Test 4

Question 1

A client who has a nasogastric tube is prescribed a sublingual medication. Which of the following is an appropriate action:

A. administer the medication in a liquid form orally.
B. Administer the crushed medication through the NG tube.
C. Administer the medication dissolved in water through the NG tube.
D. Administer the medication under the client’s tongue.

Answer 1

D. Administer the medication under the client’s tongue.

Question 2

A nurse realizes that a medication was administered to the wrong patient. Which of the following is the priority nursing action:

A. check the client’s vital signs
B. notify the client’s charge nurse
C. fill out an occurence form according to institutional policy
D. Administer the medication to the correct client

Answer 2

A. check the client’s vital signs

Question 3

Which of the following nursing statements indicates the nurse understands when discharge planning should occur:

A. I will begin 48 hr before discharge
B. I will begin once the discharge order is written.
C. I will begin upon the patient’s admission to the facility
D. I will begin once the insurance company approves discharge coverage.

Answer 3

C. I will begin upon the patient’s admission to the facility

Question 4

A nurse is collecting subjective and objective data about a toddler who has otitis media. The nurse’s observations of the child are likely to include:

A. tugging on the affected ear’s lobe
B. clear drainage from the affected ear.
C. pain when manipulating the affected ear’s lobe.
D. erythema and edema of the affected auricle.

Answer 4

A. tugging on the affected ear’s lobe

Question 5

A nurse is instilling ear drops to a yound child and must straighten the ear canal by pulling the auricle of the ear. The nurse will pull the auricle in which directions:

A. down and backward
B. down and outward
C. upward and backward
D. upward and outward.

Answer 5

A. down and backward

Question 6

The nurse notes that the dose of one medication is three times the usual dose of this medication. The nurse calls the provider but he is unavailable for several days. Which of the following actions should the nurse take:

A. Contact the pharmacy and confirm the dosage is sage to administer.
B. withhold the medication until the prescribing provider is available.
C. request to speak with the provider who is covering for the prescriber.
D. Inform the charge nurse and administer the usual dose of medication.

Answer 6

C. request to speak with the provider who is covering for the prescriber.

Question 7

The nurse observes the date of expiration on a medication vial occurred two months ago. Which action should the nurse perform:

A. give the medication
B. discard the medication
C. notify the provider
D. return the medication to the pharmacy

Answer 7

D. return the medication to the pharmacy

Question 8

Which of the following is an appropriate action when using the Z-track technique:

A. pull the skin 1.3 cm to the side
B. insert the needle slowly and gently.
C. use a 45 degree angle of insertion
D. aspirate for 5 to 10 seconds

Answer 8

D. aspirate for 5 to 10 seconds

Question 9

A nurse is preparing to administer otic drops to an adult client. Which of the following actions should the nurse take:

A. hold the dropper against the ear canal and drip the medication slowly down the canal.
B. apply gentle pressure with a finger to the tragus of the ear.
C. chill the medication prior to adminstration
D. straighten the external auditory canal by pulling it down and back.

Answer 9

B. apply gentle pressure with a finger to the tragus of the ear.

Question 10

An unpredictable reaction to a drug at first administration is called:

A. synergism
B tolerance
C potentiation
D idiosyncratic effect

Answer 10

D idiosyncratic effect

Question 11

A client who is given routine meds develops swelling of the cheeks, lips, and eyelids. The nurse is correct if he or she interprets these symptoms as:

A peripheral edema
B angioedema
C cerebral edema
D dependent edema

Answer 11

B angioedema

Question 12

The client was prescribed a drug to prevent disease. The nurse is correct to identify this as a(n):

A barium
B vaccine
C insulin
D analgesic

Answer 12

B vaccine

Question 13

A drug company has just received approval to market a new drug. The name given to the drug at this time is the:

A trade name
B nonproprietary name
C proprietary name
D brand name

Answer 13

B nonproprietary name

Question 14

The nurse is giving a drug to a pregnant woman. The nurse checks the FDA category and would know the drug is contraindicated if the category is:

A. A
B. C
C. B
D. X

Answer 14

D. X

Question 15

To reduce the incidence of medication errors, the nurse would best:

A. improve his or her own knowledge about drugs used.
B. limit the use of oral solutions
C. question the use of scored tablets
D. double check drug calculations

Answer 15

A. improve his or her own knowledge about drugs used.

Question 16

The client receiving an anti-infective drug has blood drawn for evaulation of drug serum levels just before the next dose is due. The LPN is correct to document that blood was drawn for:

A. toxic level
B. peak levels
C. trough levels
D. therapeutic index

Answer 16

C. trough levels

Question 17

The drug ordered has a half-life of 6 hours. The LPN understands that half-life means the time:

A. it takes 50% of the drug to be distributed to cells
B. between administration and attaining peak levels
C. it takes for the body to eliminate 50% of the drug
D. it takes for half the drug to reach the target cells

Answer 17

C. it takes for the body to eliminate 50% of the drug

Question 18

The nurse giving this drug form understands that it is designed to pass through the stomach and dissolve in the alkaline environment of the small intestine:

A. a tablet that disintegrates
B. milky suspension
C. troche
D. enteric-coated tablet

Answer 18

D. enteric-coated tablet

Question 19

The best site to use for a deep intramuscular injection in an adult is the:

A. deltoid
B. vastus lateralis
C. ventrogluteal
D. dorsogluteal

Answer 19

D. dorsogluteal

Question 20

A new drug introduced on the market is given its offical or nonproprietary name, known as the:

A. trade name
B. brand name
C. chemical name
D. generic name

Answer 20

D. generic name

Question 21

The client on multiple medications has impaired liver function. The nurse knows the client is at risk for:

A. cumulative drug effects
B. dependent edema
C. drug tolerance
D. central nervous depression

Answer 21

A. cumulative drug effects

Question 22

A common skin manifestation of an allergic reaction is:

A. urticaria
B. nodule
C. blister
D. pustule

Answer 22

A. urticaria

Question 23

The client is experiencing an allergic reaction as a result of drug therapy. The LPN assisting the professional expects to help prepare:

A. adrenalin
B. dilantin
C. morphine
D. valium

Answer 23

A. adrenalin

Question 24

A controlled substance that is classified as schedule 2 has:

A. a high potential for abuse
B. very little abuse potential
C. no accepted medical use
D. no significant effect in the body

Answer 24

A. a high potential for abuse

Question 25

The FDA category for drugs least likely to cause harm is:

A. d
B. c
C. b
D. a

Answer 25

D. a

Question 26

Legend drugs are those available:

A. from natural herbs
B. over the counter
C. by prescription
D. by illegal manufacturing

Answer 26

C. by prescription

Question 27

You enter the client’s room to give an oral suspension & find the client vomiting 120 ml of greenish fluid. The best nursing action is to:

A. withhold the medication and inform the primary nurse.
B. offer a mouth wash and give the medication
C. skip this dose and wait for the next schedule dose
D. give the medication with food to protect the stomach.

Answer 27

A. withhold the medication and inform the primary nurse.

Question 28

A drug that travels throughout the body by way of the bloodstream is called:

A. agonist effect
B. active transport
C. local acting
D. systemic acting

Answer 28

D. systemic acting

Question 29

The body needs which of the following for adequate drug absorption:

A. good kidney function
B. adequate blood supply
C. a decrease in the number of receptor sites
D. good liver function

Answer 29

B. adequate blood supply

Question 30

The client is prescribed a drug that alters cellular function by depressing the central nervous system. The client should be monitored closely for:

A. lethargy
B. tremors
C. anxiety
D. nervousness

Answer 30

A. lethargy

Question 31

The LPN in trying to prevent the number of medication errors, would best use strategies such as:

A. carrying the nursing drug handbook to the workplace
B. educating clients about their drugs.
C. keeping a list of the clients’ current drugs in his or her pocket notes
D. adapting hospital policies to meet the client’s needs.

Answer 31

B. educating clients about their drugs.

Question 32

A nurse should be interrupted if she is giving which high alert drug without double checking the dose with a second person:

A. a concentrated electrolyte solution
B. an anti-infective drug
C. an analgesic
D. a transdermal patch

Answer 32

A. a concentrated electrolyte solution

Question 33

The nurse, administering a capsule that has a soft outer gelatin coating, knows that inside the drug is in the form of:

A. liquid
B. sprinkles
C. granules
D. powder

Answer 33

A. liquid

Question 34

The client complains of pain at the IV site. The nurse finds redness and swelling. What action should she take:

A. slow down the IV
B. remove the IV
C. apply a warm compress
D. irrigate the IV

Answer 34

B. remove the IV