Nursing 223 Final Exam questions \| \| \| \| \|
with answers \|
1. A nurse instructs a client to close the eyes gently after
\| \| \| \| \| \| \| \| \| \| \| \|
administration of eyedrops. Which rationale for this instruction \| \| \| \| \| \| \| \|
should the nurse explain to the client? - CORRECT ANSWERS
\| \| \| \| \| \| \| \| \| \|
✔✔3 - Disperses the medication over the eyeballs : Closing the
\| \| \| \| \| \| \| \| \| \| \|
eyes moves the medication over the conjunctiva an eyeball and
\| \| \| \| \| \| \| \| \| \|
helps ensure an even distribution of medication
\| \| \| \| \| \|
1. How often should docusate sodium 100 milligrams PO bid be
\| \| \| \| \| \| \| \| \| \| \|
given? - CORRECT ANSWERS ✔✔ \| \| \| \|
1. A nurse is preparing to reconstitute a medication in a multiple
\| \| \| \| \| \| \| \| \| \| \| \|
dose vial. Which is the most essential step in the preparation of
\| \| \| \| \| \| \| \| \| \| \| \|
this medication? - CORRECT ANSWERS ✔✔- 1 - instilling an
\| \| \| \| \| \| \| \| \| \|
accurate amount of dilutant into the vial : The required amount of
\| \| \| \| \| \| \| \| \| \| \| \|
the dilutant must be followed exactly in a multiple dose
\| \| \| \| \| \| \| \| \| \|
formulation to ensure accurate dosage preparation. The diluted \| \| \| \| \| \| \| \|
for a single dose formulation also must be measured exactly so the
\| \| \| \| \| \| \| \| \| \| \|
medication is diluted enough not to injure body tissues.
\| \| \| \| \| \| \| \| \|
- CORRECT ANSWERS ✔✔- 4 - 90 degree angle of insertion : 1/2
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
inch length needle inserted at 90 degree angle will ensure that
\| \| \| \| \| \| \| \| \| \| \|
the heparin is inserted into the subcutaneous tissue.
\| \| \| \| \| \| \|
1. A home care nurse observes the spouse of a client inserting a
\| \| \| \| \| \| \| \| \| \| \| \| \|
rectal Suppository into the client. Which behavior indicates that
\| \| \| \| \| \| \| \| \|
,the nurse must provide further teaching about the Suppository
\| \| \| \| \| \| \| \| \|
administration? - CORRECT ANSWERS ✔✔- 3 - insert the \| \| \| \| \| \| \| \| \|
Suppository while the client bears down : Bearing down increases \| \| \| \| \| \| \| \| \| \|
intra- abdominal pressure which impedes the insertion of the
\| \| \| \| \| \| \| \| \|
Suppository. The client should be instructed to relax and breathe \| \| \| \| \| \| \| \| \| \|
deeply and slowly while the Suppository is inserted.
\| \| \| \| \| \| \|
1. A Primary Health care provider prescribes a medication that
\| \| \| \| \| \| \| \| \| \|
must be administered via intramuscular route Which side should
\| \| \| \| \| \| \| \| \|
the nurse eliminate from consideration because it has the highest
\| \| \| \| \| \| \| \| \| \|
potential for injury when administering an intramuscular \| \| \| \| \| \| \|
injection? - CORRECT ANSWERS ✔✔- 4 - dorsogluteal : The \| \| \| \| \| \| \| \| \| \|
dorsogluteal site has the highest risk for injury because of the \| \| \| \| \| \| \| \| \| \| \|
close proximity or the sciatic Nerve, blood vessel, and bone.
\| \| \| \| \| \| \| \| \|
1. Which information about the parenteral medication indicates
\| \| \| \| \| \| \| \|
that the nurse should use a filtered needle when preparing the
\| \| \| \| \| \| \| \| \| \| \|
medication? - CORRECT ANSWERS ✔✔- 2 - is supplied in an ampule \| \| \| \| \| \| \| \| \| \| \|
: The top of an ampule must be snapped off at its neck to access
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
the fluid. A filtered needle prevents glass particles from being
\| \| \| \| \| \| \| \| \| \|
drawn into the syringe. \| \| \|
1. What should the nurse use when administering a subcutaneous
\| \| \| \| \| \| \| \| \| \|
injection? - CORRECT ANSWERS ✔✔- 2 - 25 gauge needle : \| \| \| \| \| \| \| \| \| \| \|
Subcutaneous injection should use a 25 to a 29 gauge needle, \| \| \| \| \| \| \| \| \| \| \|
which minimizes tissue trauma. The diameter of the needle is
\| \| \| \| \| \| \| \| \| \|
referred to as a gauge which ranges from 28 (small) to 14 (large).
\| \| \| \| \| \| \| \| \| \| \| \|
1. When the nurse brings a pill to a client, the client is unable to
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
hold the paper Cup with the medication. Which should the nurse
\| \| \| \| \| \| \| \| \| \| \|
do? - CORRECT ANSWERS ✔✔- 1 - use the Cup to introduce the pill
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
, to the client's mouth : The client needs assistance. Keeping
\| \| \| \| \| \| \| \| \| \|
medication in the Cup, rather than touching it with the hands, \| \| \| \| \| \| \| \| \| \| \|
maintains medical asepsis. \| \|
1. Which route is inappropriate for a topical medication? -
\| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔1 - intradermal : In intradermal injection is
\| \| \| \| \| \| \| \| \| \|
inserted below, not on top of, the epidermis \| \| \| \| \| \| \|
1. A nurse holds a bottle with the label next to the palm of her
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
hand when pouring liquid medication. Which is the rationale for
\| \| \| \| \| \| \| \| \| \|
this action? - CORRECT ANSWERS ✔✔- 1 - prevent soiling of the
\| \| \| \| \| \| \| \| \| \| \| \|
label by spilled liquid : Liquid medication may drip down the side
\| \| \| \| \| \| \| \| \| \| \| \|
of the bottle and soil the label, which may interfere with the ability
\| \| \| \| \| \| \| \| \| \| \| \| \|
to read the label accurately.
\| \| \| \|
1. A Primary Health care provider prescribes a medicated powder
\| \| \| \| \| \| \| \| \| \|
to be applied to a client's lower leg. Which is the most essential
\| \| \| \| \| \| \| \| \| \| \| \| \|
for the nurse to do when applying the medicated powder? -
\| \| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔- 4 - ensure the skin of the surface is dry :
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
Moisture harbors microorganisms, and when mixed with the
\| \| \| \| \| \| \| \|
powder it will result in a paste like substance. The site should be
\| \| \| \| \| \| \| \| \| \| \| \| \|
clean and dry to ensure effective action of the drug.
\| \| \| \| \| \| \| \| \|
1. A nurse must administer a medication that is supplied in an
\| \| \| \| \| \| \| \| \| \| \| \|
ampule. Which should the nurse do first to access the ampule? -
\| \| \| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔- 1 - break the constricted neck using a \| \| \| \| \| \| \| \| \| \| \|
barrier : A barrier, such as commercially manufactured ampule
\| \| \| \| \| \| \| \| \|
opener, gauze, or an alcohol swab, should be used to protect the
\| \| \| \| \| \| \| \| \| \| \| \|
nurses hands from broken glass. \| \| \| \|
with answers \|
1. A nurse instructs a client to close the eyes gently after
\| \| \| \| \| \| \| \| \| \| \| \|
administration of eyedrops. Which rationale for this instruction \| \| \| \| \| \| \| \|
should the nurse explain to the client? - CORRECT ANSWERS
\| \| \| \| \| \| \| \| \| \|
✔✔3 - Disperses the medication over the eyeballs : Closing the
\| \| \| \| \| \| \| \| \| \| \|
eyes moves the medication over the conjunctiva an eyeball and
\| \| \| \| \| \| \| \| \| \|
helps ensure an even distribution of medication
\| \| \| \| \| \|
1. How often should docusate sodium 100 milligrams PO bid be
\| \| \| \| \| \| \| \| \| \| \|
given? - CORRECT ANSWERS ✔✔ \| \| \| \|
1. A nurse is preparing to reconstitute a medication in a multiple
\| \| \| \| \| \| \| \| \| \| \| \|
dose vial. Which is the most essential step in the preparation of
\| \| \| \| \| \| \| \| \| \| \| \|
this medication? - CORRECT ANSWERS ✔✔- 1 - instilling an
\| \| \| \| \| \| \| \| \| \|
accurate amount of dilutant into the vial : The required amount of
\| \| \| \| \| \| \| \| \| \| \| \|
the dilutant must be followed exactly in a multiple dose
\| \| \| \| \| \| \| \| \| \|
formulation to ensure accurate dosage preparation. The diluted \| \| \| \| \| \| \| \|
for a single dose formulation also must be measured exactly so the
\| \| \| \| \| \| \| \| \| \| \|
medication is diluted enough not to injure body tissues.
\| \| \| \| \| \| \| \| \|
- CORRECT ANSWERS ✔✔- 4 - 90 degree angle of insertion : 1/2
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
inch length needle inserted at 90 degree angle will ensure that
\| \| \| \| \| \| \| \| \| \| \|
the heparin is inserted into the subcutaneous tissue.
\| \| \| \| \| \| \|
1. A home care nurse observes the spouse of a client inserting a
\| \| \| \| \| \| \| \| \| \| \| \| \|
rectal Suppository into the client. Which behavior indicates that
\| \| \| \| \| \| \| \| \|
,the nurse must provide further teaching about the Suppository
\| \| \| \| \| \| \| \| \|
administration? - CORRECT ANSWERS ✔✔- 3 - insert the \| \| \| \| \| \| \| \| \|
Suppository while the client bears down : Bearing down increases \| \| \| \| \| \| \| \| \| \|
intra- abdominal pressure which impedes the insertion of the
\| \| \| \| \| \| \| \| \|
Suppository. The client should be instructed to relax and breathe \| \| \| \| \| \| \| \| \| \|
deeply and slowly while the Suppository is inserted.
\| \| \| \| \| \| \|
1. A Primary Health care provider prescribes a medication that
\| \| \| \| \| \| \| \| \| \|
must be administered via intramuscular route Which side should
\| \| \| \| \| \| \| \| \|
the nurse eliminate from consideration because it has the highest
\| \| \| \| \| \| \| \| \| \|
potential for injury when administering an intramuscular \| \| \| \| \| \| \|
injection? - CORRECT ANSWERS ✔✔- 4 - dorsogluteal : The \| \| \| \| \| \| \| \| \| \|
dorsogluteal site has the highest risk for injury because of the \| \| \| \| \| \| \| \| \| \| \|
close proximity or the sciatic Nerve, blood vessel, and bone.
\| \| \| \| \| \| \| \| \|
1. Which information about the parenteral medication indicates
\| \| \| \| \| \| \| \|
that the nurse should use a filtered needle when preparing the
\| \| \| \| \| \| \| \| \| \| \|
medication? - CORRECT ANSWERS ✔✔- 2 - is supplied in an ampule \| \| \| \| \| \| \| \| \| \| \|
: The top of an ampule must be snapped off at its neck to access
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
the fluid. A filtered needle prevents glass particles from being
\| \| \| \| \| \| \| \| \| \|
drawn into the syringe. \| \| \|
1. What should the nurse use when administering a subcutaneous
\| \| \| \| \| \| \| \| \| \|
injection? - CORRECT ANSWERS ✔✔- 2 - 25 gauge needle : \| \| \| \| \| \| \| \| \| \| \|
Subcutaneous injection should use a 25 to a 29 gauge needle, \| \| \| \| \| \| \| \| \| \| \|
which minimizes tissue trauma. The diameter of the needle is
\| \| \| \| \| \| \| \| \| \|
referred to as a gauge which ranges from 28 (small) to 14 (large).
\| \| \| \| \| \| \| \| \| \| \| \|
1. When the nurse brings a pill to a client, the client is unable to
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
hold the paper Cup with the medication. Which should the nurse
\| \| \| \| \| \| \| \| \| \| \|
do? - CORRECT ANSWERS ✔✔- 1 - use the Cup to introduce the pill
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
, to the client's mouth : The client needs assistance. Keeping
\| \| \| \| \| \| \| \| \| \|
medication in the Cup, rather than touching it with the hands, \| \| \| \| \| \| \| \| \| \| \|
maintains medical asepsis. \| \|
1. Which route is inappropriate for a topical medication? -
\| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔1 - intradermal : In intradermal injection is
\| \| \| \| \| \| \| \| \| \|
inserted below, not on top of, the epidermis \| \| \| \| \| \| \|
1. A nurse holds a bottle with the label next to the palm of her
\| \| \| \| \| \| \| \| \| \| \| \| \| \| \|
hand when pouring liquid medication. Which is the rationale for
\| \| \| \| \| \| \| \| \| \|
this action? - CORRECT ANSWERS ✔✔- 1 - prevent soiling of the
\| \| \| \| \| \| \| \| \| \| \| \|
label by spilled liquid : Liquid medication may drip down the side
\| \| \| \| \| \| \| \| \| \| \| \|
of the bottle and soil the label, which may interfere with the ability
\| \| \| \| \| \| \| \| \| \| \| \| \|
to read the label accurately.
\| \| \| \|
1. A Primary Health care provider prescribes a medicated powder
\| \| \| \| \| \| \| \| \| \|
to be applied to a client's lower leg. Which is the most essential
\| \| \| \| \| \| \| \| \| \| \| \| \|
for the nurse to do when applying the medicated powder? -
\| \| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔- 4 - ensure the skin of the surface is dry :
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
Moisture harbors microorganisms, and when mixed with the
\| \| \| \| \| \| \| \|
powder it will result in a paste like substance. The site should be
\| \| \| \| \| \| \| \| \| \| \| \| \|
clean and dry to ensure effective action of the drug.
\| \| \| \| \| \| \| \| \|
1. A nurse must administer a medication that is supplied in an
\| \| \| \| \| \| \| \| \| \| \| \|
ampule. Which should the nurse do first to access the ampule? -
\| \| \| \| \| \| \| \| \| \| \| \|
CORRECT ANSWERS ✔✔- 1 - break the constricted neck using a \| \| \| \| \| \| \| \| \| \| \|
barrier : A barrier, such as commercially manufactured ampule
\| \| \| \| \| \| \| \| \|
opener, gauze, or an alcohol swab, should be used to protect the
\| \| \| \| \| \| \| \| \| \| \| \|
nurses hands from broken glass. \| \| \| \|
