You are caring for a person with a capillary blood glucose of 33 mm/dL and they are unable
to tolerate oral intake. Which of the following would you administer? - ANSWER Dextrose
50% IV Push
You are educating a person about their prescription for cyclosporine (Gengraf) and a new
diet with a potassium intake restriction. What food would you tell them to avoid? - AN-
SWER rasins
Which statement, if made by the person you are caring for, reflects the need for further edu-
cation regarding a new prescription of warfarin (Coumadin)? - ANSWER If I get head-
aches, aspirin is my best option for pain
A person on a morphine (Duramorph) PCA pump without a basal infusion rate is afraid of po-
tential overdosing. What would you say to educate them? - ANSWER A small dose is de-
livered only when you push the trigger button and only if it has been long enough since your
last dose
What medication is a leukotriene receptor antagonist? - ANSWER Montelukast (Singulair)
You receive the report from the off-going nurse that the person being cared for just received
their fourth dose of IV Vancomysin (Vancocin) that was administered over 30 minutes. Upon
assessment of them, and you notice their face and neck are red and they are itching all over.
What would you suspect? - ANSWER Redman syndrome due to a rapid infusion rate
An order has been placed for a sublingual medication. The person you are caring for cur-
rently has a nasogastric tube in place. What is your most appropriate action? - ANSWER
Administer the medication as ordered
1
, A person was recently prescribed a corticosteroid inhaler. What would you include when ed-
ucating them on the medication? - ANSWER It is important that you wash out your mask
after every dose to help prevent a fungal infection in your mouth.
A person has a new-onset dysrhythmia. What medication might be prescribed for this condi-
tion? - ANSWER Diltiazem (Cardizem)
What is the PRIMARY cause of red man syndrome (RMS) during the administration of vanco-
mycin? - ANSWER Increased histamine production
The person you are caring for tells you that they frequently take acetaminophen (Tylenol) at
home. Which statement made by them is correct? - ANSWER I should pay close attention
to OTC drug labels so I don't take too much of
The physician orders 0.5 mg/kg of a medication. The medication is supplied in a 10 mg/mL
solution. The person you are caring for weighs 40 kg. How many mL of the drug would you
administer? - ANSWER 2 mL
You have an order for 4 mg of dexamethasone (Decadron) IV push. The medication is sup-
plied in a 10 mg/mL vial. How many mL would you administer? - ANSWER 0.4 mL
A person is noted to have a penicillin allergy. What medication would you question if or-
dered by physician? - ANSWER Ceftriaxone
Why would normal saline (NS) be the solution of choice when preparing to administer a
blood transfusion? - ANSWER Normal saline is isotonic which prevents blood cells hemol-
ysis
The physician ordered atropine sulfate 0.6 mg IM before surgery. The medication is supplied
in 0.8 mg/mL. How many mL of the medication would your administered? - ANSWER
0.75 mL
2
to tolerate oral intake. Which of the following would you administer? - ANSWER Dextrose
50% IV Push
You are educating a person about their prescription for cyclosporine (Gengraf) and a new
diet with a potassium intake restriction. What food would you tell them to avoid? - AN-
SWER rasins
Which statement, if made by the person you are caring for, reflects the need for further edu-
cation regarding a new prescription of warfarin (Coumadin)? - ANSWER If I get head-
aches, aspirin is my best option for pain
A person on a morphine (Duramorph) PCA pump without a basal infusion rate is afraid of po-
tential overdosing. What would you say to educate them? - ANSWER A small dose is de-
livered only when you push the trigger button and only if it has been long enough since your
last dose
What medication is a leukotriene receptor antagonist? - ANSWER Montelukast (Singulair)
You receive the report from the off-going nurse that the person being cared for just received
their fourth dose of IV Vancomysin (Vancocin) that was administered over 30 minutes. Upon
assessment of them, and you notice their face and neck are red and they are itching all over.
What would you suspect? - ANSWER Redman syndrome due to a rapid infusion rate
An order has been placed for a sublingual medication. The person you are caring for cur-
rently has a nasogastric tube in place. What is your most appropriate action? - ANSWER
Administer the medication as ordered
1
, A person was recently prescribed a corticosteroid inhaler. What would you include when ed-
ucating them on the medication? - ANSWER It is important that you wash out your mask
after every dose to help prevent a fungal infection in your mouth.
A person has a new-onset dysrhythmia. What medication might be prescribed for this condi-
tion? - ANSWER Diltiazem (Cardizem)
What is the PRIMARY cause of red man syndrome (RMS) during the administration of vanco-
mycin? - ANSWER Increased histamine production
The person you are caring for tells you that they frequently take acetaminophen (Tylenol) at
home. Which statement made by them is correct? - ANSWER I should pay close attention
to OTC drug labels so I don't take too much of
The physician orders 0.5 mg/kg of a medication. The medication is supplied in a 10 mg/mL
solution. The person you are caring for weighs 40 kg. How many mL of the drug would you
administer? - ANSWER 2 mL
You have an order for 4 mg of dexamethasone (Decadron) IV push. The medication is sup-
plied in a 10 mg/mL vial. How many mL would you administer? - ANSWER 0.4 mL
A person is noted to have a penicillin allergy. What medication would you question if or-
dered by physician? - ANSWER Ceftriaxone
Why would normal saline (NS) be the solution of choice when preparing to administer a
blood transfusion? - ANSWER Normal saline is isotonic which prevents blood cells hemol-
ysis
The physician ordered atropine sulfate 0.6 mg IM before surgery. The medication is supplied
in 0.8 mg/mL. How many mL of the medication would your administered? - ANSWER
0.75 mL
2
