CALCULATION TEST COMPREHENSIVE SCRIPT
2026 FULL STUDY GUIDE COMPLETE
RESPONSES
◉ A nurse is preparing to administer insulin subcutaneously to a
client. The nurse should document the administration of the
medication immediately after which of the following actions?
Answer: Injecting the insulin
The nurse should not delay documentation because this could lead
to errors, such as omission of the documentation or administration
of a second dose of medication to the client by another nurse.
◉ A nurse is providing teaching regarding medication
administration to a group of newly licensed nurses. Which of the
following is a legal responsibility of a nurse? Answer: Reporting
medication errors
The nurse is legally responsible for reporting medication errors
according to facility policy.
◉ A nurse is caring for a client who is to receive omeprazole
(Prilosec) 40 mg PO daily. The client tells the nurse that the pill is
,too hard to swallow. Which of the following actions should the nurse
take? Answer: Request a liquid form of medication from the
pharmacy.
The nurse can administer a liquid form of an oral medication if
available. This is not changing the route of the medication.
◉ A nurse is preparing to administer a medication subcutaneously.
Which of the following should the nurse use? Answer: 5/8-inch, 25
gauge needle
This is the appropriate size needle for the nurse to use when giving a
subcutaneous injection.
◉ A nurse is preparing to administer a liquid medication to a
toddler. Which of the following actions should the nurse take?
Answer: Offer the child a choice of taking the medication with either
a cup or a spoon.
Toddlers respond well to choosing between two options.
◉ A nurse is caring for a client who states that his provider told him
he is at risk for anaphylaxis following administration of amoxicillin
(Amoxil) and that he does not understand what this means. Which of
the following is an appropriate response by the nurse? Answer:
,"Anaphylaxis is a severe hypersensitivity or allergic reaction that is
life-threatening."
Anaphylaxis is a severe reaction and can result in severe
bronchoconstriction with laryngeal edema and a precipitous drop in
blood pressure.
◉ A nurse is transcribing a provider's prescription for a client. The
prescription reads morphine 2 mg IV bolus at 1400. The nurse
recognizes this as which of the following types of medication orders?
Answer: Single order
A single (one-time) order stipulates to administer the medication
one time either at a specific time the provider indicates or as soon as
possible.
◉ A nurse is in a client's room preparing to administer docusate
sodium (Colace) PO and acetaminophen (Tylenol) PO. The client
refuses to take the medications because of nausea. Which of the
following actions should the nurse take? Answer: Withhold the
medications.
The client has the right to refuse the medications. The nurse should
collect data to determine the cause of the nausea before taking any
further action. The nurse should also document the client's refusal
and the reason in the medical record.
, ◉ A nurse is preparing to administer medication to a client who has
a prescription for doxycycline (Vibramycin) 100 mg PO daily at
0800. Which of the following times are appropriate for the nurse to
administer the medication? (Select all that apply.) Answer:
anywhere within 30 min of the scheduled time (ex: 0745 or 0830)
◉ A nurse is planning atraumatic care for a preschooler who has a
prescription for an intramuscular medication. A parent is with the
child. Which of the following actions should the nurse include in the
plan of care? (Select all that apply.) Answer: 1. provide an
explanation of the hospital alarm system
2. suggest the parent bring the child's favorite toy to the hospital
3. use a doll to demonstrate how the nurse will administer the IM
medication
◉ A nurse on a medical surgical unit is caring for a client who has
type 2 diabetes mellitus and has a prescription for metformin
(Glucophage) 500 mg PO every 12 hr. The client is scheduled for a
chest X-ray in the morning. Which of the following is an appropriate
action by the nurse? Answer: Administer the medication as
prescribed.
The nurse should withhold metformin when a client is scheduled for
a procedure that requires the use of contrast dye. Because routine