Answers Updated
A nurse is administering medications to four clients. The nurse should identify
which of the following nursing actions as a part of the evaluation phase of the
nursing process?
a. Collecting information about a client's pain level following administration of a
narcotic
b. Taking the blood pressure of a client before administering an antihypertensive
medication
c. Lowering the level of a client's bed before administering a benzodiazepine
medication
d. Instructing a client to rinse their mouth following administration of an
inhalation corticosteroid
a. Collecting information about a client's pain level following administration of a narcotic
A nurse is teaching a newly licensed nurse about crushing medications. The
nurse should explain that which of the following medications can be crushed?
a. Extended-release oxycodone
b. Sublingual nitroglycerine
c. Enteric-coated aspirin
d. Sucralfate tablets
d. Sucralfate tablets
A nurse is transcribing medication prescriptions for a group of clients. Which of
the following is the appropriate way for the nurse to record medications that
require the use of a decimal point?
a. .4 mL
b. 0.6 mL
c. 8.0 mL
d. 125.0 mL
b. 0.6 mL
A nurse is caring for a client who states that his provider told him he is at risk for
anaphylaxis following administration of amoxicillin and that he does not
understand what this means. Which of the following is an appropriate response
by the nurse?
a. "Anaphylaxis is a predictable and often unavoidable secondary effect that can
occur at a usual therapeutic dose."
b. "Anaphylaxis will cause you to experience withdrawal symptoms when you
discontinue taking the medication."
c. "Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
, d. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-
threatening."
d. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening."
A nurse is preparing to administer a medication to a newly admitted client. The
nurse should identify which of the following actions as a part of the assessment
phase of the nursing process?
a. Asking the client about a history of medication allergies
b. Instructing the client about the medication's adverse effects
c. Determining whether the medication should be administered with or without
meals
d. Monitoring the client's response to the medication
a. Asking the client about a history of medication allergies
A nurse is providing teaching regarding medication administration to a group of
newly licensed nurses. Which of the following is a legal responsibility of a nurse?
a. Prescribing the correct dosage
b. Modifying the medication regimen
c. Reporting medication errors
d. Delegating administration to assistive personnel
c. Reporting medication errors
A nurse is preparing to administer insulin subcutaneously to a client. The nurse
should document the administration of the medication immediately after which of
the following actions?
a. Taking the insulin from the automated dispensing machine
b. Injecting the insulin
c. Checking the client's blood glucose level
d. Checking the correct dosage of the insulin
b. Injecting the insulin
A nurse is assessing a client following administration of an antibiotic. The nurse
should identify that which of the following findings is a manifestation of an
anaphylactic reaction to the medication?
a. Swollen lips
b. Hypertension
c. Low heart rate
d. Constipation
a. Swollen lips
A nurse on a medical unit is assisting with the orientation of a newly licensed
nurse. The nurse should remind the newly licensed nurse to have a second nurse
review the dosage of which of the following medications prior to administration?
a. Heparin
b. Acetaminophen
c. Acetylcysteine
d. Hydroxychloroquine
a. Heparin
A nurse is caring for a client who is to receive topiramate XR 100 mg PO daily.
The client tells the nurse that the capsule is too hard to swallow. Which of the
following actions should the nurse take?