NURS 213 - Exam 1 Questions With Complete Solutions
A health care provider orders a pain medication for a
postoperative patient that is a PRN order. When would the nurse
administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order Correct
Answer b. Doses administered as needed for pain relief
A medication order reads: "Hydromorphone, 2 mg IV every 3 to
4 hours PRN pain." The prefilled cartridge is available with a
label reading "Hydromorphone 2 mg/1 mL." The cartridge
contains 1.2 mL of hydromorphone. What should the nurse do?
a. Give all the medication in the cartridge because it expanded
when it was mixed and this is what the pharmacy sent.
b. Call the pharmacy and request the proper dose.
c. Refuse to give the medication and document refusal in the
EHR.
d. Dispose of 0.2 mL before administering the drug; verify the
waste with another nurse. Correct Answer d. Dispose of 0.2
mL before administering the drug; verify the waste with another
nurse.
A medication order reads: "K-Dur, 20 mEq po BID." When and
how does the nurse correctly give this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
,d. Once a week by transdermal patch Correct Answer c.
Twice a day by the oral route
A new nurse who is being oriented to the subacute care unit is
expected to follow existing standards when providing patient
care. Which nursing actions are examples of these standards?
Select all that apply.
a. Monitoring patient status every hour
b. Using intuition to troubleshoot patient problems
c. Turning a patient on bed rest every 2 hours
d. Becoming a nurse mentor to a student nurse
e. Administering pain medication ordered by the physician
f. Becoming involved in community nursing events Correct
Answer a. Monitoring patient status every hour
c. Turning a patient on bed rest every 2 hours
e. Administering pain medication ordered by the physician
A new RN is being oriented to a nursing unit that is currently
understaffed and is told that the UAPs have been trained to
obtain the initial nursing assessment. What is the best response
of the new RN?
a. Allow the UAPs to do the admission assessment and report
the findings to the RN.
b. Do his or her own admission assessments but don't interfere
with the practice if other professional RNs seem comfortable
with the practice.
c. Tell the charge nurse that he or she chooses not to delegate the
admission assessment until further clarification is received from
administration.
d. Contact his or her labor representative to report this practice
to the state board of nursing. Correct Answer c. Tell the
,charge nurse that he or she chooses not to delegate the
admission assessment until further clarification is received from
administration.
A nurse administers a dose of an oral medication for
hypertension to a patient who immediately vomits after
swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
a. Readminister the medication and notify the primary care
provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider. Correct Answer c. Assess
the vomit, looking for the pill.
A nurse assesses a patient and formulates the following nursing
diagnosis: Risk for Impaired Skin Integrity related to prescribed
bed rest as evidenced by reddened areas of skin on the heels and
back. Which phrase represents the etiology of this diagnostic
statement?
a. Risk for Impaired Skin Integrity
b. Related to prescribed bed rest
c. As evidenced by
d. As evidenced by reddened areas of skin on the heels and back
Correct Answer b. Related to prescribed bed rest
A nurse develops a detailed care plan for a 16-year-old patient
who is a new single mother of a premature infant. The plan
includes collaborative care measures and home health care
visits. When presented with the plan, the patient states, "We will
, be fine on our own. I don't need any more care." What would be
the nurse's best response?
a. "You know your personal situation better than I do, so I will
respect your wishes."
b. "If you don't accept these services, your baby's health will
suffer."
c. "Let's take a look at the plan again and see if we can adjust it
to fit your needs."
d. "I'm going to assign your case to a social worker who can
explain the services better." Correct Answer c. "Let's take a
look at the plan again and see if we can adjust it to fit your
needs."
A nurse discovers that a medication error occurred. What should
be the nurse's first response?
a. Record the error on the medication sheet.
b. Notify the physician regarding course of action.
c. Check the patient's condition to note any possible effect of the
error.
d. Complete an incident report, explaining how the mistake was
made. Correct Answer c. Check the patient's condition to note
any possible effect of the error.
A nurse is about to perform pin site care for a patient who has a
halo traction device installed. What is the FIRST nursing action
that should be taken prior to performing this care?
a. Administer pain medication.
b. Reassess the patient.
c. Prepare the equipment.
d. Explain the procedure to the patient. Correct Answer b.
Reassess the patient.
A health care provider orders a pain medication for a
postoperative patient that is a PRN order. When would the nurse
administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order Correct
Answer b. Doses administered as needed for pain relief
A medication order reads: "Hydromorphone, 2 mg IV every 3 to
4 hours PRN pain." The prefilled cartridge is available with a
label reading "Hydromorphone 2 mg/1 mL." The cartridge
contains 1.2 mL of hydromorphone. What should the nurse do?
a. Give all the medication in the cartridge because it expanded
when it was mixed and this is what the pharmacy sent.
b. Call the pharmacy and request the proper dose.
c. Refuse to give the medication and document refusal in the
EHR.
d. Dispose of 0.2 mL before administering the drug; verify the
waste with another nurse. Correct Answer d. Dispose of 0.2
mL before administering the drug; verify the waste with another
nurse.
A medication order reads: "K-Dur, 20 mEq po BID." When and
how does the nurse correctly give this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
,d. Once a week by transdermal patch Correct Answer c.
Twice a day by the oral route
A new nurse who is being oriented to the subacute care unit is
expected to follow existing standards when providing patient
care. Which nursing actions are examples of these standards?
Select all that apply.
a. Monitoring patient status every hour
b. Using intuition to troubleshoot patient problems
c. Turning a patient on bed rest every 2 hours
d. Becoming a nurse mentor to a student nurse
e. Administering pain medication ordered by the physician
f. Becoming involved in community nursing events Correct
Answer a. Monitoring patient status every hour
c. Turning a patient on bed rest every 2 hours
e. Administering pain medication ordered by the physician
A new RN is being oriented to a nursing unit that is currently
understaffed and is told that the UAPs have been trained to
obtain the initial nursing assessment. What is the best response
of the new RN?
a. Allow the UAPs to do the admission assessment and report
the findings to the RN.
b. Do his or her own admission assessments but don't interfere
with the practice if other professional RNs seem comfortable
with the practice.
c. Tell the charge nurse that he or she chooses not to delegate the
admission assessment until further clarification is received from
administration.
d. Contact his or her labor representative to report this practice
to the state board of nursing. Correct Answer c. Tell the
,charge nurse that he or she chooses not to delegate the
admission assessment until further clarification is received from
administration.
A nurse administers a dose of an oral medication for
hypertension to a patient who immediately vomits after
swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
a. Readminister the medication and notify the primary care
provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider. Correct Answer c. Assess
the vomit, looking for the pill.
A nurse assesses a patient and formulates the following nursing
diagnosis: Risk for Impaired Skin Integrity related to prescribed
bed rest as evidenced by reddened areas of skin on the heels and
back. Which phrase represents the etiology of this diagnostic
statement?
a. Risk for Impaired Skin Integrity
b. Related to prescribed bed rest
c. As evidenced by
d. As evidenced by reddened areas of skin on the heels and back
Correct Answer b. Related to prescribed bed rest
A nurse develops a detailed care plan for a 16-year-old patient
who is a new single mother of a premature infant. The plan
includes collaborative care measures and home health care
visits. When presented with the plan, the patient states, "We will
, be fine on our own. I don't need any more care." What would be
the nurse's best response?
a. "You know your personal situation better than I do, so I will
respect your wishes."
b. "If you don't accept these services, your baby's health will
suffer."
c. "Let's take a look at the plan again and see if we can adjust it
to fit your needs."
d. "I'm going to assign your case to a social worker who can
explain the services better." Correct Answer c. "Let's take a
look at the plan again and see if we can adjust it to fit your
needs."
A nurse discovers that a medication error occurred. What should
be the nurse's first response?
a. Record the error on the medication sheet.
b. Notify the physician regarding course of action.
c. Check the patient's condition to note any possible effect of the
error.
d. Complete an incident report, explaining how the mistake was
made. Correct Answer c. Check the patient's condition to note
any possible effect of the error.
A nurse is about to perform pin site care for a patient who has a
halo traction device installed. What is the FIRST nursing action
that should be taken prior to performing this care?
a. Administer pain medication.
b. Reassess the patient.
c. Prepare the equipment.
d. Explain the procedure to the patient. Correct Answer b.
Reassess the patient.
