Nursing 223 Final Exammmmm Questions
With Complete Answers
1. A nurse instructs a client to close the eyes gently after administration of
eyedrops. Which rationale for this instruction should the nurse explain to
the client? - ANSWER 3 - Disperses the medication over the eyeballs :
Closing the eyes moves the medication over the conjunctiva an eyeball and
helps ensure an even distribution of medication
1. How often should docusate sodium 100 milligrams PO bid be given? -
ANSWER
1. A nurse is preparing to reconstitute a medication in a multiple dose vial.
Which is the most essential step in the preparation of this medication? -
ANSWER - 1 - instilling an accurate amount of dilutant into the vial : The
required amount of the dilutant must be followed exactly in a multiple dose
formulation to ensure accurate dosage preparation. The diluted for a single
dose formulation also must be measured exactly so the medication is
diluted enough not to injure body tissues.
- ANSWER - 4 - 90 degree angle of insertion : 1/2 inch length needle
inserted at 90 degree angle will ensure that the heparin is inserted into the
subcutaneous tissue.
1. A home care nurse observes the spouse of a client inserting a rectal
Suppository into the client. Which behavior indicates that the nurse must
provide further teaching about the Suppository administration? - ANSWER
- 3 - insert the Suppository while the client bears down : Bearing down
, increases intra- abdominal pressure which impedes the insertion of the
Suppository. The client should be instructed to relax and breathe deeply
and slowly while the Suppository is inserted.
1. A Primary Health care provider prescribes a medication that must be
administered via intramuscular route Which side should the nurse eliminate
from consideration because it has the highest potential for injury when
administering an intramuscular injection? - ANSWER - 4 - dorsogluteal :
The dorsogluteal site has the highest risk for injury because of the close
proximity or the sciatic Nerve, blood vessel, and bone.
1. Which information about the parenteral medication indicates that the
nurse should use a filtered needle when preparing the medication? -
ANSWER - 2 - is supplied in an ampule : The top of an ampule must be
snapped off at its neck to access the fluid. A filtered needle prevents glass
particles from being drawn into the syringe.
1. What should the nurse use when administering a subcutaneous
injection? - ANSWER - 2 - 25 gauge needle : Subcutaneous injection
should use a 25 to a 29 gauge needle, which minimizes tissue trauma. The
diameter of the needle is referred to as a gauge which ranges from 28
(small) to 14 (large).
1. When the nurse brings a pill to a client, the client is unable to hold the
paper Cup with the medication. Which should the nurse do? - ANSWER - 1
- use the Cup to introduce the pill to the client's mouth : The client needs
assistance. Keeping medication in the Cup, rather than touching it with the
hands, maintains medical asepsis.
1. Which route is inappropriate for a topical medication? - ANSWER 1 -
intradermal : In intradermal injection is inserted below, not on top of, the
epidermis
1. A nurse holds a bottle with the label next to the palm of her hand when
pouring liquid medication. Which is the rationale for this action? - ANSWER
- 1 - prevent soiling of the label by spilled liquid : Liquid medication may
drip down the side of the bottle and soil the label, which may interfere with
the ability to read the label accurately.
With Complete Answers
1. A nurse instructs a client to close the eyes gently after administration of
eyedrops. Which rationale for this instruction should the nurse explain to
the client? - ANSWER 3 - Disperses the medication over the eyeballs :
Closing the eyes moves the medication over the conjunctiva an eyeball and
helps ensure an even distribution of medication
1. How often should docusate sodium 100 milligrams PO bid be given? -
ANSWER
1. A nurse is preparing to reconstitute a medication in a multiple dose vial.
Which is the most essential step in the preparation of this medication? -
ANSWER - 1 - instilling an accurate amount of dilutant into the vial : The
required amount of the dilutant must be followed exactly in a multiple dose
formulation to ensure accurate dosage preparation. The diluted for a single
dose formulation also must be measured exactly so the medication is
diluted enough not to injure body tissues.
- ANSWER - 4 - 90 degree angle of insertion : 1/2 inch length needle
inserted at 90 degree angle will ensure that the heparin is inserted into the
subcutaneous tissue.
1. A home care nurse observes the spouse of a client inserting a rectal
Suppository into the client. Which behavior indicates that the nurse must
provide further teaching about the Suppository administration? - ANSWER
- 3 - insert the Suppository while the client bears down : Bearing down
, increases intra- abdominal pressure which impedes the insertion of the
Suppository. The client should be instructed to relax and breathe deeply
and slowly while the Suppository is inserted.
1. A Primary Health care provider prescribes a medication that must be
administered via intramuscular route Which side should the nurse eliminate
from consideration because it has the highest potential for injury when
administering an intramuscular injection? - ANSWER - 4 - dorsogluteal :
The dorsogluteal site has the highest risk for injury because of the close
proximity or the sciatic Nerve, blood vessel, and bone.
1. Which information about the parenteral medication indicates that the
nurse should use a filtered needle when preparing the medication? -
ANSWER - 2 - is supplied in an ampule : The top of an ampule must be
snapped off at its neck to access the fluid. A filtered needle prevents glass
particles from being drawn into the syringe.
1. What should the nurse use when administering a subcutaneous
injection? - ANSWER - 2 - 25 gauge needle : Subcutaneous injection
should use a 25 to a 29 gauge needle, which minimizes tissue trauma. The
diameter of the needle is referred to as a gauge which ranges from 28
(small) to 14 (large).
1. When the nurse brings a pill to a client, the client is unable to hold the
paper Cup with the medication. Which should the nurse do? - ANSWER - 1
- use the Cup to introduce the pill to the client's mouth : The client needs
assistance. Keeping medication in the Cup, rather than touching it with the
hands, maintains medical asepsis.
1. Which route is inappropriate for a topical medication? - ANSWER 1 -
intradermal : In intradermal injection is inserted below, not on top of, the
epidermis
1. A nurse holds a bottle with the label next to the palm of her hand when
pouring liquid medication. Which is the rationale for this action? - ANSWER
- 1 - prevent soiling of the label by spilled liquid : Liquid medication may
drip down the side of the bottle and soil the label, which may interfere with
the ability to read the label accurately.
