Exam Review
- The nurse is transcribing an order for Ampicillin 500 mg PO t.i.d ac. Which of the following administration schedules would be best for a medication ordered t.i.d ac, if mealtime was 0800, 1200 and 1700?A)0800, 1200, 1800, 2200B)0900, 1300, 1900C)0700, 1100, 1700, 2100D)0700, 1100, 1600
- A client is ordered 500 mg of Augmentin orally three times a day. The pharmacy sends the following to administer the morning dose: How many ml should the nurse administerCorrect Answer:0.7 mL
- The nurse is evaluating the integrity of the vastus lateralis site. The nurse finds the site by locating the:A)Greater trochanter, anterior superior iliac spine, and iliac crestB)Greater trochanter, iliac crest, and posterior superior iliac spineC)Anterior aspect of the upper thighD)Middle third of the lateral thigh
- The physician orders hydromorphone 0.6 mg intramuscularly every 3 hours PRN for pain. The pharmacy sends the following bottle (Read the label below). How many mL will be needed to administer hydromorphone 0.6 mg? Round to the nearest tenth and label your answer.Correct Answer:0.3 mL
Exam Review
- A client is ordered Phenergan 37.5 mg intramuscularly at 0930 for nausea following a colonoscopy. Available is Phenergan 25 mg per mL. What will the nurse give the client with each dose? Round to the nearest tenth if necessary and label your answer.Correct Answer:1.5 mL
- A patient weighs 314lbs. What is the weight in kg (kilograms)? Round to the nearest tenth and label your answer.Correct Answer:142.7 kg
- A client is ordered Enoxaparin subcutaneous for DVT prophylaxis. The physician orders 1.4 mg/kg subcutaneously once daily to be administered. The client weighs 215 pounds. Round to the nearest tenth and label your answer.Correct Answer:136.8 mg
- A student nurse is administering medications with the clinical instructor. The assigned client was started on a new medication this morning. You, as the student nurse, do not know the mechanism of action. In this scenario, which is the best action by the student?A)Stop, verify, and look-up the medication.B)Administer the medication and look it up later.C)Ask the patient about the medication.D)Tell the instructor you have do not have time to look up the medication.
Exam Review
- A client is ordered 0.25 grams of amoxicillin orally three times a day. Available is amoxicillin suspension 125 mg in 5 mL. How many teaspoons will the nurse administer for each dose? Round to the nearest tenth, if necessary, and label your answer.Correct Answer:2 tsp
- A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare?A)1 mL syringe marked in units, 1-inch 16-gauge needleB)1 mL syringe, 3/8-inch 27-gauge needleC)5 mL syringe, 2-inch 20-gauge needleD)10 mL syringe, 3-inch 18-gauge needle
- A client has a prescription for regular insulin (Novolin R). The prescription states: Administer Novolin R insulin before meals and at bedtime based on the client's glucose monitoring results. Blood glucose 71-150: no insulin 151-200: 3 units 201-250: 5 units 251-300: 7 units 301-350: 9 units 351-400: 11 units and call MD The client's blood glucose at 11:30 am is 350 How many units of Novolin R insulin should the nurse administer? Record your answer using a whole number.
- Under what conditions is it most important for the nurse to use a filtered needle when preparing a parenteral medication?A)appears to be cloudy.B)has to be reconstituted with a viscous solution.C)is to be mixed with another medication.D)is supplied in an ampule.
Exam Review
- Your client has the following order on their EHR: Lasix 40 mg daily. What component of this medication order is missing?A)frequencyB)dosageC)medicationD)route
- A client who cannot manage a patient-controlled analgesia pump is prescribed morphine 4 mg intravenously every 1-hour PRN pain. When should the nurse administer the medication?A)Immediately after taking off the orderB)Every hour around the clockC)As needed, but not more than once per hourD)1 hour after the last administered dose
- The physician orders 1000mL of IV fluids to be infused over 11 hours. How many milliliters per hour should the nurse set the IV pump? (Round to the nearest tenth and label your answer)
- A client is ordered to have 350mLs of fluid over 3 hours. What would the hourly rate be set on the IV pump? (Label and round to the nearest tenth and label your answer)
Exam Review
- A client is ordered Phenergan 12.5 mg intramuscularly at 0930 for nausea following a colonoscopy. Available is Phenergan 25 mg per mL. What will the nurse give the client with each dose? Round to the nearest tenth if necessary and label your answer.
- The nurse applies a nitroglycerin patch to a patient's arm to help with heart disease. What route of administration does this demonstrate?A)ParenteralB)BuccalC)TransdermalD)Enteral
- The physician orders Cleocin oral solution to a client who weighs 98 lbs. The manufacturer recommends a safe dose to be 4mg per kg daily. How many mg will the nurse administer to the patient? (round to the nearest tenth and label)
- A client tells the nurse, "This pill is a different color than the one that I usually take at home." Which is the best response by the nurse:A)"Maybe the doctor ordered a different medication."B)"Go ahead and take your medicine."C)"I will leave the pill here while I check with the doctor."D)"I will recheck your medication orders."
Exam Review
- Which of the following action would a nurse be expected to perform when instilling eye drops correctly?A)Squeeze the dropper and allow the prescribed number of drops to fall onto the cornea.B)Always instill 2 drops into the lower eyelid with the client looking up.C)Tilt the client's head back slightly if sitting or place head on a pillow if lying down.D)Do not clean the eyelids.
- Which statement is correct regarding intradermal injections?A)Intradermal injections are given at a 30-45 degree angle.B)Intradermal injections are contraindicated.C)Intradermal injections should form a visible bleb or wheal under the skin.D)Intradermal injections are given using a large gauge needle (18-20 gauge).
- The physician orders 12,500 units of Epogen subcutaneous injection three times a week for anemia. The pharmacy sends the following: (Round to the nearest tenth and label your answer) How many mL should the nurse administer?
- A nursing student is ready to administer a subcutaneous injection to a small framed, 90 pound elderly patient. Which statement by the student nurse ensures correct subcutaneous injection technique of the medication.A)"I will avoid pinching the skin when I administer the injection."B)"I will administer this SQ injection at a 45 degree angle."C)"I will use a 2 inch needle at a 90 degree angle."D)"I will leave the syringe in the patient's room so that the patient can self administer."