NR 224 Fundamentals Final EXAM QUESTIONS WITH
ACTUAL CORRECT DETAILED ANSWERS WITH A
GUARANTEED PASS OF A+
The nurse is having difficulty reading of physician's order for a medication. He or she know that the
physician is very busy and does not like to be called. What is the most appropriate next step for the
nurse to take? - ANSWER-Call the physician to have the order clarified.
The patient has an order for 2 tablespoons of milk of magnesia. How much medication does the nurse
give him or her? - ANSWER-30 ML
In nurses administering ear drops to an 8-year-old patient with an ear infection. How does the nurse pull
the patient's ear when administering the medication? - ANSWER-...
The patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-mg tablets. How
many tablets does the nurse administer? - ANSWER-2 tablets
The nurse is administering medications to a four-year-old patient. After he or she explains which
medications are being given, the mother states, "I don't remember my child having that medication
before." What is the nurse's next action? - ANSWER-Withhold the medications and verify the medication
orders.
A patient is transitioning from the hospital to the home environment. A home care referral is obtained.
What is a priority in relation to safe medication administration for the discharge nurse? - ANSWER-
Ensure that the home care agency is aware of medication and health teaching needs.
,A nursing student take a patient's antibiotic to his room. The patient asks the nursing student what it is
and why he should take it. What information does the nursing student include when replying to the
patient? - ANSWER-The student provides the name of the medication and a description of its desired
effect.
The nurses is administering a sustained-release capsule to a new patient. The patient insists that he
cannot swallow pills. What is the nurse's next best course of action? - ANSWER-Ask the prescriber to
change the order.
The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is
not going to take it. What is the nurses next action? - ANSWER-Ask the patient's reason for refusal.
The nurse receives an order to start getting a loop diuretic to a patient to help lower his or her blood
pressure. The nurse determines the appropriate route for administering the diuretic according to: -
ANSWER-The prescriber's order.
A patient is receiving intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the
nurse: - ANSWER-Stops the administration of the medication and follows agency policy.
If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at
the site, the nurses suspects: - ANSWER-Phlebitis.
After seeing a patient, the physician gives a nursing student a verbal order for a new medication. The
nursing student first needs to: - ANSWER-Explain to the physician that the order needs to be given to a
registered nurse.
A nurse accidentally gives a patient a medication at the wrong time. The nurse's first priority is to: -
ANSWER-Assess the patient for adverse effects.
Which of the following factors is associated with rapid absorption of a drug? - ANSWER-Intravenous
route of administration.
, What is the term used for the concentration of drug in the blood serum that produces the desired effect
without causing toxicity? - ANSWER-Therapeutic range.
What is the term used for the highest plasma concentration? - ANSWER-Peak level.
What is the term used for the point when a drug is at the lowest concentration? - ANSWER-Trough level.
What is the term used for the amount of time it takes for 50% of the blood concentration of a drug to be
eliminated from the body? - ANSWER-Half-life.
Which organ is the primary site for drug metabolism? - ANSWER-Liver.
The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example of which type of
order? - ANSWER-Standing order.
A graduate nurse is administering several medications to a newly admitted patient. Who is legally
responsible for the drugs administered by this nurse? - ANSWER-The nurse administering the drugs.
Which system of measurement is most accurate and precise for drug administration? - ANSWER-Metric
system.
The nurse is preparing to administer a medication via a nasogastric tube. What guideline is appropriate
for the nurse to follow when administering a drug via this route? - ANSWER-Flush the tube with water
between each drug administered.
Which parenteral route of administration has the longest absorption? - ANSWER-Intradermal.
The nurse is preparing a patient for discharge, and this patient has been prescribed an eye medication
disk for use at home. Which statement is factual and important to discuss with the patient? - ANSWER-
The disk will be effective for up to 1 week.
ACTUAL CORRECT DETAILED ANSWERS WITH A
GUARANTEED PASS OF A+
The nurse is having difficulty reading of physician's order for a medication. He or she know that the
physician is very busy and does not like to be called. What is the most appropriate next step for the
nurse to take? - ANSWER-Call the physician to have the order clarified.
The patient has an order for 2 tablespoons of milk of magnesia. How much medication does the nurse
give him or her? - ANSWER-30 ML
In nurses administering ear drops to an 8-year-old patient with an ear infection. How does the nurse pull
the patient's ear when administering the medication? - ANSWER-...
The patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-mg tablets. How
many tablets does the nurse administer? - ANSWER-2 tablets
The nurse is administering medications to a four-year-old patient. After he or she explains which
medications are being given, the mother states, "I don't remember my child having that medication
before." What is the nurse's next action? - ANSWER-Withhold the medications and verify the medication
orders.
A patient is transitioning from the hospital to the home environment. A home care referral is obtained.
What is a priority in relation to safe medication administration for the discharge nurse? - ANSWER-
Ensure that the home care agency is aware of medication and health teaching needs.
,A nursing student take a patient's antibiotic to his room. The patient asks the nursing student what it is
and why he should take it. What information does the nursing student include when replying to the
patient? - ANSWER-The student provides the name of the medication and a description of its desired
effect.
The nurses is administering a sustained-release capsule to a new patient. The patient insists that he
cannot swallow pills. What is the nurse's next best course of action? - ANSWER-Ask the prescriber to
change the order.
The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is
not going to take it. What is the nurses next action? - ANSWER-Ask the patient's reason for refusal.
The nurse receives an order to start getting a loop diuretic to a patient to help lower his or her blood
pressure. The nurse determines the appropriate route for administering the diuretic according to: -
ANSWER-The prescriber's order.
A patient is receiving intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the
nurse: - ANSWER-Stops the administration of the medication and follows agency policy.
If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at
the site, the nurses suspects: - ANSWER-Phlebitis.
After seeing a patient, the physician gives a nursing student a verbal order for a new medication. The
nursing student first needs to: - ANSWER-Explain to the physician that the order needs to be given to a
registered nurse.
A nurse accidentally gives a patient a medication at the wrong time. The nurse's first priority is to: -
ANSWER-Assess the patient for adverse effects.
Which of the following factors is associated with rapid absorption of a drug? - ANSWER-Intravenous
route of administration.
, What is the term used for the concentration of drug in the blood serum that produces the desired effect
without causing toxicity? - ANSWER-Therapeutic range.
What is the term used for the highest plasma concentration? - ANSWER-Peak level.
What is the term used for the point when a drug is at the lowest concentration? - ANSWER-Trough level.
What is the term used for the amount of time it takes for 50% of the blood concentration of a drug to be
eliminated from the body? - ANSWER-Half-life.
Which organ is the primary site for drug metabolism? - ANSWER-Liver.
The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example of which type of
order? - ANSWER-Standing order.
A graduate nurse is administering several medications to a newly admitted patient. Who is legally
responsible for the drugs administered by this nurse? - ANSWER-The nurse administering the drugs.
Which system of measurement is most accurate and precise for drug administration? - ANSWER-Metric
system.
The nurse is preparing to administer a medication via a nasogastric tube. What guideline is appropriate
for the nurse to follow when administering a drug via this route? - ANSWER-Flush the tube with water
between each drug administered.
Which parenteral route of administration has the longest absorption? - ANSWER-Intradermal.
The nurse is preparing a patient for discharge, and this patient has been prescribed an eye medication
disk for use at home. Which statement is factual and important to discuss with the patient? - ANSWER-
The disk will be effective for up to 1 week.
