NS 309 FINAL EXAM PRACTICE QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTION.
The client is receiving vancomycin. A peak and trough level is ordered for the
dose the nurse is administering. Which priority intervention should the nurse
implement?
A. Monitor the amino glycoside peak level
B. Determine if the trough level has been drawn
C. Ask the client if he has had any diarrhea
D. Check the client's culture and sensitivity report Answer - B. Determine if the
trough level has been drawn
The client with type 2 diabetes is prescribed glyburide. Which statement
indicates the client understands the medication teaching.
A. "There are no side effects that I need to worry about."
B. "This medication will make my muscles absorb insulin."
C. "I should carry some hard candy when I go walking."
D. "I must take my insulin injection every morning." Answer - C. "I should carry
some hard candy when I go walking."
The client glucose reading is 380 mg/dL. How many units should the nurse
administer?
,GLUCOMETER READING // UNITS OF INSULIN
<150= 0
151-250= 5
251-350= 8
351-450= 10 Answer - 10 Units of insulin
The nurse administers 18 units of humulin N at 1630. Which priority
intervention should the nurse implement?
A. Monitor the client's hemoglobin A1C
B. Make sure the client eats the evening meal
C. Ensure that the client eats a snack
D. Check the A1C blood glucometer reading Answer - B. Make sure the client
eats the evening meal
The nurse administering the following 1800 medications. Which medication
should the nurse question before administering?
A. The sliding-scale insulin to the client who has just been released to have the
evening meal.
B. Metformin to the client having a CT scan in the morning
C. Protonix to the client diagnosed w/ peptic ulcer disease
D. The antibiotic to the client who is one day post-op expiratory abdominal
surgery Answer - B. Metformin to the client having a CT scan in the morning
The nurse is administering insulin glargine to the client at 2200. The nurse asks
the charge nurse to check the dosage. Which action should the charge nurse
implement?
, A. Have the nurse notify the health care provider
B. Ask the nurse why the insulin is being given late
C. Instruct the nurse to complete a medication error form
D. Check the MAR with the dosage in the syringe Answer - B. Ask the nurse
why the insulin is being given late
The nurse is preparing to administer Synthroid to a client. Which assessment
data would indicate the client is receiving too much medication?
A. Bradypnea and weight gain
B. Irritability and tachycardia
C. Lethargy and hypotension
D. Normothermia and constipation Answer - B. Irritability and tachycardia
The nurse administered an IV broad spectrum antibiotic scheduled every 6
hours to the client at 0800. At 1000 the culture and sensitivity prompted the
HCP to change the IV antibiotic. When should the nurse administer the new
medication?
A. Administer the dose within one hour of the order
B. Schedule the dose for the next day
C. Check with the HCP to determine when to start
D. Schedule the dose for 1400 Answer - C. Check with the HCP to determine
when to start
The HCP has ordered an intramuscular antibiotic. After reconstituting the
medication the clinic nurse must administer 4.8 mL of the medication. Which
action should the nurse implement first when administering this medication?
ANSWERS WITH COMPLETE SOLUTION.
The client is receiving vancomycin. A peak and trough level is ordered for the
dose the nurse is administering. Which priority intervention should the nurse
implement?
A. Monitor the amino glycoside peak level
B. Determine if the trough level has been drawn
C. Ask the client if he has had any diarrhea
D. Check the client's culture and sensitivity report Answer - B. Determine if the
trough level has been drawn
The client with type 2 diabetes is prescribed glyburide. Which statement
indicates the client understands the medication teaching.
A. "There are no side effects that I need to worry about."
B. "This medication will make my muscles absorb insulin."
C. "I should carry some hard candy when I go walking."
D. "I must take my insulin injection every morning." Answer - C. "I should carry
some hard candy when I go walking."
The client glucose reading is 380 mg/dL. How many units should the nurse
administer?
,GLUCOMETER READING // UNITS OF INSULIN
<150= 0
151-250= 5
251-350= 8
351-450= 10 Answer - 10 Units of insulin
The nurse administers 18 units of humulin N at 1630. Which priority
intervention should the nurse implement?
A. Monitor the client's hemoglobin A1C
B. Make sure the client eats the evening meal
C. Ensure that the client eats a snack
D. Check the A1C blood glucometer reading Answer - B. Make sure the client
eats the evening meal
The nurse administering the following 1800 medications. Which medication
should the nurse question before administering?
A. The sliding-scale insulin to the client who has just been released to have the
evening meal.
B. Metformin to the client having a CT scan in the morning
C. Protonix to the client diagnosed w/ peptic ulcer disease
D. The antibiotic to the client who is one day post-op expiratory abdominal
surgery Answer - B. Metformin to the client having a CT scan in the morning
The nurse is administering insulin glargine to the client at 2200. The nurse asks
the charge nurse to check the dosage. Which action should the charge nurse
implement?
, A. Have the nurse notify the health care provider
B. Ask the nurse why the insulin is being given late
C. Instruct the nurse to complete a medication error form
D. Check the MAR with the dosage in the syringe Answer - B. Ask the nurse
why the insulin is being given late
The nurse is preparing to administer Synthroid to a client. Which assessment
data would indicate the client is receiving too much medication?
A. Bradypnea and weight gain
B. Irritability and tachycardia
C. Lethargy and hypotension
D. Normothermia and constipation Answer - B. Irritability and tachycardia
The nurse administered an IV broad spectrum antibiotic scheduled every 6
hours to the client at 0800. At 1000 the culture and sensitivity prompted the
HCP to change the IV antibiotic. When should the nurse administer the new
medication?
A. Administer the dose within one hour of the order
B. Schedule the dose for the next day
C. Check with the HCP to determine when to start
D. Schedule the dose for 1400 Answer - C. Check with the HCP to determine
when to start
The HCP has ordered an intramuscular antibiotic. After reconstituting the
medication the clinic nurse must administer 4.8 mL of the medication. Which
action should the nurse implement first when administering this medication?
