1. A provider prescribes phenobarbital for a client who has a seizure
disorder. Themedication has a long half-life of 4 days. How many
times per day should the nurse expect to administer this
medication?
A. One
B. Two
C.
ThreeD.
Four
2. A staff educator is reviewing medication dosages and factors that
influence medication metabolism with a group of nurses at an in-
service presentation. Whichof the following factors should the
educator include as a reason to administer lowermedication
dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing
enzymes C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes
3. The nurse is preparing to administer eye drops to a client. Which of
the followingactions should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's
conjunctival sac.E. Instruct the client to close her eye gently
after instillation
4. The nurse is completing discharge teaching for a client who has a
new prescriptionfor transdermal patches. Which of the following
statements should the nurse identify as an indication that the
, client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the
patch."B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no
hair."D. "I will place the new patch on the site of the
old patch.
, 5. The nurse reviewing a client's medical record notes a new
prescription for verifying the trough level of the client's medication.
Which of the following actions shouldthe nurse take?
A. Obtain a blood specimen immediately prior to administering the next
dose ofmedication.
B. Verify that the client has been taking the medication for 24 hr before
obtaining ablood specimen.
C. Ask the client to provide a urine specimen after the next dose of
medication.D. Administer the medication,and obtain a blood specimen
30 min late
6. The nurse is preparing a client's medications. Which of the following
actions shouldthe nurse take in following legal practice guidelines?
(Select all that apply.)
A. Maintain skill
competency.B. Determine
the dosage.
C. Monitor for adverse
effects.D. Safeguard
medications.
E. Identify the client's diagnosis
7. The nurse reviewing a client's health record notes a new prescription
for Lisinopril 10mg PO once every day. The nurse should identify this
as which of the following types of prescription?
A.
SingleB.
Stat
C. Routine
D.
Standing
8. The nurse is reviewing a new prescription for Ondansetron 4 mg PO
PRN for nauseaand vomiting for a client who has Hyperemesis
Gravidarum. The nurse should clarify which of the following parts of
the prescription with the provider?
A. Name
, B.
DosageC.
Route
D. Frequency
9. The nurse is admitting a client and completing a preassessment
before administeringmedications. Which of the following data should
the nurse include in the preassessment? (Select all that apply.)
A. Use of herbal teas