NR 224 FUNDAMENTALS SKILLS EXAM
QUESTIONS AND VERIFIED CORRECT
SOLUTIONS, GRADED A+
The nurse is having difficulty reading of physician's order for a
medication. He or she know that the physician is very busy and does not
like to be called. What is the most appropriate next step for the nurse to
take? - ANSWER Call the physician to have the order clarified.
The patient has an order for 2 tablespoons of milk of magnesia. How
much medication does the nurse give him or her? - ANSWER 30 ML
The patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy
has sent 250-mg tablets. How many tablets does the nurse administer?
- ANSWER 2 tablets
The nurse is administering medications to a four-year-old patient. After
he or she explains which medications are being given, the mother
states, "I don't remember my child having that medication before."
What is the nurse's next action? - ANSWER Withhold the medications
and verify the medication orders.
A patient is transitioning from the hospital to the home environment. A
home care referral is obtained. What is a priority in relation to safe
medication administration for the discharge nurse? - ANSWER Ensure
,that the home care agency is aware of medication and health teaching
needs.
A nursing student take a patient's antibiotic to his room. The patient
asks the nursing student what it is and why he should take it. What
information does the nursing student include when replying to the
patient? - ANSWER The student provides the name of the medication
and a description of its desired effect.
The nurses is administering a sustained-release capsule to a new
patient. The patient insists that he cannot swallow pills. What is the
nurse's next best course of action? - ANSWER Ask the prescriber to
change the order.
The nurse takes a medication to a patient, and the patient tells him or
her to take it away because she is not going to take it. What is the
nurses next action? - ANSWER Ask the patient's reason for refusal.
The nurse receives an order to start getting a loop diuretic to a patient
to help lower his or her blood pressure. The nurse determines the
appropriate route for administering the diuretic according to: - ANSWER
The prescriber's order.
A patient is receiving intravenous (IV) push medication. If the drug
infiltrates into the outer tissues, the nurse: - ANSWER Stops the
administration of the medication and follows agency policy.
,If a patient who is receiving intravenous (IV) fluids develops tenderness,
warmth, erythema, and pain at the site, the nurses suspects: - ANSWER
Phlebitis.
After seeing a patient, the physician gives a nursing student a verbal
order for a new medication. The nursing student first needs to: -
ANSWER Explain to the physician that the order needs to be given to a
registered nurse.
A nurse accidentally gives a patient a medication at the wrong time. The
nurse's first priority is to: - ANSWER Assess the patient for adverse
effects.
Which of the following factors is associated with rapid absorption of a
drug? - ANSWER Intravenous route of administration.
What is the term used for the concentration of drug in the blood serum
that produces the desired effect without causing toxicity? - ANSWER
Therapeutic range.
What is the term used for the highest plasma concentration? - ANSWER
Peak level.
, What is the term used for the point when a drug is at the lowest
concentration? - ANSWER Trough level.
What is the term used for the amount of time it takes for 50% of the
blood concentration of a drug to be eliminated from the body? -
ANSWER Half-life.
Which organ is the primary site for drug metabolism? - ANSWER Liver.
The nurse transcribes an order that reads: Colace 100 mg PO daily. This
is an example of which type of order? - ANSWER Standing order.
A graduate nurse is administering several medications to a newly
admitted patient. Who is legally responsible for the drugs administered
by this nurse? - ANSWER The nurse administering the drugs.
Which system of measurement is most accurate and precise for drug
administration? - ANSWER Metric system.
The nurse is preparing to administer a medication via a nasogastric
tube. What guideline is appropriate for the nurse to follow when
administering a drug via this route? - ANSWER Flush the tube with
water between each drug administered.
QUESTIONS AND VERIFIED CORRECT
SOLUTIONS, GRADED A+
The nurse is having difficulty reading of physician's order for a
medication. He or she know that the physician is very busy and does not
like to be called. What is the most appropriate next step for the nurse to
take? - ANSWER Call the physician to have the order clarified.
The patient has an order for 2 tablespoons of milk of magnesia. How
much medication does the nurse give him or her? - ANSWER 30 ML
The patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy
has sent 250-mg tablets. How many tablets does the nurse administer?
- ANSWER 2 tablets
The nurse is administering medications to a four-year-old patient. After
he or she explains which medications are being given, the mother
states, "I don't remember my child having that medication before."
What is the nurse's next action? - ANSWER Withhold the medications
and verify the medication orders.
A patient is transitioning from the hospital to the home environment. A
home care referral is obtained. What is a priority in relation to safe
medication administration for the discharge nurse? - ANSWER Ensure
,that the home care agency is aware of medication and health teaching
needs.
A nursing student take a patient's antibiotic to his room. The patient
asks the nursing student what it is and why he should take it. What
information does the nursing student include when replying to the
patient? - ANSWER The student provides the name of the medication
and a description of its desired effect.
The nurses is administering a sustained-release capsule to a new
patient. The patient insists that he cannot swallow pills. What is the
nurse's next best course of action? - ANSWER Ask the prescriber to
change the order.
The nurse takes a medication to a patient, and the patient tells him or
her to take it away because she is not going to take it. What is the
nurses next action? - ANSWER Ask the patient's reason for refusal.
The nurse receives an order to start getting a loop diuretic to a patient
to help lower his or her blood pressure. The nurse determines the
appropriate route for administering the diuretic according to: - ANSWER
The prescriber's order.
A patient is receiving intravenous (IV) push medication. If the drug
infiltrates into the outer tissues, the nurse: - ANSWER Stops the
administration of the medication and follows agency policy.
,If a patient who is receiving intravenous (IV) fluids develops tenderness,
warmth, erythema, and pain at the site, the nurses suspects: - ANSWER
Phlebitis.
After seeing a patient, the physician gives a nursing student a verbal
order for a new medication. The nursing student first needs to: -
ANSWER Explain to the physician that the order needs to be given to a
registered nurse.
A nurse accidentally gives a patient a medication at the wrong time. The
nurse's first priority is to: - ANSWER Assess the patient for adverse
effects.
Which of the following factors is associated with rapid absorption of a
drug? - ANSWER Intravenous route of administration.
What is the term used for the concentration of drug in the blood serum
that produces the desired effect without causing toxicity? - ANSWER
Therapeutic range.
What is the term used for the highest plasma concentration? - ANSWER
Peak level.
, What is the term used for the point when a drug is at the lowest
concentration? - ANSWER Trough level.
What is the term used for the amount of time it takes for 50% of the
blood concentration of a drug to be eliminated from the body? -
ANSWER Half-life.
Which organ is the primary site for drug metabolism? - ANSWER Liver.
The nurse transcribes an order that reads: Colace 100 mg PO daily. This
is an example of which type of order? - ANSWER Standing order.
A graduate nurse is administering several medications to a newly
admitted patient. Who is legally responsible for the drugs administered
by this nurse? - ANSWER The nurse administering the drugs.
Which system of measurement is most accurate and precise for drug
administration? - ANSWER Metric system.
The nurse is preparing to administer a medication via a nasogastric
tube. What guideline is appropriate for the nurse to follow when
administering a drug via this route? - ANSWER Flush the tube with
water between each drug administered.
