NR 224 FUNDAMENTALS
NR 224 FUNDAMENTALS FINAL EXAM QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
A nurse knows that patient education has been effective when the patient states
ANS >> “I will rotate the location where I give myself injections."
Which statement by the patient is an indication to use the Z-track method? ANS
>> “The last shot like that turned my skin colours."
A 2-year-old child is ordered to have ear irrigation performed daily. The nurse
correctly performs the procedure by ANS >> Pulling the auricle down and back to
straighten the ear canal.
A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-
100 syringe. How many units should the nurse draw up in the syringe and
administer? ANS >> 20 units
,NR 224 FUNDAMENTALS
A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-
100 syringe. How many units should the nurse draw up in the syringe and
administer? ANS >> 0.4 mL
The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the
ideal time to draw a trough level is ANS >> 0830.
A patient who has been receiving intermittent chemotherapy through a peripheral
IV site is ordered to receive a high dose of vancomycin through the same vein.
Why does this concern the nurse? ANS >> Chemotherapy is irritating to the
vascular system and may cause the vein to infiltrate.
A physician orders 1000 mL of normal saline to infuse at a rate of 50 mL/hr. The
nurse plans on hanging a new bag at what time? ANS >> 20 hours
The nurse is preparing to administer a 0.5-mL rabies vaccine into the deltoid
muscle of a patient. Which needle size is best for the procedure? ANS >> 25-
gauge x 5/8 inch
The nurse knows that the purpose of aspiration on IM injections is to ANS >>
Ensure proper placement of the needle.
The nurse is giving an IM injection. Upon aspiration, the nurse notices blood
return in the syringe. What should the nurse do? ANS >> Withdraw the needle
and prepare the injection again.
, NR 224 FUNDAMENTALS
The nurse is planning to administer a tuberculin test with a 27-gauge, 3/8-inch
needle. The nurse should insert the needle at an angle of _____ degrees. ANS >>
15
The nurse knows to assess for signs of medication toxicity within older adults
because of which physiological change? ANS >> Reduced glomerular filtration
A registered nurse interprets that a scribbled medication order reads 25 mg. The
nurse administers 25 mg of the medication to a patient, and then discovers that
the dose was incorrectly interpreted and should have been 15 mg. Who is
ultimately responsible for the error? ANS >> Nurse
A patient is to receive medication through a nasogastric tube. What is the most
important nursing action to ensure effective absorption? ANS >> Clamp suction
for 30 to 60 minutes after medication administration.
Aspirin is an analgesic, antipyretic, antiplatelet, and anti-inflammatory agent. A
physician writes for aspirin 650 mg every 4 to 6 hours prn: febrile. For which
patient would this order be appropriate? ANS >> 62-year-old female with
pneumonia
A patient is in need of immediate pain relief for a severe headache. The nurse
knows that which medication will be absorbed the quickest? ANS >>
Hydromorphone (Deluded) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this, the nurse anticipates
that the medication will be administered by which route? ANS >> Oral
NR 224 FUNDAMENTALS FINAL EXAM QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
A nurse knows that patient education has been effective when the patient states
ANS >> “I will rotate the location where I give myself injections."
Which statement by the patient is an indication to use the Z-track method? ANS
>> “The last shot like that turned my skin colours."
A 2-year-old child is ordered to have ear irrigation performed daily. The nurse
correctly performs the procedure by ANS >> Pulling the auricle down and back to
straighten the ear canal.
A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-
100 syringe. How many units should the nurse draw up in the syringe and
administer? ANS >> 20 units
,NR 224 FUNDAMENTALS
A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-
100 syringe. How many units should the nurse draw up in the syringe and
administer? ANS >> 0.4 mL
The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the
ideal time to draw a trough level is ANS >> 0830.
A patient who has been receiving intermittent chemotherapy through a peripheral
IV site is ordered to receive a high dose of vancomycin through the same vein.
Why does this concern the nurse? ANS >> Chemotherapy is irritating to the
vascular system and may cause the vein to infiltrate.
A physician orders 1000 mL of normal saline to infuse at a rate of 50 mL/hr. The
nurse plans on hanging a new bag at what time? ANS >> 20 hours
The nurse is preparing to administer a 0.5-mL rabies vaccine into the deltoid
muscle of a patient. Which needle size is best for the procedure? ANS >> 25-
gauge x 5/8 inch
The nurse knows that the purpose of aspiration on IM injections is to ANS >>
Ensure proper placement of the needle.
The nurse is giving an IM injection. Upon aspiration, the nurse notices blood
return in the syringe. What should the nurse do? ANS >> Withdraw the needle
and prepare the injection again.
, NR 224 FUNDAMENTALS
The nurse is planning to administer a tuberculin test with a 27-gauge, 3/8-inch
needle. The nurse should insert the needle at an angle of _____ degrees. ANS >>
15
The nurse knows to assess for signs of medication toxicity within older adults
because of which physiological change? ANS >> Reduced glomerular filtration
A registered nurse interprets that a scribbled medication order reads 25 mg. The
nurse administers 25 mg of the medication to a patient, and then discovers that
the dose was incorrectly interpreted and should have been 15 mg. Who is
ultimately responsible for the error? ANS >> Nurse
A patient is to receive medication through a nasogastric tube. What is the most
important nursing action to ensure effective absorption? ANS >> Clamp suction
for 30 to 60 minutes after medication administration.
Aspirin is an analgesic, antipyretic, antiplatelet, and anti-inflammatory agent. A
physician writes for aspirin 650 mg every 4 to 6 hours prn: febrile. For which
patient would this order be appropriate? ANS >> 62-year-old female with
pneumonia
A patient is in need of immediate pain relief for a severe headache. The nurse
knows that which medication will be absorbed the quickest? ANS >>
Hydromorphone (Deluded) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this, the nurse anticipates
that the medication will be administered by which route? ANS >> Oral
