NURS 3303 Exam 2, End of Chapter Q's
w/ Rationales 2025/2026 Exam
Questions Marking Scheme New Update
| A+ Rated
A nurse is administering an oral tablet to a patient. Which of the following steps is
the second check for accuracy in determining the patient is receiving the right
medication? - 🧠 ANSWER ✔✔- Before going to a patient's room, compare the
patient's name and name of medication on label of prepared drugs with MAR.
Rationale: This is the second check for accuracy before leaving to the medication
preparation area. The first accuracy check occurs when you check the label of
medication against the MAR when removing the unit dose or automated
medication dispensing systems. The third check occurs at the patient's bedside
when you comare the MAR or computer printout with the names of medicaitons on
medicaiton labels.
,The health care provider has written the following orders. Which order(s) does the
need need to clarify before administering the medication? Select all that apply. - 🧠
ANSWER ✔✔The nurse questions ALL of the orders.
1. Timoptic.25 % solution 1 drop OD BID
Rationale: There is a naked decimal point, also OD (right eye) could be mistaken
for AD (right ear).
Rationale: It should be correctly written as Timoptic 0.25% solution 1 drop right
eye BID.
2. Metoprolol 12.50 mg QD
Rationale: Has a trailing zero, and the dosage could be mistaken for 1250 if the
decimal point is not see and there is no route identified. It should be correctly
written as Metoprolol 12.5mg QD PO.
3. Insulin Glargine 6 u SC twice a day
Rationale: The letter u (for units) could be mistaken as the number 0 or 4 and SC
could be mistaken as SL. It should be written as Insulin glargine 6 units
subcutaneous twice a day
4. Enalapril 2.5mg. PO 3 times a day, hold for systolic blood pressure < 100.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
,Rationale: There is a period after the units, mg, which could be mistaken as the
number 1 and the < sign could be mistake as greater than.It should be written as
Enalapril 2.5mg PO 3 times a day, hold for systolic blood pressure less than 100
An older adult states that she cannot see her medication bottles clearly to determine
when to take her prescription. What actions should the nurse take to help the older
adult patient? Select all that apply. - 🧠 ANSWER ✔✔- Provide a dispensing
system for each day of the week
- Provide larger, easier-to-read labels
- Use teach-back to ensure the patient knows what medication to take and when
Which of the following guidelines must a nurse use for taking verbal or telephone
orders? - 🧠 ANSWER ✔✔- Follow the health care agency guidelins regarding
authorized staff who may receive and record verbal or telephone orders
- Clearly identify patient's name, room number, and diagnosis
- Read back all orders to health care provider
- Use clarification questions to avoid misunderstandings
- Write "VO" verbal order, or "TO" telephone order, including data and time, name
of patient, and complete order; sign the name of health care provider and nurse
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Which aspects of the patient's care related to the administration of heparin can the
nurse delegate to the nursing AP? Select all that apply. - 🧠 ANSWER ✔✔- Notify
the nurse of any signs of bleeding
- Notify the nurse if there is blood in the patient's urine
- Notify the nurse for oozing from the puncture sites
Which of the following signs or symptoms in a patient who is opioid naive is of
greatest concern to the nurse when assessing the patient 1 hour after administering
an opoid? - 🧠 ANSWER ✔✔- Difficulty arousing the patient
- Rationale: Sedation is a concern because it may indicate that the patient is
experiencing opioid-related side effects, advancing sedation may indicate patient
may progress to respiratory depression.
A nurse is administering an MDI with a spacer to a patient with COPD. Place the
steps in the following appropiate order. - 🧠 ANSWER ✔✔1. Perform a respiratory
assessment
2. Remove mouthpiece from MDI and spacer device
3. Shake inhaler for 2 to 5 seconds
4. Insert MDI into end of spacer.
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
4
PRIVACY STATEMENT. ALL RIGHTS RESERVED
w/ Rationales 2025/2026 Exam
Questions Marking Scheme New Update
| A+ Rated
A nurse is administering an oral tablet to a patient. Which of the following steps is
the second check for accuracy in determining the patient is receiving the right
medication? - 🧠 ANSWER ✔✔- Before going to a patient's room, compare the
patient's name and name of medication on label of prepared drugs with MAR.
Rationale: This is the second check for accuracy before leaving to the medication
preparation area. The first accuracy check occurs when you check the label of
medication against the MAR when removing the unit dose or automated
medication dispensing systems. The third check occurs at the patient's bedside
when you comare the MAR or computer printout with the names of medicaitons on
medicaiton labels.
,The health care provider has written the following orders. Which order(s) does the
need need to clarify before administering the medication? Select all that apply. - 🧠
ANSWER ✔✔The nurse questions ALL of the orders.
1. Timoptic.25 % solution 1 drop OD BID
Rationale: There is a naked decimal point, also OD (right eye) could be mistaken
for AD (right ear).
Rationale: It should be correctly written as Timoptic 0.25% solution 1 drop right
eye BID.
2. Metoprolol 12.50 mg QD
Rationale: Has a trailing zero, and the dosage could be mistaken for 1250 if the
decimal point is not see and there is no route identified. It should be correctly
written as Metoprolol 12.5mg QD PO.
3. Insulin Glargine 6 u SC twice a day
Rationale: The letter u (for units) could be mistaken as the number 0 or 4 and SC
could be mistaken as SL. It should be written as Insulin glargine 6 units
subcutaneous twice a day
4. Enalapril 2.5mg. PO 3 times a day, hold for systolic blood pressure < 100.
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,Rationale: There is a period after the units, mg, which could be mistaken as the
number 1 and the < sign could be mistake as greater than.It should be written as
Enalapril 2.5mg PO 3 times a day, hold for systolic blood pressure less than 100
An older adult states that she cannot see her medication bottles clearly to determine
when to take her prescription. What actions should the nurse take to help the older
adult patient? Select all that apply. - 🧠 ANSWER ✔✔- Provide a dispensing
system for each day of the week
- Provide larger, easier-to-read labels
- Use teach-back to ensure the patient knows what medication to take and when
Which of the following guidelines must a nurse use for taking verbal or telephone
orders? - 🧠 ANSWER ✔✔- Follow the health care agency guidelins regarding
authorized staff who may receive and record verbal or telephone orders
- Clearly identify patient's name, room number, and diagnosis
- Read back all orders to health care provider
- Use clarification questions to avoid misunderstandings
- Write "VO" verbal order, or "TO" telephone order, including data and time, name
of patient, and complete order; sign the name of health care provider and nurse
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Which aspects of the patient's care related to the administration of heparin can the
nurse delegate to the nursing AP? Select all that apply. - 🧠 ANSWER ✔✔- Notify
the nurse of any signs of bleeding
- Notify the nurse if there is blood in the patient's urine
- Notify the nurse for oozing from the puncture sites
Which of the following signs or symptoms in a patient who is opioid naive is of
greatest concern to the nurse when assessing the patient 1 hour after administering
an opoid? - 🧠 ANSWER ✔✔- Difficulty arousing the patient
- Rationale: Sedation is a concern because it may indicate that the patient is
experiencing opioid-related side effects, advancing sedation may indicate patient
may progress to respiratory depression.
A nurse is administering an MDI with a spacer to a patient with COPD. Place the
steps in the following appropiate order. - 🧠 ANSWER ✔✔1. Perform a respiratory
assessment
2. Remove mouthpiece from MDI and spacer device
3. Shake inhaler for 2 to 5 seconds
4. Insert MDI into end of spacer.
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
4
PRIVACY STATEMENT. ALL RIGHTS RESERVED
