NU 155 EXAM 4 COMPREHENSIVE QUESTIONS AND SOLUTIONS
◉ How can the nurse best determine that a patient understands self-administration of injections?
Answer: Watch the patient self-administer an injection.
◉ Which option provides the most rapid pain relief?
Answer: Hydromorphone (Dilaudid) 1 mg IV push
◉ What is the priority action if a patient develops an itchy rash after medication administration?
Answer: Determine if the patient is having any difficulty breathing.
◉ Which medication order is administered PRN?
Answer: Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep.
,◉ What is the nurse's assessment if a patient develops difficulty breathing and hives after an
antibiotic?
Answer: The patient is having an anaphylactic reaction and epinephrine should be administered.
◉ What should the nurse do first after making a medication error?
Answer: Assess the patient for any adverse reactions.
◉ What instruction should the nurse give before administering MS Contin ER?
Answer: Be sure to swallow the pill whole.
◉ Which patient should the nurse assess first?
Answer: A patient who just received nitroglycerin for chest pain.
◉ What observation indicates the highest risk for serious drug-drug interactions?
Answer: The patient is taking a large number of medications.
,◉ What direction will help a patient avoid dangerous drug interactions?
Answer: Have all of the prescriptions filled at the same pharmacy.
◉ Which prescription drug order needs to be corrected before it is given to the patient?
Answer: Methotrexate (Trexall) 8 tablets PO once weekly on Saturdays
◉ What symptoms indicate an allergic reaction rather than a side effect?
Answer: Itchy rash and difficulty breathing
◉ Which question will the nurse ask to confirm suspicion of drug toxicity?
Answer: Have you been taking extra doses of the medication?
◉ What time will the nurse draw the vancomycin serum trough level if the next dose is at 10:00 a.m.?
Answer: 9:30 a.m.
, ◉ What type of drug interaction is the nurse avoiding when administering phenytoin through IV?
Answer: Incompatibility
◉ What times will the nurse plan to administer a medication given TID?
Answer: 9 a.m., 1 p.m., and 5 p.m.
◉ What is the best action of the nurse for a patient who is NPO and needs carvedilol?
Answer: Contact the patient's provider to clarify the order
◉ Which syringe will the nurse select to administer 1 mL of prochlorperazine IM?
Answer: 3 mL syringe with 23 gauge, 1 1/2 inch needle
◉ How much morphine liquid will the nurse draw up to administer 15 mg?
Answer: 0.75 mL
◉ How can the nurse best determine that a patient understands self-administration of injections?
Answer: Watch the patient self-administer an injection.
◉ Which option provides the most rapid pain relief?
Answer: Hydromorphone (Dilaudid) 1 mg IV push
◉ What is the priority action if a patient develops an itchy rash after medication administration?
Answer: Determine if the patient is having any difficulty breathing.
◉ Which medication order is administered PRN?
Answer: Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep.
,◉ What is the nurse's assessment if a patient develops difficulty breathing and hives after an
antibiotic?
Answer: The patient is having an anaphylactic reaction and epinephrine should be administered.
◉ What should the nurse do first after making a medication error?
Answer: Assess the patient for any adverse reactions.
◉ What instruction should the nurse give before administering MS Contin ER?
Answer: Be sure to swallow the pill whole.
◉ Which patient should the nurse assess first?
Answer: A patient who just received nitroglycerin for chest pain.
◉ What observation indicates the highest risk for serious drug-drug interactions?
Answer: The patient is taking a large number of medications.
,◉ What direction will help a patient avoid dangerous drug interactions?
Answer: Have all of the prescriptions filled at the same pharmacy.
◉ Which prescription drug order needs to be corrected before it is given to the patient?
Answer: Methotrexate (Trexall) 8 tablets PO once weekly on Saturdays
◉ What symptoms indicate an allergic reaction rather than a side effect?
Answer: Itchy rash and difficulty breathing
◉ Which question will the nurse ask to confirm suspicion of drug toxicity?
Answer: Have you been taking extra doses of the medication?
◉ What time will the nurse draw the vancomycin serum trough level if the next dose is at 10:00 a.m.?
Answer: 9:30 a.m.
, ◉ What type of drug interaction is the nurse avoiding when administering phenytoin through IV?
Answer: Incompatibility
◉ What times will the nurse plan to administer a medication given TID?
Answer: 9 a.m., 1 p.m., and 5 p.m.
◉ What is the best action of the nurse for a patient who is NPO and needs carvedilol?
Answer: Contact the patient's provider to clarify the order
◉ Which syringe will the nurse select to administer 1 mL of prochlorperazine IM?
Answer: 3 mL syringe with 23 gauge, 1 1/2 inch needle
◉ How much morphine liquid will the nurse draw up to administer 15 mg?
Answer: 0.75 mL
