Foundations of Clinical Nursing (Exam 2) Questions With
Complete Solutions
A 74-year-old patient has been having sleeping difficulties. To
have a better idea of the patient's problem, the nurse should
respond:
A. "What do you do just before going to bed?"
B. "Let's make sure that your bedroom is completly darkened at
night."
C. Why don't you try napping more during the daytime?"
D. "Do you eat a small snack before going to bed?" Correct
Answers A. "What do you do just before going to bed?"
A child is taking albuterol through a pressurized metered-dose
inhaler (pMDI) that contains a total of 64 puffs. The dose is 2
puffs every 6 hours. How many days will the pMDI last?
___________ days. Correct Answers 8 Days
A health care provider ordered enalapril (Vasotec) 2 mg IV push
for a patient with hypertension. The pharmacy sent vials marked
1.25 mg enalapril/mL. How many mL does the nurse
administer? Correct Answers 1.6 mL
A nurse accidently gives a patient the medications that were
ordered for the patient's roommate. What is the nurse's first
priority?
A.Complete an occurrence report.
B Notify the health care provider.
C. Inform the charge nurse of the error.
,D. Assess the patient for adverse effects. Correct Answers D.
Assess the patient for adverse effects.
A nurse admits a 72-year-old patient with a medical history of
hypertension, heart failure, renal failure, and depression to a
general medical patient care unit. The nurse reviews the patient's
medication orders and notes that the patient has three health care
providers who have ordered a total of 13 medications. What is
the most appropriate action for the nurse to take next?
A. Give the medications after identifying the patient using two
patient identifiers
B. Provide medication education to the patient to help with
adherence to the medical plan
C. Review the list of medications with the health care providers
to ensure that the patient needs all 13 medications
D. Set up a medication schedule for the patient that is least
disruptive to the expected treatment schedule in the hospital
Correct Answers C. Review the list of medications with the
health care providers to ensure that the patient needs all 13
medications
A nursing student is administering ampicillin PO. The expiration
date on the medication wrapper was yesterday. What is the
appropriate action for the nursing student to take next?
A. Ask the nursing professor for advice
B. Return the medication to pharmacy and get another tablet
C. Call the health care provider after discussing this situation
with the charge nurse
, D. Administer the medication since medications are good for 30
days after their expiration date Correct Answers B. Return the
medication to pharmacy and get another tablet
A nursing student is administering medications to a patient
through a gastric tube (G-tube). Which of the following actions
taken by the nursing student requires the nursing instructor to
intervene?
A. The nursing student places all the patient's medications in
different medicine cups.
B. The nursing student evaluates each medication and holds the
tube feeding before administering a medication that needs to be
administered on an empty stomach.
C. The nursing student flushes the tube with 30 mL of water
between each medication.
D. The nursing student crushes a nifedipine extended-release
tablet and mixes it with water before administering it. Correct
Answers D. The nursing student crushes a nifedipine extended-
release tablet and mixes it with water before administering it.
A patient has been diagnosed with severe iron deficiency
anemia. During physical assessment, which of the following
symptoms are associated with decreased oxygenation?
A. Increased breathlessness but increased activity tolerance
B. Decreased breathlessness and decreased activity tolerance
C. Increased activity tolerance and decreased breathlessness
D. Decreased activity tolerance and increased breathlessness
Correct Answers D. Decreased activity tolerance and increased
breathlessness
Complete Solutions
A 74-year-old patient has been having sleeping difficulties. To
have a better idea of the patient's problem, the nurse should
respond:
A. "What do you do just before going to bed?"
B. "Let's make sure that your bedroom is completly darkened at
night."
C. Why don't you try napping more during the daytime?"
D. "Do you eat a small snack before going to bed?" Correct
Answers A. "What do you do just before going to bed?"
A child is taking albuterol through a pressurized metered-dose
inhaler (pMDI) that contains a total of 64 puffs. The dose is 2
puffs every 6 hours. How many days will the pMDI last?
___________ days. Correct Answers 8 Days
A health care provider ordered enalapril (Vasotec) 2 mg IV push
for a patient with hypertension. The pharmacy sent vials marked
1.25 mg enalapril/mL. How many mL does the nurse
administer? Correct Answers 1.6 mL
A nurse accidently gives a patient the medications that were
ordered for the patient's roommate. What is the nurse's first
priority?
A.Complete an occurrence report.
B Notify the health care provider.
C. Inform the charge nurse of the error.
,D. Assess the patient for adverse effects. Correct Answers D.
Assess the patient for adverse effects.
A nurse admits a 72-year-old patient with a medical history of
hypertension, heart failure, renal failure, and depression to a
general medical patient care unit. The nurse reviews the patient's
medication orders and notes that the patient has three health care
providers who have ordered a total of 13 medications. What is
the most appropriate action for the nurse to take next?
A. Give the medications after identifying the patient using two
patient identifiers
B. Provide medication education to the patient to help with
adherence to the medical plan
C. Review the list of medications with the health care providers
to ensure that the patient needs all 13 medications
D. Set up a medication schedule for the patient that is least
disruptive to the expected treatment schedule in the hospital
Correct Answers C. Review the list of medications with the
health care providers to ensure that the patient needs all 13
medications
A nursing student is administering ampicillin PO. The expiration
date on the medication wrapper was yesterday. What is the
appropriate action for the nursing student to take next?
A. Ask the nursing professor for advice
B. Return the medication to pharmacy and get another tablet
C. Call the health care provider after discussing this situation
with the charge nurse
, D. Administer the medication since medications are good for 30
days after their expiration date Correct Answers B. Return the
medication to pharmacy and get another tablet
A nursing student is administering medications to a patient
through a gastric tube (G-tube). Which of the following actions
taken by the nursing student requires the nursing instructor to
intervene?
A. The nursing student places all the patient's medications in
different medicine cups.
B. The nursing student evaluates each medication and holds the
tube feeding before administering a medication that needs to be
administered on an empty stomach.
C. The nursing student flushes the tube with 30 mL of water
between each medication.
D. The nursing student crushes a nifedipine extended-release
tablet and mixes it with water before administering it. Correct
Answers D. The nursing student crushes a nifedipine extended-
release tablet and mixes it with water before administering it.
A patient has been diagnosed with severe iron deficiency
anemia. During physical assessment, which of the following
symptoms are associated with decreased oxygenation?
A. Increased breathlessness but increased activity tolerance
B. Decreased breathlessness and decreased activity tolerance
C. Increased activity tolerance and decreased breathlessness
D. Decreased activity tolerance and increased breathlessness
Correct Answers D. Decreased activity tolerance and increased
breathlessness
