NU136 exam 4 Questions With Complete Solutions
________ refers to a drug's ability to dissolve, be absorbed, and
be transported in the body to its desired site of action. Correct
Answers Bioavailability
A nurse is administering a dose of insulin to a patient. To
practice nursing safely and effectively, the nurse should:
Correct Answers have another licensed nurse double check the
dose.
A nurse is administering a medication and notices the label is
smudged. What should the nurse do?
A. Administer the medication if it looks familiar
B. Ask a coworker if they recognize the medication
C. Call the pharmacy to clarify the label before administration
D. Estimate the dose based on previous administrations Correct
Answers Call the pharmacy to clarify the label before
administration
Rationale: Never administer a medication if the label is unclear;
always verify with the pharmacy.
A nurse is administering a rectal suppository. What is the correct
technique?
A. Insert the suppository 1 inch into the rectum
,B. Position the patient in the prone position
C. Insert the suppository past the internal anal sphincter
D. Ask the patient to ambulate immediately after insertion
Correct Answers Insert the suppository past the internal anal
sphincter
Rationale: The suppository must be placed beyond the sphincter
for effective absorption.
A nurse is administering oral medications to a patient who is
having intake and output (I&O) measured. When giving
medications, it is most important to: Correct Answers record
the fluid taken on the intake record.
A nurse is administering potassium chloride IV. What is the
most important precaution?
A. Give the infusion rapidly
B. Administer through a central line only
C. Never give IV push
D. Dilute in dextrose 5% in water (D5W) Correct Answers
Never give IV push
Rationale: IV potassium must never be given as a push dose due
to the risk of fatal cardiac arrhythmias.
,A nurse is assessing a patient's pain using the PQRST method.
What does the "R" stand for?
A. Radiates
B. Response
C. Relief
D. Range Correct Answers Radiates
Rationale: The PQRST method assesses Provocation, Quality,
Radiation, Severity, and Timing of pain.
A nurse is providing education on warfarin therapy. Which
statement indicates correct understanding?
A. "I will take aspirin if I have a headache."
B. "I should avoid green leafy vegetables."
C. "I need to have regular blood tests to monitor my INR
levels."
D. "I can stop taking warfarin once I feel better." Correct
Answers "I need to have regular blood tests to monitor my INR
levels."
Rationale: Warfarin requires INR monitoring to maintain
therapeutic levels and prevent complications.
, A nurse is teaching a patient about sodium restriction. Which
food should the patient avoid?
A. Fresh fruits
B. Canned soup
C. Plain rice
D. Boiled chicken Correct Answers Canned soup
A nurse notes a patient's sodium level is 150 mEq/L. What
intervention is appropriate?
A. Administer hypertonic saline
B. Encourage increased fluid intake
C. Restrict fluids
D. Provide potassium supplements Correct Answers Encourage
increased fluid intake
Rationale: Hypernatremia (high sodium) is often caused by
dehydration, so increasing water intake helps dilute sodium
levels.
A nurse realizes they administered the wrong medication to a
patient. What is the first action the nurse should take?
A. Notify the healthcare provider
B. Monitor the patient for adverse effects
C. Complete an incident report
D. Document the error in the patient's chart Correct Answers
Monitor the patient for adverse effects
________ refers to a drug's ability to dissolve, be absorbed, and
be transported in the body to its desired site of action. Correct
Answers Bioavailability
A nurse is administering a dose of insulin to a patient. To
practice nursing safely and effectively, the nurse should:
Correct Answers have another licensed nurse double check the
dose.
A nurse is administering a medication and notices the label is
smudged. What should the nurse do?
A. Administer the medication if it looks familiar
B. Ask a coworker if they recognize the medication
C. Call the pharmacy to clarify the label before administration
D. Estimate the dose based on previous administrations Correct
Answers Call the pharmacy to clarify the label before
administration
Rationale: Never administer a medication if the label is unclear;
always verify with the pharmacy.
A nurse is administering a rectal suppository. What is the correct
technique?
A. Insert the suppository 1 inch into the rectum
,B. Position the patient in the prone position
C. Insert the suppository past the internal anal sphincter
D. Ask the patient to ambulate immediately after insertion
Correct Answers Insert the suppository past the internal anal
sphincter
Rationale: The suppository must be placed beyond the sphincter
for effective absorption.
A nurse is administering oral medications to a patient who is
having intake and output (I&O) measured. When giving
medications, it is most important to: Correct Answers record
the fluid taken on the intake record.
A nurse is administering potassium chloride IV. What is the
most important precaution?
A. Give the infusion rapidly
B. Administer through a central line only
C. Never give IV push
D. Dilute in dextrose 5% in water (D5W) Correct Answers
Never give IV push
Rationale: IV potassium must never be given as a push dose due
to the risk of fatal cardiac arrhythmias.
,A nurse is assessing a patient's pain using the PQRST method.
What does the "R" stand for?
A. Radiates
B. Response
C. Relief
D. Range Correct Answers Radiates
Rationale: The PQRST method assesses Provocation, Quality,
Radiation, Severity, and Timing of pain.
A nurse is providing education on warfarin therapy. Which
statement indicates correct understanding?
A. "I will take aspirin if I have a headache."
B. "I should avoid green leafy vegetables."
C. "I need to have regular blood tests to monitor my INR
levels."
D. "I can stop taking warfarin once I feel better." Correct
Answers "I need to have regular blood tests to monitor my INR
levels."
Rationale: Warfarin requires INR monitoring to maintain
therapeutic levels and prevent complications.
, A nurse is teaching a patient about sodium restriction. Which
food should the patient avoid?
A. Fresh fruits
B. Canned soup
C. Plain rice
D. Boiled chicken Correct Answers Canned soup
A nurse notes a patient's sodium level is 150 mEq/L. What
intervention is appropriate?
A. Administer hypertonic saline
B. Encourage increased fluid intake
C. Restrict fluids
D. Provide potassium supplements Correct Answers Encourage
increased fluid intake
Rationale: Hypernatremia (high sodium) is often caused by
dehydration, so increasing water intake helps dilute sodium
levels.
A nurse realizes they administered the wrong medication to a
patient. What is the first action the nurse should take?
A. Notify the healthcare provider
B. Monitor the patient for adverse effects
C. Complete an incident report
D. Document the error in the patient's chart Correct Answers
Monitor the patient for adverse effects
