chirty uno

Question 1

A nurse knows that patient education has been effective when the patient states

Answer 1

“I will rotate the location where I give myself injections.”

Question 2

Which statement by the patient is an indication to use the Z-track method?

Answer 2

“The last shot like that turned my skin colors.”

Question 3

A 2-year-old child is ordered to have ear irrigation performed daily. The nurse correctly performs the procedure by

Answer 3

Pulling the auricle down and back to straighten the ear canal.

Question 4

A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100 syringe. How many units should the nurse draw up in the syringe and administer?

Answer 4

20 units

Question 5

A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100 syringe. How many units should the nurse draw up in the syringe and administer?

Answer 5

0.4 mL

Question 6

The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to draw a trough level is

Answer 6

0830.

Question 7

A patient who has been receiving intermittent chemotherapy through a peripheral IV site is ordered to receive a high dose of vancomycin through the same vein. Why does this concern the nurse?

Answer 7

Chemotherapy is irritating to the vascular system and may cause the vein to infiltrate.

Question 8

A physician orders 1000 mL of normal saline to infuse at a rate of 50 mL/hr. The nurse plans on hanging a new bag at what time?

Answer 8

20 hours

Question 9

The nurse is preparing to administer a 0.5-mL rabies vaccine into the deltoid muscle of a patient. Which needle size is best for the procedure?

Answer 9

25 gauge × 5/8 inch

Question 10

The nurse knows that the purpose of aspiration on IM injections is to

Answer 10

Ensure proper placement of the needle.

Question 11

The nurse is giving an IM injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Answer 11

Withdraw the needle and prepare the injection again.

Question 12

The nurse is planning to administer a tuberculin test with a 27-gauge, 3/8-inch needle. The nurse should insert the needle at an angle of _____ degrees.

Answer 12

15

Question 13

The nurse knows to assess for signs of medication toxicity within older adults because of which physiological change?

Answer 13

Reduced glomerular filtration

Question 14

A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient, and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

Answer 14

Nurse

Question 15

A patient is to receive medication through a nasogastric tube. What is the most important nursing action to ensure effective absorption?

Answer 15

Clamp suction for 30 to 60 minutes after medication administration.

Question 16

Aspirin is an analgesic, antipyretic, antiplatelet, and anti-inflammatory agent. A physician writes for aspirin 650 mg every 4 to 6 hours prn: febrile. For which patient would this order be appropriate?

Answer 16

62-year-old female with pneumonia

Question 17

A patient is in need of immediate pain relief for a severe headache. The nurse knows that which medication will be absorbed the quickest?

Answer 17

Hydromorphone (Dilaudid) 4 mg IV

Question 18

A drug requires a low pH to be metabolized. Knowing this, the nurse anticipates that the medication will be administered by which route?

Answer 18

Oral

Question 19

The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine (Sudafed) is occurring when the patient

Answer 19

Falls asleep during daily activities.

Question 20

An order is written for (phenytoin) Dilantin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the prescriber meant to write for hydromorphone (Dilaudid). What should the nurse do?

Answer 20

Call the prescriber to clarify and justify the order.

Question 21

A patient needs assistance excreting a gaseous medication. What is the correct nursing action?

Answer 21

Encourage the patient to cough and deep-breathe

Question 22

A nurse has withdrawn a narcotic from the medication dispenser. Upon checking the drug against the medication administration record, the nurse notices that the narcotic order has expired. What should be the nurse’s first action?

Answer 22

Return the medication to the medication dispenser according to protocol

Question 23

The nurse knows that patient education about a buccal medication has been effective when the patient states

Answer 23

“I should let the medication dissolve completely.”

Question 24

What is the nurse’s priority action to protect a patient from medication error?

Answer 24

Requesting that the prescriber write out an order, rather than giving a verbal order

Question 25

The patient is in severe pain and is requesting a prn medication before the prn time interval has elapsed. The nurse’s priority is to

Answer 25

Call the prescriber and request a stat order.

Question 26

A patient is at risk for aspiration. What nursing action is most appropriate?

Answer 26

Have the patient self-administer the medication.

Question 27

A confused patient refuses his medication. What is the nurse’s first response?

Answer 27

Educates the patient about the importance of the medication

Question 28

A patient who is being discharged today is going home with an inhaler. The patient is to administer 2 puffs of his inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately advise the patient to refill his medication?

Answer 28

6 weeks from the start of using the inhaler

Question 29

The nurse knows that a subcutaneous injection takes longer to absorb because

Answer 29

Fewer blood vessels are found under the subcutaneous level.

Question 30

The nurse realizes which patient is at greatest risk for an unintended synergistic effect?

Answer 30

72-year-old who is seeing four different specialists

Question 31

Which patient using an inhaler would benefit most from using a spacer?

Answer 31

25-year-old with multiple sclerosis

Question 32

The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse’s priority?

Answer 32

Notify the physician that the prescribed dose is below the therapeutic range.

Question 33

The nurse is administering an intravenous medication that is to be administered over 10 minutes. Which method should the nurse choose to efficiently administer the medication?

Answer 33

Attach separate tubing and set the medication syringe in a mini-infusion pump.

Question 34

A nurse is caring for a patient who is in hypertensive crisis. When the nurse is flushing the patient’s peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurse’s initial action?

Answer 34

Apply a cool compress to the site.

Question 35

The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that she did not check the identification of the patient before administering medication. Which of the following actions should the nurse complete first?

Answer 35

Return to the room to check and assess the patient.

Question 36

The nurse knows that caring for two patients with the same last name can lead to a medication error involving which right of medication administration?

Answer 36

Right patient

Question 37

A patients states that she would prefer not to take her daily allergy pill this morning because it makes her too drowsy throughout the day. The nurse responds therapeutically by saying,

Answer 37

“Let’s change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping.

Question 38

A provider has ordered a STAT medication to be administered. The nurse knows that the best route of administration is

Answer 38

IV.

Question 39

A nurse is attempting to administer medication to a child, but the child refuses to take the medication. The nurse asks for the parent’s cooperation by saying

Answer 39

“I will prepare the medication for you and observe if you would like to try to administer the medication.”

Question 40

A 64-year-old quadriplegic patient needs an IM injection of antibiotic. What is the best site for the administration?

Answer 40

Vastus lateralis

Question 41

Which nursing action is the number one priority for ensuring that medication stays in the target therapeutic range?

Answer 41

Drawing the peak and trough levels at the same time each day

Question 42

Which of the following demonstrates proper oral medication administration?

Answer 42

Placing all of the patient’s medications in the same cup, except medications with assessments

Question 43

A patient who is receiving IV fluids notifies the nurse that his arm feels tight. Upon assessment, the nurse notes that the arm is swollen and cool to the touch. What should the nurse’s first action be?

Answer 43

Discontinue the IV site, and apply a warm compress.

Question 44

A patient informs the nurse that his urine is starting to look discolored. How should the nurse respond?

Answer 44

“Other than the discoloration, has anything changed with your urination?”

Question 45

The physician orders 4 mg of oxycodone to be delivered every 6 hours. After 4 hours, the patient is complaining that she is in more pain. The nurse advises the physician to make which medication adjustment?

Answer 45

Divide the dose in half and administer 2 mg every 3 hours.

Question 46

Which of the following are methods to reduce the risk of needlestick injury?

Answer 46

Have sharps boxes emptied when three-quarters full.

Never force a needle into the sharps disposal.
Clearly mark sharps disposal containers.
Use needleless devices whenever possible.

Question 47

What methods are used to properly discard narcotics?

Answer 47

Washing liquids down the sink

Flushing tablets down the toilet