EXAM2025/2026ACTUALCOMPLETER
EALEXAMQUESTIONSANDCORRECT
ANSWERS(VERIFIEDANSWERS)ALRE
ADYGRADEDA+/JUSTRELEASED!!
A nurse is caring for a client who weighs 80 kg (176 lb) and is 1.6 m ( 5 ft 3 in) tall.
Calculate her BMI & determine whether this client is obese based on her BMI. -
ANSWER-BMI=30
above 30 equals obese so yes.
A nurse in a senior center is counseling a group of older adults about their nutritional
needs & considerations. Which of the following info should the nurse include? Select all.
A. Older adults are more prone to dehydration than younger adults are
B. Older adults need the same amount of most vitamins & minerals as younger adults
do
C. Many older men & women need calcium supplementation
D. Older adults need more calories than they did when they were younger
E. Older adults should consume a diet low in carbs - ANSWER-A, B, C
D-they need fewer calories not more
E-they need more carbs & fiber
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The
client states his pain level is a 10 on a scale of 0-10. After reviewing the client's
medication administration record, which of the following medications should the nurse
administer?
A. Meperidine (Demerol) 75 mg IM
B. Fentanyl 50 mcg/hr transdermal patch
C. Morphine 2 mg IV
D. Oxycodone 10 mg PO - ANSWER-C.
IV morphine is the best because the onset is rapid and absorption to the blood is
immediate, which is adequate for a client with a 10 pain severity
A nurse is teaching a client about taking multiple oral meds at home to include time-
release capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I can open the capsule w/the beads in it & sprinkle them on my oatmeal."
,B. "If I am having difficulty swallowing, I will add the liquid meds to a batch of pudding."
C. "The pills w/the coating on them can be crushed."
D. "I will eat 2 crackers w/the pain pills." - ANSWER-D.
this will prevent N&V from the narcotic
A nurse is teaching a client how to administer medication through a jejunostomy tube.
Which of the following instructions should the nurse include in the teaching?
A. "Flush the tube before & after each med."
B. "Administer your meds w/your enteral feeding."
C. "Administer tablets through the tube slowly."
D. "Mix all the crushed meds prior to dissolving in water." - ANSWER-A
The client should flush the tube w/15-30 mL of water to prevent clogging of the tube
A nurse educator is teaching a module on pharmacokinetics to a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates
an understanding of the 1st-pass effecct?
A. "Some meds block normal receptor activity regulated by endogenous compounds or
receptor activity caused by other meds."
B. "Some meds may have to be administered by a nonenteral route to avoid inactivation
as they travel through the liver."
C. "Some meds leave the body more slowly & therefore have a greater risk of
accumulation & toxicity."
D. "Some meds have a wide safety margin, so there is no need for routine serum
medication level monitoring." - ANSWER-B.
first pass deals with the liver
A nurse is teaching an adult client how to administer ear drops. Which of the following
statements by the client indicates understanding of the proper technique?
A. "I will straighten my ear canal by pulling my ear down & back."
B. "I will gently apply pressure w/my finger to the tragus of my ear after putting in the
drops."
C. "I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the
drops in."
D. "After the drops are in, I will place a cotton ball all the way into my ear canal." -
ANSWER-B.
The client should apply gentle pressure w/the finger to the tragus of the ear after
administering the drops to help the drops go into the ear canal.
A nurse prepares to administer an injection of morphine (Duramorph) to a client who
reports pain. Prior to administering, the nurse is called to another room to assist another
client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following
actions should the 2nd nurse take?
, A. Offer to assist the client needing the bedpan.
B. Administer the injection prepared by the other nurse
C. Prepare another syringe & administer the injection
D. Tell the client needing the bedpan she will have to wait for her nurse - ANSWER-A.
A nurse is preparing to administer a med to a client. The med was scheduled for
administration at 0900. Which of the following are acceptable administration times for
this med? Select all.
A. 0905
B. 0825
C. 1000
D. 0840
E. 0935 - ANSWER-A, D
30min time frame for meds
A nurse is working w/a newly hired nurse who is administering meds to clients. Which of
the following actions by the newly hired nurse indicates an understanding of med error
prevention?
A. Taking all meds out of the unit-dose wrappers before entering the client's room
B. Checking w/the provider when a single dose requires administration of multiple
tablets
C. Administering a med, then looking up the usual dosage range
D. Relying on another nurse to clarify a med prescription - ANSWER-B
this could indicate a possible error so it should be checked w/the provider
A nurse educator is teaching a module on safe med administration to newly hired
nurses. Which of the following statements by the newly hired nurse indicate
understanding of the nurse's responsibility when implementing med therapy? Select all.
A. "I will observe for med side effects."
B. "I will monitor for therapeutic effects."
C. "I will prescribe the appropriate dose."
D. "I will change the dose if adverse effects occur."
E. "I will refuse to give a med if I believe it is unsafe." - ANSWER-A, B, E
A nurse is preparing to administer digoxin (Lanoxin) to a client who states, "I don't want
to take that med. I do not want one more pill." Which of the following responses by the
nurse is appropriate in this situation?
A. "Your physician prescribed it for you, so you really should take it."
B. "Well, let's just get it over w/quickly then."
C. "Okay, I'll just give you your other meds."
D. "Tell me your concerns w/taking this med." - ANSWER-D.