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Preguntas del test (74)
1The 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?
- ACall a pharmacist to interpret the order
- BCall the physician to have the order clarified
- CConsult the unit manager to help interpret the order
- DAsk the unit secretary to interpret the physician's handwriting
2A 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?
- AOutward
- BUpward and outward
- CUpward and Back
- DBack
3A 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?
- AOnly the patient's physician can give this information.
- BThe student provides the name of the medication and a description of its desired effect.
- CInformation about medications is confidential and cannot be shared
- DHe has to speak with his assigned nurse about this.
4The 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?
- AAsk the prescriber to change the order
- BCrush the pill with a mortar and pestle
- CHide the capsule in a piece of solid food
- DOpen the capsule and sprinkle it over pudding
5The 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?
- AAsk the patient's reason for refusal
- BExplain that she must take the medication
- CTake the medication away and chart the patients refusal
- DTell the patient that her physician knows what is best for her
6A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse:
- AContinues to let the IV run.
- BApplies a warm compress to the infiltrated site.
- CStops the administration of the medication and follows agency policy.
- DShould not worry about this because vesicant filtration is not a problem
7If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at the site, the nurse suspects:
- ASepsis
- BPhlebitis.
- CInfiltration.
- DFluid overload.
8A nurse accidently gives a patient a medication at the wrong time. The nurse's first priority is to:
- AComplete an occurrence report.
- BNotify the health care provider.
- CInform the charge nurse of the error.
- DAssess the patient for adverse effects.
9A patient is taking albuterol through a pressurized metered dose inhaler (pMDI) that contains a total of 200 puffs. The patient takes 2 puffs every 4 hours. How many days will the pMDI last? [blank_start]16[blank_end] days
- A16
10A site that was a traditional location for intramuscular (IM) injections in the past is no longer recommended because its use carries the risk of striking the underlying sciatic nerve or major blood vessel. What is the name of this site?
- ADorsogluteal
- BPlexor
- CVastus lateralis
- DVentrogluteal
11The client is a 40-year-old man who weighs 160 lb and is 5 feet 9 inches tall. The order is for 5 ml of a medication to be given as a deep intramuscular (IM) injection. What size of syringe and gauge and length of needle should the nurse use for best practice?
- AOne 5-ml syringe, 20- to 23-gauge 1-inch needle
- BTwo 3-ml syringes, 20- to 23-gauge, 1½-inch needle
- CTwo 3-ml syringes, 23-gauge, ½-inch needle
- DTwo 2-ml syringes, 25-gauge 1-inch needle
12While the nurse is administering medication, the client says, "This pill looks different from what I usually take." What is the nurse's best action?
- AGo recheck the medication order, taking along the medication.
- BIgnore the statement because the client has a history of confusion.
- CLeave the medication at the bedside and go recheck the order.
- DTell the client that pill manufacturers often change the color of pills.
13When administering medications, it is essential for the nurse to have an understanding of basic arithmetic to calculate doses. The physician has ordered 250 mg of a medication that is available in 1-g amount. The vial reads 2 ml = 1 g. What dose would be given by the nurse?
- A0.25 ml
- B0.5 ml
- C1 ml
- D2.5 ml
14The nurse is administering an intramuscular (IM) injection. The Z-track method is recommended for IM injections because:
- Ait is easier for the nurse to use.
- BIt allows for repeated injections into the same site.
- CIt does not require the nurse to aspirate before injecting the medication.
- DIt minimizes local skin irritation by sealing the medication in muscle tissue.
15To better control the client's blood glucose level, the physician orders a high regular insulin dosage of 20 units of U-500 insulin. The nurse has only a U-100 syringe. How many units will be given?
- A4
- B5
- C20
- D10
16The nurse selects the route for administering medication according to:
- AHospital policy
- BThe prescriber's orders
- CThe type of medication ordered
- DThe client's size and muscle mass
17A nursing student takes a client's antibiotic to his room. The client asks the nursing student what it is and why he should take it. The nursing student should:
- AInform the client that only the client's physician can give this information.
- BProvide the name of the medication and a description of its desired effect.
- CTell the client that information about medications is confidential and cannot be shared.
- DExplain that, because of the limits placed on nursing students, the client will have to speak with his assigned nurse about this.
18A client is transitioning from the hospital to the home environment. A home health referral has been obtained. In terms of safe medication administration, what is a priority for the discharge nurse?
- ASet up the follow-up physician appointments for the client.
- BEnsure that someone will provide housekeeping for the client at home.
- CMake sure that the client has plenty of diapers and blue pads to take home.
- DEnsure that the home health care agency is aware of medication and health teaching needs.
19Most medication errors occur when the nurse:
- AIs caring for too many clients
- BFails to follow routine procedures
- CIs administering unfamiliar medications
- DIs responsible for administering numerous medications
20The study of how drugs enter the body, reach their sites of action, are metabolized, and exit from the body is called:
- APharmacology
- BPharmacopoeia
- CPharmacokinetics
- DBiopharmaceutical
21The nurse is preparing an insulin injection in which both regular and NPH will be mixed. Into which vial should the nurse inject air first?
- AThe vial of regular insulin
- BThe vial of NPH
- CEither vial, as long as modified insulin is drawn up first
- DNeither vial; it is not necessary to put air into vials before withdrawing medication
22time-critical medication must be administered within __________ _________ before or after the scheduled time
- A5 minutes
- B30 minutes
- C1 hour
- D24 hours
23Who should you verify medications calculations with and why?
- AThe Nurse Assistant, to ensure accuracy.
- BThe pharmacy, because only the pharmacist knows accurate calculations.
- CThe patient, because they are a math teacher.
- DAnother Nurse, to ensure accuracy.
24A [blank_start]medication history[blank_end] reveals allergies, medications a patient is taking, and the patient's adherence to therapy.
- Amedication history
25The six rights of medication administration contribute to
- AAccurate preparation and administration of medication doses
- BAccurate preparation and checking of medication doses.
- CAccurate preparation and timing of medication doses.
- DAccurate preparation and altering of medication doses.
26Nurses need to to be able to multitask and adjust their routine when preparing medications.
- AVerdadero
- BFalso
27
Nurses administer only medications they prepare, and prepared medications are never left unattended.- AVerdadero
- BFalso
28When should you document medications?
- AWhenever you can get to it.
- BAt the end of the day
- CImmediately after administration.
- DAs you are preparing the medication.
29When should a nurse report a medication error?
- AOnly if an adverse reaction happens.
- BWhen they get caught.
- CThe next free moment they have.
- DImmediately.
30Nursing students are able to receive verbal telephone orders.
- AVerdadero
- BFalso
31When instilling any form of eye medications you should avoid placing it directly onto the cornea.
- AVerdadero
- BFalso
32The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse give him or her?
- A2mL
- B5mL
- C16mL
- D30mL
33A patient with a history of nighttime confusion is to receive several oral medications at bedtime. What is the best way for the nurse to ensure that the patient has swallowed the medication?
- AAdminister each tablet individually.
- BObserve the patient closely as he swallows the tablets.
- CAsk the patient to open his mouth after swallowing each tablet.
- DAsk the patient to swallow a full glass of water with the tablets.
34What is the best way for the nurse to ensure that a patient receives the correct dose of a medication?
- ACompare the prescriber's order with the medication administration record before dispensing the medication
- BAsk the patient if he would like a larger dose of pain medication
- CAssess the patient's ability to swallow oral medications without difficulty
- DCheck the name of the medication three times against the medication administration record
35What is the nurse's first step in preparing to administer a prescribed medication using an automated medication dispensing system?
- AEstablish the patient's ID using two identifiers
- BReview the medication administration record (MAR)
- CProvide patient education
- DReview applicable nursing considerations
36How might the nurse safely administer an extended-release capsule to a patient with dysphagia?
- AEncourage the patient to drink plenty of water when swallowing the capsule.
- BOpen the capsule, and place the contents into 90 mL (3 fl. oz.) of juice.
- CPlace the capsule in a spoonful of the patient's applesauce.
- DSave the capsule to be administered last.
37What is the best way for the nurse to ensure that the patient does not receive the wrong dose because of a calculation error?
- AAsk the pharmacy to calculate the correct dosage.
- BAsk another registered nurse to verify the calculation.
- CConsult a current drug book to determine the new dosage.
- DDefer the calculation process to the provider.
38As the nurse is administering medication to a patient, the patient states, "I've never seen that pill before." What is the nurse's most appropriate response?
- AReassure the patient that the pharmacy sent the right medication.
- BTell the patient that it is probably a different brand than what he takes at home and not to worry.
- CTell the patient that you will review the physician's order to clarify any discrepancies.
- DTell the patient that the doctor probably ordered a new medication.
39After requesting a narcotic pain medication, the patient refuses it after the nurse prepares the injection. What is the nurse's best initial response?
- AAsk the patient the reason for his refusal
- BNotify the physician and asking for a different type of pain medication
- CHave another registered nurse witness the proper discarding of the drug
- DExplain to the patient the need to manage pain effectively
40As the nurse prepares to administer oral acetaminophen, the patient refuses to accept the drug because it doesn't look like the Tylenol she takes at home. After verifying that the medication and dosage are correct, what is the nurse's best response?
- AInforming the patient that the medication is a form of Tylenol
- BExplaining that she will probably have increased pain if she refuses the medication
- CShowing the patient a picture of the medication
- DExplaining that drugs often come in different physical forms, depending on the manufacturer
41Which statement or question best illustrates the nurse's understanding of the role of nursing assistive personnel (NAP) in using medication dispensing systems?
- A"Does the patient need her pain medication?"
- B"Let me know if she complains of any nausea."
- C"Ask her to describe her pain and show you where it is."
- D"Remember to log off of the system when you are finished.
42As the nurse is giving a patient his medications, he remarks, "I've never seen this blue pill before." What is the nurse's correct response?
- A"I'm sure the doctor knows what he's doing. Don't worry."
- B"Our pharmacy probably sent a generic form of what you're used to taking."
- CWhat color pill are you used to seeing?"
- D"Don't take it. Let me double-check the doctor's order to make sure this is the correct medication for you."
43When is a patient at a higher risk for a medication administration error?
- ADuring a care transition point, such as transfer to another unit
- BWhile on a hospital unit for an extended length of time
- COn the third postoperative day
- DWhen taking an active role in self-administration of insulin
44When preparing to administer a new medication, what would the nurse do first to ensure the patient's safety?
- APerform hand hygiene.
- BCompare the written order with the medication administration record (MAR).
- Ceview appropriate nursing considerations.
- DInform the patient about the medication.
45Which precaution should the nurse observe to ensure patient safety when using an automated medication dispensing system?
- AAssess the patient's ability to swallow oral medications without difficulty
- BAsk the patient about his or her experience with this or similar medications
- CPrepare medications for one patient at a time
- DEvaluate the patient's understanding of the safety issues related to the specific drug
46The nurse realizes which patient is at greatest risk for an unintended synergistic effect?
- A72-year-old who is seeing four different specialists
- B4-year-old who has mistakenly taken the entire packet of his mother's birth
control pills - C50-year-old who was prescribed a second blood pressure medication
- D35-year-old drug addict who has ingested meth mixed with several household
chemicals
47______ _____ provides an exact description of its composition and molecular structure
- AGeneric name
- BChemical name
- Cclassification
48Most of the time medications _____ _____ is used within healthcare.
- AGeneric name
- BChemical name
- Cclassification
49Medication _____ indicates the effects of the medication on a body system, the symptoms the medication relieves, or desired effect.
- Aclassification
- Bhalf-life
- Cdocuments
50After giving pain meds when should the nurse go back and check on to patient to see if he/she is still in pain?
- A30min
- B1hour
- C24hours
- D5min
51You have been instructed to administer an oral medication (Ranitidine 150mg) to a patient. What is the minimum of times the nurse should check the medication label before administering this drug.
- A1
- B2
- C3
- D4
52Which of the following is NOT a common route for administering medication?
- AOral
- BIntramuscular
- CIntravenous
- DIntraosmolar
53The route describes how the medication is actually given to or taken by the patient. Which of the following is true regarding the medication routes
- AMost medications administered by nurse are by injection
- BDrugs administered by the sublingual route have a relatively slow absorption rate
- CAll tablets are administered by the oral route
- DThe route can be determined by the nurse
54The six rights for medication administration
- ARight medication, right route, right date, right documentation, right dose, right time
- BRight patient, right medication, right time, right prescription, right date and documentation
- CRight dose, right route, right date, right symptoms, right document, right medication
- DRight dose, right patient, right formulation, right documentation and right medication
55To ensure that key steps are followed during administering medication the nurse should
- AVerify the date the prescription was written
- BVerify the amount of medication that has already been used
- CCheck for discoloration and expiration of the drug
- DConfirming with the patient’s physician that he issued the prescription
56All of the following are required sources to confirm the patient's identity before administering medication EXCEPT:
- APatient's Identification Bracelet
- BPatient's room/bed number
- CAsk the patient
- DPatient's chart
57What is NOT an appropriate action when a patient, who is legally responsible for their care, refuses a medication
- ANotify the ordering physician of patient's refusal to take medication.
- BDocument the patient's refusal to take medication and the education that you provided.
- CExplain the consequences for not taking the medication.
- DForce the patient to take it anyway.
58time it takes for a medication to produce a response
- Aonset
- Bpeak
- Cduration
- Dtrough
59time at which a medication reaches its highest effective concentration
- Apeak
- Bonset
- Ctrough
- Dduration
60Unpredictable effects in which a patient overreacts or underreacts to a medication or has a reaction different from normal.
- Aside effects
- Ballergic reactions
- Cidiosyncratic reaction
- Dtoxic effects
61Develop after prolonged intake of a medication or when a medication accumulates in the blood because of impaired metabolism or excretion.
- Aside effects
- Badverse effects
- Ctoxic effects
- Dallergic reactions
62Unintended, undesirable, and often unpredictable severe responses to medication. Some are immediate, whereas others take weeks or months to develop.
- Aside effects
- Badverse effects
- Ctoxic effects
- Dallergic reactions
63Predictable and often unavoidable secondary effects produced at a usual therapeutic dose, which are either harmless or cause injury.
- Aside effects
- Bidiosyncratic reaction
- Creactions allergic
- Dtherapeutic effects
64The expected or predicted physiological response that each medication causes.
- Atherapeutic effects
- Bside effects
- Cidiosyncratic reaction
- Dallergic reactions
65The name of a medication, also known as the brand name or proprietary name, under which a manufacturer markets a medication.
- Atrade
- Bgeneric
- Cchemical
66The name of a medication that the manufacturer, who first develops the drug, assigns the name, and it is listed in the U.S. Pharmacopeia:
- Achemical
- Btrade
- Cgeneric
67The name of a medication that provides an exact description of its composition and molecular structure:
- Ageneric
- Btrade
- Cchemical
68Administration of controlled substances requires that the nurse:
- ASave unused quantities
- BCount the amount of medication daily
- Ckeep narcotics to be given with other client medications
- DReport immediately discrepancies in narcotic counts
69The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to draw a trough is:
- A0800
- B0830
- C0900
- D0930
70A 2- year old child is ordered to have ear irrigation performed daily. The nurse correctly performs the procedure by:
- APulling the auricle down and back to straighten the ear canal.
- BPulling the auricle upward and outward to straighten the ear canal.
- CInstilling the irrigation solution by holding the syringe just inside the ear canal.
- DHolding the fluid in the canal for 2 to 3 minutes with a cotton swab
71A patient states that she would prefer not to take her daily allergy pill this morning because it makes her too drowsy throughout the day. The nurse responds therapeutically by saying,
- A"The physician ordered it; therefore you must take your medication every morning at the same time whether you're drowsy or not."
- BLet's see if we can change the time you take your pill to 9 p.m., so the drowsiness occurs when you would normally be sleeping."
- CYou can skip this medication on days when you need to be awake and alert."
- DTry to get as much done as you can before you take your pill, so you can sleep in the afternoon."
72The patient is in severe pain and is requesting a prn medication before the prn time interval has elapsed. The nurse's priority is to:
- AGive the medication early for any pain score greater than 8.
- BCall the physician.
- CExplain to the patient why he will have to wait for the medication.
- DDocument the patient's request and pain score.
73What actions should the nurse take to prevent medication errors?
- AFollow the six rights of medication administration.
- BAdministering as many of the medications as possible at one time.
- CChecking the patient's room number against the medication administration record.
74The onset of drug action is the time it takes for a drug to:
- Aproduce a response
- BAccelerate the cellular response
- CReach its highest effective concentration
- DProduce blood serum concentration and maintenance
Información
- Descripción
- Test sobre Sin título, creado por lai mas el 21/07/2017.
- Autor
- lai mas
- Idioma
- English
- Visitas
- 10
- Historial
- Creado el 21 jul 2017 · actualizado el 24 jul 2017
- Valoración
- Aún sin valoraciones Valora este test