Fundamentals Final NR 224
The nurse is having difficulty reading of physician's order for a medication. He or she
know that the physician is very busy and does not like to be called. What is the most
appropriate next step for the nurse to take? - *answers *Call the physician to have the
order clarified.
The patient has an order for 2 tablespoons of milk of magnesia. How much medication
does the nurse give him or her? - *answers *30 ML
In nurses administering ear drops to an 8-year-old patient with an ear infection. How
does the nurse pull the patient's ear when administering the medication? - *answers *...
The patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-
mg tablets. How many tablets does the nurse administer? - *answers *2 tablets
The nurse is administering medications to a four-year-old patient. After he or she
explains which medications are being given, the mother states, "I don't remember my
child having that medication before." What is the nurse's next action? - *answers
*Withhold the medications and verify the medication orders.
A patient is transitioning from the hospital to the home environment. A home care
referral is obtained. What is a priority in relation to safe medication administration for the
discharge nurse? - *answers *Ensure that the home care agency is aware of
medication and health teaching needs.
A nursing student take a patient's antibiotic to his room. The patient asks the nursing
student what it is and why he should take it. What information does the nursing student
include when replying to the patient? - *answers *The student provides the name of the
medication and a description of its desired effect.
The nurses is administering a sustained-release capsule to a new patient. The patient
insists that he cannot swallow pills. What is the nurse's next best course of action? -
*answers *Ask the prescriber to change the order.
The nurse takes a medication to a patient, and the patient tells him or her to take it
away because she is not going to take it. What is the nurses next action? - *answers
*Ask the patient's reason for refusal.
The nurse receives an order to start getting a loop diuretic to a patient to help lower his
or her blood pressure. The nurse determines the appropriate route for administering the
diuretic according to: - *answers *The prescriber's order.
A patient is receiving intravenous (IV) push medication. If the drug infiltrates into the
outer tissues, the nurse: - *answers *Stops the administration of the medication and
follows agency policy.
, Fundamentals Final NR 224
If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth,
erythema, and pain at the site, the nurses suspects: - *answers *Phlebitis.
After seeing a patient, the physician gives a nursing student a verbal order for a new
medication. The nursing student first needs to: - *answers *Explain to the physician that
the order needs to be given to a registered nurse.
A nurse accidentally gives a patient a medication at the wrong time. The nurse's first
priority is to: - *answers *Assess the patient for adverse effects.
Which of the following factors is associated with rapid absorption of a drug? - *answers
*Intravenous route of administration.
What is the term used for the concentration of drug in the blood serum that produces
the desired effect without causing toxicity? - *answers *Therapeutic range.
What is the term used for the highest plasma concentration? - *answers *Peak level.
What is the term used for the point when a drug is at the lowest concentration? -
*answers *Trough level.
What is the term used for the amount of time it takes for 50% of the blood concentration
of a drug to be eliminated from the body? - *answers *Half-life.
Which organ is the primary site for drug metabolism? - *answers *Liver.
The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example
of which type of order? - *answers *Standing order.
A graduate nurse is administering several medications to a newly admitted patient. Who
is legally responsible for the drugs administered by this nurse? - *answers *The nurse
administering the drugs.
Which system of measurement is most accurate and precise for drug administration? -
*answers *Metric system.
The nurse is preparing to administer a medication via a nasogastric tube. What
guideline is appropriate for the nurse to follow when administering a drug via this route?
- *answers *Flush the tube with water between each drug administered.
Which parenteral route of administration has the longest absorption? - *answers
*Intradermal.
The nurse is preparing a patient for discharge, and this patient has been prescribed an
eye medication disk for use at home. Which statement is factual and important to
discuss with the patient? - *answers *The disk will be effective for up to 1 week.
The nurse is having difficulty reading of physician's order for a medication. He or she
know that the physician is very busy and does not like to be called. What is the most
appropriate next step for the nurse to take? - *answers *Call the physician to have the
order clarified.
The patient has an order for 2 tablespoons of milk of magnesia. How much medication
does the nurse give him or her? - *answers *30 ML
In nurses administering ear drops to an 8-year-old patient with an ear infection. How
does the nurse pull the patient's ear when administering the medication? - *answers *...
The patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-
mg tablets. How many tablets does the nurse administer? - *answers *2 tablets
The nurse is administering medications to a four-year-old patient. After he or she
explains which medications are being given, the mother states, "I don't remember my
child having that medication before." What is the nurse's next action? - *answers
*Withhold the medications and verify the medication orders.
A patient is transitioning from the hospital to the home environment. A home care
referral is obtained. What is a priority in relation to safe medication administration for the
discharge nurse? - *answers *Ensure that the home care agency is aware of
medication and health teaching needs.
A nursing student take a patient's antibiotic to his room. The patient asks the nursing
student what it is and why he should take it. What information does the nursing student
include when replying to the patient? - *answers *The student provides the name of the
medication and a description of its desired effect.
The nurses is administering a sustained-release capsule to a new patient. The patient
insists that he cannot swallow pills. What is the nurse's next best course of action? -
*answers *Ask the prescriber to change the order.
The nurse takes a medication to a patient, and the patient tells him or her to take it
away because she is not going to take it. What is the nurses next action? - *answers
*Ask the patient's reason for refusal.
The nurse receives an order to start getting a loop diuretic to a patient to help lower his
or her blood pressure. The nurse determines the appropriate route for administering the
diuretic according to: - *answers *The prescriber's order.
A patient is receiving intravenous (IV) push medication. If the drug infiltrates into the
outer tissues, the nurse: - *answers *Stops the administration of the medication and
follows agency policy.
, Fundamentals Final NR 224
If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth,
erythema, and pain at the site, the nurses suspects: - *answers *Phlebitis.
After seeing a patient, the physician gives a nursing student a verbal order for a new
medication. The nursing student first needs to: - *answers *Explain to the physician that
the order needs to be given to a registered nurse.
A nurse accidentally gives a patient a medication at the wrong time. The nurse's first
priority is to: - *answers *Assess the patient for adverse effects.
Which of the following factors is associated with rapid absorption of a drug? - *answers
*Intravenous route of administration.
What is the term used for the concentration of drug in the blood serum that produces
the desired effect without causing toxicity? - *answers *Therapeutic range.
What is the term used for the highest plasma concentration? - *answers *Peak level.
What is the term used for the point when a drug is at the lowest concentration? -
*answers *Trough level.
What is the term used for the amount of time it takes for 50% of the blood concentration
of a drug to be eliminated from the body? - *answers *Half-life.
Which organ is the primary site for drug metabolism? - *answers *Liver.
The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example
of which type of order? - *answers *Standing order.
A graduate nurse is administering several medications to a newly admitted patient. Who
is legally responsible for the drugs administered by this nurse? - *answers *The nurse
administering the drugs.
Which system of measurement is most accurate and precise for drug administration? -
*answers *Metric system.
The nurse is preparing to administer a medication via a nasogastric tube. What
guideline is appropriate for the nurse to follow when administering a drug via this route?
- *answers *Flush the tube with water between each drug administered.
Which parenteral route of administration has the longest absorption? - *answers
*Intradermal.
The nurse is preparing a patient for discharge, and this patient has been prescribed an
eye medication disk for use at home. Which statement is factual and important to
discuss with the patient? - *answers *The disk will be effective for up to 1 week.
