Correct Answers| Graded A+
Overview:
This exam evaluates foundational nursing concepts including medication administration,
safety protocols, and clinical judgment. Topics cover vital signs, infection control,
documentation, patient assessment, and nursing process steps: ADPIE. Emphasis is
placed on medication orders, injection sites, therapeutic communication, dosage
calculation, and prioritization. Questions assess critical thinking, legal responsibilities,
patient education, and care for diverse populations across health-illness continuums.
Which statement by a patient receiving digoxin (Lanoxin) 0.25 mg every day indicates
that the nurse needs to provide further teaching?
A. "I should not take antacids with this medication."
B. "I will not take the digoxin if my pulse is less than 60 beats per minutes."
C. "I should call the doctor if I have nausea, vomiting or weakness."
D. "If I forget to take my digoxin, I should take 2 pills the next day." D. "If I forget to
take my digoxin, I should take 2 pills the next day."
Answer: D. "If I forget to take my digoxin, I should take 2 pills the next day." D. "If I
forget to
Which of the following are essential components of a medication order? Select all that
apply.
- The full name of the patient.
- The date and the time when the order is written.
- Preferably the brand name of the drug to be administered.
- The dosage of the drug.
- The route by which the drug is to be administered.
- The signature of the prescriber.
- The date and the time when the order is written.
,- The route by which the drug is to be administered - The full name of the patient
- The date and time when the order is written
- The dosage of the drug
- The route by which the drug is to be administered
- The signature of the prescriber
- The date and time when the order is written
Which of the following injections sites is recommended as the preferred site for the
majority of intramuscular injections for adults?
A. Vastus lateralis site
B. Deltoid muscle site
C. Ventrogluteal site
D. Dorsogluteal site C. Ventrogluteal site
Answer: D. Dorsogluteal site C. Ventrogluteal site
The nurse identifies that the ordered dose for a medication is twice the amount
generally administered. What action should the nurse take?
A. Collaborate with the prescriber about the order.
B. Administer only the standard dose of the medication.
C. Check to see whether previous shift nurses gave the medication.
D. Administer the medication as it was ordered. A. Collaborate with the prescriber
about the order.
Answer: D. Administer the medication as it was ordered. A. Collaborate with the
prescriber
The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours p.r.n.
temperature over 101F. The client complains of a headache. Can the nurse legally
administer Tylenol to treat the headache?
,A. Yes, since Tylenol is used for both fever and headache.
B. Yes, since the medication is available over the counter, an order is not required.
C. No, not unless the client also has a temperature over 101F
D. Yes, but the nurse should document the reason why the medication was
administered as a temperature elevation. C. No, not unless the client also has a
temperature over 101F
When administering a medication IM (intramuscular), how many seconds per milliliter
should the medication be injected into the muscle?
A. 20 seconds
B. 25 seconds
C. 10 seconds
D. 5 seconds C. 10 seconds
Before administering a drug to a patient, the nurse should identify the patient by doing
which of the following?
A. Call the patient by name.
B. Check the patient's ID bracelet.
C. Check the patient's record.
D. Check the patient's name with any family member present. B. Check the patient's
ID bracelet.
Answer: D. 5 seconds C. 10 seconds
The nurse is preparing a small amount of medication for oral administration. Which
nursing action is essential?
A. Measure the medication at the top of the meniscus.
B. Draw up the medication in a syringe with a large-gauge needle.
C. Label the syringe with the medication name, amount, and route.
, D. Dilute the medication with water before measuring. C. Label the syringe with the
medication name, amount, and route.
Answer: D. Dilute the medication with water before measuring. C. Label the syringe
with the
The nurse has discontinued suction to a nasogastric tube to administer medication. For
how long should the nurse plan to leave this suction discontinued?
A. 20-30 minutes
B. 5-10 minutes
C. 10-20 minutes
D. 30-40 minutes A. 20-30 minutes
At which point of preparing medication from an ampule does the nurse anticipate using
a filter needle?
A. When drawing the medication from the ampule
B. When administering the medication to the client
C. Both for drawing up the medication and for administering the medication
D. Filter needles are not used for this preparation. A. When drawing the medication
from the ampule
HIV/AIDS Common ethical issue in health care today
Abortion Common ethical issue in health care today
Organ Transplant Common ethical issue in health care today
End of Life Issues Common ethical issue in health care today
Nursing code of ethics Informs public about minimum standards of the profession &
helps them understand professional nursing conduct. Provides a sign of the profession's
commitment to the public it serves.
Morality Private, personal standards of what is right and wrong in conduct, character
and attitude