Question: A nurse is reviewing a group of prescriptions. Which of the following should the nurse identify as an example of a complete prescription?
Answer Options: A. Aspirin PO 1 tablet daily
B. Ferrous sulfate 624 mg PO
C. Hydrocodone/acetaminophen 5/325 mg PRN
D. Digoxin 1.25 mg PO daily
Answer: D. Digoxin 1.25 mg PO daily
Question: A nurse is caring for a client who is receiving a medication that typically causes drowsiness. While assessing the client, the nurse notes that the medication has caused the client to become hyperactive. Which of the following terms describes the client’s unexpected response to the medication?
Answer Options: A. Idiosyncratic effect
B. Allergic response
C. Toxic effect
D. Synergistic effect
Answer: A. Idiosyncratic effect
Question: A nurse is reviewing a group of prescriptions. Which of the following should the nurse identify as an example of a complete prescription?
Answer Options: A. Aspirin PO 1 tablet daily
B. Ferrous sulfate 624 mg PO
C. Hydrocodone/acetaminophen 5/325 mg PRN
D. Digoxin 1.25 mg PO daily
Answer: D. Digoxin 1.25 mg PO daily
Question: Which of the following actions demonstrates correct use of one of the Ten Rights of Medication Administration?
Answer Options: A. Administering a client’s medication by the route the provider has prescribed
B. Adhering as closely as possible to the medication schedule the client follows at home
C. Gathering a medication history from the client before administering any medications
D. Insisting that the client take all medications prescribed
Answer: A. Administering a client’s medication by the route the provider has prescribed
Question: A nurse is documenting a client’s response to a pain medication. Which of the following is an example of correct documentation regarding the client’s response to pain?
Answer Options: A. The client states, “I feel better 10 minutes after medication administration.”
B. The client is sleeping 1 hr after medication administration.
C. The client is up and walking in the hall 2 hr after medication administration.
D. The client reports pain decreased 30 min after medication administration to 3 on a scale of 0 to 10.
Answer: D The client reports pain decreased 30 min after medication administration to 3 on a scale of 0 to 10.
Question: A client who lives in a long-term care facility is receiving intermittent enteral feedings and is experiencing social isolation. Which of the following interventions should the nurse recommend?
Answer Options: A. Encourage the client to go to the dining room at meal times to talk with other clients.
B. Suggest that the client watch television while feedings are being administered.
C. Remind the client that they can have visitors after feeding administration times.
D. Ask the facility chaplain to speak with the client.
Answer: A Encourage the client to go to the dining room at meal times to talk with other clients.
Question: A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. Which of the following formulas should the nurse administer to the client?
Answer Options: A. Modular
B. Elemental
C. Polymeric
D. Specialty
Answer: B Elemental
Question: Which of the following routes of medication administration has no barriers to absorption?
Answer Options: A. Intravenous
B. Intramuscular
C. Subcutaneous
D. Oral
Answer: A. Intravenous
Question: A client drinks 8 oz of water. Which of the following is a correct conversion of the client’s intake?
Answer Options: A. 1 pint
B. 4 tablespoons
C. 2 cups
D. 240 mL
Answer: D. 240 mL
Question: A nurse is inserting a nasogastric tube for a client and asks the client to flex their head toward their chest after the tube passes through the nasopharynx. This action facilitates proper insertion of the tube by achieving which of the following?
Answer Options: A. Closing off the glottis
B. Preventing curling of the tube in the mouth
C. Allowing the client to breathe through the mouth
D. Opening the lower esophageal sphincter
Answer: A Closing off the glottis
Question: To determine the length of a nasointestinal tube to insert, a nurse should measure the distance from the tip of the client’s nose to the earlobe and from the earlobe to the:
Answer Options: A. Umbilicus
B. Xiphoid process
C. Manubrium plus 10 to 20 cm more
D. Xiphoid process plus 20 to 30 cm more
Answer: D Xiphoid process plus 20 to 30 cm more
Question: Which of the following represents the correct administration of the prescribed medication?
Answer Options: A. Acetaminophen 650 mg PO prescribed; 5 tsp of 325 mg/10 mL liquid given
B. Levothyroxine 100 mcg PO prescribed; three 0.025 mg tablets given
C. Amoxicillin 1 g PO prescribed; two 500-mg tablets given
D. Diphenhydramine 40 mg IM prescribed; 1.25 mL of 50 mg/1 mL for injection given
Answer: C. Amoxicillin 1 g PO prescribed; two 500-mg tablets given
Question: A nurse is preparing to administer an oral medication to a client. Which of the following actions is the nurse’s priority?
Answer Options: A. Have another nurse check the dose to be administered.
B. Teach the client about possible adverse effects.
C. Confirm the client’s identity using two methods.
D. Confirm that the client can swallow adequately.
Answer: C Confirm the client’s identity using two methods.
Question: A nurse is administering an enteral tube feeding to a client. Which of the following actions should the nurse take to prevent aspiration?
Answer Options: A. Flush the feeding tube with 30 mL of water.
B. Add blue food coloring to the enteral formula.
C. Ensure the formula is at room temperature.
D. Place the client in Fowler’s position.
Answer: D Place the client in Fowler’s position.
Question: Which of the following clients is exhibiting medication tolerance?
Answer Options: A. A client who continues to take a medication despite harmful effects
B. A client who requires an increased dose of a medication to achieve continued therapeutic benefit
C. A client who exhibits signs of withdrawal when a medication is discontinued
D. A client who develops an intense craving for a medication
Answer: B. A client who requires an increased dose of a medication to achieve continued therapeutic benefit
Question: A nurse is preparing to administer a continuous enteral tube feeding to a client. The nurse should take which of the following actions to prevent a complication of the tube feeding?
Answer Options: A. Limit the time the formula hangs to 8 hr.
B. Flush the tube every 8 hr.
C. Deliver the formula at a brisk rate.
D. Allow the feeding bag to empty before refilling it.
Answer: A Limit the time the formula hangs to 8 hr.
Question: A nurse is inserting a small-bore feeding tube. Before initiating the feeding, the nurse should take which of the following actions to verify placement?
Answer Options: A. Measure the pH of gastric aspirate.
B. Auscultate the epigastric area while injecting air.
C. Obtain an x-ray.
D. Place the open end of the tube in a cup of water.
Answer: C Obtain an x-ray
Question: A nurse is providing teaching about risk for aspiration with a client who is receiving intermittent bolus nasogastric feedings. Which of the following findings should the nurse instruct the client to report?
Answer Options: A. A feeling of fullness
B. Persistent coughing
C. Discomfort in the naris
D. Postfeeding belching
Answer: B Persistent coughing
Question: Which of the following describes a medication’s generic name?
Answer Options: A. It is the chemical name for a medication.
B. It is the same as its nonproprietary name.
C. It is the name under which a medication is marketed.
D. It is the formal name of a particular medication.
Answer: B. It is the same as its nonproprietary name.
Question: A nurse is caring for a client who has a significant risk of aspiration and requires nutritional support for about 2 weeks because they are unable to consume adequate nutrients orally. Which of the following types of feeding tubes should the nurse anticipate the provider to prescribe?
Answer Options: A. Nasogastric tube
B. Nasointestinal tube
C. Percutaneous endoscopic gastrostomy tube
D. Percutaneous endoscopic jejunostomy tube
Answer: B Nasointestinal tube
Question: A nurse is preparing to administer several PO medications to a client. The client states they can only take one pill at a time. Which of the following actions should the nurse take?
Answer Options: A. Ask the pharmacy to change the formulation of each medication.
B. Crush the pills and mix them in applesauce.
C. Remain at the bedside until the client has taken all of the medications.
D. Leave the pills at the bedside for the client to take.
Answer: C. Remain at the bedside until the client has taken all of the medications.
Question: A nurse has a handwritten prescription that is difficult to read. Which of the following actions should the nurse take to avoid an error in medication administration?
Answer Options: A. Ask another nurse to decipher the prescription
B. Call the provider for clarification of the prescription
C. Rely on their knowledge of the client to get the prescription right
D. Inquire at the facility pharmacy about the prescription
Answer: B. Call the provider for clarification of the prescription