NS 309 Final Exam Practice Questions &
Answers(All you need for your exam)
The client is receiving vancomycin. A peak and trough level is ordered for the dose the
nurse is administering. Which priority intervention should the nurse implement?
A. Monitor the amino glycoside peak level
B. Determine if the trough level has been drawn
C. Ask the client if he has had any diarrhea
D. Check the client's culture and sensitivity report
B. Determine if the trough level has been drawn
The client with type 2 diabetes is prescribed glyburide. Which statement indicates the
client understands the medication teaching.
A. "There are no side effects that I need to worry about."
B. "This medication will make my muscles absorb insulin."
C. "I should carry some hard candy when I go walking."
D. "I must take my insulin injection every morning."
C. "I should carry some hard candy when I go walking."
The client glucose reading is 380 mg/dL. How many units should the nurse administer?
GLUCOMETER READING // UNITS OF INSULIN
<150= 0
151-250= 5
251-350= 8
351-450= 10
10 Units of insulin
The nurse administers 18 units of humulin N at 1630. Which priority intervention should
the nurse implement?
A. Monitor the client's hemoglobin A1C
B. Make sure the client eats the evening meal
C. Ensure that the client eats a snack
D. Check the A1C blood glucometer reading
B. Make sure the client eats the evening meal
The nurse administering the following 1800 medications. Which medication should the
nurse question before administering?
A. The sliding-scale insulin to the client who has just been released to have the evening
meal.
B. Metformin to the client having a CT scan in the morning
C. Protonix to the client diagnosed w/ peptic ulcer disease
D. The antibiotic to the client who is one day post-op expiratory abdominal surgery
, B. Metformin to the client having a CT scan in the morning
The nurse is administering insulin glargine to the client at 2200. The nurse asks the
charge nurse to check the dosage. Which action should the charge nurse implement?
A. Have the nurse notify the health care provider
B. Ask the nurse why the insulin is being given late
C. Instruct the nurse to complete a medication error form
D. Check the MAR with the dosage in the syringe
B. Ask the nurse why the insulin is being given late
The nurse is preparing to administer Synthroid to a client. Which assessment data
would indicate the client is receiving too much medication?
A. Bradypnea and weight gain
B. Irritability and tachycardia
C. Lethargy and hypotension
D. Normothermia and constipation
B. Irritability and tachycardia
The nurse administered an IV broad spectrum antibiotic scheduled every 6 hours to the
client at 0800. At 1000 the culture and sensitivity prompted the HCP to change the IV
antibiotic. When should the nurse administer the new medication?
A. Administer the dose within one hour of the order
B. Schedule the dose for the next day
C. Check with the HCP to determine when to start
D. Schedule the dose for 1400
C. Check with the HCP to determine when to start
The HCP has ordered an intramuscular antibiotic. After reconstituting the medication the
clinic nurse must administer 4.8 mL of the medication. Which action should the nurse
implement first when administering this medication?
A. Administer the medication in the gluteal muscle
B. Divide the medication and give 2.4 mL in each hip
C. Inform the HCP that this is toom uch medication
D. Discard the medication in the sharps container
B. Divide the medication and give 2.4 mL in each hip **
A client calls a clinic to renew prescription for insulin being administered subcutaneously
via insulin pump. Which insulin type if prescribed by a physician, should the nurse
question?
A. Insulin lispro
B. Insulin gluisine
C. Insulin aspart
D. Insulin glargine
D. Insulin glargine
Exenatide is prescribed for a client with type 2 diabetes in addition to a combination of
metformin and glyburide.
Answers(All you need for your exam)
The client is receiving vancomycin. A peak and trough level is ordered for the dose the
nurse is administering. Which priority intervention should the nurse implement?
A. Monitor the amino glycoside peak level
B. Determine if the trough level has been drawn
C. Ask the client if he has had any diarrhea
D. Check the client's culture and sensitivity report
B. Determine if the trough level has been drawn
The client with type 2 diabetes is prescribed glyburide. Which statement indicates the
client understands the medication teaching.
A. "There are no side effects that I need to worry about."
B. "This medication will make my muscles absorb insulin."
C. "I should carry some hard candy when I go walking."
D. "I must take my insulin injection every morning."
C. "I should carry some hard candy when I go walking."
The client glucose reading is 380 mg/dL. How many units should the nurse administer?
GLUCOMETER READING // UNITS OF INSULIN
<150= 0
151-250= 5
251-350= 8
351-450= 10
10 Units of insulin
The nurse administers 18 units of humulin N at 1630. Which priority intervention should
the nurse implement?
A. Monitor the client's hemoglobin A1C
B. Make sure the client eats the evening meal
C. Ensure that the client eats a snack
D. Check the A1C blood glucometer reading
B. Make sure the client eats the evening meal
The nurse administering the following 1800 medications. Which medication should the
nurse question before administering?
A. The sliding-scale insulin to the client who has just been released to have the evening
meal.
B. Metformin to the client having a CT scan in the morning
C. Protonix to the client diagnosed w/ peptic ulcer disease
D. The antibiotic to the client who is one day post-op expiratory abdominal surgery
, B. Metformin to the client having a CT scan in the morning
The nurse is administering insulin glargine to the client at 2200. The nurse asks the
charge nurse to check the dosage. Which action should the charge nurse implement?
A. Have the nurse notify the health care provider
B. Ask the nurse why the insulin is being given late
C. Instruct the nurse to complete a medication error form
D. Check the MAR with the dosage in the syringe
B. Ask the nurse why the insulin is being given late
The nurse is preparing to administer Synthroid to a client. Which assessment data
would indicate the client is receiving too much medication?
A. Bradypnea and weight gain
B. Irritability and tachycardia
C. Lethargy and hypotension
D. Normothermia and constipation
B. Irritability and tachycardia
The nurse administered an IV broad spectrum antibiotic scheduled every 6 hours to the
client at 0800. At 1000 the culture and sensitivity prompted the HCP to change the IV
antibiotic. When should the nurse administer the new medication?
A. Administer the dose within one hour of the order
B. Schedule the dose for the next day
C. Check with the HCP to determine when to start
D. Schedule the dose for 1400
C. Check with the HCP to determine when to start
The HCP has ordered an intramuscular antibiotic. After reconstituting the medication the
clinic nurse must administer 4.8 mL of the medication. Which action should the nurse
implement first when administering this medication?
A. Administer the medication in the gluteal muscle
B. Divide the medication and give 2.4 mL in each hip
C. Inform the HCP that this is toom uch medication
D. Discard the medication in the sharps container
B. Divide the medication and give 2.4 mL in each hip **
A client calls a clinic to renew prescription for insulin being administered subcutaneously
via insulin pump. Which insulin type if prescribed by a physician, should the nurse
question?
A. Insulin lispro
B. Insulin gluisine
C. Insulin aspart
D. Insulin glargine
D. Insulin glargine
Exenatide is prescribed for a client with type 2 diabetes in addition to a combination of
metformin and glyburide.
