Nursing 220 Final Exam Review Questions with
Detailed Verified Answers
the nurse is teaching a patient about how to take a sublingual nitroglycerin tablet.
Which statement by the patient best demonstrates understanding of teaching? Ans: "I
will put the nitroglycerin tablet under my tongue"
The nurse is caring for a critically ill patient. What are the contraindications for
administering medications by the oral route for this patient? Ans: Vomiting
Unconsciousness
The nurse is about to administer a new medication to a patient. Which action best
demonstrates awareness of safe, proficient nursing practice? Ans: Identify the patient
by comparing her name and birthdate to the medication administration record (MAR).
A patient has been using herbal medication as part of her daily routine. Which actions
should the nurse take? Ans: Document herbs as part of the medication history
Inform the health care provider of her findings
Identify possible adverse effects of the herbal medication
The health care provider prescribes a medication that is administered transdermally.
The nurse understands what feature of the transdermal route? Ans: It is absorbed
through the skin
The nurse is caring for a patient who is unable to hold a cup or spoon. How should the
nurse administer oral medications to the patient? Ans: Use a small paper cup to put
the pills into the patients mouth
What should the nurse do first when preparing to administer medications to a patient?
Ans: Check the medication administration record (MAR).
,The nurse is preparing to care for a patient. What is the most appropriate goal for a
patient related to medications? Ans: The patient will administer all medications
correctly by discharge.
The nurse reviews a physician's order and finds that the medication amount is greater
than the standard dose. What should the nurse do? Ans: Call the physician to discuss
the order.
The nurse is selecting a site to administer a medication by the intramuscular route.
The nurse chooses to avoid which site due to a high risk for injury? Ans: Dorsogluteal
The home health nurse is called for a consult on a patient with memory problems who
is having difficulty remembering to take multiple medications prescribed to be taken
throughout the day. What can the nurse do to help the patient to remember to take
the medications as prescribed? Ans: Arrange for the medications to be put in a pill
organizer by week.
The nurse understands that medication absorption is affected by the administration
route. Which route for medications has the fastest absorption rate? Ans: Intravenous
Injection
What action should the nurse take immediately after instilling the prescribed eyedrops
into the patient's eye? Ans: Press gently on the inner cants area
Which statement by the patient about herbs and prescription medications
demonstrates understanding of education by the nurse? Ans: "I should check with my
physician before beginning an herbal preparation"
Before administering the evening dose of a prescribed medication, the nurse on the
evening shift finds an unlabeled, filled syringe in the patient's medication drawer. What
should the nurse in charge do? Ans: Discard the syringe to avoid a medication error.
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,What snack choice would be the best suggestion by the nurse for a patient on a renal
diet? Ans: Carrot sticks
A patient recovering from major abdominal surgery is to be progressed from a clear
liquid diet to the next diet level. Which statement by the nurse would be most
appropriate in this circumstance? Ans: "If you can tolerate the clear liquid diet, your
next meal will be full liquid"
What nursing intervention would be most beneficial to implement in an effort to
prevent aspiration by a patient receiving tube feedings? Ans: Elevate the head of the
patient's bed at least 45 degrees
Which action should the nurse take when caring for a patient receiving a continuous
enteral feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the
feeding tube becomes occluded? Ans: Try using cola if a 20- to 30- mL warm-water
flush is ineffective.
The nurse is caring for an elderly patient who has residual weakness on the right side
as the result of a cerebrovascular accident (stroke). The nurse is correct in reporting
dysphagia when the patient exhibits which symptoms? Ans: Incomplete lip closure
A change in voice quality after eating
Abnormal movements of the mouth, tongue, and lips
A young adult female is considering becoming pregnant and is not taking any
multivitamins. Which instruction would best help reduce the potential for
development of neural tube defects in the fetus? Ans: Recommend folic acid dietary
supplements
A patient tells the nurse that he needs to increase his intake of potassium because he
has been taking large doses of diuretics. To minimize complications from hypokalemia,
© Get it right 2025 Getaway - Stuvia US All rights reserved
, the nurse should instruct the patient to include which of the following foods as part of
his diet? Ans: Tomatoes and spinach
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What
would be the best response of the nurse when the patient refuses to take insulin,
stating, "Insulin contains pork and i do not eat pork." Ans: "All of the insulin used
today is made synthetically."
A female Muslim patient is admitted to the hospital and informs the nurse that it is the
month of Ramadan. What action by the nurse is most appropriate in caring for this
patient? Ans: Check on the potential effect fasting until sundown will have on the
patient's condition.
A 15-year-old female gymnast is hospitalized with the diagnosis of bulimia nervosa.
Which data would the nurse anticipate finding in the patient's admission history and
physical assessment? Ans: Excessive food intake, self-induced vomiting, and use of
laxatives
The nurse instructs a patient with a Vitamin A deficiency on food sources that could
prevent symptoms. Which of the following food combinations would be appropriate?
Ans: Carrots and spinach
A nurse is caring for a patient with a diagnosis of pellagra resulting from niacin
deficiency who complains of fatigue, loss of appetite, headache, weight loss, scaly sores,
and neurological deterioration. The nurse performs a dietary assessment for which of
the following vitamins? Ans: Vitamin B3
A patient is admitted to the hospital with pernicious anemia and a surgical history of
having had a gastrectomy six months ago. On assessment, the nurse questions the
patient about compliance with taking which of the following medications that supports
the development of red blood cells? Ans: Vitamin B12
© Get it right 2025 Getaway - Stuvia US All rights reserved
Detailed Verified Answers
the nurse is teaching a patient about how to take a sublingual nitroglycerin tablet.
Which statement by the patient best demonstrates understanding of teaching? Ans: "I
will put the nitroglycerin tablet under my tongue"
The nurse is caring for a critically ill patient. What are the contraindications for
administering medications by the oral route for this patient? Ans: Vomiting
Unconsciousness
The nurse is about to administer a new medication to a patient. Which action best
demonstrates awareness of safe, proficient nursing practice? Ans: Identify the patient
by comparing her name and birthdate to the medication administration record (MAR).
A patient has been using herbal medication as part of her daily routine. Which actions
should the nurse take? Ans: Document herbs as part of the medication history
Inform the health care provider of her findings
Identify possible adverse effects of the herbal medication
The health care provider prescribes a medication that is administered transdermally.
The nurse understands what feature of the transdermal route? Ans: It is absorbed
through the skin
The nurse is caring for a patient who is unable to hold a cup or spoon. How should the
nurse administer oral medications to the patient? Ans: Use a small paper cup to put
the pills into the patients mouth
What should the nurse do first when preparing to administer medications to a patient?
Ans: Check the medication administration record (MAR).
,The nurse is preparing to care for a patient. What is the most appropriate goal for a
patient related to medications? Ans: The patient will administer all medications
correctly by discharge.
The nurse reviews a physician's order and finds that the medication amount is greater
than the standard dose. What should the nurse do? Ans: Call the physician to discuss
the order.
The nurse is selecting a site to administer a medication by the intramuscular route.
The nurse chooses to avoid which site due to a high risk for injury? Ans: Dorsogluteal
The home health nurse is called for a consult on a patient with memory problems who
is having difficulty remembering to take multiple medications prescribed to be taken
throughout the day. What can the nurse do to help the patient to remember to take
the medications as prescribed? Ans: Arrange for the medications to be put in a pill
organizer by week.
The nurse understands that medication absorption is affected by the administration
route. Which route for medications has the fastest absorption rate? Ans: Intravenous
Injection
What action should the nurse take immediately after instilling the prescribed eyedrops
into the patient's eye? Ans: Press gently on the inner cants area
Which statement by the patient about herbs and prescription medications
demonstrates understanding of education by the nurse? Ans: "I should check with my
physician before beginning an herbal preparation"
Before administering the evening dose of a prescribed medication, the nurse on the
evening shift finds an unlabeled, filled syringe in the patient's medication drawer. What
should the nurse in charge do? Ans: Discard the syringe to avoid a medication error.
© Get it right 2025 Getaway - Stuvia US All rights reserved
,What snack choice would be the best suggestion by the nurse for a patient on a renal
diet? Ans: Carrot sticks
A patient recovering from major abdominal surgery is to be progressed from a clear
liquid diet to the next diet level. Which statement by the nurse would be most
appropriate in this circumstance? Ans: "If you can tolerate the clear liquid diet, your
next meal will be full liquid"
What nursing intervention would be most beneficial to implement in an effort to
prevent aspiration by a patient receiving tube feedings? Ans: Elevate the head of the
patient's bed at least 45 degrees
Which action should the nurse take when caring for a patient receiving a continuous
enteral feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the
feeding tube becomes occluded? Ans: Try using cola if a 20- to 30- mL warm-water
flush is ineffective.
The nurse is caring for an elderly patient who has residual weakness on the right side
as the result of a cerebrovascular accident (stroke). The nurse is correct in reporting
dysphagia when the patient exhibits which symptoms? Ans: Incomplete lip closure
A change in voice quality after eating
Abnormal movements of the mouth, tongue, and lips
A young adult female is considering becoming pregnant and is not taking any
multivitamins. Which instruction would best help reduce the potential for
development of neural tube defects in the fetus? Ans: Recommend folic acid dietary
supplements
A patient tells the nurse that he needs to increase his intake of potassium because he
has been taking large doses of diuretics. To minimize complications from hypokalemia,
© Get it right 2025 Getaway - Stuvia US All rights reserved
, the nurse should instruct the patient to include which of the following foods as part of
his diet? Ans: Tomatoes and spinach
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What
would be the best response of the nurse when the patient refuses to take insulin,
stating, "Insulin contains pork and i do not eat pork." Ans: "All of the insulin used
today is made synthetically."
A female Muslim patient is admitted to the hospital and informs the nurse that it is the
month of Ramadan. What action by the nurse is most appropriate in caring for this
patient? Ans: Check on the potential effect fasting until sundown will have on the
patient's condition.
A 15-year-old female gymnast is hospitalized with the diagnosis of bulimia nervosa.
Which data would the nurse anticipate finding in the patient's admission history and
physical assessment? Ans: Excessive food intake, self-induced vomiting, and use of
laxatives
The nurse instructs a patient with a Vitamin A deficiency on food sources that could
prevent symptoms. Which of the following food combinations would be appropriate?
Ans: Carrots and spinach
A nurse is caring for a patient with a diagnosis of pellagra resulting from niacin
deficiency who complains of fatigue, loss of appetite, headache, weight loss, scaly sores,
and neurological deterioration. The nurse performs a dietary assessment for which of
the following vitamins? Ans: Vitamin B3
A patient is admitted to the hospital with pernicious anemia and a surgical history of
having had a gastrectomy six months ago. On assessment, the nurse questions the
patient about compliance with taking which of the following medications that supports
the development of red blood cells? Ans: Vitamin B12
© Get it right 2025 Getaway - Stuvia US All rights reserved
