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Exam 4 Mock Exam - practice questions with answers
Fundamental of Nursing (Galen College of Nursing)
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Exam 4 Mock Exam
1. The nurse had just finished preparing a pain medication injection for an assigned client when a code blue is called
for another assigned client. The nurse asks a newly hired nurse on the floor to give the pain medication to the client.
Which of the following actions by the newly hired nurse is appropriate?
A. Do not give the medication as prepared. Check the medication administration record (MAR) and prepare new
medication to be administered.
B. Administer the medication if the client is rating pain at an 8 or above on the 0 (no pain) to 10 (severe pain)
pain scale.
C. Hold on to the medication until the experienced nurse is finished running the code blue.
D. Administer the medication since the experienced nurse had just prepared it for the client.
A
2.) The nurse has administered an intramuscular (IM) medication to a client. Approximately 15 minutes after
administration, the client develops an itchy rash all over and reports feeling very "uneasy" to the nurse. Which of the
following actions should the nurse take first?
A. Obtain an order for hydrocortisone cream to relive the itching.
B. Document the reaction in the client's chart as a side effect.
C. Determine if the client is having any difficulty breathing.
D. Report the findings to the primary health care provider (PHCP) and the pharmacist.
C
3.) The nurse has been assigned a group of 8 clients on a very busy medical-surgical unit. While passing
medications, the nurse realizes a medication error has been made. Which of the following actions should the nurse
take first?
A. Document the medication given, how the client responded, and reassess 1 hour later.
B. Prepare an incident report so that the facility can determine the cause of the error.
C. Assess the client for any adverse reactions and notify the primary health care provider (PHCP).
D. Find the nurse manager, explain the medication error, and prepare to leave for the day.
C
4.) The nurse is caring for a client who has a prescription for acetaminophen 325 mg 2 tablets by mouth
(PO) every 4 hours as needed for temperature over 101° F. The client requests something for a headache.
Which of the following actions by the nurse is appropriate?
A. Explain to the client that the only thing they have prescribed is for a fever.
B. Check the last set of vital signs to see if the client was running a temperature.
C. Administer the acetaminophen since it can be used for fever and headache.
D. Contact the primary health care provider (PHCP) to get an order for pain control.
D
5) The nurse is caring for a client who takes 6 tablets of methotrexate once every week on Fridays. How many mg of
methotrexate does the client take per dose according to the exhibit below?
A. 2.5 mg.
B. 15 mg.
C. 2.4 mg.
D. 6 mg.
A
6) The nurse is preparing to administer a medication from a vial. In which order should the nurse perform the steps in
the exhibit below, starting with the first step?
1. Invert the vial.
2. Fill the syringe with medication.
3. Inject air into the airspace of the vial.
4. Clean with alcohol swab and allow to dry.
5. Pull back on the plunger the amount to be drawn up.
6. Tap the side of the syringe barrel to remove air bubbles.
A. 4, 1, 5, 3, 6, 2.
B. 4, 5, 3, 1, 2, 6.
C. 1, 4, 5, 3, 2, 6.
D. 1, 4, 5, 3, 6, 2.
B
7) The nurse is preparing to administer the client's prescribed narcotic analgesic. The nurse should first assess the
client's
Downloaded by mary daniel ()
Exam 4 Mock Exam - practice questions with answers
Fundamental of Nursing (Galen College of Nursing)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by mary daniel ()
, lOMoARcPSD|37668344
Exam 4 Mock Exam
1. The nurse had just finished preparing a pain medication injection for an assigned client when a code blue is called
for another assigned client. The nurse asks a newly hired nurse on the floor to give the pain medication to the client.
Which of the following actions by the newly hired nurse is appropriate?
A. Do not give the medication as prepared. Check the medication administration record (MAR) and prepare new
medication to be administered.
B. Administer the medication if the client is rating pain at an 8 or above on the 0 (no pain) to 10 (severe pain)
pain scale.
C. Hold on to the medication until the experienced nurse is finished running the code blue.
D. Administer the medication since the experienced nurse had just prepared it for the client.
A
2.) The nurse has administered an intramuscular (IM) medication to a client. Approximately 15 minutes after
administration, the client develops an itchy rash all over and reports feeling very "uneasy" to the nurse. Which of the
following actions should the nurse take first?
A. Obtain an order for hydrocortisone cream to relive the itching.
B. Document the reaction in the client's chart as a side effect.
C. Determine if the client is having any difficulty breathing.
D. Report the findings to the primary health care provider (PHCP) and the pharmacist.
C
3.) The nurse has been assigned a group of 8 clients on a very busy medical-surgical unit. While passing
medications, the nurse realizes a medication error has been made. Which of the following actions should the nurse
take first?
A. Document the medication given, how the client responded, and reassess 1 hour later.
B. Prepare an incident report so that the facility can determine the cause of the error.
C. Assess the client for any adverse reactions and notify the primary health care provider (PHCP).
D. Find the nurse manager, explain the medication error, and prepare to leave for the day.
C
4.) The nurse is caring for a client who has a prescription for acetaminophen 325 mg 2 tablets by mouth
(PO) every 4 hours as needed for temperature over 101° F. The client requests something for a headache.
Which of the following actions by the nurse is appropriate?
A. Explain to the client that the only thing they have prescribed is for a fever.
B. Check the last set of vital signs to see if the client was running a temperature.
C. Administer the acetaminophen since it can be used for fever and headache.
D. Contact the primary health care provider (PHCP) to get an order for pain control.
D
5) The nurse is caring for a client who takes 6 tablets of methotrexate once every week on Fridays. How many mg of
methotrexate does the client take per dose according to the exhibit below?
A. 2.5 mg.
B. 15 mg.
C. 2.4 mg.
D. 6 mg.
A
6) The nurse is preparing to administer a medication from a vial. In which order should the nurse perform the steps in
the exhibit below, starting with the first step?
1. Invert the vial.
2. Fill the syringe with medication.
3. Inject air into the airspace of the vial.
4. Clean with alcohol swab and allow to dry.
5. Pull back on the plunger the amount to be drawn up.
6. Tap the side of the syringe barrel to remove air bubbles.
A. 4, 1, 5, 3, 6, 2.
B. 4, 5, 3, 1, 2, 6.
C. 1, 4, 5, 3, 2, 6.
D. 1, 4, 5, 3, 6, 2.
B
7) The nurse is preparing to administer the client's prescribed narcotic analgesic. The nurse should first assess the
client's
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