250 Practice Questions and Answers 2026 update
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250 QUESTIONS b
bA provider prescribes phenobarbital for a client who has a seizure disorder. The medication
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has a long half-
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life of 4 days. How many times per day should the nurse expect to administer this medication
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?
A. One
B. Two
C. Three
D. Fourb-bANS>>A.bOne
(Medications with long half- b b b
lives remain at their therapeutic levels between doses for long periods of time. The nurse shou
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ld expect to administer this medication once a day.)
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A staff educator is reviewing medication dosages and factors that influence medication meta
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bolism with a group of nurses at an in-
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service presentation. Which of the following factors should the educator include as a reason to
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administer lower medication dosages? (Select all that apply.)
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A. Increasedbrenalbsecretion
B. Increasedbmedication-metabolizingbenzymes
C. Liverbfailure
D. Peripheralbvascularbdisease
E. Concurrentbusebofbmedicationbthebsamebpathwaybmetabolizesb-bANS>>C.bLiverbfailure
E. Concurrent use of medication the same pathway metabolizes
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,C. Liver failure decreases metabolism and thus increases the concentration of a medication. Th
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is requires decreasing the dosage.
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E. When the same pathway metabolizes two medications, they compete for metabolism, there
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by increasing the concentration of one or both medications. This requires decreasing the dos
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age of one or both
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A nurse is preparing to administer eye drops to a client. Which of the following actions shoul
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d the nurse take? (Select all that apply.)
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A. Havebthebclientbliebonbherbside.
B. Askbthebclientbtoblookbupbatbthebceiling.
C. Tellbthebclientbtobblinkbwhenbthebdropsbenterbherbeye.
D. Dropbthebmedicationbintobthebcenterbofbthebclient'sbconjunctivalbsac.
E. Instructbthebclientbtobclosebherbeyebgentlybafterbinstillationb -
b ANS>>B. Ask the client to look up at the ceiling.
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D. Drop the medication into the center of the client's conjunctival sac.
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E. Instruct the client to close her eye gently after instillation
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(B. The client should look upward to keep the drops from falling onto her cornea.
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D. The nurse should drop the medication into the
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b center of the conjunctival sac to promote distrib
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ution.
E. The client should close her eye gently to promote distribution of the medication)
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A nurse is completing discharge teaching for a client who has a new prescription for transderm
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al patches. Which of the following statements should the nurse identify as an indication that t
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he client understands the instructions?
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A. "I will clean the site with an alcohol swab before I apply the patch."
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B. "I will rotate the application sites weekly."
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C. "I will apply the patch to an area of skin with no hair."
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D. "I will place the new patch on the site of the old patch. -
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ANS>>C. "I will apply the patch to an area of skin with no hair."
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30b/b36
,(The client should apply the patch to a hairless area of skin to promote absorption of the medi
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cation.)
A nurse reviewing a client's medical record notes a new prescription for verifying the trough
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level of the client's medication. Which of the following actions should the nurse take?
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31b/b36
, A. Obtainbabbloodbspecimenbimmediatelybpriorbtobadministeringbthebnextbdosebofbmedication.
B. Verifybthatbthebclientbhasbbeenbtakingbthebmedicationbforb24bhrbbeforebobtainingbabbloodbspeci
men.
C. Askbthebclientbtobprovidebaburinebspecimenbafterbthebnextbdosebofbmedication.
D. Administerbthebmedication,andbobtainbabbloodbspecimenb30bminblateb-
ANS>>A. Obtain a blood specimen immediately prior to administering the next dose of medic
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ation.
(To verify trough levels of a medication, the nurse should obtain a blood specimen immediatel
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y before administering the next dose of medication.)
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A nurse is preparing a client's medications. Which of the following actions should the nurs
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e take in following legal practice guidelines? (Select all that apply.)
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A. Maintainbskillbcompetency.
B. Determinebthebdosage.
C. Monitorbforbadversebeffects.
D. Safeguardbmedications.
E. Identifybthebclient'sbdiagnosisb-bANS>>A.bMaintainbskillbcompetency.
C. Monitor for adverse effects.
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D. Safeguard medications.b b
(A.maintainingskill competency and using appropriate administration
techniques are legal responsibilities of the nurse b b b b
C. A nurse is legally responsible for monitoring for side and adverse effects of medication
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D. Safeguarding of medications, such as controlled substances, is a legal responsibility of the n
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urse)
A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO on
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ce every day. The nurse should identify this as which of the following types of prescription?
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A. Single b
32b/b36