NUR 342 Exam 2 Practice Questions With Complete
Solutions
A friend of a nurse calls and tells the nurse that his girlfriend's
father was just admitted to the hospital as a patient, and he wants
the nurse to provide information about the man's condition. The
friend states, "Sue seems unusually worried about her dad, but
she won't talk to me and I want to be able to help her." What is
the best initial response the nurse should make?
a. "You shouldn't be asking me to do this. I could be fined or
even lose my job for disclosing this information."
b. "Sorry, but I'm not able to give information about patients to
the public—even when my best friend or a family member
asks."
c. "Because of HIPAA, you shouldn't be asking for this
information unless the patient has authorized you to receive it!
This could get you in trouble!"
d. "Why do you think Sue isn't talking about her worries?"
Correct Answers b. "Sorry, but I'm not able to give information
about patients to the public—even when my best friend or a
family member asks."
A health care provider orders a pain medication for a
postoperative patient that is a PRN order. When would the nurse
administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order Correct
Answers b. Doses administered as needed for pain relief
,A medication order reads: "Hydromorphone, 2 mg IV every 3 to
4 hours PRN pain." The prefilled cartridge is available with a
label reading "Hydromorphone 2 mg/1 mL." The cartridge
contains 1.2 mL of hydromorphone. What should the nurse do?
a. Give all the medication in the cartridge because it expanded
when it was mixed and this is what the pharmacy sent.
b. Call the pharmacy and request the proper dose.
c. Refuse to give the medication and document refusal in the
EHR.
d. Dispose of 0.2 mL before administering the drug; verify the
waste with another nurse. Correct Answers d. Dispose of 0.2
mL before administering the drug; verify the waste with another
nurse.
A medication order reads: "K-Dur, 20 mEq po BID." When and
how does the nurse correctly give this drug?
a. Daily at term-15bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch Correct Answers c. Twice
a day by the oral route
A nurse administers a dose of an oral medication for
hypertension to a patient who immediately vomits after
swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
a. Readminister the medication and notify the primary care
provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
, d. Notify the primary care provider. Correct Answers c. Assess
the vomit, looking for the pill.
A nurse carefully assesses the acid-base balance of a patient
whose carbonic acid (H2CO3) level is decreased. This is most
likely a patient with damage to the:
a. Kidneys
b. Lungs
c. Adrenal glands
d. Blood vessels Correct Answers b. Lungs
A nurse discovers that a medication error occurred. What should
be the nurse's first response?
a. Record the error on the medication sheet.
b. Notify the physician regarding course of action.
c. Check the patient's condition to note any possible effect of the
error.
d. Complete an incident report, explaining how the mistake was
made. Correct Answers c. Check the patient's condition to note
any possible effect of the error.
A nurse is administering a blood transfusion for a patient
following surgery. During the transfusion, the patient displays
signs of dyspnea, dry cough, and pulmonary edema. What would
be the nurse's priority actions related to these symptoms?
a. Slow or stop the infusion; monitor vital signs, notify the
health care provider, place the patient in upright position with
feet dependent.
b. Stop the transfusion immediately and keep the vein open with
normal saline, notify the health care provider stat, administer
antihistamine parenterally as needed.
Solutions
A friend of a nurse calls and tells the nurse that his girlfriend's
father was just admitted to the hospital as a patient, and he wants
the nurse to provide information about the man's condition. The
friend states, "Sue seems unusually worried about her dad, but
she won't talk to me and I want to be able to help her." What is
the best initial response the nurse should make?
a. "You shouldn't be asking me to do this. I could be fined or
even lose my job for disclosing this information."
b. "Sorry, but I'm not able to give information about patients to
the public—even when my best friend or a family member
asks."
c. "Because of HIPAA, you shouldn't be asking for this
information unless the patient has authorized you to receive it!
This could get you in trouble!"
d. "Why do you think Sue isn't talking about her worries?"
Correct Answers b. "Sorry, but I'm not able to give information
about patients to the public—even when my best friend or a
family member asks."
A health care provider orders a pain medication for a
postoperative patient that is a PRN order. When would the nurse
administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order Correct
Answers b. Doses administered as needed for pain relief
,A medication order reads: "Hydromorphone, 2 mg IV every 3 to
4 hours PRN pain." The prefilled cartridge is available with a
label reading "Hydromorphone 2 mg/1 mL." The cartridge
contains 1.2 mL of hydromorphone. What should the nurse do?
a. Give all the medication in the cartridge because it expanded
when it was mixed and this is what the pharmacy sent.
b. Call the pharmacy and request the proper dose.
c. Refuse to give the medication and document refusal in the
EHR.
d. Dispose of 0.2 mL before administering the drug; verify the
waste with another nurse. Correct Answers d. Dispose of 0.2
mL before administering the drug; verify the waste with another
nurse.
A medication order reads: "K-Dur, 20 mEq po BID." When and
how does the nurse correctly give this drug?
a. Daily at term-15bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch Correct Answers c. Twice
a day by the oral route
A nurse administers a dose of an oral medication for
hypertension to a patient who immediately vomits after
swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
a. Readminister the medication and notify the primary care
provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
, d. Notify the primary care provider. Correct Answers c. Assess
the vomit, looking for the pill.
A nurse carefully assesses the acid-base balance of a patient
whose carbonic acid (H2CO3) level is decreased. This is most
likely a patient with damage to the:
a. Kidneys
b. Lungs
c. Adrenal glands
d. Blood vessels Correct Answers b. Lungs
A nurse discovers that a medication error occurred. What should
be the nurse's first response?
a. Record the error on the medication sheet.
b. Notify the physician regarding course of action.
c. Check the patient's condition to note any possible effect of the
error.
d. Complete an incident report, explaining how the mistake was
made. Correct Answers c. Check the patient's condition to note
any possible effect of the error.
A nurse is administering a blood transfusion for a patient
following surgery. During the transfusion, the patient displays
signs of dyspnea, dry cough, and pulmonary edema. What would
be the nurse's priority actions related to these symptoms?
a. Slow or stop the infusion; monitor vital signs, notify the
health care provider, place the patient in upright position with
feet dependent.
b. Stop the transfusion immediately and keep the vein open with
normal saline, notify the health care provider stat, administer
antihistamine parenterally as needed.
