The nurse is preparing to administer eardrops to an infant. The nurse should plan to
proceed by taking which step to assure the appropriate instillation of the medication? -
*answers *Pull down and back on the auricle, and direct the solution toward the wall of
the ear canal.
When a client requests pain medication, the nurse administers a ventrogluteal
intramuscular injection. After administration of the injection, what should the nurse do
first? - *answers *Apply gentle pressure to the injection site.
When a medication is being administered, the safest and most accurate way for the
nurse to verify the identity of a client is to implement which action? - *answers *Ask the
client to state her name and birth date.
A client's prescribed medication is available for injection in an ampule. The nurse
determines that which is the most appropriate action when preparing to draw up this
medication? - *answers *Shake the ampule gently to mix the contents.
The best route for getting nutrition into a patient - *answers *gastrointestinal tract
When should a client start receiving nutrition after a major trauma - *answers *Within
72 hours
Which is important for illness recovery and wound healing? - *answers *Proteins
What currently is the dietary guideline and a visual aide for patient education? -
*answers *My healthy plate
Which religious group does not eat pork products? - *answers *Jewish
The client is complaining of dizziness, confusion and poor skin turgor. The probable
diagnosis - *answers *dehydration
If the stomach can't be used for feeding, what is the next best alternative? - *answers
*enteral
How many rights are there in medication administration? - *answers *Six (drug, dose,
route, time, patient, documentation)
What is the appropriate way to administer eye drops? - *answers *Pull the conjunctiva
out to form a pouch
A client is supposed to receive an intramuscular injection. How long should the needle
be? - *answers *1 inch
How do you identify your client prior to giving a medication? - *answers *name & DOB
, NR 224 - Final Exam Practice Questions
What is the peak of medication? - *answers *the highest point of concentration of the
drug
When giving a subcutaneous injection, what angle should you use for the needle? -
*answers *45-90 degrees
What is the benefit to intravenous medication administration? - *answers *Immediate
access to the blood stream
What is a key step in using topical patches? - *answers *Moving one patch before you
apply the next one
What shot is usually given intradermal? - *answers *TB test
How many mL's can be injected into the deltoid site? - *answers *2 mL
What does a fruitarian eat? - *answers *Nuts, fruits, olive oil, and honey
The nurse is preparing to instill an otic solution into the adult client's left ear. Which
actions should the nurse implement as part of this procedure? - *answers *Pull the
pinna upward and backward, warm the solution to room temperature, and place the
client in a side-lying position with the ear facing up
The nurse prepares to give an intramuscular injection using the z-track technique.
Which should the nurse do initially to administer the medication? - *answers *Select a
large, deep muscle for the intramuscular injection site
The nurse is preparing to administer an intramuscular injection to a toddler. The nurse
determines that the safest body site to administer the injection is which location? -
*answers *Vastus Lateralis muscle
When administering a medication intramuscularly, the nurse should document the
intervention by including which informations? - *answers *The site of the injection, the
amount of medication injected, the name of the medication that was injected, and
confirmation that the medication was injected intramuscularly.
The nurse has administered approximately half of a high-cleansing enema when the
client reports pain and cramping. Which nursing action is appropriate? - *answers
*Clamping the tubing for 30 seconds and restarting the flow at a slower rate
The nurse creates a plan of care for a client with a SPICA cast that covers a lower
extremity. Which action would the nurse include in the plan of care to promote bowel
elimination? - *answers *Use a low-profile (fracture) bedpan
Which client position should the nurse use to administer a cleansing enema? -
*answers *Left lateral position with flexed right knee