Test Bank for Potter and Perry's Canadian
Fundamentals of Nursing, 7th Edition by Astle
You are a new graduate nurse completing your orientation on a very busy intensive
care unit. You cannot read a health care provider's order for one of your patient's
medications. You have heard from more experienced nurses that this health care
provider does not like to be called, and you know that another of the health care
provider's patients is very unstable. What is the most appropriate next step for you
to take?
1. Call the health care provider to clarify the order
2. Talk with your preceptor to help you interpret the order
3. Refer to a medication manual before giving the medication
4. Use your best judgment and critical thinking and administer the dose you think
the health care provider ordered - ANSWER: 1. Call the health care provider to clarify
the order
A toddler is to receive 2.5 mL of an antipyretic by mouth. Which equipment is the
most appropriate for medication administration for this child?
1. A medication cup
2. A teaspoon
3. A 5-mL syringe
4. An oral-dosing syringe - ANSWER: 4. An oral-dosing syringe
What statement made by a 4-year-old patient's mother indicates that she
understands how to administer her son's eardrops?
1. "To straighten his ear canal, I need to pull the outside part of his ear down and
back."
2. "I need to straighten his ear canal before administering the medication by pulling
his ear upward and outward."
3. "I need to put my son in a chair and make sure that he's sitting up with his head
tilted back before I give him the eardrops."
4. "After I'm done giving him his eardrops, I need to make sure that my son remains
sitting straight up for at least 10 minutes." - ANSWER: 2. "I need to straighten his ear
canal before administering the medication by pulling his ear upward and outward."
,A health care provider ordered enalapril (Vasotec) 2 mg IV push for a patient with
hypertension. The pharmacy sent vials marked 1.25 mg enalapril/mL. How many mL
does the nurse administer? ___ mL - ANSWER: 1.6 mL
A nurse admits a 72-year-old patient with a medical history of hypertension, heart
failure, renal failure, and depression to a general medical patient care unit. The
nurse reviews the patient's medication orders and notes that the patient has three
health care providers who have ordered a total of 13 medications. What is the most
appropriate action for the nurse to take next?
1. Give the medications after identifying the patient using two patient identifiers
2. Provide medication education to the patient to help with adherence to the
medical plan
3. Review the list of medications with the health care providers to ensure that the
patient needs all 13 medications
4. Set up a medication schedule for the patient that is least disruptive to the
expected treatment schedule in the hospital - ANSWER: 3. Review the list of
medications with the health care providers to ensure that the patient needs all 13
medications
The nurse is administering an intravenous (IV) push medication to a patient who has
a compatible IV fluid running through intravenous tubing. Place the following steps
in the appropriate order.
1. Release tubing and inject medication within amount of time recommended by
agency policy, pharmacist, or medication reference manual. Use watch to time
administration.
2. Select injection port of intravenous (IV) tubing closest to patient. Whenever
possible, injection port should accept a needleless syringe. Use IV filter if required by
medication reference or agency policy.
3. After injecting medication, release tubing, withdraw syringe, and recheck fluid
infusion rate.
4. Connect syringe to port of intravenous (IV) line. Insert needleless tip or small-
gauge needle of syringe containing prepared drug through center of injection port.
5. Clean injection port with antiseptic swab. Allow to dry.
6. Occlude intravenous (I - ANSWER: 2, 5, 4, 6, 1, 3
,A nursing student is administering ampicillin PO. The expiration date on the
medication wrapper was yesterday. What is the appropriate action for the nursing
student to take next?
1. Ask the nursing professor for advice
2. Return the medication to pharmacy and get another tablet
3. Call the health care provider after discussing this situation with the charge nurse
4. Administer the medication since medications are good for 30 days after their
expiration date - ANSWER: 2. Return the medication to pharmacy and get another
tablet
A nursing student is administering medications to a patient through a gastric tube
(G-tube). Which of the following actions taken by the nursing student requires the
nursing instructor to intervene?
1. The nursing student places all the patient's medications in different medicine cups.
2. The nursing student evaluates each medication and holds the tube feeding before
administering a medication that needs to be administered on an empty stomach.
3. The nursing student flushes the tube with 30 mL of water between each
medication.
4. The nursing student crushes a nifedipine extended-release tablet and mixes it with
water before administering it. - ANSWER: 4. The nursing student crushes a nifedipine
extended-release tablet and mixes it with water before administering it.
A pediatric nurse takes a medication to a 12-year-old female patient. The patient
tells the nurse to take it away because she is not going to take it. What is the nurse's
next action?
1. Ask the patient's reason for refusal
2. Consult with the patient's parents for advice
3. Take the medication away and chart the patient's refusal
4. Tell the patient that her health care provider knows what is best for her -
ANSWER: 1. Ask the patient's reason for refusal
After receiving an intramuscular (IM) injection in the deltoid, a patient states, "My
arm really hurts. It's burning and tingling where I got my injection. What should the
nurse do next? (Select all that apply.)
, 1. Assess the injection site
2. Administer an oral medication for pain
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's medical
record
5. This is a normal finding so nothing needs to be done
6. Apply ice to the site for relief of burning pain - ANSWER: 1. Assess the injection
site
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's medical
record
You are working in a health clinic on a college campus. You need to administer
medroxyprogesterone acetate intramuscularly (IM) to a female patient for birth
control. You look up this medication in a reference manual and determine that it is
viscous and injections can be painful. On the basis of this information, you plan
which of the following when administering this medication? (Select all that apply.)
1. Inject the medication over 3 minutes to reduce pain associated with the injection
2. Administer the medication in the ventral gluteal site
3. Use the Z-track method when administering the medication
4. Use the deltoid site for medication administration
5. Ask the patient questions about her major and which classes she is taking during
the injection to provide distraction - ANSWER: 2 - Administer the medication in the
ventral gluteal site
3 - Use the Z-track method when administering the medication
5 - Ask the patient questions about her major and which classes she is taking during
the injection to provide distraction
After seeing a patient, the health care provider starts to give a nursing student a
verbal order for a new medication. The nursing student first needs to:
1. Follow ISMP guidelines for safe medication abbreviations.
2. Explain to the health care provider that the order needs to be given to a registered
nurse.
Fundamentals of Nursing, 7th Edition by Astle
You are a new graduate nurse completing your orientation on a very busy intensive
care unit. You cannot read a health care provider's order for one of your patient's
medications. You have heard from more experienced nurses that this health care
provider does not like to be called, and you know that another of the health care
provider's patients is very unstable. What is the most appropriate next step for you
to take?
1. Call the health care provider to clarify the order
2. Talk with your preceptor to help you interpret the order
3. Refer to a medication manual before giving the medication
4. Use your best judgment and critical thinking and administer the dose you think
the health care provider ordered - ANSWER: 1. Call the health care provider to clarify
the order
A toddler is to receive 2.5 mL of an antipyretic by mouth. Which equipment is the
most appropriate for medication administration for this child?
1. A medication cup
2. A teaspoon
3. A 5-mL syringe
4. An oral-dosing syringe - ANSWER: 4. An oral-dosing syringe
What statement made by a 4-year-old patient's mother indicates that she
understands how to administer her son's eardrops?
1. "To straighten his ear canal, I need to pull the outside part of his ear down and
back."
2. "I need to straighten his ear canal before administering the medication by pulling
his ear upward and outward."
3. "I need to put my son in a chair and make sure that he's sitting up with his head
tilted back before I give him the eardrops."
4. "After I'm done giving him his eardrops, I need to make sure that my son remains
sitting straight up for at least 10 minutes." - ANSWER: 2. "I need to straighten his ear
canal before administering the medication by pulling his ear upward and outward."
,A health care provider ordered enalapril (Vasotec) 2 mg IV push for a patient with
hypertension. The pharmacy sent vials marked 1.25 mg enalapril/mL. How many mL
does the nurse administer? ___ mL - ANSWER: 1.6 mL
A nurse admits a 72-year-old patient with a medical history of hypertension, heart
failure, renal failure, and depression to a general medical patient care unit. The
nurse reviews the patient's medication orders and notes that the patient has three
health care providers who have ordered a total of 13 medications. What is the most
appropriate action for the nurse to take next?
1. Give the medications after identifying the patient using two patient identifiers
2. Provide medication education to the patient to help with adherence to the
medical plan
3. Review the list of medications with the health care providers to ensure that the
patient needs all 13 medications
4. Set up a medication schedule for the patient that is least disruptive to the
expected treatment schedule in the hospital - ANSWER: 3. Review the list of
medications with the health care providers to ensure that the patient needs all 13
medications
The nurse is administering an intravenous (IV) push medication to a patient who has
a compatible IV fluid running through intravenous tubing. Place the following steps
in the appropriate order.
1. Release tubing and inject medication within amount of time recommended by
agency policy, pharmacist, or medication reference manual. Use watch to time
administration.
2. Select injection port of intravenous (IV) tubing closest to patient. Whenever
possible, injection port should accept a needleless syringe. Use IV filter if required by
medication reference or agency policy.
3. After injecting medication, release tubing, withdraw syringe, and recheck fluid
infusion rate.
4. Connect syringe to port of intravenous (IV) line. Insert needleless tip or small-
gauge needle of syringe containing prepared drug through center of injection port.
5. Clean injection port with antiseptic swab. Allow to dry.
6. Occlude intravenous (I - ANSWER: 2, 5, 4, 6, 1, 3
,A nursing student is administering ampicillin PO. The expiration date on the
medication wrapper was yesterday. What is the appropriate action for the nursing
student to take next?
1. Ask the nursing professor for advice
2. Return the medication to pharmacy and get another tablet
3. Call the health care provider after discussing this situation with the charge nurse
4. Administer the medication since medications are good for 30 days after their
expiration date - ANSWER: 2. Return the medication to pharmacy and get another
tablet
A nursing student is administering medications to a patient through a gastric tube
(G-tube). Which of the following actions taken by the nursing student requires the
nursing instructor to intervene?
1. The nursing student places all the patient's medications in different medicine cups.
2. The nursing student evaluates each medication and holds the tube feeding before
administering a medication that needs to be administered on an empty stomach.
3. The nursing student flushes the tube with 30 mL of water between each
medication.
4. The nursing student crushes a nifedipine extended-release tablet and mixes it with
water before administering it. - ANSWER: 4. The nursing student crushes a nifedipine
extended-release tablet and mixes it with water before administering it.
A pediatric nurse takes a medication to a 12-year-old female patient. The patient
tells the nurse to take it away because she is not going to take it. What is the nurse's
next action?
1. Ask the patient's reason for refusal
2. Consult with the patient's parents for advice
3. Take the medication away and chart the patient's refusal
4. Tell the patient that her health care provider knows what is best for her -
ANSWER: 1. Ask the patient's reason for refusal
After receiving an intramuscular (IM) injection in the deltoid, a patient states, "My
arm really hurts. It's burning and tingling where I got my injection. What should the
nurse do next? (Select all that apply.)
, 1. Assess the injection site
2. Administer an oral medication for pain
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's medical
record
5. This is a normal finding so nothing needs to be done
6. Apply ice to the site for relief of burning pain - ANSWER: 1. Assess the injection
site
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's medical
record
You are working in a health clinic on a college campus. You need to administer
medroxyprogesterone acetate intramuscularly (IM) to a female patient for birth
control. You look up this medication in a reference manual and determine that it is
viscous and injections can be painful. On the basis of this information, you plan
which of the following when administering this medication? (Select all that apply.)
1. Inject the medication over 3 minutes to reduce pain associated with the injection
2. Administer the medication in the ventral gluteal site
3. Use the Z-track method when administering the medication
4. Use the deltoid site for medication administration
5. Ask the patient questions about her major and which classes she is taking during
the injection to provide distraction - ANSWER: 2 - Administer the medication in the
ventral gluteal site
3 - Use the Z-track method when administering the medication
5 - Ask the patient questions about her major and which classes she is taking during
the injection to provide distraction
After seeing a patient, the health care provider starts to give a nursing student a
verbal order for a new medication. The nursing student first needs to:
1. Follow ISMP guidelines for safe medication abbreviations.
2. Explain to the health care provider that the order needs to be given to a registered
nurse.
