Exam Review

The following medication orders are found in the patient's MAR: Metformin HCI 500 mg PO daily at 0900. Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and 2100. Digoxin .25 mg PO daily at 0900. In reading the medication orders for the 0700-1500 shift, the nurse determines that the priority intervention is to:
A)
Question the metformin HCI order.
B)
Prepare to administer the 0900 medications.
C)
Clarify the digoxin order.
D)
Clarify the hydrochlorothiazide order.
The order is for the patient to take 30 mL of a liquid medication daily. The patient tells the home health nurse that he takes 3 teaspoons every day. Which statement by the nurse is correct?
A)
You are taking the correct amount of medication daily.
B)
You should be taking 2 tablespoons of medication every day.
C)
You should be taking 1 tablespoon of medication daily.
D)
You are taking too much medication every morning.
The nurse is developing a household equivalent measurement conversion chart for the patient. The nurse accurately completes the following chart: Equivalent Measurement 5 mL = 1 teaspoon 15 mL = 3 teaspoon 15 mL =? tablespoon
A)
2
B)
1
C)
4
D)
3
In reviewing the units of measurement in the following charts, the nurse indicates an understanding of the metric system when the nurse states that chart ______ is correct.
A)
Chart C 3 gram = 0.3 kilogram
B)
Chart B 3 gram = 0.003 kilogram
C)
Chart D 3 gram = 30 kilogram
D)
Chart A 3 gram = 3000 kilogram

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Exam Review

The patient has a wound that measures 74 millimeters. The nurse documents that the wound is_ centimeters.
A)
7.4
B)
740
C)
0.74
D)
0.074
The nurse prepares to give 5 mg of a medication, but the vial label reads "10 mg/mL." How many mL should the nurse administer?
A)
0.25 mL
B)
1 mL
C)
0.5 mL
D)
5 mL
A nurse is preparing to administer an oral medication. Which of the following is the priority safety steр?
A)
Ask the patient if they want to take the medication.
B)
Identify the patient using two identifiers.
C)
Tell the patient the medication is safe.
D)
Verify the medication with another nurse.
The nurse is reviewing a drug label with a drug name written with tall man lettering. Which statement indicates that the nurse has a correct understanding of tall man lettering on a drug label?
A)
The tall man lettering helps to quickly identify that the drug is an injectable drug.
B)
The tall man lettering means that this drug contains a boxed warning.
C)
The tall man lettering means this is a high-alert drug.
D)
The tall man lettering helps to distinguish this drug from other drugs that have similar names.

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Exam Review

The nurse reads the following abbreviations. Which abbreviation would the nurse question?
A)
in
B)
tsp
C)
OZS
D)
tbsp
The medication order is to administer 0.1 mL of a drug intradermally. The nurse demonstrates proper administration of the drug when the drug is:
A)
Injected into the top layers of the skin
B)
Inhaled through the mouth or nose
C)
Placed between the gum and lining of the cheek
D)
Given into the muscle
The order is for amoxicillin oral suspension 3 tsp every 12 hours. To help the patient take the medication using a medicine cup with household measurements, the nurse tells the patient that will provide the ordered dose.
A)
2 tablespoons
B)
1 tablespoon
C)
One and one-half tablespoons
D)
One-half tablespoon
The nurse is reviewing a metric to household equivalent measurement conversion chart. Which of the following written equivalent measurements would the nurse question?
A)
15 mL = 3 tsp/1 tbsp
B)
10 mL = 2 tsp
C)
30 mL = 6 tsp
D)
30 mL = ½ OZ

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Exam Review

The nurse reads the following on the heparin drug label: HEPARIN 20,000 USP units per mL 1-mL Multi-Dose Vial The nurse correctly determines:
A)
HEPARIN contains tall man lettering.
B)
HEPARIN is the brand name of the drug.
C)
The vial must be discarded after the first dose regardless of the dose administered.
D)
The vial can be used for the administration of multiple doses.
The medication order is to give 0.5 mg of a drug sublingually. The nurse demonstrates proper administration of the drug when the drug is:
A)
Injected into the subcutaneous tissue
B)
Placed between the gum and lining of the cheek
C)
Placed under the tongue
D)
Inhaled through the nasal mucosa
The nurse informs the patient that 2,000 milliliters of fluid was given during the day shift. The amount that correctly reflects the total liters given is:
A)
0.02
B)
20
C)
2
D)
0.2
The medication order is for 325 mg of an oral suspension twice daily. The nurse correctly indicates that _________grams is the equivalent measurement.
A)
325.0
B)
0.325
C)
32.5
D)
3.25

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Exam Review

A student nurse makes the following statements regarding the units of measurements commonly found on drug labels. Which statement indicates a need for further clarification?
A)
The units of measurement on drug labels help to identify the strength of the drug.
B)
The unit of measurement labeled "unit" expresses the biological activity of the drug.
C)
The mL, L, and meter are units of measurement found in the metric system.
D)
The mEq unit of measurement has the same concentration of solution as the mcg.
The following medication is ordered for the patient: Calcitriol Oral Solution 2 µg PO Daily After reading the order, the nurse initially demonstrates safe practice by
A)
Asking the patient about the daily dose taken at home
B)
Looking up the dose in a drug reference book
C)
Identifying the written components of the medication order
D)
Clarifying the written medication order of 2 µg
The order is for the patient to take 100 mg PO daily. The nurse reads the following label and correctly informs the patient: Azithromycin for Oral Suspension, USP 100 mg per 5 mL 300 mg (15 mL when mixed) FOR ORAL USE ONLY MIXING DIRECTIONS: Shake to loosen powder. Add 9 mL of water to the bottle. After mixing, use within 10 days. SHAKE WELL BEFORE USING. Discard after full dosing is completed.
A)
That every tablespoon has 300 mg of the drug
B)
That every teaspoon has 300 mg of the drug
C)
That they should use a measuring device that accurately measures mL
D)
That they should mix the ordered dose with an 8-oz glass of water
The patient is ordered 25 mg of an oral tablet every 12 hours. The drug bottle lists "50- mg scored tablets" on the label. Which statement, made by the nurse, provides accurate instruction to the patient?
A)
Take one tablet per day.
B)
Take ½ tablet every 12 hours.
C)
Take one tablet twice a day.
D)
Take ½ tablet every morning.

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Exam Review

A patient's medication dose was changed from 0.06 mg to a new dose of 0.054 mg. In reviewing the change in dose, the nurse is correct to inform the patient that:
A)
0.054 mg is more than 0.06 mg.
B)
The new dose is calculated to the thousandths place so it is 10 times greater.
C)
The new dose is about the same as the previous dose of 0.06 mg.
D)
0.054 mg is less than 0.06 mg.
A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The client last received the medication at 2 p.m. Which of the following times is the earliest the nurse can administer the next dose?
A)
1900
B)
1700
C)
1500
D)
2000
The medication administration record (MAR) includes an order for glycopyrrolate oral solution 2 mg twice daily PO. The medication drawer contains glycopyrrolate oral solution labeled "1 mg/5 mL."Which of the following is the correct setup for the drug dosage calculation?
A)
2 mg: 2:: 1 mg: x
B)
2 mg: x mL:: 5 mL: 1 mg
C)
1 mg: 5 mL :: 2 mg: x mL
D)
5 mL: 1 mg:: 2 mg: x mL
Which of the following best describes the "right documentation" of medication administration?
A)
Document the medication before giving it.
B)
Document only if the patient refuses.
C)
Document the medication only if it caused side effects.
D)
Document after the medication is administered.

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