INP 2 EXAM 1 QUESTIONS AND VERIFIED ANSWERS
*The nurse is having difficulty reading a medication order. Which is the best action for
the nurse to take to prevent a med error? *
a) Clarify the order with the health care provider who wrote it
b) Talk with the pharmacist who knows what is usually ordered
c) Ask a nurse who knows the health care provider to read it
d) Have a nurse interpret the written medication order - Answers - a) Clarify the order
with the health care provider who wrote it
*when receiving a telephone order from a physician, which nursing action demonstrates
best practice?*
a) Repeat prescribed orders back to the physician to very accuracy
b) document a description of the reason the telephone orders was needed
c) Clarify the order with another nurse colleague
d) Write physician orders in your best handwriting - Answers - a) Repeat prescribed
orders back to the physician to very accuracy
*Who takes primary responsibility for the correct transcription of a physicians telephone
medication order?*
a) Nurse administering the medication
b) Pharmacist dispensing the medication
c) unit clerk transcribing the order
d) RN/LPN receiving the order - Answers - d) RN/LPN receiving the order
*A physician comes to see his patient and writes orders. Which of the following orders
need to be processed first?*
a) Glucometer test Q.I.D ac meals and at HS
b) Nutrition consult: Diabetic 1200 calorie diet.
c) ECG, CBC,electrolytes, cardiac enzymes STAT
d) Change metformin to 500mg po B.I.D - Answers - c) ECG, CBC, electrolytes, cardiac
enzymes STAT
*Performing a physical assessment for an older adult client, the nurse anticipates
finding which one of the following normal physiological changes of aging?*
a) Increased perspiration
b) Increased audio pitch discrimination
c) Increased salivary secretions
d) increased airway resistance - Answers - d) increased airway resistance
*After visiting with a client, the nurse documents the assessment data. Both objective
and subjective info have been obtained during the assessment. Which of the following is
classified as objective data?
a) Pain in the left leg
, b) Elevated blood pressure reading
c) Fear of surgery.
d) Discomfort with breathing - Answers - b) Elevated blood pressure reading
*The most common angle for an intramuscular injection is:*
a) 45 degrees
b) 60 degrees
c) 90 degrees
d) 35 degrees - Answers - c) 90 degrees
*Your client feels faint, has difficulty breathing and reports feeling nauseated. What
focused assessments does the nurse perform?
a) Vital signs, chest and abdominal assessment
b) Vital signs and abdominal assessment
c) Peripheral vascular assessment, vital signs
d) Chest assessment, vital signs, CWMS - Answers - a) Vital signs, Chest and
abdominal assessment
*What must the practical nurse consider when completing a health assessment of the
older adult?*
a) Vital organs are in different locations due to the expected aging process.
b) This entire age group may have memory lapses and responses are not valid
c) They fatigue easily and activities must always be supported by client ability
d) The nurse must assist the client off the examination table - Answers - c) They
fatigues easily and activities must always be supported by client ability
*A family member reports a resident has been "acting strange". Your assessment will
include:*
a) Client history, mini mental and depression scale
b) QPA, head to toe assessment
c) QPA, focused cognitive assessment
d) Client history, QPA, focused cognitive assessment - Answers - d) Client history,
QPA, focused cognitive assessment
*A nurse is teaching a nursing student the correct technique for assessing an apical
pulse. Which method should the nurse use to locate an adult pt.s apical pulse?
a) Percuss the left ventricular wall
b) Palpate along the left sternal border
c) Direct the pt to lie in a supine position
d) Listen at the fifth intercostal space at the point of maximal impulse (PMI) - Answers -
d) Listen at the fifth intercostal space at the point of maximal impulse (PMI)
*The nurse is considering the proper methods to implement when caring for a client with
a clostridium difficle (C. difficile) infection. Which of the following practices will have the
greatest impact on containment of the bacteria, and thus prevention of cross-
contamination?*
*The nurse is having difficulty reading a medication order. Which is the best action for
the nurse to take to prevent a med error? *
a) Clarify the order with the health care provider who wrote it
b) Talk with the pharmacist who knows what is usually ordered
c) Ask a nurse who knows the health care provider to read it
d) Have a nurse interpret the written medication order - Answers - a) Clarify the order
with the health care provider who wrote it
*when receiving a telephone order from a physician, which nursing action demonstrates
best practice?*
a) Repeat prescribed orders back to the physician to very accuracy
b) document a description of the reason the telephone orders was needed
c) Clarify the order with another nurse colleague
d) Write physician orders in your best handwriting - Answers - a) Repeat prescribed
orders back to the physician to very accuracy
*Who takes primary responsibility for the correct transcription of a physicians telephone
medication order?*
a) Nurse administering the medication
b) Pharmacist dispensing the medication
c) unit clerk transcribing the order
d) RN/LPN receiving the order - Answers - d) RN/LPN receiving the order
*A physician comes to see his patient and writes orders. Which of the following orders
need to be processed first?*
a) Glucometer test Q.I.D ac meals and at HS
b) Nutrition consult: Diabetic 1200 calorie diet.
c) ECG, CBC,electrolytes, cardiac enzymes STAT
d) Change metformin to 500mg po B.I.D - Answers - c) ECG, CBC, electrolytes, cardiac
enzymes STAT
*Performing a physical assessment for an older adult client, the nurse anticipates
finding which one of the following normal physiological changes of aging?*
a) Increased perspiration
b) Increased audio pitch discrimination
c) Increased salivary secretions
d) increased airway resistance - Answers - d) increased airway resistance
*After visiting with a client, the nurse documents the assessment data. Both objective
and subjective info have been obtained during the assessment. Which of the following is
classified as objective data?
a) Pain in the left leg
, b) Elevated blood pressure reading
c) Fear of surgery.
d) Discomfort with breathing - Answers - b) Elevated blood pressure reading
*The most common angle for an intramuscular injection is:*
a) 45 degrees
b) 60 degrees
c) 90 degrees
d) 35 degrees - Answers - c) 90 degrees
*Your client feels faint, has difficulty breathing and reports feeling nauseated. What
focused assessments does the nurse perform?
a) Vital signs, chest and abdominal assessment
b) Vital signs and abdominal assessment
c) Peripheral vascular assessment, vital signs
d) Chest assessment, vital signs, CWMS - Answers - a) Vital signs, Chest and
abdominal assessment
*What must the practical nurse consider when completing a health assessment of the
older adult?*
a) Vital organs are in different locations due to the expected aging process.
b) This entire age group may have memory lapses and responses are not valid
c) They fatigue easily and activities must always be supported by client ability
d) The nurse must assist the client off the examination table - Answers - c) They
fatigues easily and activities must always be supported by client ability
*A family member reports a resident has been "acting strange". Your assessment will
include:*
a) Client history, mini mental and depression scale
b) QPA, head to toe assessment
c) QPA, focused cognitive assessment
d) Client history, QPA, focused cognitive assessment - Answers - d) Client history,
QPA, focused cognitive assessment
*A nurse is teaching a nursing student the correct technique for assessing an apical
pulse. Which method should the nurse use to locate an adult pt.s apical pulse?
a) Percuss the left ventricular wall
b) Palpate along the left sternal border
c) Direct the pt to lie in a supine position
d) Listen at the fifth intercostal space at the point of maximal impulse (PMI) - Answers -
d) Listen at the fifth intercostal space at the point of maximal impulse (PMI)
*The nurse is considering the proper methods to implement when caring for a client with
a clostridium difficle (C. difficile) infection. Which of the following practices will have the
greatest impact on containment of the bacteria, and thus prevention of cross-
contamination?*
