NCLEX Flashcards

1
Q

The nurse is having difficulty reading a physician’s order for a medication. The nurse knows the physician is very busy and does not like to be called. The nurse should

A

Call the physician to have the order clarified

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2
Q

The client has an order for 2 tablespoons of Milk of Magnesia. The nurse converts this dose to the metric system and gives the client:

A

30 mL

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3
Q

Most medication errors occur when the nurse:

A

Fails to follow routine procedures

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4
Q

When identifying a new client before administering medications, the nurse asks the client to state his name. The client does not state the correct name. The nurse asks again, and the client states still another name. What is the nurse’s next action?

A

Investigate the client’s mental status before administering any further medications.

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5
Q

A nursing student takes a client’s antibiotic to his room. The client asks the nursing student what it is and why he should take it. The nursing student’s reply includes the following information:

A

The name of the medication and a description of its desired effect

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6
Q

The nurse is administering a sustained-release capsule to a new client. The client insists that he cannot swallow pills. The best course of action for the nurse is to:

A

Ask the physician to change the order

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7
Q

The nurse takes a medication to a client, and the client tells the nurse to take it away because she is not going to take it. The nurse’s first action should be to:

A

Ask the client’s reason for refusal

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8
Q

The nurse selects the route for administering medication according to:

A

The prescriber’s order

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9
Q

The following orders were written by a prescriber (physician, advanced practice nurse, physician’s assistant). Which order is written correctly?

A

CORRECT ANSWER IS C
A) Aspirin 2 tablets prn
B) Haloperidol (Haldol) ½ tablet at bedtime
C) Zolpidem (Ambien) 5 mg PO at bedtime prn
D) Levothyroxine (Synthroid) 0.05 mg 1 tablet

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10
Q

What is the best nursing practice for administrating a controlled substance if part of the medication must be discarded?

A

The nurse documents on the medication administration record and the control inventory form, and has a second nurse witness the medication being discarded.

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11
Q

While the nurse is administering medication, the client says, “This pill looks different from what I usually take.” What is the nurse’s best action?

A

Go recheck the medication order, taking along the medication.

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