Nursing../223../Final../Exammmmm
1.../A../nurse../instructs../a../client../to../close../the../eyes../gently../after../administratio
n../of../eyedrops.../Which../rationale../for../this../instruction../should../the../nurse../ex
plain../to../the../client?../-../correct../answer../3../-
../Disperses../the../medication../over../the../eyeballs../:../Closing../the../eyes../moves../t
he../medication../over../the../conjunctiva../an../eyeball../and../helps../ensure../an../eve
n../distribution../of../medication
1.../How../often../should../docusate../sodium../100../milligrams../PO../bid../be../given
?../-../correct../answer../
1.../A../nurse../is../preparing../to../reconstitute../a../medication../in../a../multiple../dose..
/vial.../Which../is../the../most../essential../step../in../the../preparation../of../this../medica
tion?../-../correct../answer../-../1../-
../instilling../an../accurate../amount../of../dilutant../into../the../vial../:../The../required../a
mount../of../the../dilutant../must../be../followed../exactly../in../a../multiple../dose../for
mulation../to../ensure../accurate../dosage../preparation.../The../diluted../for../a../singl
e../dose../formulation../also../must../be../measured../exactly../so../the../medication../is
../diluted../enough../not../to../injure../body../tissues.
- correct../answer../-../4../-
../ ../
../90../degree../angle../of../insertion../:../1/2../inch../length../needle../inserted../at../90../de
gree../angle../will../ensure../that../the../heparin../is../inserted../into../the../subcutaneou
s../tissue.
,1.../A../home../care../nurse../observes../the../spouse../of../a../client../inserting../a../rectal.
./Suppository../into../the../client.../Which../behavior../indicates../that../the../nurse../m
ust../provide../further../teaching../about../the../Suppository../administration?../-
../correct../answer../-../3../-
../insert../the../Suppository../while../the../client../bears../down../:../Bearing../down../inc
reases../intra-
../abdominal../pressure../which../impedes../the../insertion../of../the../Suppository.../T
he../client../should../be../instructed../to../relax../and../breathe../deeply../and../slowly../
while../the../Suppository../is../inserted.
1.../A../Primary../Health../care../provider../prescribes../a../medication../that../must../b
e../administered../via../intramuscular../route../Which../side../should../the../nurse../eli
minate../from../consideration../because../it../has../the../highest../potential../for../injur
y../when../administering../an../intramuscular../injection?../-../correct../answer../-
../4../-
../dorsogluteal../:../The../dorsogluteal../site../has../the../highest../risk../for../injury../bec
ause../of../the../close../proximity../or../the../sciatic../Nerve,../blood../vessel,../and../bon
e.
1.../Which../information../about../the../parenteral../medication../indicates../that../th
e../nurse../should../use../a../filtered../needle../when../preparing../the../medication?../-
../correct../answer../-../2../-
../is../supplied../in../an../ampule../:../The../top../of../an../ampule../must../be../snapped../off..
/at../its../neck../to../access../the../fluid.../A../filtered../needle../prevents../glass../particle
s../from../being../drawn../into../the../syringe.
, 1.../What../should../the../nurse../use../when../administering../a../subcutaneous../injec
tion?../-../correct../answer../-../2../-
../25../gauge../needle../:../Subcutaneous../injection../should../use../a../25../to../a../29../gau
ge../needle,../which../minimizes../tissue../trauma.../The../diameter../of../the../needle../
is../referred../to../as../a../gauge../which../ranges../from../28../(small)../to../14../(large).
1.../When../the../nurse../brings../a../pill../to../a../client,../the../client../is../unable../to../hold..
/the../paper../Cup../with../the../medication.../Which../should../the../nurse../do?../-
../correct../answer../-../1../-
../use../the../Cup../to../introduce../the../pill../to../the../client's../mouth../:../The../client../nee
ds../assistance.../Keeping../medication../in../the../Cup,../rather../than../touching../it../
with../the../hands,../maintains../medical../asepsis.
1.../Which../route../is../inappropriate../for../a../topical../medication?../-
../correct../answer../1../-
../intradermal../:../In../intradermal../injection../is../inserted../below,../not../on../top../of,.
./the../epidermis
1.../A../nurse../holds../a../bottle../with../the../label../next../to../the../palm../of../her../hand../
when../pouring../liquid../medication.../Which../is../the../rationale../for../this../action
?../-../correct../answer../-../1../-
../prevent../soiling../of../the../label../by../spilled../liquid../:../Liquid../medication../may..
/drip../down../the../side../of../the../bottle../and../soil../the../label,../which../may../interfer
e../with../the../ability../to../read../the../label../accurately.
1.../A../nurse../instructs../a../client../to../close../the../eyes../gently../after../administratio
n../of../eyedrops.../Which../rationale../for../this../instruction../should../the../nurse../ex
plain../to../the../client?../-../correct../answer../3../-
../Disperses../the../medication../over../the../eyeballs../:../Closing../the../eyes../moves../t
he../medication../over../the../conjunctiva../an../eyeball../and../helps../ensure../an../eve
n../distribution../of../medication
1.../How../often../should../docusate../sodium../100../milligrams../PO../bid../be../given
?../-../correct../answer../
1.../A../nurse../is../preparing../to../reconstitute../a../medication../in../a../multiple../dose..
/vial.../Which../is../the../most../essential../step../in../the../preparation../of../this../medica
tion?../-../correct../answer../-../1../-
../instilling../an../accurate../amount../of../dilutant../into../the../vial../:../The../required../a
mount../of../the../dilutant../must../be../followed../exactly../in../a../multiple../dose../for
mulation../to../ensure../accurate../dosage../preparation.../The../diluted../for../a../singl
e../dose../formulation../also../must../be../measured../exactly../so../the../medication../is
../diluted../enough../not../to../injure../body../tissues.
- correct../answer../-../4../-
../ ../
../90../degree../angle../of../insertion../:../1/2../inch../length../needle../inserted../at../90../de
gree../angle../will../ensure../that../the../heparin../is../inserted../into../the../subcutaneou
s../tissue.
,1.../A../home../care../nurse../observes../the../spouse../of../a../client../inserting../a../rectal.
./Suppository../into../the../client.../Which../behavior../indicates../that../the../nurse../m
ust../provide../further../teaching../about../the../Suppository../administration?../-
../correct../answer../-../3../-
../insert../the../Suppository../while../the../client../bears../down../:../Bearing../down../inc
reases../intra-
../abdominal../pressure../which../impedes../the../insertion../of../the../Suppository.../T
he../client../should../be../instructed../to../relax../and../breathe../deeply../and../slowly../
while../the../Suppository../is../inserted.
1.../A../Primary../Health../care../provider../prescribes../a../medication../that../must../b
e../administered../via../intramuscular../route../Which../side../should../the../nurse../eli
minate../from../consideration../because../it../has../the../highest../potential../for../injur
y../when../administering../an../intramuscular../injection?../-../correct../answer../-
../4../-
../dorsogluteal../:../The../dorsogluteal../site../has../the../highest../risk../for../injury../bec
ause../of../the../close../proximity../or../the../sciatic../Nerve,../blood../vessel,../and../bon
e.
1.../Which../information../about../the../parenteral../medication../indicates../that../th
e../nurse../should../use../a../filtered../needle../when../preparing../the../medication?../-
../correct../answer../-../2../-
../is../supplied../in../an../ampule../:../The../top../of../an../ampule../must../be../snapped../off..
/at../its../neck../to../access../the../fluid.../A../filtered../needle../prevents../glass../particle
s../from../being../drawn../into../the../syringe.
, 1.../What../should../the../nurse../use../when../administering../a../subcutaneous../injec
tion?../-../correct../answer../-../2../-
../25../gauge../needle../:../Subcutaneous../injection../should../use../a../25../to../a../29../gau
ge../needle,../which../minimizes../tissue../trauma.../The../diameter../of../the../needle../
is../referred../to../as../a../gauge../which../ranges../from../28../(small)../to../14../(large).
1.../When../the../nurse../brings../a../pill../to../a../client,../the../client../is../unable../to../hold..
/the../paper../Cup../with../the../medication.../Which../should../the../nurse../do?../-
../correct../answer../-../1../-
../use../the../Cup../to../introduce../the../pill../to../the../client's../mouth../:../The../client../nee
ds../assistance.../Keeping../medication../in../the../Cup,../rather../than../touching../it../
with../the../hands,../maintains../medical../asepsis.
1.../Which../route../is../inappropriate../for../a../topical../medication?../-
../correct../answer../1../-
../intradermal../:../In../intradermal../injection../is../inserted../below,../not../on../top../of,.
./the../epidermis
1.../A../nurse../holds../a../bottle../with../the../label../next../to../the../palm../of../her../hand../
when../pouring../liquid../medication.../Which../is../the../rationale../for../this../action
?../-../correct../answer../-../1../-
../prevent../soiling../of../the../label../by../spilled../liquid../:../Liquid../medication../may..
/drip../down../the../side../of../the../bottle../and../soil../the../label,../which../may../interfer
e../with../the../ability../to../read../the../label../accurately.
