Exam 75 Questions with 100% Verified Correct
Answers
A medication is prescribed for the client and is to be administered by
intravenous (IV) bolus injection. Which of the following is a priority for the
nurse before administering the medication via this route?
Select one:
a. Set the rate of the IV infusion.
b. Check the client's mental alertness.
c. Confirm placement of the IV line.
d. Determine the amount of IV fluid to be administered.
c. Confirm placement of the IV line.
Which of the following actions must the nurse take in preparing two different
medications from two vials?
Select one:
a. Inject fluid from one vial into the other.
b. Uncap the syringe and wipe the needle with an alcohol preparation before
inserting into either vial.
c. Discard the medication from vial number two if medication from vial number
one is pushed into it.
d. Insert air into the first vial, but not the second vial.
c. Discard the medication from vial number two if medication from vial number
one is pushed into it.
,The nurse administers the intramuscular medication of iron by the Z-track
method. Why was this method used?
Select one:
a. To provide faster absorption of the medication
b. To reduce discomfort from the needle
c. To provide a more even absorption of the drug
d. To prevent the drug from irritating sensitive tissue
d. To prevent the drug from irritating sensitive tissue
A client on the medical unit receives regular insulin at 7:00 A.M. The nurse is
alert to a possible hypoglycemic reaction by which time?
Select one:
a. 7:30 A.M.
b. 10:00 A.M.
c. 4:00 P.M.
d. 8:00 P.M.
b. 10:00 A.M.
Which of the following is the most effective way in the acute care environment
to determine the client's identity before administering medications?
Select one:
a. Ask the client's name.
b. Check the name on the chart.
c. Ask the other caregivers.
d. Check the client's name band.
d. Check the client's name band.
The nurse completes preparation of the sterile field to change a patient's
dressing when the patient's dinner tray arrives. Which action should the nurse
take?
Select one:
,a. Use the sterile field on another patient in another room.
b. Change the dressing using clean technique to save time.
c. Set the tray aside and proceed with the dressing change.
d. Cover the setup with a sterile drape and let the patient eat.
c. Set the tray aside and proceed with the dressing change.
The nurse is getting ready to provide a sterile dressing change. Which nursing
action is consistent with principles used to prepare a sterile field?
Select one:
a. Identify that items below waist height are contaminated.
b. Use opened packages of dressing supplies within the same shift.
c. Identify that sterile drapes have a 5.08 cm 2-inch contaminated border.
d. Replace bottle caps if the inside of the cap is not touched.
a. Identify that items below waist height are contaminated.
The nurse helps the health care provider get supplies and monitor the patient
during an emergency insertion of a femoral line at the patient's bedside. Which
nursing behavior helps to maintain the sterile environment?
Select one:
a. Avoid reaching over the field.
b. Wear a sterile cap and booties.
c. Use sterile examination gloves.
d. Place a face mask on the patient.
a. Avoid reaching over the field.
The nurse is caring for a 4-year-old child who has rubella. Which transmission
precautions should the nurse implement to prevent rubella exposure?
Select one:
a. Contact precautions
b. Droplet precautions
c. Airborne precautions
d. Standard precautions
, b. Droplet precautions
The nurse completes care for the patient on droplet precautions. Which
procedure does the nurse implement to prevent transmitting the pathogen to
other people?
Select one:
a. Removes gloves and mask at the bedside and gown in hallway
b. Removes all personal protective equipment (PPE) in the soiled utility room
c. Removes gloves first, mask second, and gown third in the patient's doorway
d. Removes mask first, gloves second, and gown third outside the patient's
room
c. Removes gloves first, mask second, and gown third in the patient's doorway
While setting up a sterile field for a procedure, the nurse knocks a linen-
wrapped sterile package to the floor. Which reaction allows the nurse to
maintain safe practice?
Select one:
a. Inspect the package for tears.
b. Brush away the visible debris.
c. Record the procedure as clean.
d. Replace the sterile package.
d. Replace the sterile package.
The nurse is preparing to transfer a sterile voided urine specimen from the
patient's bathroom to the laboratory. What supplies should he or she gather to
complete this procedure?
Select one:
a. Clean gloves, biohazard bag, mask
b. Plastic bag, gown, gloves
c. Sterile gloves, gown, biohazard bag
d. Clean gloves, plastic bag, biohazard label
d. Clean gloves, plastic bag, biohazard label