NR 224 FUNDAMENTALS SKILLS FINAL EXAM
NEWEST 2024 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+.
A nurse knows that patient education has been effective when
the patient states - ANSWER >>>>"I will rotate the location
where I give myself injections."
Which statement by the patient is an indication to use the Z-
track method? - ANSWER >>>>"The last shot like that turned
my skin colors."
A 2-year-old child is ordered to have ear irrigation performed
daily. The nurse correctly performs the procedure by -
ANSWER >>>>Pulling the auricle down and back to
straighten the ear canal.
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? - ANSWER
>>>>20 units
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? - ANSWER
>>>>0.4 mL
,The patient is to receive phenytoin (Dilantin) at 0900. The
nurse knows that the ideal time to draw a trough level is -
ANSWER >>>>0830.
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? - ANSWER >>>>Chemotherapy is irritating to the
vascular system and may cause the vein to infiltrate.
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? - ANSWER >>>>20 hours
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? - ANSWER >>>>25 gauge x 5/8 inch
The nurse knows that the purpose of aspiration on IM
injections is to - ANSWER >>>>Ensure proper placement of
the needle.
The nurse is giving an IM injection. Upon aspiration, the nurse
notices blood return in the syringe. What should the nurse do?
- ANSWER >>>>Withdraw the needle and prepare the
injection again.
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. - ANSWER >>>>15
,The nurse knows to assess for signs of medication toxicity
within older adults because of which physiological change? -
ANSWER >>>>Reduced glomerular filtration
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? - ANSWER >>>>Nurse
A patient is to receive medication through a nasogastric tube.
What is the most important nursing action to ensure effective
absorption? - ANSWER >>>>Clamp suction for 30 to 60
minutes after medication administration.
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? - ANSWER >>>>62-year-old female
with pneumonia
A patient is in need of immediate pain relief for a severe
headache. The nurse knows that which medication will be
absorbed the quickest? - ANSWER >>>>Hydromorphone
(Dilaudid) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this, the
nurse anticipates that the medication will be administered by
which route? - ANSWER >>>>Oral
The nurse knows that an idiosyncratic event with the stimulant
pseudoephedrine (Sudafed) is occurring when the patient -
ANSWER >>>>Falls asleep during daily activities.
, 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? - ANSWER >>>>Call
the prescriber to clarify and justify the order.
A patient needs assistance excreting a gaseous medication.
What is the correct nursing action? - ANSWER
>>>>Encourage the patient to cough and deep-breathe.
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? -
ANSWER >>>>Return the medication to the medication
dispenser according to protocol.
The nurse knows that patient education about a buccal
medication has been effective when the patient states -
ANSWER >>>>"I should let the medication dissolve
completely."
What is the nurse's priority action to protect a patient from
medication error? - ANSWER >>>>Requesting that the
prescriber write out an order, rather than giving a verbal order
The patient is in severe pain and is requesting a prn
medication before the prn time interval has elapsed. The
nurse's priority is to - ANSWER >>>>Call the prescriber and
request a stat order.
NEWEST 2024 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+.
A nurse knows that patient education has been effective when
the patient states - ANSWER >>>>"I will rotate the location
where I give myself injections."
Which statement by the patient is an indication to use the Z-
track method? - ANSWER >>>>"The last shot like that turned
my skin colors."
A 2-year-old child is ordered to have ear irrigation performed
daily. The nurse correctly performs the procedure by -
ANSWER >>>>Pulling the auricle down and back to
straighten the ear canal.
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? - ANSWER
>>>>20 units
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? - ANSWER
>>>>0.4 mL
,The patient is to receive phenytoin (Dilantin) at 0900. The
nurse knows that the ideal time to draw a trough level is -
ANSWER >>>>0830.
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? - ANSWER >>>>Chemotherapy is irritating to the
vascular system and may cause the vein to infiltrate.
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? - ANSWER >>>>20 hours
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? - ANSWER >>>>25 gauge x 5/8 inch
The nurse knows that the purpose of aspiration on IM
injections is to - ANSWER >>>>Ensure proper placement of
the needle.
The nurse is giving an IM injection. Upon aspiration, the nurse
notices blood return in the syringe. What should the nurse do?
- ANSWER >>>>Withdraw the needle and prepare the
injection again.
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. - ANSWER >>>>15
,The nurse knows to assess for signs of medication toxicity
within older adults because of which physiological change? -
ANSWER >>>>Reduced glomerular filtration
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? - ANSWER >>>>Nurse
A patient is to receive medication through a nasogastric tube.
What is the most important nursing action to ensure effective
absorption? - ANSWER >>>>Clamp suction for 30 to 60
minutes after medication administration.
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? - ANSWER >>>>62-year-old female
with pneumonia
A patient is in need of immediate pain relief for a severe
headache. The nurse knows that which medication will be
absorbed the quickest? - ANSWER >>>>Hydromorphone
(Dilaudid) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this, the
nurse anticipates that the medication will be administered by
which route? - ANSWER >>>>Oral
The nurse knows that an idiosyncratic event with the stimulant
pseudoephedrine (Sudafed) is occurring when the patient -
ANSWER >>>>Falls asleep during daily activities.
, 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? - ANSWER >>>>Call
the prescriber to clarify and justify the order.
A patient needs assistance excreting a gaseous medication.
What is the correct nursing action? - ANSWER
>>>>Encourage the patient to cough and deep-breathe.
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? -
ANSWER >>>>Return the medication to the medication
dispenser according to protocol.
The nurse knows that patient education about a buccal
medication has been effective when the patient states -
ANSWER >>>>"I should let the medication dissolve
completely."
What is the nurse's priority action to protect a patient from
medication error? - ANSWER >>>>Requesting that the
prescriber write out an order, rather than giving a verbal order
The patient is in severe pain and is requesting a prn
medication before the prn time interval has elapsed. The
nurse's priority is to - ANSWER >>>>Call the prescriber and
request a stat order.
