NR 224 Fundamentals Final 2023/2024
1). A nurse knows that patient education has been effective when the patient states
Ans: "I will rotate the location where I give myself injections."
2). Which statement by the patient is an indication to use the z-track method?
Ans: "The last shot like that turned my skin colors."
3). A 2-year-old child is ordered to have ear irrigation performed daily. the nurse correctly
performs the procedure by
Ans: Pulling the auricle down and back to straighten the ear canal.
4). A patient has an order to receive 10 units of u-50 insulin. the nurse is using a u-100
syringe. how many units should the nurse draw up in the syringe and administer?
Ans: 20 units
5). A patient has an order to receive 20 units of u-50 insulin. the nurse is using a u-100
syringe. how many units should the nurse draw up in the syringe and administer?
Ans: 0.4 mL
6). The patient is to receive phenytoin (dilantin) at 0900. the nurse knows that the ideal time
to draw a trough level is
Ans: 0830.
7). A patient who has been receiving intermittent chemotherapy through a peripheral iv site is
ordered to receive a high dose of vancomycin through the same vein. why does this
concern the nurse?
Ans: Chemotherapy is irritating to the vascular system and may cause the vein to
infiltrate.
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, 8). A physician orders 1000 ml of normal saline to infuse at a rate of 50 ml/hr. the nurse plans
on hanging a new bag at what time?
Ans: 20 hours
9). The nurse is preparing to administer a 0.5-ml rabies vaccine into the deltoid muscle of a
patient. which needle size is best for the procedure?
Ans: 25 gauge x 5/8 inch
10). The nurse knows that the purpose of aspiration on im injections is to
Ans: Ensure proper placement of the needle.
11). The nurse is giving an im injection. upon aspiration, the nurse notices blood return in the
syringe. what should the nurse do?
Ans: Withdraw the needle and prepare the injection again.
12). The nurse is planning to administer a tuberculin test with a 27-gauge, 3/8-inch needle. the
nurse should insert the needle at an angle of _____ degrees.
Ans: 15
13). The nurse knows to assess for signs of medication toxicity within older adults because of
which physiological change?
Ans: Reduced glomerular filtration
14). A registered nurse interprets that a scribbled medication order reads 25 mg. the nurse
administers 25 mg of the medication to a patient, and then discovers that the dose was
incorrectly interpreted and should have been 15 mg. who is ultimately responsible for the
error?
Ans: Nurse
15). A patient is to receive medication through a nasogastric tube. what is the most important
nursing action to ensure effective absorption?
Ans: Clamp suction for 30 to 60 minutes after medication administration.
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, 16). Aspirin is an analgesic, antipyretic, antiplatelet, and anti-inflammatory agent. a physician
writes for aspirin 650 mg every 4 to 6 hours prn: febrile. for which patient would this order
be appropriate?
Ans: 62-year-old female with pneumonia
17). A patient is in need of immediate pain relief for a severe headache. the nurse knows that
which medication will be absorbed the quickest?
Ans: Hydromorphone (Dilaudid) 4 mg IV
18). A drug requires a low ph to be metabolized. knowing this, the nurse anticipates that the
medication will be administered by which route?
Ans: Oral
19). The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine
(sudafed) is occurring when the patient
Ans: Falls asleep during daily activities.
20). An order is written for (phenytoin) dilantin 500 mg im q3-4h prn for pain. the nurse
recognizes that treatment of pain is not a standard therapeutic indication for this drug. the
nurse believes that the prescriber meant to write for hydromorphone (dilaudid). what
should the nurse do?
Ans: Call the prescriber to clarify and justify the order.
21). A patient needs assistance excreting a gaseous medication. what is the correct nursing
action?
Ans: Encourage the patient to cough and deep-breathe.
22). A nurse has withdrawn a narcotic from the medication dispenser. upon checking the drug
against the medication administration record, the nurse notices that the narcotic order has
expired. what should be the nurse's first action?
Ans: Return the medication to the medication dispenser according to protocol.
23). The nurse knows that patient education about a buccal medication has been effective
when the patient states
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1). A nurse knows that patient education has been effective when the patient states
Ans: "I will rotate the location where I give myself injections."
2). Which statement by the patient is an indication to use the z-track method?
Ans: "The last shot like that turned my skin colors."
3). A 2-year-old child is ordered to have ear irrigation performed daily. the nurse correctly
performs the procedure by
Ans: Pulling the auricle down and back to straighten the ear canal.
4). A patient has an order to receive 10 units of u-50 insulin. the nurse is using a u-100
syringe. how many units should the nurse draw up in the syringe and administer?
Ans: 20 units
5). A patient has an order to receive 20 units of u-50 insulin. the nurse is using a u-100
syringe. how many units should the nurse draw up in the syringe and administer?
Ans: 0.4 mL
6). The patient is to receive phenytoin (dilantin) at 0900. the nurse knows that the ideal time
to draw a trough level is
Ans: 0830.
7). A patient who has been receiving intermittent chemotherapy through a peripheral iv site is
ordered to receive a high dose of vancomycin through the same vein. why does this
concern the nurse?
Ans: Chemotherapy is irritating to the vascular system and may cause the vein to
infiltrate.
PaperStoc.com Page 1 of 17
, 8). A physician orders 1000 ml of normal saline to infuse at a rate of 50 ml/hr. the nurse plans
on hanging a new bag at what time?
Ans: 20 hours
9). The nurse is preparing to administer a 0.5-ml rabies vaccine into the deltoid muscle of a
patient. which needle size is best for the procedure?
Ans: 25 gauge x 5/8 inch
10). The nurse knows that the purpose of aspiration on im injections is to
Ans: Ensure proper placement of the needle.
11). The nurse is giving an im injection. upon aspiration, the nurse notices blood return in the
syringe. what should the nurse do?
Ans: Withdraw the needle and prepare the injection again.
12). The nurse is planning to administer a tuberculin test with a 27-gauge, 3/8-inch needle. the
nurse should insert the needle at an angle of _____ degrees.
Ans: 15
13). The nurse knows to assess for signs of medication toxicity within older adults because of
which physiological change?
Ans: Reduced glomerular filtration
14). A registered nurse interprets that a scribbled medication order reads 25 mg. the nurse
administers 25 mg of the medication to a patient, and then discovers that the dose was
incorrectly interpreted and should have been 15 mg. who is ultimately responsible for the
error?
Ans: Nurse
15). A patient is to receive medication through a nasogastric tube. what is the most important
nursing action to ensure effective absorption?
Ans: Clamp suction for 30 to 60 minutes after medication administration.
PaperStoc.com Page 2 of 17
, 16). Aspirin is an analgesic, antipyretic, antiplatelet, and anti-inflammatory agent. a physician
writes for aspirin 650 mg every 4 to 6 hours prn: febrile. for which patient would this order
be appropriate?
Ans: 62-year-old female with pneumonia
17). A patient is in need of immediate pain relief for a severe headache. the nurse knows that
which medication will be absorbed the quickest?
Ans: Hydromorphone (Dilaudid) 4 mg IV
18). A drug requires a low ph to be metabolized. knowing this, the nurse anticipates that the
medication will be administered by which route?
Ans: Oral
19). The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine
(sudafed) is occurring when the patient
Ans: Falls asleep during daily activities.
20). An order is written for (phenytoin) dilantin 500 mg im q3-4h prn for pain. the nurse
recognizes that treatment of pain is not a standard therapeutic indication for this drug. the
nurse believes that the prescriber meant to write for hydromorphone (dilaudid). what
should the nurse do?
Ans: Call the prescriber to clarify and justify the order.
21). A patient needs assistance excreting a gaseous medication. what is the correct nursing
action?
Ans: Encourage the patient to cough and deep-breathe.
22). A nurse has withdrawn a narcotic from the medication dispenser. upon checking the drug
against the medication administration record, the nurse notices that the narcotic order has
expired. what should be the nurse's first action?
Ans: Return the medication to the medication dispenser according to protocol.
23). The nurse knows that patient education about a buccal medication has been effective
when the patient states
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