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Question 1

1 pts

A nurse is administering a client’s scheduled antihypertensive medication. Which of the following are recommended times to check the label before administration? Select all that apply.

Group of answer choices

When selecting the medication from the client’s medication drawer

Immediately after retrieving the medication from the client’s medication drawer

When comparing with the CMAR immediately after pouring from a multidose container

After pouring the medication, but before taking the medication to the client

After giving the unit dose medication to the client

When documenting administration of the medicine

 

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Question 2

1 pts

A nurse is using the “Rights of Medication Administration” to ensure that the client gets a safe and effective dose of an antibiotic that will be administered by gastric tube. Which of the following are rights that the nurse should confirm? Select all that apply.

Group of answer choices

Medication

Setting

Prescriber

Pharmacy

Collaboration

Assessment

 

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Question 3

1 pts

A nurse is administering pain medication to an 80-year-old man. What altered drug response might be expected due to the client’s age?

Group of answer choices

Decreased gastric pH causing stomach irritation after taking the drug

Increased possibility of drug toxicity due to decreased blood circulation

Increased excretion of drugs, leading to possible toxicity

Increased possibility of drug toxicity due to higher drug plasma concentrations

 

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Question 4

1 pts

Which of the following accurately describes a recommended guideline when administering oral medications to clients?

Group of answer choices

Assume that the client is the authority on whether or not the medication was swallowed.

If a pill is dropped, it should be briefly immersed in saline to remove any dirt or germs.

If a client vomits immediately after receiving oral medications, readminister the medication.

If a child refuses to take medication, crush the medication, if allowable, and add to a small amount of food.

 

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Question 5

1 pts

A nurse is administering medication to a client with a gastrointestinal tube. Which of the following actions should the nurse perform when administering medication using this route?

Group of answer choices

Use solid medications whenever possible.

Crush medications to a fine powder, if allowable, and mix with 15 to 30 mL of water.

Avoid opening capsules to empty into liquid.

Administer a 30- to 60-mL water flush between each individual medication.

 

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Question 6

1 pts

A nurse is administering medication to a client via a gastric tube and the tube becomes clogged. What is the most appropriate intervention in this situation?

Group of answer choices

Remove the tube and replace it with a new tube.

Use a syringe to plunge the tube in an effort to dislodge the medication.

Collaborate with the physician before instituting any corrective interventions.

Wait the prescribed amount of time and attempt to administer the medication again before calling the physician.

 

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Question 7

1 pts

A client’s CMAR states that two medications are due at the same time, both of which are available in vials and are to be administered by injection. What is the nurse’s most appropriate action?

Group of answer choices

Recognize that it is not safe to mix two medications in one syringe.

Page the physician to determine whether the drugs can be mixed.

Determine the compatibility of the two drugs by consulting clinical resources.

Collaborate with the pharmacy to have one of the times changed.

 

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Question 8

1 pts

A nurse is selecting the correct needle to inject a client’s anticoagulant. Which of the following guidelines should inform the nurse’s needle selection?

Group of answer choices

When looking at a needle package, the first number is the length in inches and the second number is the gauge or diameter of the needle.

As the gauge number becomes larger, the size of the needle becomes smaller.

When giving an injection, the amount of the medication directs the choice of needle gauge.

The size of the syringe is dictated by the viscosity of the medication to be given.

 

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Question 9

1 pts

A nurse has administered an ordered intradermal injection to a client. The nurse will likely follow up this intervention in what way?

Group of answer choices

Observe the results of a sensitivity test.

Reassess the client’s pain level in 15 to 30 minutes.

Test the client’s motor skills proximal to the injection site.

Apply anesthetic ointment at the injection site.

 

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Question 10

1 pts

A nurse is administering a client’s analgesic by the subcutaneous route. Which of the following should guide the nurse’s action?

Group of answer choices

Select a site on the inner surface of the forearm or the deltoid muscle.

Inject into the adipose tissue layer just below the epidermis and dermis.

Inject at a 30- to 45-degree angle based on the amount of subcutaneous tissue present.

Pinch firmly if the client is obese.

 

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Question 11

1 pts

A nurse is administering an adult client’s ordered antipsychotic drug intramuscularly. What would be the most appropriate site for administration?

Group of answer choices

Deltoid

Vastus lateralis

Biceps brachii

Scapula

 

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Question 12

1 pts

A nurse is caring for a client with type 1 diabetes who requires a continuous dose of insulin for blood sugar control. Which of the following would be the most effective method of administering this medication?

Group of answer choices

Administer insulin by intravenous bolus or push.

Administer insulin by the intravenous piggyback.

Administer an intermittent intravenous infusion of insulin via a volume-control administration set.

Administer a continuous subcutaneous infusion of insulin.

 

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Question 13

1 pts

A client presenting to the emergency department is diagnosed with a pulmonary embolism. How should the nurse anticipate administering a large initial dose of heparin (anticoagulant) for this client?

Group of answer choices

Administer heparin by intravenous bolus.

Administer a subcutaneous injection of heparin.

Administer an intramuscular injection of heparin.

Administer heparin via a continuous infusion.

 

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Question 14

1 pts

A nurse is carrying out an order to administer a piggyback intermittent intravenous infusion of a client’s antiemetic (anti-nausea medication). What action should the nurse perform when administering this medication?

Group of answer choices

Place the minibag lower than the primary solution container.

Ask the physician to specify the correct infusion rate.

Using clean technique, remove the tubing spike cap and the cap on the port of the medication container.

Attach infusion tubing to the minibag by inserting the tubing spike into the port with a firm push and twisting motion.

 

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Question 15

1 pts

A nurse is preparing to administer a client’s medication via a peripheral venous access device. Before administering the drug, the nurse should do which of the following? Select all that apply?

Group of answer choices

Flush the device with a small amount of normal saline.

Assess the client’s allergy status.

Select an appropriate injection site.

Identify the client according to institutional protocol.

Administer 2 to 3 mL heparin to clear clots from the device.

 

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Question 16

1 pts

A client’s current CMAR includes numerous medications. Which of the following medications is most likely to be administered to the client via a transdermal patch?

Group of answer choices

Antipsychotic medication

Antibiotic

Cardiovascular medication

Antidepressant

 

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Question 17

1 pts

A client with a new diagnosis of glaucoma (increased pressure within the eye) has been prescribed a medication that is to be administered by an eye drop. Which of the following actions should the nurse perform?

Group of answer choices

Apply a few drops of normal saline to the eye to irrigate the eye.

Ask the client to close his eyes for 15 to 30 seconds prior to administration.

Cleanse the tip of the container with an alcohol swab.

Ensure that drops of the medication fall on to the client’s conjunctival sac.

 

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Question 18

1 pts

A nurse instills eardrops into a client’s ear to soften a wax buildup. Which of the following is a guideline the nurse should follow?

Group of answer choices

Pull the pinna down and back for a child over 3 years of age and straight back for an infant or a child younger than 3 years.

Avoid eardrops if the ear canal has swollen to the point that medication cannot pass.

Hold the dropper with its tip resting on the ear.

If both ears are to be treated, wait 5 minutes before instilling drops in the second ear.

 

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Question 19

1 pts

A nurse is applying a vaginal cream to a client with a fungal infection. Which of the following is a recommended guideline for this application?

Group of answer choices

Position the client in a left side-lying position.

Cleanse area at vaginal orifice with washcloth and warm water.

Wipe from the sacrum to the vaginal orifice upward (back to front).

Spread the labia with dominant hand and introduce the applicator gently with the nondominant hand.

 

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Question 20

1 pts

Which of the following is an accurate guideline for client teaching regarding the use of a dry powder inhaler (DPI)?

Group of answer choices

Instruct the client not to directly touch the mouthpiece.

Instruct the client that if mist can be seen from the mouth or nose, the DPI is being used incorrectly.

Instruct the client not to eat or drink for 30 minutes after use.

Instruct the client to breathe in slowly with shallow breaths, over 2 to 3 seconds.

 

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Question 21

1 pts

A nurse is irrigating the ear of an older adult client with an accumulation of ear wax. After beginning to instill the solution, the client cries out in pain and pulls his ear away. What is the nurse’s most appropriate action?

Group of answer choices

Check to see if the solution is sufficiently warm.

Reattempt irrigation at a much slower rate.

Add a small amount of salt to the solution and resume irrigation.

Administer an analgesic and reattempt in 30 minutes.

 

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Question 22

1 pts

A client has been ordered nasal drops, which the nurse will administer. How should the nurse best position the client?

Group of answer choices

Lying flat, with the head extended as much as the client can tolerate

Seated at a 45-degree angle with the nares flared

Supine, with the neck in a neutral position

Upright, with head tilted back

 

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Question 23

1 pts

The nurse has administered a glycerin suppository to a client who has not had a bowel movement for several days. One minute after the nurse inserted the suppository, the client told the nurse that she involuntarily expelled the suppository. What is the nurse’s best action?

Group of answer choices

Report this to the physician and ask if the suppository should be reinserted.

Obtain an order for an oral laxative.

Reinsert the suppository and assist the client into prone position.

Apply more lubricant to the suppository and reinsert it.

 

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Question 24

1 pts

A client with a new diagnosis of asthma has been prescribed a corticosteroid by metered-dose inhaler (MDI). What teaching point should the nurse include in health education?

Group of answer choices

“Wait at least 15 seconds before taking a second puff of your medication.”

“Avoid inhaling too deeply after you take a dose of your medication.”

“Avoid eating or drinking during the 15 minutes before you take a dose.”

“Rinse your mouth with water after each dose of your medication.”

 

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Question 25

1 pts

A client with chronic obstructive pulmonary disease has been prescribed a bronchodilator to be administered by small-volume nebulizer. The nurse should ensure that the client does which of the following actions?

Group of answer choices

Takes rapid, shallow breaths until the medication is complete

Breathes through her mouth until all the medication has been inhaled

Coughs intermittently while the medication is being administered

Rinses her mouth with water before the medication is administered

SCIENCE
HEALTH SCIENCE
NURSING

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