NU 155 Final Exam Medical Surgical
Nursing I Questions and Answers Galen
College
1. 1.) The nurse had just finished preparing a pain medication
injection for an assigned client when a code blue is called for
another assigned client. The nurse asks a newly hired nurse on the
floor to give the pain medication to the client. Which of the following
actions by the newly hired nurse is appropriate?
a
. Do not give the medication as prepared. Check the medication
administration record (MAR) and prepare new medication to be
administered
b. Administer the medication if the client is rating pain at an 8 or
above on the 0 (no pain) to 10 (severe pain pain scale.
c. Hold on to the medication until the experienced nurse is finished
running the code blue.
d. Administer the medication since the experienced nurse had just
prepared it for the client.
ANS A
2. The nurse has administered an intramuscular (IM) medication to a
client.
,Approximately 15 minutes after administration, the client
develops an itchy rash all over and reports feeling very " uneasy
" to the nurse. Which of the following actions should the nurse take
first?
a. Obtain an order for hydrocor- tisone cream to relive the itching.
b. Document the reaction in the client's chart as a side effect.
c. Determine if the client is having any difficulty breathing .
d. Report the findings to the primary health care provider (PHCP)
and the pharmacist.
ANS C
3. The nurse has been assigned a group of 8 clients on a very busy
medical - surgical unit. While passing medications, the nurse realizes
a medication error has been made. Which of the following actions
should the nurse take first ?
a. Document the medication given, how the client responded, and reassess 1 hour later.
b. Prepare an incident report so that the facility can determine the
cause of the error.
c Assess the client for any adverse reactions and notify the primary
health care provider (PHCP).
d. Find the nurse manager, explain the medication error, and
prepare to leave for the day.
ANS C
4. The nurse is caring for a client who has a prescription for
, acetaminophen 325
mg 2 tablets by mouth (PO) every 4 hours as needed for
temperature over 101 ° F. The client requests something for a
headache. Which of the following actions by the nurse is appropriate
?
a. Explain to the client that the only thing they have prescribed is for
a fever
b. Check the last set of vital signs to see if the client was running a
temperature.
c. Administer the acetaminophen since
it can be used for fever and headache.
d. Contact the primary health care provider (PHCP) to get an order
for pain control.
ANS D
5. The nurse is caring for a client who takes 6 tablets of
methotrexate once every week on Fridays. How many mg of
methotrexate does the client take per dose according to the exhibit
below?
a. 2.5 mg.
b. 15 mg.
c. 2.4 mg.
d. 6mg.
ANS A
Nursing I Questions and Answers Galen
College
1. 1.) The nurse had just finished preparing a pain medication
injection for an assigned client when a code blue is called for
another assigned client. The nurse asks a newly hired nurse on the
floor to give the pain medication to the client. Which of the following
actions by the newly hired nurse is appropriate?
a
. Do not give the medication as prepared. Check the medication
administration record (MAR) and prepare new medication to be
administered
b. Administer the medication if the client is rating pain at an 8 or
above on the 0 (no pain) to 10 (severe pain pain scale.
c. Hold on to the medication until the experienced nurse is finished
running the code blue.
d. Administer the medication since the experienced nurse had just
prepared it for the client.
ANS A
2. The nurse has administered an intramuscular (IM) medication to a
client.
,Approximately 15 minutes after administration, the client
develops an itchy rash all over and reports feeling very " uneasy
" to the nurse. Which of the following actions should the nurse take
first?
a. Obtain an order for hydrocor- tisone cream to relive the itching.
b. Document the reaction in the client's chart as a side effect.
c. Determine if the client is having any difficulty breathing .
d. Report the findings to the primary health care provider (PHCP)
and the pharmacist.
ANS C
3. The nurse has been assigned a group of 8 clients on a very busy
medical - surgical unit. While passing medications, the nurse realizes
a medication error has been made. Which of the following actions
should the nurse take first ?
a. Document the medication given, how the client responded, and reassess 1 hour later.
b. Prepare an incident report so that the facility can determine the
cause of the error.
c Assess the client for any adverse reactions and notify the primary
health care provider (PHCP).
d. Find the nurse manager, explain the medication error, and
prepare to leave for the day.
ANS C
4. The nurse is caring for a client who has a prescription for
, acetaminophen 325
mg 2 tablets by mouth (PO) every 4 hours as needed for
temperature over 101 ° F. The client requests something for a
headache. Which of the following actions by the nurse is appropriate
?
a. Explain to the client that the only thing they have prescribed is for
a fever
b. Check the last set of vital signs to see if the client was running a
temperature.
c. Administer the acetaminophen since
it can be used for fever and headache.
d. Contact the primary health care provider (PHCP) to get an order
for pain control.
ANS D
5. The nurse is caring for a client who takes 6 tablets of
methotrexate once every week on Fridays. How many mg of
methotrexate does the client take per dose according to the exhibit
below?
a. 2.5 mg.
b. 15 mg.
c. 2.4 mg.
d. 6mg.
ANS A
