NR 224 Fundamentals Final Review Latest
2024 Complete Exam/ All 250 Actual
Questions with Correct Verified Answers/
Graded A+
Which organ is responsible for drug metabolism? - Correct Answer - Liver
Which organ is responsible for drug excretion? - Correct Answer - Kidney
If the patient is unable to excrete or metabolize the drug [kidney or renal insufficiency]
what happens? - Correct Answer - Drug toxicity b/c the drug accumulates in the blood
How should the nurse instill ear drops for children < 3 years of age? - Correct Answer -
Pull auricle DOWN and BACK
How should the nurse instill ear drops for children > 4 and adults? - Correct Answer -
Pull auricle UP and BACK
What is a manual method to mobilize pulmonary secretions? - Correct Answer - Chest
physiotherapy
When administering a nasal cannula > 4 L/minute has a drying effect on nasal mucosa.
What should the nurse implement? - Correct Answer - Attach nasal cannula to a
humidified oxygen source up to a maximum of 6 /min
pg. 1
,Which oxygen mask is used for short-term oxygen therapy administering a flow rate of 5
L/min or more to avoid rebreathing exhaled carbon dioxide retained in the mask? -
Correct Answer - Simple Face Mask
Which oxygen mask has a one way valve that prevents exhaled air from returning to
reservoir bag administer at a minimum of 10 L/min ? - Correct Answer - Non-rebreather
face mask
Which oxygen mask delivers high concentrations of oxygen from 4 to 12 L/min
depending on the flow control meter selected for the patient? - Correct Answer - Venturi
Mask
What are the ranges for blood pressure? - Correct Answer - Normal = < 120 / <80
Prehypertensive = 120-139/ 80-89
Stage I HTN = 140--99
Stage II HTN = > 160 / > 100
What are the appropriate ranges for temperature? - Correct Answer - 96.8° F to 100.4°
F or 36° C to 38° C
What is TOP PRIORITY when a medication error occur? - Correct Answer - Assess the
patient FIRST; patient's safety and well being is priority!
What is the purpose of aspirating during IM administration? - Correct Answer - Ensure
proper placement of the needle
Ensure no blood return to ensure syringe is NOT in vascular space
If blood return appears in the syringe during aspiration of IM administration, what should
the nurse do? - Correct Answer - Withdraw the needle and prepare injection again
What steps should the nurse follow when administering a transdermal patch? - Correct
Answer - Remove old patch before applying new.
pg. 2
,Document the location of the new patch.
Ask about patches during the medication history.
Apply a label to the patch if it is difficult to see.
Document removal of the patch as well.
Discard in biohazard bin
What should the nurse instruct the patient in doing during buccal drug administration? -
Correct Answer - Placing the solid medication in the mouth against the mucous
membranes of the cheek until it dissolves.
Teach patients to alternate cheeks with each subsequent dose to avoid mucosal
irritation.
Warn patients not to chew or swallow the medication or to take any liquids with it.
Which enema solution is the safest for administration because it does NOT create a
danger for excess fluid absorption? - Correct Answer - Normal Saline [Isotonic Solution]
Which enema solution is contraindicated in patients who are dehydrated or young
infants because of risk for fluid imbalance? - Correct Answer - Hypertonic Solution
Which enema solution is considered to be hypotonic and should NOT be repeated
because of the risk of water toxicity or circulatory overload if and because the body
absorbs excessive amounts of water? - Correct Answer - Tap Water [Hypotonic
Solution]
Which enema solution lubricates the rectum and allows the feces to absorb the oil
making them soft and easier to pass? - Correct Answer - Oil Retention
Which enema solution creates intestinal irritation to stimulate peristalsis by using castile
soap? - Correct Answer – Soapsuds
pg. 3
, Which enema solution should used in caution in pregnant women and elderly because it
may cause an electrolyte imbalance or damage to intestinal mucosa? - Correct Answer -
Soapsuds
Which laboratory test is used to measure microscopic amounts of blood in the feces
(blood that cannot be seen) - Correct Answer - Guaiac Fecal Occult Blood Test
What is the term for a total separation of wound layers; protrusion of visceral organs
through wound opening indicating EMERGENCY surgical repair? - Correct Answer -
Evisceration
What is the term for a partial or total separation of wound layer during an event that
increases itraabdominal pressure indicating the needed for splinting the area to support
the healing tissue during these events? - Correct Answer - Dehiscence
When a patient complains that something has given way; what should the nurse
associate this finding with? - Correct Answer - Dehiscence
Which type of drainage is characterized as thick, yellow, green, tan, or brown indicating
infection? - Correct Answer - Purulent
Which type of drainage is characterized as pale, pink, watery; a combination of clear
and red fluid? - Correct Answer - Serosanguineous
Which type of drainage is characterized as bright red indicating active bleeding? -
Correct Answer - Sanguineous
When a wound is healed by surgical incision (wound edges are approximated or closed)
this is referred to as healing by ______ intention? - Correct Answer - Primary Intention
What are the three landmarks for IM injection? - Correct Answer - Deltoid
- less than 2mL (small medication volumes)
pg. 4
2024 Complete Exam/ All 250 Actual
Questions with Correct Verified Answers/
Graded A+
Which organ is responsible for drug metabolism? - Correct Answer - Liver
Which organ is responsible for drug excretion? - Correct Answer - Kidney
If the patient is unable to excrete or metabolize the drug [kidney or renal insufficiency]
what happens? - Correct Answer - Drug toxicity b/c the drug accumulates in the blood
How should the nurse instill ear drops for children < 3 years of age? - Correct Answer -
Pull auricle DOWN and BACK
How should the nurse instill ear drops for children > 4 and adults? - Correct Answer -
Pull auricle UP and BACK
What is a manual method to mobilize pulmonary secretions? - Correct Answer - Chest
physiotherapy
When administering a nasal cannula > 4 L/minute has a drying effect on nasal mucosa.
What should the nurse implement? - Correct Answer - Attach nasal cannula to a
humidified oxygen source up to a maximum of 6 /min
pg. 1
,Which oxygen mask is used for short-term oxygen therapy administering a flow rate of 5
L/min or more to avoid rebreathing exhaled carbon dioxide retained in the mask? -
Correct Answer - Simple Face Mask
Which oxygen mask has a one way valve that prevents exhaled air from returning to
reservoir bag administer at a minimum of 10 L/min ? - Correct Answer - Non-rebreather
face mask
Which oxygen mask delivers high concentrations of oxygen from 4 to 12 L/min
depending on the flow control meter selected for the patient? - Correct Answer - Venturi
Mask
What are the ranges for blood pressure? - Correct Answer - Normal = < 120 / <80
Prehypertensive = 120-139/ 80-89
Stage I HTN = 140--99
Stage II HTN = > 160 / > 100
What are the appropriate ranges for temperature? - Correct Answer - 96.8° F to 100.4°
F or 36° C to 38° C
What is TOP PRIORITY when a medication error occur? - Correct Answer - Assess the
patient FIRST; patient's safety and well being is priority!
What is the purpose of aspirating during IM administration? - Correct Answer - Ensure
proper placement of the needle
Ensure no blood return to ensure syringe is NOT in vascular space
If blood return appears in the syringe during aspiration of IM administration, what should
the nurse do? - Correct Answer - Withdraw the needle and prepare injection again
What steps should the nurse follow when administering a transdermal patch? - Correct
Answer - Remove old patch before applying new.
pg. 2
,Document the location of the new patch.
Ask about patches during the medication history.
Apply a label to the patch if it is difficult to see.
Document removal of the patch as well.
Discard in biohazard bin
What should the nurse instruct the patient in doing during buccal drug administration? -
Correct Answer - Placing the solid medication in the mouth against the mucous
membranes of the cheek until it dissolves.
Teach patients to alternate cheeks with each subsequent dose to avoid mucosal
irritation.
Warn patients not to chew or swallow the medication or to take any liquids with it.
Which enema solution is the safest for administration because it does NOT create a
danger for excess fluid absorption? - Correct Answer - Normal Saline [Isotonic Solution]
Which enema solution is contraindicated in patients who are dehydrated or young
infants because of risk for fluid imbalance? - Correct Answer - Hypertonic Solution
Which enema solution is considered to be hypotonic and should NOT be repeated
because of the risk of water toxicity or circulatory overload if and because the body
absorbs excessive amounts of water? - Correct Answer - Tap Water [Hypotonic
Solution]
Which enema solution lubricates the rectum and allows the feces to absorb the oil
making them soft and easier to pass? - Correct Answer - Oil Retention
Which enema solution creates intestinal irritation to stimulate peristalsis by using castile
soap? - Correct Answer – Soapsuds
pg. 3
, Which enema solution should used in caution in pregnant women and elderly because it
may cause an electrolyte imbalance or damage to intestinal mucosa? - Correct Answer -
Soapsuds
Which laboratory test is used to measure microscopic amounts of blood in the feces
(blood that cannot be seen) - Correct Answer - Guaiac Fecal Occult Blood Test
What is the term for a total separation of wound layers; protrusion of visceral organs
through wound opening indicating EMERGENCY surgical repair? - Correct Answer -
Evisceration
What is the term for a partial or total separation of wound layer during an event that
increases itraabdominal pressure indicating the needed for splinting the area to support
the healing tissue during these events? - Correct Answer - Dehiscence
When a patient complains that something has given way; what should the nurse
associate this finding with? - Correct Answer - Dehiscence
Which type of drainage is characterized as thick, yellow, green, tan, or brown indicating
infection? - Correct Answer - Purulent
Which type of drainage is characterized as pale, pink, watery; a combination of clear
and red fluid? - Correct Answer - Serosanguineous
Which type of drainage is characterized as bright red indicating active bleeding? -
Correct Answer - Sanguineous
When a wound is healed by surgical incision (wound edges are approximated or closed)
this is referred to as healing by ______ intention? - Correct Answer - Primary Intention
What are the three landmarks for IM injection? - Correct Answer - Deltoid
- less than 2mL (small medication volumes)
pg. 4
