REVIEWED 2 EXAM PREPARATION PACK 2026
KEY CONCEPTS AND REVISION NOTES
◉ A nurse is taking a medication history from a client who has a new
prescription for levothyroxine. The nurse should instruct the client
to wait 4 hr after taking levothyroxine before taking which of the
following supplements?
A. Ginkgo biloba
B. Calcium
C. Vitamin C
D. Zinc.
Answer: B. Calcium
◉ A nurse is preparing to administer total parenteral nutrition to a
client. Which of the following actions should the nurse take?
A. Obtain the client's weight three times a week.
B. Check the client's WBC count daily.
C. Keep the solution refrigerated until 1 hr before infusion.
D. Change the solution every 36 hrs..
,Answer: C. Keep the solution refrigerated until 1 hr before infusion.
◉ A nurse is preparing to administer a medication to a client. Using
the rights of medication administration. Which of the following
actions should the nurse take to ensure the right medication is
administered to the client?
A. Ask another nurse to check the medication dosage prior to
administration.
B. Verify a written order with the medication administration record.
C. Use two client identifiers prior to administering the medication.
D. Document the full name of the prescribed medication after
administration..
Answer: C. Use two client identifiers prior to administering the
medication.
◉ A nurse is preparing to mix short-acting insulin with NPH insulin
from two vials. Which of the following actions should the nurse
take?
A. Inject air into the vial to withdraw the short-acting insulin.
B. Administer the insulin within 20 min of preparing it.
C. Ensure the NPH insulin is drawn into the syringe first.
D. use two separate syringes to mix the insulin..
,Answer: D. Use two separate syringes to mix the insulin.
◉ A nurse is reviewing the list of current medications for a client
who has a new prescription for nitroglycerin. The nurse should
identify that which of the following client medications is
contraindicated for use with nitroglycerin?
A. Sildenafil
B. Gemfibrozil
C. Lansoprazole
D. Diazepam.
Answer: A. Sildenafil
◉ A nurse is reviewing the medication administration record for a
client who has cancer and is receiving morphine via a PCA pump.
Which of the following prescriptions should the nurse clarify with
the provider?
A. Nalbuphine
B. Acetaminophen
C. Ondansetron
D. Insulin Glargine.
Answer: A. Nalbuphine
, ◉ A nurse is administering medications to a client who weighs 132
lb. The prescription reads chloramphenicol, 50mg/kg/day in 4
divided doses. Available is chloramphenicol 100 mg/mL. How many
mL should the nurse give with each dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.).
Answer: 7.5mL
◉ A nurse is planning to administer medications to a client who
weighs 198 lb. The prescription reads, "filgrastim 5 mcg/kg,
subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many
mL should the nurse plan to give with each dose? (Round the answer
to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.).
Answer: 1.5mL
◉ A nurse is preparing to administer the initial dose of penicillin G
IM to a client. The nurse should monitor for which of the following
as an indication of an allergic reaction following the injection?
A. Pallor
B. Dyspepsia
C. Bradycardia
D. Urticaria.