UPDATE. BUY QUALITY MATERIALS!
A nurse is teaching a class about routes of medication administration. The nurse
should include that which of the following routes has the fastest rate of
absorption?
a. Enteral
b. Intramuscular
c. Intravenous
d. Topical
c. Intravenous
Rationale: Evidence-based practice indicates that medications administered via the
intravenous route have the fastest rate of absorption because these medications are
injected directly into the circulatory system
A nurse opens a unit-dose of a prescribed medication prior to administering it to
a client. The client refuses to take the medication. Which of the following actions
should the nurse take?
a. Report the incident to the provider
b. Notify the facility's ethics committee
c. Fill out an incident report
d. Return the opened medication to the medication cart
a. Report the incident to the provider
Rationale: The client has the right to refuse a medication. The nurse should investigate
the reason for the refusal, educate the client about the potential adverse effects of the
refusal, and notify the provider
A nurse is teaching a class about reducing the risk of medication errors. Which of
the following information should the nurse include?
a. Provide the nurse administering medication with an identifying vest
b. Wait to document medications given to client until the end of a shift
c. Remove medications from automatic dispensing systems before they are
reviewed by pharmacists
d. Prepare medications for multiple clients at the same time
a. Provide the nurse administering medication with an identifying vest
Rationale: The nurse should provide the nurse administering medications with a vest to
indicate they should not be interrupted. Interruptions while dispensing medications can
result in medication administration errors
, A nurse administers the wrong medication to a client. Which of the following
actions should the nurse take first?
a. Check the client's vital signs
b. Notify the provider
c. Fill out an incident report
d. Document the client's condition in the electronic medical report
a. Check the client's vital signs
Rationale: The first action the nurse should take when using the nursing process is to
check the client's vital signs. The client is at risk for an adverse reaction due to the
medication error. The nurse should collect data from the client to monitor for any
changes in the client's condition
A nurse is teaching a client about how to administer a topical medication. After
showing the client the procedure, the nurse asks the client to perform the skill.
Which of the following types of teaching strategies is the nurse using?
a. Discussion
b. Return demonstration
c. Role play
d. Question and answer
b. Return demonstration
Rationale: Return demonstration is an active teaching method based on the
psychomotor domain of learning. The nurse demonstrates a procedure, then the client
returns the demonstration
A nurse is teaching a class about the function of cells in the epidermis. The nurse
should include that which of the following cells determine skin color?
a. Keratinocytes
b. Melanocytes
c. Merkel Cells
d. Langerhans Cells
b. Melanocytes
Rationale: Melanocytes produce melanin that determines skin and hair color.
Melanocytes absorb radiant energy from the sun and protect the skin from ultraviolet
radiation
A nurse is caring for a group of clients. Which of the following clients should the
nurse identify is at highest risk for developing a pressure injury?
a. A client who is alert and responsive and eats 25% of each meal
b. A client who is unresponsive to verbal commands and changes position
occasionally
c. A client who is receiving enteral feeding and can change their position