NURS 325 Exam 2 Review Questions
and Complete Solutions
A nurse instructs a patient to close the eyes after the administration of eye drops. Which
rationale for this instruction should the nurse explain to the patient?
1. Limits corneal irritation
2. Squeeze excess medication from the eyes
3. Disperses the medication over the eyeballs
4. Prevents medication from from entering the lacrimal duct ✅Disperses the
medication over the eyeballs
How often should "docusate sodium 100 MG PO bid" be given?
1. Three times a day
2. Two times a day
3. Every other day
4. At bedtime ✅Two times a day
A nurse is preparing to reconstitute a medication in a multiple-dose vial. Which is the
most essential step in the preparation of this medication?
1. Instilling an accurate amount of diluent into the vial
2. Using a filtered needle when drawing up the medication from the vial
3. Instilling air into the vial before withdrawing the reconstituted solution
4. Wiping the rubber seal of the vial with alcohol before and after each needle insertion
✅Instilling an accurate amount of diluent into the vial
Which characteristic is associated with a subcutaneous injection of 5,000 units of
heparin ?
1. 3-ml syringe
2. 22 gauge needle
3. 1 1/2 inch needle length
4. 90 degree angle of insertion ✅90 degree angle of insertion
A primary health-care provider prescribes a medication that must be administered via
the intramuscular route. Which site should the nurse eliminate from consideration
because it has the highest potential for injury when administering an intramuscular
injection?
1. vastus lateralis
2. rectus femoris
3. ventrogluteal
,4. dorsogluteal ✅dorsogluteal
A home-care nurse observes the spouse of a patient inserting a rectal suppository.
Which behavior indicates that the nurse must provide further teaching about suppository
administration?
1. Lubricates the tip of the suppository
2. Inserts the suppository while wearing a glove
3. Inserts the suppository while the patient bears down
4. Places the suppository a finger length into the rectum ✅Inserts the suppository while
the patient bears down
Which information about a parenteral medication indicates that the nurse should use a
filtered needle when preparing the medication?
1. Has to be reconstituted
2. Is supplied in an ampule
3. Appears cloudy in the vial
4. Is to be mixed with another medication ✅Is supplied in an ampule
Which should the nurse use when administering a subcutaneous injection?
1. 5-ml syringe
2. 25-gauge needle
3. tuberculin syringe
4. 11/2-inch-long needle ✅25 gauge needle
When the nurse brings pills to a patient, the patient is unable to hold the paper cup with
the medications. Which should the nurse do ?
1. Crush the pills and mix them with applesauce
2. Use the paper cup to introduce the pills into the patient's mouth
3. Have the primary health-care provider prescribe the liquid form of the drug
4. Put the pills into the patient's hand and have the patient self-administer the pills
✅Use the paper cup to introduce the pills into the patient's mouth
Which route is inappropriate for a topical medication?
1. Interdermal
2. Bladder
3. Rectum
4. Vagina ✅Interdermal
A nurse holds a bottle with the label next to the palm of the hand when pouring a liquid
medication. What is the rationale for this action?
,1. Prevent the soiling of the label by spilled liquid.
2. Conceal the label from the curiosity of others
3. Ensure the accuracy of the measurement of the dose
4. Guarantee the label is read before the pouring the liquid ✅Prevent the soiling of the
label by spilled liquid
A primary health-care provider prescribes a medicated powder to be applied to a
patient's lower leg. Which is most essential for the nurse to do when applying the
medicated powder ?
1. Apply a thin layer in the direction of hair growth
2. Protect the patient's face with a towel
3. Dress the area with dry sterile gauze
4. Ensure that the skin surface is dry ✅Ensure the skin surface is dry
A nurse must administer a medication that is supplied in an ampule. Which should the
nurse do first to access the ampule ?
1. Inject the same amount of air as the fluid to be removed
2. Wipe the constricted neck with an alcohol swab
3. Break the constricted neck using a barrier
4. Insert the needle into the rubber seal ✅Break the constricted neck using a barrier
A nurse must administer medication into the ear of an adult. Which should the nurse do
to limit patient discomfort when administering ear drops?
1. Warm the solution to the body temperature
2. Place the patient in a comfortable position
3. Pull the pinna of the ear upward and backward
4. Instill the fluid in the center of the auditory canal ✅Warm the solution to body
temperature
A nurse instructs a patient to inhale deeply and hold each breath for a second when
using a hand-held nebulizer. The patient asks, "Why do I have to hold my breath ?"
Which information should the nurse include in the response to the patient's question?
1. "It prolongs treatment"
2. "It limits hyperventilation"
3. "It disperses the medication"
4. "It prevents bronchial spasms" ✅It limits hyperventilation
Which abbreviation indicates that the primary health-care provider wants a medication
administered before meals ?
1. p.c.
2. OD
3.PO
, 4. ac ✅ac
A home-care nurse is helping a patient with short-term memory loss with how to
remember to take multiple drugs throughout the day. Which should the nurse do when
teaching this patient ?
1. Suggest that the patient wear a watch with an alarm
2. Ask a family member to call the patient when medications are to be taken
3. Design a chart of the medications the patient takes each day during the week
4. Instruct the patient to put medications in a weekly organizational pill container
✅Instruct the patient to put medications in a weekly organizational pill container
Which action should be implemented by the nurse when a medication is delivered by
the Z-track method ?
1. Use a special syringe designed for Z-track injections
2. Pull the skin laterally away from the injection site before inserting the needle
3. Administer the injection in the muscle on the anterolateral aspect of the thigh
4. Insert the needle in a separate spot for each dose on a Z shaped grid on the
abdomen ✅pull the skin laterally away from the injection site before inserting the
needle
A nurse must reconstitute a powdered medication. Which action should the nurse
implement?
1. Keep the needle below the initial fluid level as the rest of the fluid is injected
2. Instill the solvent that is consistent with the manufacturer's directions
3. Score the neck of the ampule before breaking it
4. Shake the vial to dissolve the powder ✅Instill the solvent that is consistent with the
manufacturer's directions
The primary health-care provider prescribes a troche. In which part of the body should
the nurse administer the troche ?
1. Ear
2. Eye
3. Mouth
4. Rectum ✅Mouth
Which nursing action is appropriate when administering an analgesic ?
1. Reassess drug effectiveness every eight hours.
2. Follow the prescription exactly for the first twenty-four hours
3. Seek a new prescription after two doses that do not achieve a tolerable level of relief
4. Ask the primary health-care provider to prescribe another medication for
breakthrough pain ✅3. Seek the new prescription after two doses that do not achieve a
tolerable level of relief
and Complete Solutions
A nurse instructs a patient to close the eyes after the administration of eye drops. Which
rationale for this instruction should the nurse explain to the patient?
1. Limits corneal irritation
2. Squeeze excess medication from the eyes
3. Disperses the medication over the eyeballs
4. Prevents medication from from entering the lacrimal duct ✅Disperses the
medication over the eyeballs
How often should "docusate sodium 100 MG PO bid" be given?
1. Three times a day
2. Two times a day
3. Every other day
4. At bedtime ✅Two times a day
A nurse is preparing to reconstitute a medication in a multiple-dose vial. Which is the
most essential step in the preparation of this medication?
1. Instilling an accurate amount of diluent into the vial
2. Using a filtered needle when drawing up the medication from the vial
3. Instilling air into the vial before withdrawing the reconstituted solution
4. Wiping the rubber seal of the vial with alcohol before and after each needle insertion
✅Instilling an accurate amount of diluent into the vial
Which characteristic is associated with a subcutaneous injection of 5,000 units of
heparin ?
1. 3-ml syringe
2. 22 gauge needle
3. 1 1/2 inch needle length
4. 90 degree angle of insertion ✅90 degree angle of insertion
A primary health-care provider prescribes a medication that must be administered via
the intramuscular route. Which site should the nurse eliminate from consideration
because it has the highest potential for injury when administering an intramuscular
injection?
1. vastus lateralis
2. rectus femoris
3. ventrogluteal
,4. dorsogluteal ✅dorsogluteal
A home-care nurse observes the spouse of a patient inserting a rectal suppository.
Which behavior indicates that the nurse must provide further teaching about suppository
administration?
1. Lubricates the tip of the suppository
2. Inserts the suppository while wearing a glove
3. Inserts the suppository while the patient bears down
4. Places the suppository a finger length into the rectum ✅Inserts the suppository while
the patient bears down
Which information about a parenteral medication indicates that the nurse should use a
filtered needle when preparing the medication?
1. Has to be reconstituted
2. Is supplied in an ampule
3. Appears cloudy in the vial
4. Is to be mixed with another medication ✅Is supplied in an ampule
Which should the nurse use when administering a subcutaneous injection?
1. 5-ml syringe
2. 25-gauge needle
3. tuberculin syringe
4. 11/2-inch-long needle ✅25 gauge needle
When the nurse brings pills to a patient, the patient is unable to hold the paper cup with
the medications. Which should the nurse do ?
1. Crush the pills and mix them with applesauce
2. Use the paper cup to introduce the pills into the patient's mouth
3. Have the primary health-care provider prescribe the liquid form of the drug
4. Put the pills into the patient's hand and have the patient self-administer the pills
✅Use the paper cup to introduce the pills into the patient's mouth
Which route is inappropriate for a topical medication?
1. Interdermal
2. Bladder
3. Rectum
4. Vagina ✅Interdermal
A nurse holds a bottle with the label next to the palm of the hand when pouring a liquid
medication. What is the rationale for this action?
,1. Prevent the soiling of the label by spilled liquid.
2. Conceal the label from the curiosity of others
3. Ensure the accuracy of the measurement of the dose
4. Guarantee the label is read before the pouring the liquid ✅Prevent the soiling of the
label by spilled liquid
A primary health-care provider prescribes a medicated powder to be applied to a
patient's lower leg. Which is most essential for the nurse to do when applying the
medicated powder ?
1. Apply a thin layer in the direction of hair growth
2. Protect the patient's face with a towel
3. Dress the area with dry sterile gauze
4. Ensure that the skin surface is dry ✅Ensure the skin surface is dry
A nurse must administer a medication that is supplied in an ampule. Which should the
nurse do first to access the ampule ?
1. Inject the same amount of air as the fluid to be removed
2. Wipe the constricted neck with an alcohol swab
3. Break the constricted neck using a barrier
4. Insert the needle into the rubber seal ✅Break the constricted neck using a barrier
A nurse must administer medication into the ear of an adult. Which should the nurse do
to limit patient discomfort when administering ear drops?
1. Warm the solution to the body temperature
2. Place the patient in a comfortable position
3. Pull the pinna of the ear upward and backward
4. Instill the fluid in the center of the auditory canal ✅Warm the solution to body
temperature
A nurse instructs a patient to inhale deeply and hold each breath for a second when
using a hand-held nebulizer. The patient asks, "Why do I have to hold my breath ?"
Which information should the nurse include in the response to the patient's question?
1. "It prolongs treatment"
2. "It limits hyperventilation"
3. "It disperses the medication"
4. "It prevents bronchial spasms" ✅It limits hyperventilation
Which abbreviation indicates that the primary health-care provider wants a medication
administered before meals ?
1. p.c.
2. OD
3.PO
, 4. ac ✅ac
A home-care nurse is helping a patient with short-term memory loss with how to
remember to take multiple drugs throughout the day. Which should the nurse do when
teaching this patient ?
1. Suggest that the patient wear a watch with an alarm
2. Ask a family member to call the patient when medications are to be taken
3. Design a chart of the medications the patient takes each day during the week
4. Instruct the patient to put medications in a weekly organizational pill container
✅Instruct the patient to put medications in a weekly organizational pill container
Which action should be implemented by the nurse when a medication is delivered by
the Z-track method ?
1. Use a special syringe designed for Z-track injections
2. Pull the skin laterally away from the injection site before inserting the needle
3. Administer the injection in the muscle on the anterolateral aspect of the thigh
4. Insert the needle in a separate spot for each dose on a Z shaped grid on the
abdomen ✅pull the skin laterally away from the injection site before inserting the
needle
A nurse must reconstitute a powdered medication. Which action should the nurse
implement?
1. Keep the needle below the initial fluid level as the rest of the fluid is injected
2. Instill the solvent that is consistent with the manufacturer's directions
3. Score the neck of the ampule before breaking it
4. Shake the vial to dissolve the powder ✅Instill the solvent that is consistent with the
manufacturer's directions
The primary health-care provider prescribes a troche. In which part of the body should
the nurse administer the troche ?
1. Ear
2. Eye
3. Mouth
4. Rectum ✅Mouth
Which nursing action is appropriate when administering an analgesic ?
1. Reassess drug effectiveness every eight hours.
2. Follow the prescription exactly for the first twenty-four hours
3. Seek a new prescription after two doses that do not achieve a tolerable level of relief
4. Ask the primary health-care provider to prescribe another medication for
breakthrough pain ✅3. Seek the new prescription after two doses that do not achieve a
tolerable level of relief
