NURSING QUESTIONS WITH ANSWERS & RATIONALES
1. Aspirin and Viral Infection in Children
Question: A nurse is teaching new parents about medications. The nurse should explain that
aspirin is contraindicated for children with viral infections due to the risk of which adverse
effect?
Options:
A. Reye's syndrome
B. Visual disturbances
C. Diabetes mellitus
D. Wilms' tumor
Answer: Reye's syndrome
Rationale: Aspirin use in children with viral infections is linked to Reye's syndrome, a rare but
serious condition causing liver and brain damage.
2. Epoetin Alfa for Chronic Kidney Failure
Question: A nurse is teaching a client with chronic kidney failure and an AV fistula about epoetin
alfa. Which therapeutic effect should the nurse emphasize?
Options:
A. Reduces blood pressure
B. Inhibits clotting of fistula
C. Promotes RBC production
D. Stimulates neutrophil growth
Answer: Promotes RBC production
Rationale: Epoetin alfa stimulates red blood cell production, addressing anemia common in
kidney failure.
, 3. Headache in Peptic Ulcer Disease
Question: A client with peptic ulcer disease reports a headache. Which medication should the
nurse administer?
Options:
A. Ibuprofen
B. Naproxen
C. Aspirin
D. Acetaminophen
Answer: Acetaminophen
Rationale: NSAIDs like ibuprofen, naproxen, and aspirin can worsen ulcers. Acetaminophen is
safer for pain relief in this case.
4. Heparin Dosage Calculation
Question: The nurse is to administer heparin 8,000 units subcutaneously. Available is heparin
10,000 units/mL. How many mL should be given?
Answer: 0.8 mL
Rationale: Calculation:
10,000 units/mL8,000 units=0.8 mL.
5. Enteral Tube Feeding Rate
Question: An NG tube feeding is ordered for 250 mL over 4 hours. What rate (mL/hr) should the
pump be set to?
Answer: 63 mL/hr
Rationale: Calculation:
250 mL4 hr=62.5 mL/hr4 hr250 mL=62.5 mL/hr, rounded to 63 mL/hr. mL/hr
4 hr
250 mL
=62.5 mL/hr, rounded to 63 mL/hr.