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    Exam Review

    1. The nurse administering Mr. Brown's medication is aware that Tylenol # 3 is a controlled substance. The nurse must ensure that which of the following is completed?
      A)
      Place the wastage into the toilet
      B)
      Complete a count of the medication after preparing Mr. Brown's medication
      C)
      Ensure a narcotic count is completed whenever there is staff shift change
      D)
      Ensure a colleague signs the narcotic record, after telling them you have wasted 1/2 of the pill
    2. The nurse is preparing to administer a narcotic analgesic to Mr. Brown( Morphine) and the inventory count is incorrect. How does the nurse respond?
      A)
      Report the discrepancy immediately after preparing the medication
      B)
      Notify the Doctor and the Pharmacist immediately
      C)
      Stop preparing the medication and notify the appropriate person immediately
      D)
      Continue to pour as the count only needs to be correct at the end of the shift
    3. Mr. Brown is in severe pain and is requesting pain medication before the prn time interval has elapsed. What is the nurse's response?
      A)
      Give the medication early for any pain score greater than 7
      B)
      Call the prescriber and request another option
      C)
      Complete a thorough pain assessment and document immediately after
      D)
      Discuss the situation with Mr. Brown, and tell him you will advocate for alternative pain management when the physician does rounds for the day
    4. When reviewing Mr. Brown's medications the nurse would anticipate an automatic stop order for the following medication classifications?
      A)
      Antibiotics and anticoagulants
      B)
      Narcotics and antibiotics
      C)
      Cardiac and antihypertensives
      D)
      Insulins and controlled drugs
    Page 1 of 10

    Exam Review

    1. Verification of a medication order is the process of
      A)
      Double checking that the client is not allergic to the medication ordered
      B)
      Clarifying the order with the charge nurse
      C)
      Ensuring that the medication ordered has been received by pharmacy
      D)
      Ensuring the medication has been transcribed to the MAR correctly
    2. The nurse is prepared to administer a 1200 hour medication to Mr. Brown and he states that this is not his usual blood pressure medication. How does the nurse respond?
      A)
      Hold the medication until the order has been clarified
      B)
      Explain to Mr. Brown that his physician has ordered the medication and it is best for him to take it
      C)
      Explain the purpose of the medication to Mr. Brown
      D)
      Politely smile and encourage Mr. Brown to take his medications
    3. Prior to administering medications to Mr. Brown, the nurse ensures that he is indeed the right client. When identifying Mr. Brown, which of the following is best practice?
      A)
      Ask the client to state his name and medical record number
      B)
      Check the sign above the bed to the MAR & check the armband
      C)
      Compare the source document to the client's armband & ask him to state his name
      D)
      Call the client by name on MAR and observe his response
    4. The nurse is preparing to administer medications to two patients with the last name "Brown." After the first administration, the nurse realizes that she did not check the identification of the patient before administering medication. Which of the following actions should the nurse complete first?
      A)
      Complete proper documentation of the medication error in the patient's chart
      B)
      Return to the room to check and assess the patient
      C)
      Alert the charge nurse that a medication error has occurred
      D)
      Administer the antidote to the patient immediately
    Page 2 of 10

    Exam Review

    1. When preparing and completing checks on Mr. Brown's medication, the nurse will use which of the following?
      A)
      The worksheet
      B)
      The kardex
      C)
      The Doctor's order
      D)
      The MAR
    2. When administering insulin with an insulin syringe, which of the following is correct?
      A)
      Site of administration is rotated frequently
      B)
      Angle of insertion is always 45 degrees
      C)
      Site is massaged after administration
      D)
      Injection must be given close to the umbilicus
    3. Your nursing instructor asks you to explain methods to reduce the risk of needlestick injury. The nursing instructor would provide further instruction to a student who makes which of the following statements?
      A)
      Wearing gloves prevents needlestick injuries
      B)
      Never force a needle into the sharps disposal
      C)
      Do not recap the needle after giving an injection
      D)
      Use needleless systems when available
    4. A nurse knows that Mr. Robertson's patient education has been effective when he makes which statement regarding his insulin injections?
      A)
      "I must take my parenteral medication with food."
      B)
      "I will rotate the location where I give myself injections."
      C)
      "If I am 30 minutes late taking my medication, I should skip that dose."
      D)
      "Once I start feeling better, I will stop taking my medication."
    Page 3 of 10

    Exam Review

    1. The nurse notes that the allergy section of Mr. Robertson's MAR has not been completed. What are the nurses' responsibilities related to this process?
      A)
      Report the omission to the Doctor
      B)
      Complete this section of the MAR
      C)
      Have a colleague verify Mr. Robertson's allergies
      D)
      Notify pharmacy that the MAR is incorrect and hold all medications
    2. Mr. Robertson refuses to take his prescribed Lasix. How does the nurse respond?
      A)
      Try to convince Mr. Robertson to take the medication
      B)
      Explain to Mr. Robertson the reasons why he is taking the medication
      C)
      Find out why Mr. Robertson does not want to take the medication and document his response
      D)
      Do nothing, as it is the client's right to refuse
    3. The nurse is preparing Mr. Robertson's insulin from a multidose vial. Prior to withdrawing the insulin from the vial the nurse would do which of the following?
      A)
      Vigorously shake the vial
      B)
      Swab the port with a betadine (iodine) swab
      C)
      Carefully snap the neck of the vial off
      D)
      Inject air equal to the amount of insulin required
    4. The nurse has been caring for Mr. Robertson for the past two days. On the third day. the nurse is responsible for administering Mr. Robertson's 0730 insulin. The nurse notes that Mr. Robertson does not have an armband. How should the nurse respond?
      A)
      Proceed with the administration of the medication as the nurse has been caring for Mr. Robertson for the past two days
      B)
      Ask Mr. Robertson to state his full name, home address, phone number and date of birth
      C)
      Verify with a colleague that the client is indeed Mr. Robertson
      D)
      Return to the nursing station and have a new armband made
    Page 4 of 10

    Exam Review

    1. What syringe and needle would the nurse select to administer Mr. Robertson's insulin?
      A)
      Specialized syringe graduated in units
      B)
      Any syringe which has the correct needle length and guage
      C)
      TB Syringe
      D)
      Standard 1mL syringe and 28 gauge needle
    2. Due to the risk of hitting the sciatic nerve, the least favored site for IM injection is which of the following?
      A)
      The ventrogluteal
      B)
      The dorsalgluteal
      C)
      The vastus lateralis
      D)
      The deltoid
    3. The preferred location for Mrs. Westmore's IM injection would be which of the following sites?
      A)
      Abdomen
      B)
      Ventrogluteal
      C)
      Dorsogluteal
      D)
      Deltoid
    4. When giving an IM injection, what is the correct angle of needle insertion?
      A)
      90 degrees
      B)
      45 degrees
      C)
      60 degrees
      D)
      30 degrees
    Page 5 of 10

    Exam Review

    1. The nurse is looking for Mrs. Westmore's Colace in her assigned drawer in the medication cart. The nurse realizes that Colace is a stock drug. Where would the nurse look for this medication?
      A)
      In the client's room, in the bedside table drawer
      B)
      Locked in a separate area on the cart
      C)
      In a common drawer on the cart, or Automatic Dispensing Unit
      D)
      In the fridge
    2. Mrs. Westmore has complained of nausea and vomiting. The nurse is preparing to administer her Gravol IM. Which needle would the nurse select for this injection?
      A)
      1/8" 25 Gauge
      B)
      1 1/2" blunt fill needle
      C)
      1/2" 27 Gauge
      D)
      1" 23 Gauge
    3. The client is due to receive a dose of analgesic. The order indicates a dose of 1.5mg. and the medication is supplied as 7 mg/3 mL. What volume of medication will you prepare? (Please indicate your answer in numbers only, without units)
    4. The client is to receive 4 mg of Maxeran SC (Subcut). Maxeran is available in 10 mg per 2 mL ampules. How many mL does the nurse give?
      A)
      1.5 mL
      B)
      0.4 mL
      C)
      1 mL
      D)
      0.8 mL
    Page 6 of 10