,A provide r p re s c ri b e s phenoba rbit al for a client who h a s a s e iz u re disorde r.
T h e me dica t i on h a s a long half-life of 4 d a y s . How m a n y t i me s pe r d a y
should the n u r s e e x p e c t to a dmi ni s t e r this medication?
A. O n e
B . Two
C.
Three
D . Four - C O R R E C T A NS WER -A. O n e
(Medications with long half-lives r e m a i n at their t her a pe u t ic le ve ls bet wee n
dos e s for long pe ri ods of t ime. T h e n urs e s hould e x p e c t to a dmi nis t e r this
me dic at ion once a d a y . )
A staff e duca t or is revie w ing me dicat ion d o s a g e s a n d factors tha t influe nce
me dic at ion me t a b ol is m with a group of n u r s e s at a n in- s ervice presentation.
Which of the following factors s hould the educat or inc l ude a s a re as on to
a dmin is t e r lower me dica t ion d os a ge s ? ( S e le c t all that a pply. )
A. I nc re a s e d re na l secret ion
B . I nc r e a s e d me dicat ion- me ta bolizing
e n z y m e s C . L ive r failure
D . Periphe ral v a s c u l a r d i s e a s e
E. C onc urre n t u s e of me dica tion t he s a m e pa th w a y met a b o liz e s -
C O R R E C T A N S WER -C . L ive r failure
E. C onc urre n t u s e of me dica tion t he s a m e pat h wa y met a b o liz e s
C . L i ve r failure d e c r e a s e s me t a bo l is m a n d t hus i n c r e a s e s the concentration
of a me dicat i on. T hi s re qui re s d e c r e a s i n g the d os a ge .
E. W he n the s a m e pa th w a y met a b oliz e s two me dica ti ons , t he y c o m pe t e for
me t a b olis m , t he re by inc re a s i n g t he concentration of one or both
me dic at io ns. T his re quire s d e c r e a s i n g the d o s a g e of one or both
A n urs e is p re pa r i ng to a d mi nis t e r e y e drops to a client. Whic h of the
following actions s hould the n urs e take? ( S e le c t all that a p ply. )
A. H a v e the client lie on he r s ide .
B . A s k the client to look u p at the ceiling.
,C . Tell the client to blink w he n the dr ops e nte r he r e y e .
D . Drop t he me dica t ion into the ce n te r of the clie nt's conjunctival s a c .
E. Instruct the client to close he r e y e ge nt ly after instillation - C O R R E C T
A NS WER -B. A s k the client to look u p at the ce iling.
D . Drop t he me dica t ion into the c e nt er of t he client's
conj unctival s a c . E. Ins truct the client to close he r e y e
ge nt l y after instillation
( B . T h e client should look upw a r d to k e e p the drops from falling onto he r
cornea.
D . T h e n u rs e s hould drop the me dica t ion into
the ce nt e r of the c onjunctival s a c to promote
distribution.
E. T h e client should close he r e y e ge n t l y to promote distribution of t he
me dic at ion)
A n urs e is co mplet ing d i s c h a r g e t e a c h i n g for a client who h a s a new
prescription for t ra ns de rm a l pa t c h e s . Whic h of the following st a t e m e nt s
should the n u r s e identify a s a n indication that t he client u n de rs t a n d s the
instructions?
A. "I will c l e a n the site with a n alcohol s w a b before I a p p l y
the patch." B . "I will rotate the application sites wee kly. "
C . "I will a p p l y the pa t c h to a n a r e a of s k i n with no hair."
D . "I will p l a c e the new pa t c h on t he site of t he old pat c h. - C O R R E C T
A NS WER- C. "I will a p p l y the pa t c h to a n a r e a of s ki n with no hair."
( T h e client should a p p l y the pa t c h to a ha irle s s a r e a of s k i n to promote
absorption of the medicat ion. )
A n urs e re vie w ing a client's m e d i c a l record notes a ne w prescription for
ve rif yin g the trough le ve l of the client's me dicat ion. Which of the following
actions should the n u r s e take?
A. Obta in a blood s p e c i m e n i m me d ia t e l y prior to a d min is t e rin g the
ne x t dos e of medicat ion.
B . Verif y that the client h a s b e e n t a k i ng the me dica t ion for 2 4 hr before
obtaining a blood s p e c i m e n .
C . A s k the client to provide a urine s p e c i m e n after the ne x t dos e of
medicat ion.
D . Administ e r the me dic at i on ,a nd obtain a blood s p e c i m e n 3 0 m i n late -
C O R R E C T A N SWER -A. Obta in a blood s p e c i m e n im m e d ia t e l y prior to
a dmin is t e ri ng t he ne x t dos e of me dica t ion.
(To veri fy trough l e v e ls of a me dic ation, t he n u rs e should obtain a blood
s p e c i m e n i mm e dia t e l y before a dm inis t e ri ng t he ne x t dos e of me dica tion.)
A n urs e is p re pa r i ng a client's me dica ti ons . Which of t he following actions
, should the n u r s e t a ke in following le ga l pract ic e guide lines ? ( S e le c t all
that a pply. )
A. Maintain skill
c o mp e t e nc y.
B. D e t e r mi n e the
d os a ge .
C . Monitor for a d v e r s e
effects. D . S a f e g u a r d
me dic at io ns.
E. Identify t he c lie nt's dia gn os is - C O R R E C T A NSWER-A . Maintain skill
c o mp e t e nc y. C . Monitor for a d v e r s e effects.
D . S a f e g u a r d me dic ati ons .
( A . ma in t a in i n g s kill c om p e t e n c y a n d u s i n g appr opriate adminis trat ion
t e c h n i q ue s a r e le ga l responsibilit ies of t he n u rs e
C . A n ur s e is le ga l l y res pons ible for monit oring for s i de a n d a d v e r s e effects
of me dica t ion
D . S a f e g u a r d i n g of me dica t io ns , s u c h a s controlled s ub s t a n c e s , is a le ga l
responsibility of the n u rs e )
A n urs e re vie w ing a client's he a lt h rec ord notes a ne w prescription for
Lisinopril 1 0 m g PO once e v e r y d a y . T h e n u r s e should identify this a s which
of the following t y pe s of prescription?
A.
Single
B . Stat
C . Routine
D . S t a n d i n g - C O R R E C T A NS WER - C . Routine
( A routine or s t a n da r d prescription identifies me dicat i ons to g i v e on a
re gu la r s c h e d u l e with or without a termination dat e or a s pec if ic n u m b e r of
dos es. T h e n u r s e will a dmi nis t e r
this me dica t i on e v e r y d a y until the provider disc ont inues it.)
A n u r s e is revie w ing a ne w prescription for Onda nset r o n 4 m g PO PRN for
n a u s e a a n d vomit ing for a client who h a s H y p e r e m e s i s G r a v i d a r u m . T h e
n urs e s hould clarif y w hic h of the following pa r ts of the prescription with the
provider?
A. N a m e
B.
Dosage
C . Route
D . F r e q u e n c y - C O R R E C T A NS WER - D. F r e q u e n c y
( This prescription does not inc lu de the t ime or f r e q ue nc y of me dic at ion
administration. T h e nu rs e m us t clarify this with the pre s c ribi ng provide)
A n urs e is a dmi tt ing a client a n d c o mplet ing a p r e a s s e s s m e n t before
a dmin is t e ri ng me dica ti ons . Which of the following da t a should the n ur s e
inc lude in the p re a s s e s s me n t ? ( S e le c t all that a pply. )
A. Use of he rba l t e a s
B . D a il y fluid int a ke
C . C urre nt hea l t h s tat us
D . Previous s u r gic a l hist ory
E. Food a ll e r g ie s - C O R R E C T A NSWER -A. Use of he r ba l
t e a s C . C urre nt hea l t h s tat us
E. Food a l le rgie s
T h e me dica t i on h a s a long half-life of 4 d a y s . How m a n y t i me s pe r d a y
should the n u r s e e x p e c t to a dmi ni s t e r this medication?
A. O n e
B . Two
C.
Three
D . Four - C O R R E C T A NS WER -A. O n e
(Medications with long half-lives r e m a i n at their t her a pe u t ic le ve ls bet wee n
dos e s for long pe ri ods of t ime. T h e n urs e s hould e x p e c t to a dmi nis t e r this
me dic at ion once a d a y . )
A staff e duca t or is revie w ing me dicat ion d o s a g e s a n d factors tha t influe nce
me dic at ion me t a b ol is m with a group of n u r s e s at a n in- s ervice presentation.
Which of the following factors s hould the educat or inc l ude a s a re as on to
a dmin is t e r lower me dica t ion d os a ge s ? ( S e le c t all that a pply. )
A. I nc re a s e d re na l secret ion
B . I nc r e a s e d me dicat ion- me ta bolizing
e n z y m e s C . L ive r failure
D . Periphe ral v a s c u l a r d i s e a s e
E. C onc urre n t u s e of me dica tion t he s a m e pa th w a y met a b o liz e s -
C O R R E C T A N S WER -C . L ive r failure
E. C onc urre n t u s e of me dica tion t he s a m e pat h wa y met a b o liz e s
C . L i ve r failure d e c r e a s e s me t a bo l is m a n d t hus i n c r e a s e s the concentration
of a me dicat i on. T hi s re qui re s d e c r e a s i n g the d os a ge .
E. W he n the s a m e pa th w a y met a b oliz e s two me dica ti ons , t he y c o m pe t e for
me t a b olis m , t he re by inc re a s i n g t he concentration of one or both
me dic at io ns. T his re quire s d e c r e a s i n g the d o s a g e of one or both
A n urs e is p re pa r i ng to a d mi nis t e r e y e drops to a client. Whic h of the
following actions s hould the n urs e take? ( S e le c t all that a p ply. )
A. H a v e the client lie on he r s ide .
B . A s k the client to look u p at the ceiling.
,C . Tell the client to blink w he n the dr ops e nte r he r e y e .
D . Drop t he me dica t ion into the ce n te r of the clie nt's conjunctival s a c .
E. Instruct the client to close he r e y e ge nt ly after instillation - C O R R E C T
A NS WER -B. A s k the client to look u p at the ce iling.
D . Drop t he me dica t ion into the c e nt er of t he client's
conj unctival s a c . E. Ins truct the client to close he r e y e
ge nt l y after instillation
( B . T h e client should look upw a r d to k e e p the drops from falling onto he r
cornea.
D . T h e n u rs e s hould drop the me dica t ion into
the ce nt e r of the c onjunctival s a c to promote
distribution.
E. T h e client should close he r e y e ge n t l y to promote distribution of t he
me dic at ion)
A n urs e is co mplet ing d i s c h a r g e t e a c h i n g for a client who h a s a new
prescription for t ra ns de rm a l pa t c h e s . Whic h of the following st a t e m e nt s
should the n u r s e identify a s a n indication that t he client u n de rs t a n d s the
instructions?
A. "I will c l e a n the site with a n alcohol s w a b before I a p p l y
the patch." B . "I will rotate the application sites wee kly. "
C . "I will a p p l y the pa t c h to a n a r e a of s k i n with no hair."
D . "I will p l a c e the new pa t c h on t he site of t he old pat c h. - C O R R E C T
A NS WER- C. "I will a p p l y the pa t c h to a n a r e a of s ki n with no hair."
( T h e client should a p p l y the pa t c h to a ha irle s s a r e a of s k i n to promote
absorption of the medicat ion. )
A n urs e re vie w ing a client's m e d i c a l record notes a ne w prescription for
ve rif yin g the trough le ve l of the client's me dicat ion. Which of the following
actions should the n u r s e take?
A. Obta in a blood s p e c i m e n i m me d ia t e l y prior to a d min is t e rin g the
ne x t dos e of medicat ion.
B . Verif y that the client h a s b e e n t a k i ng the me dica t ion for 2 4 hr before
obtaining a blood s p e c i m e n .
C . A s k the client to provide a urine s p e c i m e n after the ne x t dos e of
medicat ion.
D . Administ e r the me dic at i on ,a nd obtain a blood s p e c i m e n 3 0 m i n late -
C O R R E C T A N SWER -A. Obta in a blood s p e c i m e n im m e d ia t e l y prior to
a dmin is t e ri ng t he ne x t dos e of me dica t ion.
(To veri fy trough l e v e ls of a me dic ation, t he n u rs e should obtain a blood
s p e c i m e n i mm e dia t e l y before a dm inis t e ri ng t he ne x t dos e of me dica tion.)
A n urs e is p re pa r i ng a client's me dica ti ons . Which of t he following actions
, should the n u r s e t a ke in following le ga l pract ic e guide lines ? ( S e le c t all
that a pply. )
A. Maintain skill
c o mp e t e nc y.
B. D e t e r mi n e the
d os a ge .
C . Monitor for a d v e r s e
effects. D . S a f e g u a r d
me dic at io ns.
E. Identify t he c lie nt's dia gn os is - C O R R E C T A NSWER-A . Maintain skill
c o mp e t e nc y. C . Monitor for a d v e r s e effects.
D . S a f e g u a r d me dic ati ons .
( A . ma in t a in i n g s kill c om p e t e n c y a n d u s i n g appr opriate adminis trat ion
t e c h n i q ue s a r e le ga l responsibilit ies of t he n u rs e
C . A n ur s e is le ga l l y res pons ible for monit oring for s i de a n d a d v e r s e effects
of me dica t ion
D . S a f e g u a r d i n g of me dica t io ns , s u c h a s controlled s ub s t a n c e s , is a le ga l
responsibility of the n u rs e )
A n urs e re vie w ing a client's he a lt h rec ord notes a ne w prescription for
Lisinopril 1 0 m g PO once e v e r y d a y . T h e n u r s e should identify this a s which
of the following t y pe s of prescription?
A.
Single
B . Stat
C . Routine
D . S t a n d i n g - C O R R E C T A NS WER - C . Routine
( A routine or s t a n da r d prescription identifies me dicat i ons to g i v e on a
re gu la r s c h e d u l e with or without a termination dat e or a s pec if ic n u m b e r of
dos es. T h e n u r s e will a dmi nis t e r
this me dica t i on e v e r y d a y until the provider disc ont inues it.)
A n u r s e is revie w ing a ne w prescription for Onda nset r o n 4 m g PO PRN for
n a u s e a a n d vomit ing for a client who h a s H y p e r e m e s i s G r a v i d a r u m . T h e
n urs e s hould clarif y w hic h of the following pa r ts of the prescription with the
provider?
A. N a m e
B.
Dosage
C . Route
D . F r e q u e n c y - C O R R E C T A NS WER - D. F r e q u e n c y
( This prescription does not inc lu de the t ime or f r e q ue nc y of me dic at ion
administration. T h e nu rs e m us t clarify this with the pre s c ribi ng provide)
A n urs e is a dmi tt ing a client a n d c o mplet ing a p r e a s s e s s m e n t before
a dmin is t e ri ng me dica ti ons . Which of the following da t a should the n ur s e
inc lude in the p re a s s e s s me n t ? ( S e le c t all that a pply. )
A. Use of he rba l t e a s
B . D a il y fluid int a ke
C . C urre nt hea l t h s tat us
D . Previous s u r gic a l hist ory
E. Food a ll e r g ie s - C O R R E C T A NSWER -A. Use of he r ba l
t e a s C . C urre nt hea l t h s tat us
E. Food a l le rgie s
