prnu 114 exam 3 textbook q's
1. a nurse administers a dose of an oral medication for hypertension to a
pt who immediately vomits after swallowing the pill. what action will the
nurse take first?
a. readminister the medication and notify the health care provider
b. obtain the pill in a liquid form for administration
c. assess the emesis, looking for the pill
d. notify the primary care provider: c
2. a nurse caring for a group of pts uses measures to reduce discomfort
for the pts during injections. which technique is recommended?
a. selecting a needle of the largest gauge that is appropriate for the site
and solution to be injected
b. injecting the medication into contracted muscles to reduce pressure
and discomfort at the site
c. using the z track technique for intramuscular injections to prevent
leakage of medication into the needle track
d. applying vigorous pressure in a circular motion after the injection to
distrib- ute the medication to the intended site: c
3. a nurse is preparing medications for pts in the ICU. the nurse is aware
that pt variables may affect the absorption of these meds. which
statements
accurately describe these variables the nurse will use as a basis for
practice? Select all that apply:
a. pts in certain ethnic groups obtain therapeutic responses at lower doses
or higher doses than those usually prescribed
b. some people experience the same response w/ a placebo as w/ the
active drug used in studies
c. people w/ liver disease metabolize drugs more quickly than people
w/ normal liver fxning
d. a pt who receives a pain medication in a noisy environment may not
receive full benefit from the medication's effects
e. oral medications should not be given w/ food as the food may delay
the absorption of the medications
f. circadian rhythms and cycles may influence drug action: a, b, d, f
4. a nurse is administering a pain medication to a pt. in addition to
checking the identification bracelet, which active identification strategy
reflects best practice?
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, prnu 114 exam 3 textbook q's
a. asking the pt their name and birthdate
b. reading the pt's name on the sign over the bed
c. asking the pt's roommate to verify the pt's name
d. asking, "are you Mr. Brown?": a
5. a nurse is administering a medication to a pt via an enteral feeding
tube. which are accurate guidelines reflected to this procedure? select all
that apply.
a. crushing the enteric coated pill and mix it in a liquid
b. initially flushing the tube w/ 60 ml of very warm water
c. using the recommended policy to check tube placement in the stomach
or intestine
d. giving each medication separately and flush w/ water between each drug
e. lowering the head of the bed to prevent reflux
f. adjusting the amount of water used if pt's fluid intake is restricted: c, d, f
6. a medication prescription read: "hydromorphone, 2 mg IV every 3 to 4
hours PRN pain". the prefilled cartridge is available w a label reading
"hydro- morphone 2 mg/1 ml" and a statement that the cartridge contains
1,2 ml of hydromorphone. how should the nurse proceed?
a. give the entire contents of the cartridge sent by the pharmacy
b. call the pharmacy and request the proper dose
c. refuse to give the medication and document refusal in the EHR
d. discard 0.2 ml before administration; verify the waste w/ another nurse: d
7. a nurse prepares to administer insulin to a pt w/ diabetes. what is the
correct procedure to carry out this prescription?
MAR - 7:30AM = 40 units of NPH insulin and 10 units of regular insulin daily
subcutaneously
a. inject air into the regular insulin vial and withdraw 10 units; then, using
the same syringe, inject air into the NPH vial and withdraw 40 units of NPH
insulin
b. inject air into the NPH insulin vial, being careful not to allow the solution
to touch the needle; next, inject air into the regular insulin vial and withdraw
10 units; followed by withdrawal of 40 units of NPH insulin
c. inject air into the regular insulin vial, being careful not to allow the
solution to touch the needle; next, inject air into the NPH insulin vial and
withdraw 40 unit; then, withdraw 10 units of regular insulin
d. inject air into the NPH insulin vial and withdraw 40 units; then, using the
2/8
1. a nurse administers a dose of an oral medication for hypertension to a
pt who immediately vomits after swallowing the pill. what action will the
nurse take first?
a. readminister the medication and notify the health care provider
b. obtain the pill in a liquid form for administration
c. assess the emesis, looking for the pill
d. notify the primary care provider: c
2. a nurse caring for a group of pts uses measures to reduce discomfort
for the pts during injections. which technique is recommended?
a. selecting a needle of the largest gauge that is appropriate for the site
and solution to be injected
b. injecting the medication into contracted muscles to reduce pressure
and discomfort at the site
c. using the z track technique for intramuscular injections to prevent
leakage of medication into the needle track
d. applying vigorous pressure in a circular motion after the injection to
distrib- ute the medication to the intended site: c
3. a nurse is preparing medications for pts in the ICU. the nurse is aware
that pt variables may affect the absorption of these meds. which
statements
accurately describe these variables the nurse will use as a basis for
practice? Select all that apply:
a. pts in certain ethnic groups obtain therapeutic responses at lower doses
or higher doses than those usually prescribed
b. some people experience the same response w/ a placebo as w/ the
active drug used in studies
c. people w/ liver disease metabolize drugs more quickly than people
w/ normal liver fxning
d. a pt who receives a pain medication in a noisy environment may not
receive full benefit from the medication's effects
e. oral medications should not be given w/ food as the food may delay
the absorption of the medications
f. circadian rhythms and cycles may influence drug action: a, b, d, f
4. a nurse is administering a pain medication to a pt. in addition to
checking the identification bracelet, which active identification strategy
reflects best practice?
1/8
, prnu 114 exam 3 textbook q's
a. asking the pt their name and birthdate
b. reading the pt's name on the sign over the bed
c. asking the pt's roommate to verify the pt's name
d. asking, "are you Mr. Brown?": a
5. a nurse is administering a medication to a pt via an enteral feeding
tube. which are accurate guidelines reflected to this procedure? select all
that apply.
a. crushing the enteric coated pill and mix it in a liquid
b. initially flushing the tube w/ 60 ml of very warm water
c. using the recommended policy to check tube placement in the stomach
or intestine
d. giving each medication separately and flush w/ water between each drug
e. lowering the head of the bed to prevent reflux
f. adjusting the amount of water used if pt's fluid intake is restricted: c, d, f
6. a medication prescription read: "hydromorphone, 2 mg IV every 3 to 4
hours PRN pain". the prefilled cartridge is available w a label reading
"hydro- morphone 2 mg/1 ml" and a statement that the cartridge contains
1,2 ml of hydromorphone. how should the nurse proceed?
a. give the entire contents of the cartridge sent by the pharmacy
b. call the pharmacy and request the proper dose
c. refuse to give the medication and document refusal in the EHR
d. discard 0.2 ml before administration; verify the waste w/ another nurse: d
7. a nurse prepares to administer insulin to a pt w/ diabetes. what is the
correct procedure to carry out this prescription?
MAR - 7:30AM = 40 units of NPH insulin and 10 units of regular insulin daily
subcutaneously
a. inject air into the regular insulin vial and withdraw 10 units; then, using
the same syringe, inject air into the NPH vial and withdraw 40 units of NPH
insulin
b. inject air into the NPH insulin vial, being careful not to allow the solution
to touch the needle; next, inject air into the regular insulin vial and withdraw
10 units; followed by withdrawal of 40 units of NPH insulin
c. inject air into the regular insulin vial, being careful not to allow the
solution to touch the needle; next, inject air into the NPH insulin vial and
withdraw 40 unit; then, withdraw 10 units of regular insulin
d. inject air into the NPH insulin vial and withdraw 40 units; then, using the
2/8
