NR 224 Fundamentals Final
A nurse knows that patient education has been effective "I will rotate the location where I give myself injections."
when the patient states
Which statement by the patient is an indication to use the Z- "The last shot like that turned my skin colors."
track method?
A 2-year-old child is ordered to have ear irrigation Pulling the auricle down and back to straighten the ear canal.
performed daily. The nurse correctly performs the
procedure by
A patient has an order to receive 10 units of U-50 insulin. The 20 units
nurse is using a U-100 syringe. How many units should the
nurse draw up in the syringe and administer?
A patient has an order to receive 20 units of U-50 insulin. The 0.4 mL
nurse is using a U-100 syringe. How many units should the
nurse draw up in the syringe and administer?
The patient is to receive phenytoin (Dilantin) at 0900. The 0830.
nurse knows that the ideal time to draw a trough level is
A patient who has been receiving intermittent chemotherapy Chemotherapy is irritating to the vascular system and may cause the vein to infiltrate.
through a peripheral IV site is ordered to receive a high dose
of vancomycin through the same vein. Why does this
concern the nurse?
A physician orders 1000 mL of normal saline to infuse at a 20 hours
rate of 50 mL/hr. The nurse plans on hanging a new bag at
what time?
Page 1
,NR 224 Fundamentals Final
The nurse is preparing to administer a 0.5-mL rabies vaccine 25 gauge x 5/8 inch
into the deltoid muscle of a patient. Which needle size is best
for the procedure?
The nurse knows that the purpose of aspiration on IM Ensure proper placement of the needle.
injections is to
The nurse is giving an IM injection. Upon aspiration, the nurse Withdraw the needle and prepare the injection again.
notices blood return in the syringe. What should the nurse
do?
The nurse is planning to administer a tuberculin test with a 15
27-gauge, 3/8-inch needle. The nurse should insert the
needle at an angle of _____ degrees.
The nurse knows to assess for signs of medication toxicity Reduced glomerular filtration
within older adults because of which physiological change?
A registered nurse interprets that a scribbled medication Nurse
order reads 25 mg. The nurse administers 25 mg of the
medication to a patient, and then discovers that the dose was
incorrectly interpreted and should have been 15 mg. Who is
ultimately responsible for the error?
A patient is to receive medication through a nasogastric Clamp suction for 30 to 60 minutes after medication administration.
tube. What is the most important nursing action to ensure
effective absorption?
Page 2
, NR 224 Fundamentals Final
Aspirin is an analgesic, antipyretic, antiplatelet, and anti- 62-year-old female with pneumonia
inflammatory agent. A physician writes for aspirin 650 mg
every 4 to 6 hours prn: febrile. For which patient would this
order be appropriate?
A patient is in need of immediate pain relief for a severe Hydromorphone (Dilaudid) 4 mg IV
headache. The nurse knows that which medication will be
absorbed the quickest?
A drug requires a low pH to be metabolized. Knowing this, Oral
the nurse anticipates that the medication will be
administered by which route?
The nurse knows that an idiosyncratic event with the Falls asleep during daily activities.
stimulant pseudoephedrine (Sudafed) is occurring when the
patient
An order is written for (phenytoin) Dilantin 500 mg IM q3-4h Call the prescriber to clarify and justify the order.
prn for pain. The nurse recognizes that treatment of pain is
not a standard therapeutic indication for this drug. The nurse
believes that the prescriber meant to write for
hydromorphone (Dilaudid). What should the nurse do?
A patient needs assistance excreting a gaseous medication. Encourage the patient to cough and deep-breathe.
What is the correct nursing action?
A nurse has withdrawn a narcotic from the medication Return the medication to the medication dispenser according to protocol.
dispenser. Upon checking the drug against the medication
administration record, the nurse notices that the narcotic
order has expired. What should be the nurse's first action?
Page 3
A nurse knows that patient education has been effective "I will rotate the location where I give myself injections."
when the patient states
Which statement by the patient is an indication to use the Z- "The last shot like that turned my skin colors."
track method?
A 2-year-old child is ordered to have ear irrigation Pulling the auricle down and back to straighten the ear canal.
performed daily. The nurse correctly performs the
procedure by
A patient has an order to receive 10 units of U-50 insulin. The 20 units
nurse is using a U-100 syringe. How many units should the
nurse draw up in the syringe and administer?
A patient has an order to receive 20 units of U-50 insulin. The 0.4 mL
nurse is using a U-100 syringe. How many units should the
nurse draw up in the syringe and administer?
The patient is to receive phenytoin (Dilantin) at 0900. The 0830.
nurse knows that the ideal time to draw a trough level is
A patient who has been receiving intermittent chemotherapy Chemotherapy is irritating to the vascular system and may cause the vein to infiltrate.
through a peripheral IV site is ordered to receive a high dose
of vancomycin through the same vein. Why does this
concern the nurse?
A physician orders 1000 mL of normal saline to infuse at a 20 hours
rate of 50 mL/hr. The nurse plans on hanging a new bag at
what time?
Page 1
,NR 224 Fundamentals Final
The nurse is preparing to administer a 0.5-mL rabies vaccine 25 gauge x 5/8 inch
into the deltoid muscle of a patient. Which needle size is best
for the procedure?
The nurse knows that the purpose of aspiration on IM Ensure proper placement of the needle.
injections is to
The nurse is giving an IM injection. Upon aspiration, the nurse Withdraw the needle and prepare the injection again.
notices blood return in the syringe. What should the nurse
do?
The nurse is planning to administer a tuberculin test with a 15
27-gauge, 3/8-inch needle. The nurse should insert the
needle at an angle of _____ degrees.
The nurse knows to assess for signs of medication toxicity Reduced glomerular filtration
within older adults because of which physiological change?
A registered nurse interprets that a scribbled medication Nurse
order reads 25 mg. The nurse administers 25 mg of the
medication to a patient, and then discovers that the dose was
incorrectly interpreted and should have been 15 mg. Who is
ultimately responsible for the error?
A patient is to receive medication through a nasogastric Clamp suction for 30 to 60 minutes after medication administration.
tube. What is the most important nursing action to ensure
effective absorption?
Page 2
, NR 224 Fundamentals Final
Aspirin is an analgesic, antipyretic, antiplatelet, and anti- 62-year-old female with pneumonia
inflammatory agent. A physician writes for aspirin 650 mg
every 4 to 6 hours prn: febrile. For which patient would this
order be appropriate?
A patient is in need of immediate pain relief for a severe Hydromorphone (Dilaudid) 4 mg IV
headache. The nurse knows that which medication will be
absorbed the quickest?
A drug requires a low pH to be metabolized. Knowing this, Oral
the nurse anticipates that the medication will be
administered by which route?
The nurse knows that an idiosyncratic event with the Falls asleep during daily activities.
stimulant pseudoephedrine (Sudafed) is occurring when the
patient
An order is written for (phenytoin) Dilantin 500 mg IM q3-4h Call the prescriber to clarify and justify the order.
prn for pain. The nurse recognizes that treatment of pain is
not a standard therapeutic indication for this drug. The nurse
believes that the prescriber meant to write for
hydromorphone (Dilaudid). What should the nurse do?
A patient needs assistance excreting a gaseous medication. Encourage the patient to cough and deep-breathe.
What is the correct nursing action?
A nurse has withdrawn a narcotic from the medication Return the medication to the medication dispenser according to protocol.
dispenser. Upon checking the drug against the medication
administration record, the nurse notices that the narcotic
order has expired. What should be the nurse's first action?
Page 3
