and Answers Study Guide
You are a new graduate nurse completing your orientation on a very busy intensive care unit.
You cannot read a health care provider's order for one of your patient's medications. You have
heard from more experienced nurses that this health care provider does not like to be called,
and you know that another of the health care provider's patients is very unstable. What is the
most appropriate next step for you to take?
1. Call the health care provider to clarify the order
2. Talk with your preceptor to help you interpret the order
3. Refer to a medication manual before giving the medication
4. Use your best judgment and critical thinking and administer the dose you think the health
care provider ordered - ✔✔1. Call the health care provider to clarify the order
A toddler is to receive 2.5 mL of an antipyretic by mouth. Which equipment is the most
appropriate for medication administration for this child?
1. A medication cup
2. A teaspoon
3. A 5-mL syringe
4. An oral-dosing syringe - ✔✔4. An oral-dosing syringe
,What statement made by a 4-year-old patient's mother indicates that she understands how to
administer her son's eardrops?
1. "To straighten his ear canal, I need to pull the outside part of his ear down and back."
2. "I need to straighten his ear canal before administering the medication by pulling his ear
upward and outward."
3. "I need to put my son in a chair and make sure that he's sitting up with his head tilted back
before I give him the eardrops."
4. "After I'm done giving him his eardrops, I need to make sure that my son remains sitting
straight up for at least 10 minutes." - ✔✔2. "I need to straighten his ear canal before
administering the medication by pulling his ear upward and outward."
A health care provider ordered enalapril (Vasotec) 2 mg IV push for a patient with hypertension.
The pharmacy sent vials marked 1.25 mg enalapril/mL. How many mL does the nurse
administer? ___ mL - ✔✔1.6 mL
A nurse admits a 72-year-old patient with a medical history of hypertension, heart failure, renal
failure, and depression to a general medical patient care unit. The nurse reviews the patient's
medication orders and notes that the patient has three health care providers who have ordered
a total of 13 medications. What is the most appropriate action for the nurse to take next?
1. Give the medications after identifying the patient using two patient identifiers
2. Provide medication education to the patient to help with adherence to the medical plan
,3. Review the list of medications with the health care providers to ensure that the patient needs
all 13 medications
4. Set up a medication schedule for the patient that is least disruptive to the expected
treatment schedule in the hospital - ✔✔3. Review the list of medications with the health care
providers to ensure that the patient needs all 13 medications
The nurse is administering an intravenous (IV) push medication to a patient who has a
compatible IV fluid running through intravenous tubing. Place the following steps in the
appropriate order.
1. Release tubing and inject medication within amount of time recommended by agency policy,
pharmacist, or medication reference manual. Use watch to time administration.
2. Select injection port of intravenous (IV) tubing closest to patient. Whenever possible,
injection port should accept a needleless syringe. Use IV filter if required by medication
reference or agency policy.
3. After injecting medication, release tubing, withdraw syringe, and recheck fluid infusion rate.
4. Connect syringe to port of intravenous (IV) line. Insert needleless tip or small-gauge needle of
syringe containing prepared drug through center of injection port.
5. Clean injection port with antiseptic swab. Allow to dry.
6. Occlude intravenous (I - ✔✔2, 5, 4, 6, 1, 3
A nursing student is administering ampicillin PO. The expiration date on the medication wrapper
was yesterday. What is the appropriate action for the nursing student to take next?
, 1. Ask the nursing professor for advice
2. Return the medication to pharmacy and get another tablet
3. Call the health care provider after discussing this situation with the charge nurse
4. Administer the medication since medications are good for 30 days after their expiration date -
✔✔2. Return the medication to pharmacy and get another tablet
A nursing student is administering medications to a patient through a gastric tube (G-tube).
Which of the following actions taken by the nursing student requires the nursing instructor to
intervene?
1. The nursing student places all the patient's medications in different medicine cups.
2. The nursing student evaluates each medication and holds the tube feeding before
administering a medication that needs to be administered on an empty stomach.
3. The nursing student flushes the tube with 30 mL of water between each medication.
4. The nursing student crushes a nifedipine extended-release tablet and mixes it with water
before administering it. - ✔✔4. The nursing student crushes a nifedipine extended-release
tablet and mixes it with water before administering it.
A pediatric nurse takes a medication to a 12-year-old female patient. The patient tells the nurse
to take it away because she is not going to take it. What is the nurse's next action?