RNSG 1513 Foundations of Nursing Exam 3 Questions and Answers Graded A+
The nurse is having difficulty reading a physician's order for a medication. He or she knows that the
physician is very busy and does not like to be called. What is the most appropriate next step for the
nurse to take?
Call a pharmacist to interpret the order
Call the physician to have the order clarified
Consult the unit manager to help interpret the order
Ask the unit secretary to interpret the physician's handwriting - AnswersCall the physician to have the
order clarified
You must have the right documentation and clarify all orders with the prescriber before administering
medications.
The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse
give him or her?
2 mL
5 mL
16 mL
30 mL - Answers30 mL
1 tablespoon = 15 mL; 2 tablespoons = 30 mL.
A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the nurse pull
the patient's ear when administering the medication?
Outward
Back
Upward and back
Upward and outward - AnswersUpward and outward
,Eardrops are administered with the ear positioned upward and outward for patients greater than 3
years of age.
A patient is to receive cephalexin (Kefl ex) 500 mg PO. The pharmacy has sent 250-mg tablets. How
many tablets does the nurse administer?
½ tablet
1 tablet
1 ½ tablets
2 tablets - Answers2 tablets
Tablets = 1tablet/250 mg× 500 mg = 500/250 = 2 tablets.
.
A nurse is administering medications to a 4-year-old patient. After he or she explains which medications
are being given, the mother states, "I don't remember my child having that medication before." What is
the nurse's next action?
Give the medications
Identify the patient using two patient identifiers
Withhold the medications and verify the medication orders
Provide medication education to the mother to help her better understand her child's medications -
AnswersWithhold the medications and verify the medication orders
Do not ignore patient or caregiver concerns; always verify orders whenever a medication is questioned
before administering it.
A patient is transitioning from the hospital to the home environment. A home care referral is obtained.
What is a priority in relation to safe medication administration for the discharge nurse?
Set up the follow-up appointments with the physician for the patient.
,Ensure that someone will provide housekeeping for the patient at home.
Ensure that the home care agency is aware of medication and health teaching needs.
Make sure that the patient's family knows how to safely bathe him or her and provide mouth care -
AnswersEnsure that the home care agency is aware of medication and health teaching needs.
A nursing responsibility is to collaborate with community resources when patients have home care
needs or difficulty understanding their medications.
A nursing student takes a patient's antibiotic to his room. The patient asks the nursing student what it is
and why he should take it. Which information does the nursing student include when replying to the
patient?
Only the patient's physician can give this information.
The student provides the name of the medication and a description of its desired effect.
Information about medications is confidential and cannot be shared.
He has to speak with his assigned nurse about this - AnswersThe student provides the name of the
medication and a description of its desired effect.
Patients need to know information about their medications so they can take them correctly and safely.
The nurse is administering a sustained-release capsule to a new patient. The patient insists that he
cannot swallow pills. What is the nurse's next best course of action?
Ask the prescriber to change the order
Crush the pill with a mortar and pestle
Hide the capsule in a piece of solid food
Open the capsule and sprinkle it over pudding - AnswersAsk the prescriber to change the order
, Enteric-coated or sustained-release capsules should not be crushed; the nurse needs to contact the
prescriber to change the medication to a form that is liquid or can be crushed.
The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is
not going to take it. What is the nurse's next action?
Ask the patient's reason for refusal
Explain that she must take the medication
Take the medication away and chart the patient's refusal
Tell the patient that her physician knows what is best for her - AnswersAsk the patient's reason for
refusal
When patients refuse a medication, first ask why they are refusing it.
The nurse receives an order to start giving a loop diuretic to a patient to help lower his or her blood
pressure. The nurse determines the appropriate route for administering the diuretic according to:
Hospital policy.
The prescriber's orders.
The type of medication ordered.
The patient's size and muscle mass. - AnswersThe prescriber's orders.
The order from the prescriber needs to indicate the route of administration.
A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues,
the nurse:
Continues to let the IV run.
Applies a warm compress to the infiltrated site.
Stops the administration of the medication and follows agency policy.
Should not worry about this because vesicant filtration is not a problem. - AnswersStops the
administration of the medication and follows agency policy.
The nurse is having difficulty reading a physician's order for a medication. He or she knows that the
physician is very busy and does not like to be called. What is the most appropriate next step for the
nurse to take?
Call a pharmacist to interpret the order
Call the physician to have the order clarified
Consult the unit manager to help interpret the order
Ask the unit secretary to interpret the physician's handwriting - AnswersCall the physician to have the
order clarified
You must have the right documentation and clarify all orders with the prescriber before administering
medications.
The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse
give him or her?
2 mL
5 mL
16 mL
30 mL - Answers30 mL
1 tablespoon = 15 mL; 2 tablespoons = 30 mL.
A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the nurse pull
the patient's ear when administering the medication?
Outward
Back
Upward and back
Upward and outward - AnswersUpward and outward
,Eardrops are administered with the ear positioned upward and outward for patients greater than 3
years of age.
A patient is to receive cephalexin (Kefl ex) 500 mg PO. The pharmacy has sent 250-mg tablets. How
many tablets does the nurse administer?
½ tablet
1 tablet
1 ½ tablets
2 tablets - Answers2 tablets
Tablets = 1tablet/250 mg× 500 mg = 500/250 = 2 tablets.
.
A nurse is administering medications to a 4-year-old patient. After he or she explains which medications
are being given, the mother states, "I don't remember my child having that medication before." What is
the nurse's next action?
Give the medications
Identify the patient using two patient identifiers
Withhold the medications and verify the medication orders
Provide medication education to the mother to help her better understand her child's medications -
AnswersWithhold the medications and verify the medication orders
Do not ignore patient or caregiver concerns; always verify orders whenever a medication is questioned
before administering it.
A patient is transitioning from the hospital to the home environment. A home care referral is obtained.
What is a priority in relation to safe medication administration for the discharge nurse?
Set up the follow-up appointments with the physician for the patient.
,Ensure that someone will provide housekeeping for the patient at home.
Ensure that the home care agency is aware of medication and health teaching needs.
Make sure that the patient's family knows how to safely bathe him or her and provide mouth care -
AnswersEnsure that the home care agency is aware of medication and health teaching needs.
A nursing responsibility is to collaborate with community resources when patients have home care
needs or difficulty understanding their medications.
A nursing student takes a patient's antibiotic to his room. The patient asks the nursing student what it is
and why he should take it. Which information does the nursing student include when replying to the
patient?
Only the patient's physician can give this information.
The student provides the name of the medication and a description of its desired effect.
Information about medications is confidential and cannot be shared.
He has to speak with his assigned nurse about this - AnswersThe student provides the name of the
medication and a description of its desired effect.
Patients need to know information about their medications so they can take them correctly and safely.
The nurse is administering a sustained-release capsule to a new patient. The patient insists that he
cannot swallow pills. What is the nurse's next best course of action?
Ask the prescriber to change the order
Crush the pill with a mortar and pestle
Hide the capsule in a piece of solid food
Open the capsule and sprinkle it over pudding - AnswersAsk the prescriber to change the order
, Enteric-coated or sustained-release capsules should not be crushed; the nurse needs to contact the
prescriber to change the medication to a form that is liquid or can be crushed.
The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is
not going to take it. What is the nurse's next action?
Ask the patient's reason for refusal
Explain that she must take the medication
Take the medication away and chart the patient's refusal
Tell the patient that her physician knows what is best for her - AnswersAsk the patient's reason for
refusal
When patients refuse a medication, first ask why they are refusing it.
The nurse receives an order to start giving a loop diuretic to a patient to help lower his or her blood
pressure. The nurse determines the appropriate route for administering the diuretic according to:
Hospital policy.
The prescriber's orders.
The type of medication ordered.
The patient's size and muscle mass. - AnswersThe prescriber's orders.
The order from the prescriber needs to indicate the route of administration.
A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues,
the nurse:
Continues to let the IV run.
Applies a warm compress to the infiltrated site.
Stops the administration of the medication and follows agency policy.
Should not worry about this because vesicant filtration is not a problem. - AnswersStops the
administration of the medication and follows agency policy.
