Test bank for theoretical basis for nursing 6thedition by melanie mcewen
evelyn m. wills chapter1-23complete
A newborn requires an intramuscular injection. Which of the following sites will the
nurse first seek to use for the injection?
A) Ventrogluteal site
B) Deltoid
C) Rectus femoris
D) Vastus lateralis - ANSD) Vastus lateralis
A nurse appropriately remains with a patient until after the patient has swallowed
narcotic medication because
A) The patient may rarely "cheek" the medication in an attempt to save it up and take an
overdose later.
B) Narcotic medications pose extra safety risks because they depress respiration and
lower blood pressure.
C) The patient may be afraid to take narcotic medication because of the risk for
addiction.
D) All of the above. - ANSA) The patient may rarely "cheek" the medication in an
attempt to save it up and take an overdose later.
A nurse correctly administers digoxin (Lanoxin) and propranolol (Inderal) via a feeding
tube by
A) Flushing with water, administering the digoxin, administering the propranolol, and
flushing with water.
B) Checking the residual, flushing with water, administering the digoxin, flushing with
water, administering the propranolol, and flushing with water.
C) Flushing with water, administering the digoxin, flushing with water, administering the
propranolol, and flushing with water.
D) Checking the residual, flushing with water, administering the digoxin, administering
the propranolol, and flushing with water. - ANSB) Checking the residual, flushing with
water, administering the digoxin, flushing with water, administering the propranolol, and
flushing with water.
A nurse correctly administers parenteral drugs
A) By mouth.
B) By inhalation.
C) By application to the skin.
D) By injection. - ANSD) By injection.
A nurse correctly instructs a patient not to exhale into
A) A dry-powder inhaler (DPI).
B) A metered-dose inhaler (MDI).
,C) A Nicotrol inhaler.
D) All of the above. - ANSA) A dry-powder inhaler (DPI).
A nurse correctly instructs a patient not to leave which of the following in a car?
A) Dry-powder inhalers (DPI)
B) Metered-dose inhalers (MDI)
C) Narcotics
D) Sublingual medications - ANSB) Metered-dose inhalers (MDI)
A nurse correctly notifies the prescribing physician that a prescription for an elixir is
inappropriate if the patient
A) Does not like the taste of most medicine.
B) Cannot swallow solid food.
C) Has sores in the mouth.
D) Is a recovering alcoholic. - ANSD) Is a recovering alcoholic.
A nurse correctly recognizes that a liquid medication with undissolved particles is
A) An elixir and should not be shaken before use.
B) A solution and should be shaken before use.
C) A suspension and should be shaken before use.
D) A syrup and should not be shaken before use. - ANSC) A suspension and should be
shaken before use.
A nurse correctly recognizes that administration of medication via the rectal route is
appropriate for
A) A small child who does not like the taste of orally administered medication.
B) A patient being treated for a heart attack.
C) A patient who is recovering from prostate cancer surgery.
D) A patient with severe hemorrhoids. - ANSD) A patient with severe hemorrhoids.
A nurse correctly recognizes that the safest and most comfortable site for an
intramuscular (IM) injection is
A) The ventrogluteal site.
B) The dorsal gluteal site.
C) The vastus lateralis site.
D) The left deltoid site. - ANSA) The ventrogluteal site.
A nurse correctly recognizes that which of the following types of syringe is calibrated in
milliliters?
A) Regular syringe
B) Tuberculin syringe
C) Insulin syringe
D) Single-dose syringe - ANSA) Regular syringe
A nurse correctly understands that the name assigned to a drug by the U.S. Adopted
Name Council (USANC) is the drug's
,A) Chemical name.
B) Generic name.
C) Brand name.
D) Proprietary name. - ANSB) Generic name.
A nurse could correctly provide which of the following via intravenous (IV) therapy as
part of a maintenance fluid? Select all that apply.
A) Medication
B) Water
C) Glucose
D) Vitamins
E) Blood products - ANSB) Water
C) Glucose
D) Vitamins
A nurse handling a syringe before administering an injection correctly keeps all parts of
the syringe sterile except the
A) Plunger.
B) Inside of the barrel.
C) Syringe tip.
D) Plastic needle cap. - ANSD) Plastic needle cap.
A nurse is planning the administration of medications to patients under his care. The
nurse correctly understands that drugs administered via the topical route include
A) Capsules.
B) Ointments.
C) Suppositories.
D) Inhalants. - ANSB) Ointments.
A nurse is planning the care of a diverse group of patients. He will plan to monitor the
rate of infusion and assess the condition of an IV site every 2 hours for which of the
following patients?
A) A 4-year-old child
B) A 38-year-old woman
C) A 72-year-old man
D) A 42-year-old who is prone to circulatory fluid overload - ANSB) A 38-year-old
woman
A nurse knows that a patient who needs an IV to provide simple water replacement
because of lack of fluid intake should be given
A) An isotonic solution.
B) A hypertonic solution.
C) A hypotonic solution.
D) Plain water. - ANSC) A hypotonic solution.
, A nurse knows that if a patient needs intravenous (IV) fluid replacement because of low
blood volume, he or she should be given
A) An isotonic solution.
B) A hypertonic solution.
C) A hypotonic solution.
D) Any of the above. - ANSB) A hypertonic solution.
A nurse knows that there is a risk for cerebral edema, increased intracranial pressure,
rupture of brain cells, and death if there is an infusion of an excessive volume of
A) Isotonic solution.
B) Hypertonic solution.
C) Hypotonic solution.
D) Any of the above. - ANSC) Hypotonic solution.
A nurse understands that Schedule V drugs have the lowest potential for abuse while
still requiring a prescription. Which of the following is a Schedule V drug?
A) Chloral hydrate
B) Peyote
C) Acetaminophen with codeine
D) Cough medicine with codeine - ANSD) Cough medicine with codeine
A nurse will correctly administer which of the following IV solutions via a central vein
rather than a peripheral vein?
A) 15% dextrose
B) 10% dextrose
C) 5% dextrose
D) 3% sodium chloride - ANSA) 15% dextrose
A nurse would most appropriately administer medication via the rectal route to
A) A 56-year-old who has had surgery for rectal cancer.
B) A 45-year-old with severe nausea and vomiting, who is unable to keep anything
down.
C) A 58-year-old with a recent myocardial infarction and ventricular dysrhythmias.
D) A 2-year-old with a newly diagnosed seizure disorder. - ANSB) A 45-year-old with
severe nausea and vomiting, who is unable to keep anything down.
A patient asks the nurse when a brand-name medication that the patient is taking will be
available as a generic. The nurse correctly responds that a drug can be manufactured,
sold, and prescribed as a generic drug approximately ____ after it was patented.
A) 3 years.
B) 5 years.
C) 10 years.
D) 15 years. - ANSC) 10 years.
A patient has an order for miconazole nitrate (Monistat) vaginal cream to treat a yeast
infection. Place the following actions in the order in which the nurse would perform them
evelyn m. wills chapter1-23complete
A newborn requires an intramuscular injection. Which of the following sites will the
nurse first seek to use for the injection?
A) Ventrogluteal site
B) Deltoid
C) Rectus femoris
D) Vastus lateralis - ANSD) Vastus lateralis
A nurse appropriately remains with a patient until after the patient has swallowed
narcotic medication because
A) The patient may rarely "cheek" the medication in an attempt to save it up and take an
overdose later.
B) Narcotic medications pose extra safety risks because they depress respiration and
lower blood pressure.
C) The patient may be afraid to take narcotic medication because of the risk for
addiction.
D) All of the above. - ANSA) The patient may rarely "cheek" the medication in an
attempt to save it up and take an overdose later.
A nurse correctly administers digoxin (Lanoxin) and propranolol (Inderal) via a feeding
tube by
A) Flushing with water, administering the digoxin, administering the propranolol, and
flushing with water.
B) Checking the residual, flushing with water, administering the digoxin, flushing with
water, administering the propranolol, and flushing with water.
C) Flushing with water, administering the digoxin, flushing with water, administering the
propranolol, and flushing with water.
D) Checking the residual, flushing with water, administering the digoxin, administering
the propranolol, and flushing with water. - ANSB) Checking the residual, flushing with
water, administering the digoxin, flushing with water, administering the propranolol, and
flushing with water.
A nurse correctly administers parenteral drugs
A) By mouth.
B) By inhalation.
C) By application to the skin.
D) By injection. - ANSD) By injection.
A nurse correctly instructs a patient not to exhale into
A) A dry-powder inhaler (DPI).
B) A metered-dose inhaler (MDI).
,C) A Nicotrol inhaler.
D) All of the above. - ANSA) A dry-powder inhaler (DPI).
A nurse correctly instructs a patient not to leave which of the following in a car?
A) Dry-powder inhalers (DPI)
B) Metered-dose inhalers (MDI)
C) Narcotics
D) Sublingual medications - ANSB) Metered-dose inhalers (MDI)
A nurse correctly notifies the prescribing physician that a prescription for an elixir is
inappropriate if the patient
A) Does not like the taste of most medicine.
B) Cannot swallow solid food.
C) Has sores in the mouth.
D) Is a recovering alcoholic. - ANSD) Is a recovering alcoholic.
A nurse correctly recognizes that a liquid medication with undissolved particles is
A) An elixir and should not be shaken before use.
B) A solution and should be shaken before use.
C) A suspension and should be shaken before use.
D) A syrup and should not be shaken before use. - ANSC) A suspension and should be
shaken before use.
A nurse correctly recognizes that administration of medication via the rectal route is
appropriate for
A) A small child who does not like the taste of orally administered medication.
B) A patient being treated for a heart attack.
C) A patient who is recovering from prostate cancer surgery.
D) A patient with severe hemorrhoids. - ANSD) A patient with severe hemorrhoids.
A nurse correctly recognizes that the safest and most comfortable site for an
intramuscular (IM) injection is
A) The ventrogluteal site.
B) The dorsal gluteal site.
C) The vastus lateralis site.
D) The left deltoid site. - ANSA) The ventrogluteal site.
A nurse correctly recognizes that which of the following types of syringe is calibrated in
milliliters?
A) Regular syringe
B) Tuberculin syringe
C) Insulin syringe
D) Single-dose syringe - ANSA) Regular syringe
A nurse correctly understands that the name assigned to a drug by the U.S. Adopted
Name Council (USANC) is the drug's
,A) Chemical name.
B) Generic name.
C) Brand name.
D) Proprietary name. - ANSB) Generic name.
A nurse could correctly provide which of the following via intravenous (IV) therapy as
part of a maintenance fluid? Select all that apply.
A) Medication
B) Water
C) Glucose
D) Vitamins
E) Blood products - ANSB) Water
C) Glucose
D) Vitamins
A nurse handling a syringe before administering an injection correctly keeps all parts of
the syringe sterile except the
A) Plunger.
B) Inside of the barrel.
C) Syringe tip.
D) Plastic needle cap. - ANSD) Plastic needle cap.
A nurse is planning the administration of medications to patients under his care. The
nurse correctly understands that drugs administered via the topical route include
A) Capsules.
B) Ointments.
C) Suppositories.
D) Inhalants. - ANSB) Ointments.
A nurse is planning the care of a diverse group of patients. He will plan to monitor the
rate of infusion and assess the condition of an IV site every 2 hours for which of the
following patients?
A) A 4-year-old child
B) A 38-year-old woman
C) A 72-year-old man
D) A 42-year-old who is prone to circulatory fluid overload - ANSB) A 38-year-old
woman
A nurse knows that a patient who needs an IV to provide simple water replacement
because of lack of fluid intake should be given
A) An isotonic solution.
B) A hypertonic solution.
C) A hypotonic solution.
D) Plain water. - ANSC) A hypotonic solution.
, A nurse knows that if a patient needs intravenous (IV) fluid replacement because of low
blood volume, he or she should be given
A) An isotonic solution.
B) A hypertonic solution.
C) A hypotonic solution.
D) Any of the above. - ANSB) A hypertonic solution.
A nurse knows that there is a risk for cerebral edema, increased intracranial pressure,
rupture of brain cells, and death if there is an infusion of an excessive volume of
A) Isotonic solution.
B) Hypertonic solution.
C) Hypotonic solution.
D) Any of the above. - ANSC) Hypotonic solution.
A nurse understands that Schedule V drugs have the lowest potential for abuse while
still requiring a prescription. Which of the following is a Schedule V drug?
A) Chloral hydrate
B) Peyote
C) Acetaminophen with codeine
D) Cough medicine with codeine - ANSD) Cough medicine with codeine
A nurse will correctly administer which of the following IV solutions via a central vein
rather than a peripheral vein?
A) 15% dextrose
B) 10% dextrose
C) 5% dextrose
D) 3% sodium chloride - ANSA) 15% dextrose
A nurse would most appropriately administer medication via the rectal route to
A) A 56-year-old who has had surgery for rectal cancer.
B) A 45-year-old with severe nausea and vomiting, who is unable to keep anything
down.
C) A 58-year-old with a recent myocardial infarction and ventricular dysrhythmias.
D) A 2-year-old with a newly diagnosed seizure disorder. - ANSB) A 45-year-old with
severe nausea and vomiting, who is unable to keep anything down.
A patient asks the nurse when a brand-name medication that the patient is taking will be
available as a generic. The nurse correctly responds that a drug can be manufactured,
sold, and prescribed as a generic drug approximately ____ after it was patented.
A) 3 years.
B) 5 years.
C) 10 years.
D) 15 years. - ANSC) 10 years.
A patient has an order for miconazole nitrate (Monistat) vaginal cream to treat a yeast
infection. Place the following actions in the order in which the nurse would perform them
