NR 224 Fundamentals Final Exam Questions With Correct/Verified
Answers {latest 2024/2025}Graded A+
1. A nurse knows that patient education has been effec- "I will rotate the lo-
tive when the patient states cation where I give
myself injections."
2. Which statement by the patient is an indication to use "The last shot like
the Z-track method? that turned my
skin colors."
3. A 2-year-old child is ordered to have ear irrigation Pulling the auricle
performed daily. The nurse correctly performs the down and back to
procedure by straighten the ear
canal.
4. A patient has an order to receive 10 units of U-50 20 units
insulin. The nurse is using a U-100 syringe. How many
units should the nurse draw up in the syringe and
administer?
5. A patient has an order to receive 20 units of U-50 0.4 mL
insulin. The nurse is using a U-100 syringe. How many
units should the nurse draw up in the syringe and
administer?
6. The patient is to receive phenytoin (Dilantin) at 0900. 0830.
The nurse knows that the ideal time to draw a trough
level is
7. A patient who has been receiving intermittent Chemotherapy is
chemotherapy through a peripheral IV site is ordered irritating to the
to receive a high dose of vancomycin through the vascular system
same vein. Why does this concern the nurse? and may cause
the vein to infil-
trate.
8. A physician orders 1000 mL of normal saline to infuse 20 hours
at a rate of 50 mL/hr. The nurse plans on hanging a
new bag at what time?
9. 25 gauge x 5/8
inch
, NR 224 Fundamentals Final
The nurse is preparing to administer a 0.5-mL rabies
vaccine into the deltoid muscle of a patient. Which
needle size is best for the procedure?
10. The nurse knows that the purpose of aspiration on IM Ensure proper
injections is to placement of the
needle.
11. The nurse is giving an IM injection. Upon aspiration, Withdraw the nee-
the nurse notices blood return in the syringe. What dle and pre-
should the nurse do? pare the injection
again.
12. The nurse is planning to administer a tuberculin test 15
with a 27-gauge, 3/8-inch needle. The nurse should
insert the needle at an angle of _____ degrees.
13. The nurse knows to assess for signs of medication Reduced
toxicity within older adults because of which physio- glomerular
logical change? filtration
14. A registered nurse interprets that a scribbled med- Nurse
ication order reads 25 mg. The nurse administers 25
mg of the medication to a patient, and then discovers
that the dose was incorrectly interpreted and should
have been 15 mg. Who is ultimately responsible for
the error?
15. A patient is to receive medication through a nasogas- Clamp suction for
tric tube. What is the most important nursing action 30 to 60 min-
to ensure effective absorption? utes after med-
ication administra-
tion.
16. Aspirin is an analgesic, antipyretic, antiplatelet, and 62-year-old fe-
anti-inflammatory agent. A physician writes for as- male with pneu-
pirin 650 mg every 4 to 6 hours prn: febrile. For which monia
patient would this order be appropriate?
17.
, NR 224 Fundamentals Final
A patient is in need of immediate pain relief for a Hydromorphone
severe headache. The nurse knows that which med- (Dilaudid) 4 mg IV
ication will be absorbed the quickest?
18. A drug requires a low pH to be metabolized. Knowing Oral
this, the nurse anticipates that the medication will be
administered by which route?
19. The nurse knows that an idiosyncratic event with the Falls asleep dur-
stimulant pseudoephedrine (Sudafed) is occurring ing daily activities.
when the patient
20. An order is written for (phenytoin) Dilantin 500 mg IM Call the prescriber
q3-4h prn for pain. The nurse recognizes that treat- to clarify and justi-
ment of pain is not a standard therapeutic indication fy the order.
for this drug. The nurse believes that the prescriber
meant to write for hydromorphone (Dilaudid). What
should the nurse do?
21. A patient needs assistance excreting a gaseous med- Encourage the pa-
ication. What is the correct nursing action? tient to cough and
deep-breathe.
22. A nurse has withdrawn a narcotic from the medica- Return the med-
tion dispenser. Upon checking the drug against the ication to the med-
medication administration record, the nurse notices ication dispenser
that the narcotic order has expired. What should be according to pro-
the nurse's first action? tocol.
23. The nurse knows that patient education about a buc- "I should let the
cal medication has been effective when the patient medication dis-
states solve completely."
24. What is the nurse's priority action to protect a patient Requesting that
from medication error? the prescriber
write out an order,
rather than giving
a verbal order
25.
Answers {latest 2024/2025}Graded A+
1. A nurse knows that patient education has been effec- "I will rotate the lo-
tive when the patient states cation where I give
myself injections."
2. Which statement by the patient is an indication to use "The last shot like
the Z-track method? that turned my
skin colors."
3. A 2-year-old child is ordered to have ear irrigation Pulling the auricle
performed daily. The nurse correctly performs the down and back to
procedure by straighten the ear
canal.
4. A patient has an order to receive 10 units of U-50 20 units
insulin. The nurse is using a U-100 syringe. How many
units should the nurse draw up in the syringe and
administer?
5. A patient has an order to receive 20 units of U-50 0.4 mL
insulin. The nurse is using a U-100 syringe. How many
units should the nurse draw up in the syringe and
administer?
6. The patient is to receive phenytoin (Dilantin) at 0900. 0830.
The nurse knows that the ideal time to draw a trough
level is
7. A patient who has been receiving intermittent Chemotherapy is
chemotherapy through a peripheral IV site is ordered irritating to the
to receive a high dose of vancomycin through the vascular system
same vein. Why does this concern the nurse? and may cause
the vein to infil-
trate.
8. A physician orders 1000 mL of normal saline to infuse 20 hours
at a rate of 50 mL/hr. The nurse plans on hanging a
new bag at what time?
9. 25 gauge x 5/8
inch
, NR 224 Fundamentals Final
The nurse is preparing to administer a 0.5-mL rabies
vaccine into the deltoid muscle of a patient. Which
needle size is best for the procedure?
10. The nurse knows that the purpose of aspiration on IM Ensure proper
injections is to placement of the
needle.
11. The nurse is giving an IM injection. Upon aspiration, Withdraw the nee-
the nurse notices blood return in the syringe. What dle and pre-
should the nurse do? pare the injection
again.
12. The nurse is planning to administer a tuberculin test 15
with a 27-gauge, 3/8-inch needle. The nurse should
insert the needle at an angle of _____ degrees.
13. The nurse knows to assess for signs of medication Reduced
toxicity within older adults because of which physio- glomerular
logical change? filtration
14. A registered nurse interprets that a scribbled med- Nurse
ication order reads 25 mg. The nurse administers 25
mg of the medication to a patient, and then discovers
that the dose was incorrectly interpreted and should
have been 15 mg. Who is ultimately responsible for
the error?
15. A patient is to receive medication through a nasogas- Clamp suction for
tric tube. What is the most important nursing action 30 to 60 min-
to ensure effective absorption? utes after med-
ication administra-
tion.
16. Aspirin is an analgesic, antipyretic, antiplatelet, and 62-year-old fe-
anti-inflammatory agent. A physician writes for as- male with pneu-
pirin 650 mg every 4 to 6 hours prn: febrile. For which monia
patient would this order be appropriate?
17.
, NR 224 Fundamentals Final
A patient is in need of immediate pain relief for a Hydromorphone
severe headache. The nurse knows that which med- (Dilaudid) 4 mg IV
ication will be absorbed the quickest?
18. A drug requires a low pH to be metabolized. Knowing Oral
this, the nurse anticipates that the medication will be
administered by which route?
19. The nurse knows that an idiosyncratic event with the Falls asleep dur-
stimulant pseudoephedrine (Sudafed) is occurring ing daily activities.
when the patient
20. An order is written for (phenytoin) Dilantin 500 mg IM Call the prescriber
q3-4h prn for pain. The nurse recognizes that treat- to clarify and justi-
ment of pain is not a standard therapeutic indication fy the order.
for this drug. The nurse believes that the prescriber
meant to write for hydromorphone (Dilaudid). What
should the nurse do?
21. A patient needs assistance excreting a gaseous med- Encourage the pa-
ication. What is the correct nursing action? tient to cough and
deep-breathe.
22. A nurse has withdrawn a narcotic from the medica- Return the med-
tion dispenser. Upon checking the drug against the ication to the med-
medication administration record, the nurse notices ication dispenser
that the narcotic order has expired. What should be according to pro-
the nurse's first action? tocol.
23. The nurse knows that patient education about a buc- "I should let the
cal medication has been effective when the patient medication dis-
states solve completely."
24. What is the nurse's priority action to protect a patient Requesting that
from medication error? the prescriber
write out an order,
rather than giving
a verbal order
25.
