Chapter 35 My Nursing Test Banks
Kozier & Erbs Fundamentals of Nursing, 10/E
Chapter 35
Question 1
The nurse is preparing to administer a medication that the agency designates as high alert. What action should the nurse
take?
1. Ask another registered nurse to verify the medication.
2. Call the pharmacist to check the efÏcacy of the medication.
3. Decline to administer the medication unless there is a physician present.
4. Request that the nursing supervisor administer the medication.
Question 2
Why is the nurse writing out the name of the drug morphine sulfate instead of using the abbreviation MS?
1. The hospital has placed MS on its list of do-not-use abbreviations.
2. The Joint Commission requires that the abbreviation MS not be used.
3. Using the abbreviation MS puts the client at risk of medication error.
4. Computerized charting systems will not accept the abbreviation MS.
Question 3
The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours prn temperature over 101F. The client
complains of a headache. Can the nurse legally administer Tylenol to treat the headache?
1. Yes, as Tylenol is used both for fever and headache.
2. No, not unless the client also has a temperature over 101F.
3. Yes, but the nurse should document the reason why the medication was administered as a temperature elevation.
4. Yes, because the medication is available over the counter, an order is not required.
Question 4
The nurse identifies that the ordered dose for a medication is twice the amount generally administered. What action
should the nurse take?
1. Administer the medication as it was ordered.
2. Check to see if previous shift nurses gave the medication.
3. Collaborate with the prescriber about the order.
4. Administer only the standard dose of the medication.
Question 5
The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet. How many mg of nitroglycerine
did the client receive?
Correct Answer: 0.8 mg or 800 mcg
Rationale: The client received gr 2/150 of NTG. There are 60 mg in 1 grain. To convert, multiply 2/150 x 60 = 120/150 =
0.8 mg or 800 mcg.
Question 6
The nurse is preparing to administer medication to a 6-year-old client. What is the nurses’ priority action?
1. Administer the exact dosage as ordered.
2. Give the dosage supplied by the pharmacy.
3. Verify that the dosage is within the safe range for this child.
4. Administer no more than one-half of the safe adult dosage.
, Question 7
During the process of administering medications, the nurse checks the name band for the clients name. What should be
this nurse’s next action?
1. Administer the medication as ordered.
2. Initial the MAR that the medication will be given.
3. Double check the client’s identification using a second method.
4. Educate the client regarding the medication to be given.
Question 8
The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old client. What strategy should this
nurse plan?
1. Give the medication in orange juice or milk to mask the taste.
2. Tell the child that the medication tastes good.
3. Ask the parents how they give medications at home.
4. Get another nurse to assist by holding the client down.
Question 9
The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac
medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
1. Have the UAP assess for any unexpected effects from the medication.
2. Tell the UAP to teach the clients family what to expect from the medication.
3. Have the UAP look the medication up in a drug reference book to read about drug actions and possible side effects.
4. Give the UAP specific instructions regarding what drug actions or side effects to report to the nurse.
Question 10
The nurse is to administer four oral medications to the client via a nasogastric tube. One of the medications is a tablet
that has been crushed, one is a capsule that has been opened and the powder removed, and two are supplied in liquid
form. How should the nurse administer these medications?
1. Flush the tube, mix the crushed tablet and the capsule powder into the two liquids for administration, and follow by
flushing the tube.
2. Mix the crushed tablet and capsule powder in warm water and administer. Flush the tube and administer the mixed
liquids.
3. Flush the tube with the mixed liquids first, then administer the crushed tablet and capsule powder mixed in cold
water.
4. Mix the crushed tablet and capsule powder individually in warm water. Administer each medication separately,
flushing the tube before and after each administration.
Question 11
At which point of preparing medication from an ampule does the nurse anticipate using a filter needle?
1. Filter needles are not used for this preparation.
2. When drawing the medication from the ampule.
3. When administering the medication to the client.
4. Both for drawing up the medication and for administering the medication.
Kozier & Erbs Fundamentals of Nursing, 10/E
Chapter 35
Question 1
The nurse is preparing to administer a medication that the agency designates as high alert. What action should the nurse
take?
1. Ask another registered nurse to verify the medication.
2. Call the pharmacist to check the efÏcacy of the medication.
3. Decline to administer the medication unless there is a physician present.
4. Request that the nursing supervisor administer the medication.
Question 2
Why is the nurse writing out the name of the drug morphine sulfate instead of using the abbreviation MS?
1. The hospital has placed MS on its list of do-not-use abbreviations.
2. The Joint Commission requires that the abbreviation MS not be used.
3. Using the abbreviation MS puts the client at risk of medication error.
4. Computerized charting systems will not accept the abbreviation MS.
Question 3
The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours prn temperature over 101F. The client
complains of a headache. Can the nurse legally administer Tylenol to treat the headache?
1. Yes, as Tylenol is used both for fever and headache.
2. No, not unless the client also has a temperature over 101F.
3. Yes, but the nurse should document the reason why the medication was administered as a temperature elevation.
4. Yes, because the medication is available over the counter, an order is not required.
Question 4
The nurse identifies that the ordered dose for a medication is twice the amount generally administered. What action
should the nurse take?
1. Administer the medication as it was ordered.
2. Check to see if previous shift nurses gave the medication.
3. Collaborate with the prescriber about the order.
4. Administer only the standard dose of the medication.
Question 5
The client has required 2 sublingual nitroglycerine tablets that are gr 1/150 per tablet. How many mg of nitroglycerine
did the client receive?
Correct Answer: 0.8 mg or 800 mcg
Rationale: The client received gr 2/150 of NTG. There are 60 mg in 1 grain. To convert, multiply 2/150 x 60 = 120/150 =
0.8 mg or 800 mcg.
Question 6
The nurse is preparing to administer medication to a 6-year-old client. What is the nurses’ priority action?
1. Administer the exact dosage as ordered.
2. Give the dosage supplied by the pharmacy.
3. Verify that the dosage is within the safe range for this child.
4. Administer no more than one-half of the safe adult dosage.
, Question 7
During the process of administering medications, the nurse checks the name band for the clients name. What should be
this nurse’s next action?
1. Administer the medication as ordered.
2. Initial the MAR that the medication will be given.
3. Double check the client’s identification using a second method.
4. Educate the client regarding the medication to be given.
Question 8
The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old client. What strategy should this
nurse plan?
1. Give the medication in orange juice or milk to mask the taste.
2. Tell the child that the medication tastes good.
3. Ask the parents how they give medications at home.
4. Get another nurse to assist by holding the client down.
Question 9
The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac
medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
1. Have the UAP assess for any unexpected effects from the medication.
2. Tell the UAP to teach the clients family what to expect from the medication.
3. Have the UAP look the medication up in a drug reference book to read about drug actions and possible side effects.
4. Give the UAP specific instructions regarding what drug actions or side effects to report to the nurse.
Question 10
The nurse is to administer four oral medications to the client via a nasogastric tube. One of the medications is a tablet
that has been crushed, one is a capsule that has been opened and the powder removed, and two are supplied in liquid
form. How should the nurse administer these medications?
1. Flush the tube, mix the crushed tablet and the capsule powder into the two liquids for administration, and follow by
flushing the tube.
2. Mix the crushed tablet and capsule powder in warm water and administer. Flush the tube and administer the mixed
liquids.
3. Flush the tube with the mixed liquids first, then administer the crushed tablet and capsule powder mixed in cold
water.
4. Mix the crushed tablet and capsule powder individually in warm water. Administer each medication separately,
flushing the tube before and after each administration.
Question 11
At which point of preparing medication from an ampule does the nurse anticipate using a filter needle?
1. Filter needles are not used for this preparation.
2. When drawing the medication from the ampule.
3. When administering the medication to the client.
4. Both for drawing up the medication and for administering the medication.
