CLIN APPS EXAM 2 2026/2027 | CLINICAL APPLICATIONS EXAM 2 QUESTIONS,
STUDY GUIDE & COMPREHENSIVE REVIEW
The elderly client is having difficulty hearing and it is discovered that the right ear has excessive
wax buildup. The nurse obtains a prescription from the provider for Debrox ear wax removal.
The client has had this done before and questions which of the following actions by the nurse?
a. The client is instructed to turn on their left side
b. The solution is warmed to body temperature prior to instilling
c. The pinna of the ear is pulled down and back
d. The tragus of the ear is gently massaged after releasing the pinna - Correct answer ✔✔ c. The
pinna of the ear is pulled down and back
The order on the MAR is for Amoxicillin 500 mg PO every 8 hours. The label on the bottle of
Amoxicillin states 250 mg/5 mL. How much Amoxicillin should the nurse administer to the
client?
a. 5 mL
b. 1.0 mL
c. 10 mL
d. 15 mL - Correct answer ✔✔ c. 10 mL
The client is experiencing intermittent chest pain and receiving Nitroglycerin sublingually. The
client is unfamiliar with this route of medication and asks to learn more about it. Which of the
following statements by the nurse should be questioned?
a. Medication given sublingually should be placed under the tongue and allowed to dissolve
b. Medication given sublingually absorbs slowly into the bloodstream and takes longer to work
than that given orally and swallowed into the stomach
, c. Medication given sublingually is not influenced by stomach acids and doesn't need to be
broken down into the stomach
d. The acceptable abbreviation for the sublingual route is SL - Correct answer ✔✔ b. Medication
given sublingually absorbs slowly into the bloodstream and takes longer to work than that given
orally and swallowed into the stomach
The client is ordered Diphenhydramine (Bendadryl) 25 mg IV push stat. Which is the correct
procedure for this type of administration?
a. Scrub the injection port with alcohol, flush with normal saline and give Diphenhydramine
over 2 minutes.
b. Scrub the injection port with alcohol, flush with normal saline, give Diphenhydramine over 2
minutes and flush with normal saline.
c. Scrub the injection port with alcohol, give Diphenhydramine over 2 minutes and flush with
normal saline.
d. Scrub the injection port with alcohol, give Diphenhydramine over 2 minutes - Correct answer
✔✔ b. Scrub the injection port with alcohol, flush with normal saline, give Diphenhydramine
over 2 minutes and flush with normal saline.
The client with decreased blood pressure is ordered a "bolus of normal saline". The nurse goes
into the supply closet to obtain the IV fluid and looks for a bag with which of the following
printed on it?
a. 0.9% Sodium Chloride
b. 0.45% Sodium Chloride
c. Dextrose 5% in Water
d. Lactated Ringers - Correct answer ✔✔ a. 0.9% Sodium Chloride
The nurse is assessing the client's IV pump. The MAR states the patient should be receiving 0.9%
sodium chloride at 200 mL/hr and Ceftriaxone 1000 mg IVPB in 100 mL over 30 minutes. The
STUDY GUIDE & COMPREHENSIVE REVIEW
The elderly client is having difficulty hearing and it is discovered that the right ear has excessive
wax buildup. The nurse obtains a prescription from the provider for Debrox ear wax removal.
The client has had this done before and questions which of the following actions by the nurse?
a. The client is instructed to turn on their left side
b. The solution is warmed to body temperature prior to instilling
c. The pinna of the ear is pulled down and back
d. The tragus of the ear is gently massaged after releasing the pinna - Correct answer ✔✔ c. The
pinna of the ear is pulled down and back
The order on the MAR is for Amoxicillin 500 mg PO every 8 hours. The label on the bottle of
Amoxicillin states 250 mg/5 mL. How much Amoxicillin should the nurse administer to the
client?
a. 5 mL
b. 1.0 mL
c. 10 mL
d. 15 mL - Correct answer ✔✔ c. 10 mL
The client is experiencing intermittent chest pain and receiving Nitroglycerin sublingually. The
client is unfamiliar with this route of medication and asks to learn more about it. Which of the
following statements by the nurse should be questioned?
a. Medication given sublingually should be placed under the tongue and allowed to dissolve
b. Medication given sublingually absorbs slowly into the bloodstream and takes longer to work
than that given orally and swallowed into the stomach
, c. Medication given sublingually is not influenced by stomach acids and doesn't need to be
broken down into the stomach
d. The acceptable abbreviation for the sublingual route is SL - Correct answer ✔✔ b. Medication
given sublingually absorbs slowly into the bloodstream and takes longer to work than that given
orally and swallowed into the stomach
The client is ordered Diphenhydramine (Bendadryl) 25 mg IV push stat. Which is the correct
procedure for this type of administration?
a. Scrub the injection port with alcohol, flush with normal saline and give Diphenhydramine
over 2 minutes.
b. Scrub the injection port with alcohol, flush with normal saline, give Diphenhydramine over 2
minutes and flush with normal saline.
c. Scrub the injection port with alcohol, give Diphenhydramine over 2 minutes and flush with
normal saline.
d. Scrub the injection port with alcohol, give Diphenhydramine over 2 minutes - Correct answer
✔✔ b. Scrub the injection port with alcohol, flush with normal saline, give Diphenhydramine
over 2 minutes and flush with normal saline.
The client with decreased blood pressure is ordered a "bolus of normal saline". The nurse goes
into the supply closet to obtain the IV fluid and looks for a bag with which of the following
printed on it?
a. 0.9% Sodium Chloride
b. 0.45% Sodium Chloride
c. Dextrose 5% in Water
d. Lactated Ringers - Correct answer ✔✔ a. 0.9% Sodium Chloride
The nurse is assessing the client's IV pump. The MAR states the patient should be receiving 0.9%
sodium chloride at 200 mL/hr and Ceftriaxone 1000 mg IVPB in 100 mL over 30 minutes. The
