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quiz ch 17 and ch 23 and comversion > Practice Question ch 17 > Flashcards

Practice Question ch 17 Flashcards

1
Q

The health care provider has ordered 0.5 g of ceftriaxone ( Rocephin ) . The nurse has available a labeled “250 mg/mL. “ How many milliliters will the nurse give the patient?

  1. 2 mL
  2. 0.2 mL
  3. 0.05 mL
  4. 0.5 mL
A

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2
Q

Digoxin (Lanoxin ), 0.125 mg , is ordered . On hand is Lanoxin , 0.5mg / m * L How many milliliters will the nurse give?

  1. 3 mL
  2. 0.25 mL
  3. 2.5 mL
  4. 0.025 mL
A

2

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3
Q

The pediatrician has requested the pediatric patient’s weight in kilograms . The scales say that the patient weighs 30 lb. How many kilograms will be reported to the health care provider ?

  1. 20.6 kg
  2. 15 kg
  3. 13.6 kg
  4. 66 kg
A

3

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4
Q

Ordered is 1 L of D_{5}; 1/2 NS to run over 8 hours . The drip factor stated on the IV tubing is 15gtt / m * L How many milliliters will be infused every hour ?

  1. 100mL / h
  2. 125mL / h
  3. 150mL / h
  4. 175mL / h
A

2

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5
Q

An IV infusion of 1 L of D_{5}; 1/2 NS is to run 150mL/hr at How long will this infusion run?

  1. 6 hours
  2. 6.7 hours
  3. 7.5 hours
  4. 8 hours
A

2

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6
Q

Which intramuscular injection site is no longer recommended for use because of the nearness of the sciatic nerve to the muscle and potential for permanent or partial paralysis of the involved leg?

  1. Ventrogluteal site
  2. Deltoid site
  3. Vastus lateralis site
  4. Dorsogluteal site
A

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7
Q

The average dose of medication is 0.4mg ( gr 1/150) for adult.What is the dosage for 12 years old ?

  1. (2mg)
    2.(0.002mg)
    3.(0.02mg)
    4.(0.2mg)
A

4

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8
Q

An adult dose of diazepam (Valium) is 5mg. Which dose is appropriate for a child who weight 27kg ?

  1. 2mg
  2. 1.5mg
  3. 3mg
  4. 2.5mg
A

1

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9
Q

A 71 - year - old patient is receiving the following medications : carvedilol tablet for hypertension , furosemide tablet heart failure , paroxetine tablet for anxiety, and guaifenesin cough syrup for a productive cough. He is to receive his medications at 8 a.m. daily. Which medication will be given last?

  1. furosemide tablet
  2. carvedilol tablet
  3. guaifenesin cough syrup
  4. paroxetine tablet
A

3

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10
Q

The LPN is asked by an RN to take an unlabeled container of solution to the operating room. What is the LPN’s best response ?

  1. “Of course, I’ll take it right away!”
  2. “What is in the container ?”
  3. will have the orderly take it.”
  4. am not permitted to transport an unlabeled container .”
A

4

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11
Q

2After a possible exposure to tuberculosis , a 25-year old health worker receives a tuberculin skin test . What type of injection is this ?

  1. Intramuscular
  2. Intradermal
  3. Subcutaneous
  4. Intravenous with
A

2

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12
Q

Insulin is to be given to a 55-year-old patient with diabetes who weighs 275 lb (125 kg) and measures 72 inches (183 cm) tall. His insulin is to be given via subcutaneous injection. What angle is acceptable for the injection ?

  1. 45 degrees
  2. 90 degrees
  3. 15 degrees only
  4. 35 degrees only
A

1,2

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13
Q

The nurse is deciding on the angle used in delivering subcutaneous heparin . What factor will determine the angle to be used for the injection ? (Select all that apply )

  1. The amount of solution in the syringe
  2. The length of the needle
  3. The gauge of the needle
  4. The amount of subcutaneous tissue of the patient
  5. The size of the bevel of the needle
A

4

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14
Q

The patient complains of nausea after having a total abdominal hysterectomy. The nurse prepares an injection of promethazine ( Phenergan), 25 mg, for IM injection. What needle length is most appropriate for selection ?

  1. 3/8 inch
  2. 5/8 inch
  3. 1 to 1 1/2 inches
  4. 2 to 2 1/2 inches
A

3

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15
Q

A 6 -month - old is to be immunized for diphtheria , tetanus , and pertussis . His IM injection will be given in which muscle ?

  1. Deltoid
  2. Ventrogluteal
  3. Gluteus maximus
  4. Vastus lateralis
A

2

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16
Q

The LPN/LVN is administering 8 a.m. medications in an acute care hospital. What is the acceptable time range for the nurse to administer these medications ?

  1. 0800 to 1000
  2. 0700 to 0900
  3. 0800 to 0830
  4. 0730 to 0830
A

4

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17
Q

While administering routine medications to a patient at 1200 hours , the nurse realizes he has made a medication error . What is the nurse’s priority action?

  1. Notify the health care provider .
  2. Call the supervisor .
  3. Complete an incident report .
  4. Assess the patient.
A

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18
Q

Prescribed medications are prepared and administered during which phase of the nursing process ?

  1. Assessment
  2. Planning
  3. Implementation
  4. Evaluation
A

3

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19
Q

A patient hospitalized with newly diagnosed hypertension is taking enalapril (Vasotec), 5 mg PO bid, to lower his blood pressure. His next dose is at 0900. When taking his vital signs, the nurse discovers the patient’s blood pressure is 90/42. What should the nurse do?

  1. Withhold the medication and inform the health care provider of the change in the patient’s blood pressure .
  2. Give the medication on time (the blood pressure is within normal limits ).
  3. Ask the patient how he is feeling if he is not having adverse signs or symptoms of low blood pressure , give him the medication

4.Give half the dose ordered

A

1

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20
Q

Which action would be correct when a patient’s ear is irrigated?

  1. Straighten the ear canal and irrigate with a large-tipped bulb syringe.
  2. Direct the solution to the middle of the canal to avoid damaging the ear.
  3. Use a solution that is body temperature and have the patient hold a basin under the ear while the solution is directed toward the top of the canal .
  4. Repeat the irrigation with hotter water .
A

3

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21
Q

practice question 1-10

A

ch 17

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22
Q

The nurse performing eye irrigation should perform which procedure ?

  1. Have the patient tip her head up , and run the irrigation fluid over the open eye .
  2. Direct the irrigating fluid from the inner to the outer canthus .
  3. Do not allow the patient to blink
  4. Place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye .
  5. Position the patient with the effected eye down .
A

2,5

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23
Q

A nurse is preparing to administer methylprednisolone 10 mg by IV bolus. The amount available is methylprednisolone injection 40mg / m * L How many mL should the nurse administer ? ( Round the answer to the nearest tenth. Do not use a trailing zero.)

A

Ati book chapter 48

0.3mL

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24
Q

A nurse is preparing to administer lactated Ringer’s (LR) IV 100 mL over 15 min. The nurse should set the IV infusion pump to deliver how many mL / h * r ? (Round the answer to the nearest whole number . Do not use a trailing zero .)

A

Ati book chapter 48

400mL/hr

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25
Q

A nurse is preparing to administer 0.9% sodium chloride (0.9 % NaCl ) 250 mL IV to infuse over 30 min . The drop factor of the manual IV tubing is 10 gtt /mL . The nurse should adjust the manual IV infusion to deliver how many gtt/min^ prime ? (Round the answer to the nearest whole number . Do not use a trailing zero )

A

Ati book chapter 48

83gtt/min

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26
Q

A nurse is preparing to administer metoprolol 200 mg PO daily . The amount available is metoprolol 100mg / t * ablet How many tablets should the nurse administer ? (Round the answer to the nearest whole number . Do not use a trailing zero .)

A

Ati book chapter 48

2tablet

27
Q

A nurse is preparing to administer ketorolac 0.5 mg/kg IV bolus every 6 hour to a school-age child who weighs 66 lb. The amount available is ketorolac injection 30 mg/mL. How many mL should the nurse administer per does?(Round the answer to the nearest whole number. Do not use a trailing zero)

A

Ati book chapter 48

0.5ml

28
Q

A nurse is preparing to administer dextrose 5% in water (D5W) 1000 mL IV to infuse over 10 hr. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero)

A

Ati book chapter 48

100ml/hr

29
Q

A nurse is preparing to administer acetaminophen 320 mg PO every 4 hour PRN for pain. The amount available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Do not use a trailing zero)

A

Ati book chapter 48

10mL

30
Q

A nurse is preparing to administer dextrose 5% in lactated Ringer’s (D5LR) 1000 mL to infuse over 6 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero)

A

Ati book chapter 48

42gtt/min

31
Q

A nurse is preparing to administer several medications to a client. The client states they can only take one pill at a timeWhich of the following actions should the nurse take?

-Ask the pharmacy to change the formulation of each
-Crush the pills and mix them in applesauce
-Remain at the bedside the client has taken all of the medications
-Leave the at the for the client to take

A

concept of medication ati

-Remain at the bedside the client has taken all of the medications

32
Q

Which of the following routes of medication administration has no barriers to absorption?

-Intravenous
-Intramuscular
-Subcutaneous
-Oral

A

concept of medication ati

Intravenous

33
Q

A nurse is caring for a client who is receiving a medication that typically causes drowsiness While assessing the client, the nurse notes that the medication has caused the client to become hyperactive. Which of the following terms describes the client’s unexpected response to the medication?

-Idiosyncratic effect
-Allergic response
-Toxic effect
-Synergistic effect

A

concept of medication ati

-Idiosyncratic effect

34
Q

A nurse is reviewing a group of prescriptions Which of the following should the nurse identify as an example of a complete prescription ?

  • Aspirin PO tablet daily
    -Ferrous sulfate 624 mg PO

-Hydrocodone/acetaminophen 5/325 mg PRN

-Digoxin 1.25 mg PO daily

A

concept of medication ati

-Digoxin 1.25 mg PO daily

35
Q

Which of the following describes a medication’s generic name?

  • it is the chemical name for a medication
    -it is the same as nonproprietary name
    -is the name under which a medication is marketed
    -It is the formal name of a particular medication
A

concept of medication ati

-it is the same as nonproprietary name

36
Q

A client drinks 8 oz of water. Which of the following is a correct conversion of the client’s intake?

-1 pint
-4 Tbsp
-2cups
-240 mL

A

concept of medication ati

-240 mL

37
Q

Which of the following actions demonstrates correct use of one of the Ten Rights of Medication Administration?

-Administering a medication by the route the provider has prescribed
-Adhering as closely as possible to the medication schedule the client follows at home
-Gathering a medication history from the client before administering any medications
-Insisting that the client take all medications prescribed

A

concept of medication ati

-Administering a medication by the route the provider has prescribed

38
Q

Which of the following represents the correct administration of the prescribed medication?

-Acetaminophen 650 mg PO prescribed5 tsp of 325 mg/10 liquid given

-Levothyroxine 100 prescribed three 0.025 mg tablets given

-Amoxicillin 1 g prescribed two 500-mg tablets given

-Diphenhydramine 40 mg IM prescribed1.25 mL of 50 mg/1 mL for injection given

A

concept of medication ati

-Amoxicillin 1 g prescribed two 500-mg tablets given

38
Q

Which of the following clients is exhibiting medication tolerance?

-A client who continues to take a medication despite harmful effects
-A client who requires an increase of dosage medication to achieve continue therapeutic benefit
-A client who exhibits signs of withdrawal when a medication is discontinued
-A client who develops an intense craving for a medication

A

concept of medication ati

-A client who requires an increase of dosage medication to achieve continue therapeutic benefit

39
Q

A nurse has a handwritten prescription that is difficult to read Which of the following actions should the nurse take to avoid an error in medication administration?

-Ask another nurse to decipher the prescription
-call the provider for clarification of the prescription
-Rely on their knowledge of the client to get the prescription right
-inquire at the facility pharmacy about the prescription

A

concept of medication ati

-call the provider for clarification of the prescription

40
Q

A nurse is documenting a client’s response to a pain medication Which of the following is an example of correct documentation regarding the client’s response to pain?

-The client states feel better 10 minutes after medication administration
-The client is sleeping hr after medication administration
-The client is up and walking in the hall 2 hr after medication administration
-The client reports pain decreased 30 min after medication administration to 3 on a scale of 0 to 10

A

concept of medication ati

-The client reports pain decreased 30 min after medication administration to 3 on a scale of 0 to 10

41
Q

A nurse is preparing to administer an oral medication to a client. Which of the following actions is the nurse’s priority?

-have another nurse check the dose to be administrator
-Teach the client about possible adverse effects
-confirm the client identity using two methods
-confirm that the client can swallow adequate

A

concept of medication ati

-confirm the client identity using two methods

42
Q

A nurse is preparing to administer an insulin injection to a client. Which of the following actions should the nurse take?

-Rotate the injection sites
-Administer no more than 2 of insulin per injection
-Displace the skin and subcutaneous at the site about 1 to 1 ½ inches
-Inject the medication after aspirating the syringe

A

-Injectable Medication Administration ati

-Rotate the injection sites

43
Q

A nurse is preparing to give an intramuscular injection into the left ventrogluteal muscle. Which of the following actions should the take to locate the site of injection?

-Measure two fingerbreadths below the acromion process
-Measure a handbreadth above the knee and a handbreadth below the greater trochanter
-Use the heel of the hand and index finger to locate vastus lateral muscle
-Locate the upper outer quadrant of the buttocks

A

-Injectable Medication Administration ati

-Use the heel of the hand and index finger to locate vastus lateral muscle

44
Q

Which of the following terms indicates that a medication is given via an injection ?

-Enteral
-Sublingual
-Transdermal
-Parenteral

A

-Injectable Medication Administration ati

Parenteral

45
Q

A nurse is preparing to administer an intramuscular injection at the ventrogluteal site. Which of the following needle lengths should the nurse select for an adult of average size?

-1 inche
-1/2 inch
-1 inch 1/2
-2inches

A

-Injectable Medication Administration ati

-1 inch 1/2

45
Q

A nurse is preparing to administer an intradermal injection Which of the following actions should the nurse take to ensure proper technique?

-Rub the injection site after withdrawing the needle
-Pinch 1/2 inch of skin and administer the injection at a 45 angle
-Use a tuberculin syringe with a 5/8-inch , 25 gauge needle
-Choose a site that is at least 1 inch from the umbilicus

A

-Intravenous Medication Administration

-Use a tuberculin syringe with a 5/8-inch , 25 gauge needle

46
Q

A nurse is preparing to administer a subcutaneous injection to a client Which of the following should the nurse assess first?

-The client’s level of knowledge about the medication
-If the client has allergies to the medication
-Where the most appropriate injection site is
-The reason the client is receiving the medication

A

-Intravenous Medication Administration

-If the client has allergies to the medication

47
Q

A nurse is caring for a client who is receiving 0.9% sodium chloride at 75 mL/hr through a triple lumen central venous access device. The IV pump alarm sounds, indicating that there is an occlusion Which of the following actions should the nurse take first?

-Call the provider who inserted the catheter
-Flush the line with a 10
-syringe of heparin
-Check the line at or above the hub for kinked tubing that is creating a resistance to flow
-Reposition the diet

A

-Intravenous Medication Administration

-Check the line at or above the hub for kinked tubing that is creating a resistance to flow

48
Q

A nurse is preparing to administer ceftriaxone 1 g in 100 mL IV over 30 min. The drip rate is 10 gtt/mL The nurse should set the infusion rate to administer 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)

A

-Intravenous Medication Administration

33

49
Q

A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125 mL /hr. Which of the following should the nurse recognize as a possible complication related to the IV therapy?

-Petechiae is present over the IV site.
-The skin is cool over the IV site.
-Client reports coughing and shortness of breath.
- Client’s blood pressure is lower than normal.

A

-Intravenous Medication Administration

-Client reports coughing and shortness of breath.

50
Q

A nurse is caring for a client who was admitted to the hospital for same day surgery and has a new prescription for continuous IV therapy Which of the following actions should the nurse take when administering the IV therapy?

-Place a cold compress over the
-Inspect the IV solutions for color, and expiration date
-Apply a 1 to 2 inches above the selected
-Secure an armboard to the client’s extremity

A

-Intravenous Medication Administration

-Inspect the IV solutions for color, and expiration date

51
Q

A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line. The nurse should identify that which of the following Information is true about this type of route?

-A PICC line is a midline catheter used to administer blood

-A PICC line is a catheter that allows for infusion of IV fluids without an infusion pump

  • A PICC line is a long catheter inserted through the veins of the antecubital fossa

-A PICC line is a catheter that is used for emergent or trauma situations.

A

-Intravenous Medication Administration

  • A PICC line is a long catheter inserted through the veins of the antecubital fossa

Peripherally inserted central catheter (PICC)

52
Q

A nurse is preparing to administer an IV medication to a client. The nurse should identify that which of the following is a disadvantage of administering IV medications?

-IV medications are irreversible.
-IV medications have a slow onset.
-IV medications bypass the liver
-IV medications have less bioavailability .

A

-Intravenous Medication Administration

-IV medications are irreversible.

53
Q

A nurse administrator the first dose if the clients prescribe antibiotic via intermittent IV bolus.During the first 10 to 15 min of administration which of following assessment is the nurse priority?

-Assess the IV site for redness or swelling
-Assess the client for a systemic allergic reaction.
-Assess the IV dressing for signs of leakage.
-Assess the client’s limb for signs of discomfort.

A

-Intravenous Medication Administration

-Assess the client for a systemic allergic reaction.

53
Q

A nurse is teaching the adult child of a client about instilling eye drops in the client’s right eye Which of the following statements by the client’s adult child indicates an understanding of the teaching?

-I will have my mother look down while dropping the medication into her eye.”

-I will instruct my mother to tightly close her eye for 30 to 60 seconds after the medication has been given.

-I should apply the medication using a thin stream from the inner canthus to the outer canthus”

-I will pull down her lower eyelid and drop the medication inside.”

A

-I will pull down her lower eyelid and drop the medication inside.”

53
Q

A nurse is caring for a client who has COPD, For which of the following inhalation medication delivery methods should the nurse assess the client’s ability to inhale deeply ?

-Dry powder inhaler (DPI)
-Nasal spray
-Metered dose inhaler (MDI) with attached spacer
-Use of a nebulizer via a mask

A

-Dry powder inhaler (DPI)

54
Q

A nurse is preparing to administer a client’s medication. The client states the medication makes them feel nauseated and refuses to take it. Which of the following actions should the nurse take ?

-Document the for refusal with the date and time in the medical record
-Tell the that they don’t take the that they will not get any better
-Place the medication on the bedside so they can take it when they are no longer nauseated
-notify the pharmacist that the client refuses to take medication

A

-Document the for refusal with the date and time in the medical record

55
Q

A nurse is preparing to instill antibiotic ear drops into the ear of a 2-year-old child Which of the following techniques should the nurse use when administering ear drops to this client?

-have the client maintain a side-lying position for 30 min administration of the ear drops

-Pull the client’s auricle down and back to open the canal when administering the ear drops

-Don sterile gloves prior to administration of the ear drops.

-Insert the tip of the dropper into the ear canal when administering the ear drops.

A

-Pull the client’s auricle down and back to open the canal when administering the ear drops

56
Q

A nurse is preparing to administer medications for a client who has a nasogastric tube. Which of the following actions should the nurse take prior to administering the medications?

-Check tube placement by inserting air into the tube while auscultating at the gastric fundus.

-Percuss the client’s abdomen to assess for areas of tympany and dullness

-Observe the amount of residual volume left in the stomach

-Determine the client’s ability to cooperate with instructions.

A

-Observe the amount of residual volume left in the stomach

57
Q

A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Rights of Medication Administration?

-The nurse performs the first check of the correct dosage at the client’s bedside.

-The nurse identifies the client by stating the client’s name as written on the medication administration record.

-The nurse documents that the aspirin was given at 0825.

-The nurse opens the 81 mg aspirin unit dose package prior to entering the client’s room.

A

-The nurse documents that the aspirin was given at 0825.

58
Q

A nurse is preparing to administer several medications to a client who is receiving enteral feedings through a small bore nasogastric tube. Which of the following actions should the nurse take to ensure the medications are administered correctly?

-Add crushed medications to the enteral tube feedings and infuse via an electronic pump

-Infuse each medication by gravity and flush with water before and after instillation

-Administer medications through a 5 syringe.

  • Lower the syringe to facilitate instillation of the medication
A

-Infuse each medication by gravity and flush with water before and after instillation

59
Q

review all the photo

A

ipad

quiz ch 17 and ch 23 and comversion (5 decks)

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