PN 2006 FINAL QUESTIONS AND
COMPLETE ANSWERS
The nurse is documenting administration of a medication that is given at 10:00 A.M., 2:00 P.M., and
6:00 P.M. Which of the following medications is the nurse documenting?
a. Morphine sulphate, 10 mg q4h prn
b. Propranolol (Inderal), 10 mg PO bid
c. Diazepam, 5 mg PO tid
d. Cephalexin (Keflex), 500 mg PO q8h ANSW✅✅c. Diazepam, 5 mg PO tid
The nurse is working on the pediatric unit. In preparing to give medications to a preschool-age child,
which of the following is an appropriate interaction by the nurse?
a. "Do you want to take your medication now?"
b. "Would you like the medication with water or juice?"
c. "Let me explain about the injection that you will be getting."
d. "If you don't take the medication now, you will not get better." ANSW✅✅b. "Would you like
the medication with water or juice?"
A medication is prescribed for the client and is to be administered by intravenous (IV) bolus
injection. Which of the following is a priority for the nurse before administering the medication via
this route?
a. Set the rate of the IV infusion.
b. Check the client's mental alertness.
c. Confirm placement of the IV line.
d. Determine the amount of IV fluid to be administered. ANSW✅✅c. Confirm placement of the IV
line.
,The physician has ordered 6 mg morphine sulphate every three to four hours prn for a client's
postoperative pain. The unit dose in the medication dispenser has 15 mg in 1 mL. How much
solution should the nurse give?
a. 1.5 mL
b. 1.3 mL
c. 0.4 mL
d. 1.25 mL ANSW✅✅c. 0.4 mL
Which of the following is a priority for the nurse in the administration of oral medications and
prevention of aspiration?
a. Checking for a gag reflex
b. Allowing the client to self-administer
c. Assessing the ability to cough
d. Using straws and extra water for administration ANSW✅✅a. Checking for a gag reflex
The client receiving an intravenous infusion of morphine sulphate begins to experience respiratory
depression and decreased urine output. How is this effect described?
a. Therapeutic
b. Toxic
c. Idiosyncratic
d. Allergic ANSW✅✅
A client on the medical unit receives regular insulin at 7:00 A.M. The nurse is alert to a possible
hypoglycemic reaction by which time?
a. 7:30 A.M.
b. 10:00 A.M.
c. 4:00 P.M.
d. 8:00 P.M. ANSW✅✅b. 10:00 A.M.
, The nurse is administering an injection at the ventrogluteal site. Upon aspiration, the nurse notices
that there is blood in the syringe. Which of the following actions should the nurse take?
a. Inject the medication.
b. Pull the needle back slightly and inject the medication.
c. Move the skin to the side and inject the medication slowly.
d. Discontinue the injection and prepare the medication again. ANSW✅✅d. Discontinue the
injection and prepare the medication again.
The nurse is teaching the client how to prepare 10 units of short-acting (regular) insulin and 5 units
of intermediate-acting NPH insulin for injection. Which of the following instructions does the nurse
give the client?
a. Inject air into the short-acting (regular) insulin, then into the intermediate-acting NPH insulin.
b. Withdraw the short-acting (regular) insulin first.
c. Inject air into and withdraw the intermediate-acting NPH immediately.
d. Inject air into both vials and withdraw the short-acting (regular) insulin first. ANSW✅✅d. Inject
air into both vials and withdraw the short-acting (regular) insulin first.
The nurse is caring for a 14-year-old patient with diabetes mellitus who does not want to self-
administer insulin because it is too painful. Which information should the nurse use in response to
the patient's concern?
a. Adolescents are usually enthusiastic about self-care.
b. Insulin mixed with a local anesthetic decreases pain.
c. The health care provider orders oral insulin for patients with pain.
d. There are techniques that will minimize the pain of the injection, though not eliminate it.
ANSW✅✅d. There are techniques that will minimize the pain of the injection, though not
eliminate it.
The nurse prepares to administer a 3-mL intramuscular (IM) injection of an antibiotic to an 85-year-
old patient. What action does the nurse take to administer the medication correctly?
COMPLETE ANSWERS
The nurse is documenting administration of a medication that is given at 10:00 A.M., 2:00 P.M., and
6:00 P.M. Which of the following medications is the nurse documenting?
a. Morphine sulphate, 10 mg q4h prn
b. Propranolol (Inderal), 10 mg PO bid
c. Diazepam, 5 mg PO tid
d. Cephalexin (Keflex), 500 mg PO q8h ANSW✅✅c. Diazepam, 5 mg PO tid
The nurse is working on the pediatric unit. In preparing to give medications to a preschool-age child,
which of the following is an appropriate interaction by the nurse?
a. "Do you want to take your medication now?"
b. "Would you like the medication with water or juice?"
c. "Let me explain about the injection that you will be getting."
d. "If you don't take the medication now, you will not get better." ANSW✅✅b. "Would you like
the medication with water or juice?"
A medication is prescribed for the client and is to be administered by intravenous (IV) bolus
injection. Which of the following is a priority for the nurse before administering the medication via
this route?
a. Set the rate of the IV infusion.
b. Check the client's mental alertness.
c. Confirm placement of the IV line.
d. Determine the amount of IV fluid to be administered. ANSW✅✅c. Confirm placement of the IV
line.
,The physician has ordered 6 mg morphine sulphate every three to four hours prn for a client's
postoperative pain. The unit dose in the medication dispenser has 15 mg in 1 mL. How much
solution should the nurse give?
a. 1.5 mL
b. 1.3 mL
c. 0.4 mL
d. 1.25 mL ANSW✅✅c. 0.4 mL
Which of the following is a priority for the nurse in the administration of oral medications and
prevention of aspiration?
a. Checking for a gag reflex
b. Allowing the client to self-administer
c. Assessing the ability to cough
d. Using straws and extra water for administration ANSW✅✅a. Checking for a gag reflex
The client receiving an intravenous infusion of morphine sulphate begins to experience respiratory
depression and decreased urine output. How is this effect described?
a. Therapeutic
b. Toxic
c. Idiosyncratic
d. Allergic ANSW✅✅
A client on the medical unit receives regular insulin at 7:00 A.M. The nurse is alert to a possible
hypoglycemic reaction by which time?
a. 7:30 A.M.
b. 10:00 A.M.
c. 4:00 P.M.
d. 8:00 P.M. ANSW✅✅b. 10:00 A.M.
, The nurse is administering an injection at the ventrogluteal site. Upon aspiration, the nurse notices
that there is blood in the syringe. Which of the following actions should the nurse take?
a. Inject the medication.
b. Pull the needle back slightly and inject the medication.
c. Move the skin to the side and inject the medication slowly.
d. Discontinue the injection and prepare the medication again. ANSW✅✅d. Discontinue the
injection and prepare the medication again.
The nurse is teaching the client how to prepare 10 units of short-acting (regular) insulin and 5 units
of intermediate-acting NPH insulin for injection. Which of the following instructions does the nurse
give the client?
a. Inject air into the short-acting (regular) insulin, then into the intermediate-acting NPH insulin.
b. Withdraw the short-acting (regular) insulin first.
c. Inject air into and withdraw the intermediate-acting NPH immediately.
d. Inject air into both vials and withdraw the short-acting (regular) insulin first. ANSW✅✅d. Inject
air into both vials and withdraw the short-acting (regular) insulin first.
The nurse is caring for a 14-year-old patient with diabetes mellitus who does not want to self-
administer insulin because it is too painful. Which information should the nurse use in response to
the patient's concern?
a. Adolescents are usually enthusiastic about self-care.
b. Insulin mixed with a local anesthetic decreases pain.
c. The health care provider orders oral insulin for patients with pain.
d. There are techniques that will minimize the pain of the injection, though not eliminate it.
ANSW✅✅d. There are techniques that will minimize the pain of the injection, though not
eliminate it.
The nurse prepares to administer a 3-mL intramuscular (IM) injection of an antibiotic to an 85-year-
old patient. What action does the nurse take to administer the medication correctly?
