Your patient has ordered a PR medication. What is the priority communication to your patient?
You may have a bowel movement directly after insertion.
It will take roughly 90 minutes to begin working.
The medication will begin to work immediately.
The medication will begin to work in 15-20 minutes. - ANSWER The medication will begin to work in 15-
20 minutes.
Which patient should you see first when begging your shift?
Patient with dyspnea, hypertension, and headache.
Patient with increased pain 7/10 with PCA pump available.
A patient with orders for IV fluids STAT.
Patient with IV antibiotics due 5 minutes ago - ANSWER Patient with dyspnea, hypertension, and
headache.
When performing a IM injection, the Rn should note blood return on aspiration after insertion.
True
False - ANSWER False
You are handed a pain medication that was drawn uo by another Rn. What is the priority action?
Administer the medication as ordered.
Discard the medication and draw up new dose yourself.
,Call the provider to verify the pain medication order.
Call the pharmacy to verify the provider's orders. - ANSWER Discard the medication and draw up new
dose yourself.
The nurse recalls that to increase eddecticness of otic drops, the patient should:
Pull the patient's ear lobe down and back.
Insert the top of the dropper into the ear canal.
Ensure the drops are cold when administering.
Instruct patient to remain in lateral position for 2 minutes. - ANSWER Instruct patient to remain in
lateral position for 2 minutes.
A "now" order differs from a "STAT" order in which a "now" order:
Must be given as soon as the medication is available.
Must be given when the patient asks for it.
Must be given immediately.
Must be given one time only. - ANSWER Must be given as soon as the medication is available.
A patient should be advised to eat right after taking a Synthroid (thyroid medication).
True or False - ANSWER False
The priority action after drawing up insulin is:
Administration.
Check patient identifiers.
Hand hygiene.
Verify with another RN. - ANSWER Verify with another RN.
, When performing an IM injection in the deltoid, the RN should:
Perform z-track method.
Use a large, 18g needle for administration.
Utilize a filter needle to administer the medication.
Provide numbing medication to the injection site before administration. - ANSWER Perform z-track
method.
The RN attempts to administer concurrent eye drops to the patient. How long should the RN wait
between medications?
5 minutes.
10 minutes.
12 minutes.
15 minutes. - ANSWER 5 minutes.
An Rn has mistakenly given a patient someone else's medication. What is the priority intervention?
Administer a bolus of IV fluids to counteract the drug.
Alert the provider to the mistake.
Assess the patient for adverse reactions.
Complete documentation of the error - ANSWER Assess the patient for adverse reactions.
A patient begins experiencing adnominal cramping durning a tap-water enema. What is the priority
intervention?
Stop instillation of the enema and document findings.
Advise the patient to take deep breaths and that this can be normal.
Raise the enema bag to increase the speed it is being instilled.
Lower the bag to decrease the speed it is being instilled. - ANSWER Advise the patient to take deep
breaths and that this can be normal.
You may have a bowel movement directly after insertion.
It will take roughly 90 minutes to begin working.
The medication will begin to work immediately.
The medication will begin to work in 15-20 minutes. - ANSWER The medication will begin to work in 15-
20 minutes.
Which patient should you see first when begging your shift?
Patient with dyspnea, hypertension, and headache.
Patient with increased pain 7/10 with PCA pump available.
A patient with orders for IV fluids STAT.
Patient with IV antibiotics due 5 minutes ago - ANSWER Patient with dyspnea, hypertension, and
headache.
When performing a IM injection, the Rn should note blood return on aspiration after insertion.
True
False - ANSWER False
You are handed a pain medication that was drawn uo by another Rn. What is the priority action?
Administer the medication as ordered.
Discard the medication and draw up new dose yourself.
,Call the provider to verify the pain medication order.
Call the pharmacy to verify the provider's orders. - ANSWER Discard the medication and draw up new
dose yourself.
The nurse recalls that to increase eddecticness of otic drops, the patient should:
Pull the patient's ear lobe down and back.
Insert the top of the dropper into the ear canal.
Ensure the drops are cold when administering.
Instruct patient to remain in lateral position for 2 minutes. - ANSWER Instruct patient to remain in
lateral position for 2 minutes.
A "now" order differs from a "STAT" order in which a "now" order:
Must be given as soon as the medication is available.
Must be given when the patient asks for it.
Must be given immediately.
Must be given one time only. - ANSWER Must be given as soon as the medication is available.
A patient should be advised to eat right after taking a Synthroid (thyroid medication).
True or False - ANSWER False
The priority action after drawing up insulin is:
Administration.
Check patient identifiers.
Hand hygiene.
Verify with another RN. - ANSWER Verify with another RN.
, When performing an IM injection in the deltoid, the RN should:
Perform z-track method.
Use a large, 18g needle for administration.
Utilize a filter needle to administer the medication.
Provide numbing medication to the injection site before administration. - ANSWER Perform z-track
method.
The RN attempts to administer concurrent eye drops to the patient. How long should the RN wait
between medications?
5 minutes.
10 minutes.
12 minutes.
15 minutes. - ANSWER 5 minutes.
An Rn has mistakenly given a patient someone else's medication. What is the priority intervention?
Administer a bolus of IV fluids to counteract the drug.
Alert the provider to the mistake.
Assess the patient for adverse reactions.
Complete documentation of the error - ANSWER Assess the patient for adverse reactions.
A patient begins experiencing adnominal cramping durning a tap-water enema. What is the priority
intervention?
Stop instillation of the enema and document findings.
Advise the patient to take deep breaths and that this can be normal.
Raise the enema bag to increase the speed it is being instilled.
Lower the bag to decrease the speed it is being instilled. - ANSWER Advise the patient to take deep
breaths and that this can be normal.
