinna upward and back
b)
Help client sit upright with chin down
c)
Touch dropper to ear canal
d)
Use medication chilled from fridge
e)
-
5.
Which statement shows correct understanding of metered dose inhaler (MDI) use without spacer?
a)
Avoid shaking canister before use
b)
Inhale slowly through nose after compressing canister
c)
Hold breath for several seconds after inhaling
d)
Perform short coughs before using inhaler
e)
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6.
Which nurse statement about IM injection demonstrates correct understanding?
a)
Insert needle at 45° angle
b)
Wait 3 seconds before removing needle
c)
Massage site after injection
d)
Displace subcutaneous tissue prior to insertion
e)
-
7.
Which parent action indicates correct oral medication administration to 2-month-old?
a)
Allows infant to sip from a cup
b)
Expels med onto back of tongue
c)
Mixes med with infant’s formula
d)
Administers med slowly into cheek using syringe
e)
-
8.
What should the nurse do when toddler refuses oral antibiotics?
a)
Ask HCP to switch to IV
b)
Hide med in favorite food/drink
c)
Offer choice of juice with med
d)
Tell child the med tastes like candy
e)
-
9.
Which parent statements reflect proper pediatric med administration?
a)
Mix med in cereal
b)
Give another dose if child vomits
c)
Measure meds with oral syringe
d)
Let child help with preparation
e)
Use time-out if med is refused
10.
Which prescription should nurse clarify before administering?
a)
0.45% NS for gastroenteritis
b)
1000 mL NS bolus for anaphylaxis
c)
1000 mL NS bolus for DKA
d)
Mannitol 25% for closed head injury
e)
-
11.
What does carbamide peroxide treat?
a)
Labyrinthitis
b)
Impacted cerumen
c)
Otosclerosis
d)
Acute otitis externa
e)
-
12.
Which statements about enoxaparin administration require follow-up?
a)
Discourages rubbing site post-injection
b)
Ejects air bubble before injection
c)
Inserts needle at 90° angle
d)
Injects into left lateral abdomen
e)
-
13.
What should nurse do when client reports IV potassium infusion site discomfort with no phlebitis/infiltration?
a)
Insert new IV distal to existing
b)
Recommend PICC line
c)
Restart infusion at slower rate
d)
Request switch to oral potassium
e)
-
14.
Which nurse statements about parenteral med admin are correct?
a)
Inject SC insulin at 90° into lower abdomen
b)
Use 30° angle for intradermal injection
c)
Massage intradermal site after injection
d)
Place client side-lying for ventrogluteal IM
e)
Withdraw from ampule using injection needle
15.
Which actions promote medication safety during admin?
a)
Confirm client, med, dose, time, route
b)
Discard or return damaged meds
c)
Check labs before anticoagulants
d)
Wear gloves for transdermal patches
e)
Place all meds in dispensing cup before entering room
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