NUR 3480 Exam 2 Questions with Correct Answers Graded A+
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which
of the following actions should the nurse take? - Answers Lower the enema fluid container.
A nurse is administering a return-flow enema to a client. After instilling 100 mL of enema fluid,
which of the following actions should the nurse take? - Answers Lower the container to allow
the solution to flow back.
A nurse is preparing to administer an oil retention enema to a client who has constipation. The
nurse should instruct the client to retain the solution for which of the following durations? -
Answers At least 30 minutes.
A client who is postoperative is experiencing abdominal distention and is having difficulty
expelling flatus. The nurse should expect the provider to prescribe which of the following types
of enemas? - Answers Return-flow.
A nurse is preparing an adult client for an enema. The nurse should assist the client into which
of the following positions? - Answers Left lateral with the right leg flexed.
A nurse is preparing to administer the first of two large-volume, cleansing enemas prescribed
for a client in preparation for a diagnostic procedure. Which of the following actions should the
nurse take? - Answers Warm the enema solution prior to instillation.
A nurse is preparing to administer a cleansing enema to a client who has poor sphincter control.
Which of the following actions should the nurse take? - Answers Place the client in the dorsal
recumbent position on a bedpan.
A nurse is administering an enema medicated with sodium polystyrene sulfonate to an adult
client who has hyperkalemia. To which of the following lengths should the nurse insert the
rectal tube? - Answers 7.5 cm to 10 cm or 3-4 inches
A nurse has a handwritten prescription that is difficult to read. Which of the following actions
should the nurse take to avoid an error in medication administration? - Answers Call the provider
for clarification of the prescription.
Which of the following actions demonstrates correct use of the Ten Rights of Medication
Administration? - Answers Administering a client's medication by the route the provider has
prescribed
Which of the following describes a medications generic name? - Answers It is the same as its
nonproprietary name.
A nurse is preparing to administer an oral medication to a client. Which of the following actions
is the nurses priority? - Answers Confirm the client's identity using two methods.
, A nurse is preparing to administer several PO medications to a client. The client states they can
only take one pill at a time. Which of the following actions should the nurse take? - Answers
Remain at the bedside until the client has taken all of the medications.
A client drinks 8 oz of water. Which of the following is a correct conversion of the clients intake?
- Answers 240 mL
Which of the following routes of medication has no barriers to absorption? - Answers
Intravenous.
A nurse is caring for a client who is receiving a medication that typically causes drowsiness.
While assessing the client, the nurse notes that the medication has caused the client to become
hyperactive. Which of the following terms describes the client's unexpected response to the
medication? - Answers Idiosyncratic effect.
Which of the following clients is exhibiting medication tolerance? - Answers A client who
requires an increased dose of a medication to achieve continued therapeutic benefit.
Which of the following represents the correct administration of the prescribed medication? -
Answers Amoxicillin 1 g PO prescribed: two 500-mg tablets given.
A nurse is reviewing a group of prescriptions. Which of the following should the nurse identify
as an example of a complete prescription? - Answers Digoxin 1.25 mg PO daily.
A nurse is documenting a clients response to a pain medication. Which of the following is an
example of correct documentation regarding the clients response to pain? - Answers The client
reports pain decreased 30 min after medication administration to 3 on a scale of 0 to 10.
A nurse has just inserted a peripheral IV catheter. Which of the following actions should the
nurse take to secure the catheter? - Answers Apply an IV securement device.
A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback
chamber after puncturing the skin and selected vein. Which of the following actions should the
nurse perform next? - Answers Advance the catheter into the vein with the finger hub.
A nurse is discontinuing a peripheral IV catheter. Upon removal, the nurse should assess the
catheter for which of the following? - Answers An intact catheter tip.
A nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous
infusion. How often should the nurse plan to replace the primary infusion tubing? - Answers
Every 96 hours.
Which of the following actions should a nurse take when converting an IV infusion to a saline
lock? - Answers Flush the IV catheter to confirm patency.
A nurse is removing a clients IV catheter. Which of the following actions should the nurse take?
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which
of the following actions should the nurse take? - Answers Lower the enema fluid container.
A nurse is administering a return-flow enema to a client. After instilling 100 mL of enema fluid,
which of the following actions should the nurse take? - Answers Lower the container to allow
the solution to flow back.
A nurse is preparing to administer an oil retention enema to a client who has constipation. The
nurse should instruct the client to retain the solution for which of the following durations? -
Answers At least 30 minutes.
A client who is postoperative is experiencing abdominal distention and is having difficulty
expelling flatus. The nurse should expect the provider to prescribe which of the following types
of enemas? - Answers Return-flow.
A nurse is preparing an adult client for an enema. The nurse should assist the client into which
of the following positions? - Answers Left lateral with the right leg flexed.
A nurse is preparing to administer the first of two large-volume, cleansing enemas prescribed
for a client in preparation for a diagnostic procedure. Which of the following actions should the
nurse take? - Answers Warm the enema solution prior to instillation.
A nurse is preparing to administer a cleansing enema to a client who has poor sphincter control.
Which of the following actions should the nurse take? - Answers Place the client in the dorsal
recumbent position on a bedpan.
A nurse is administering an enema medicated with sodium polystyrene sulfonate to an adult
client who has hyperkalemia. To which of the following lengths should the nurse insert the
rectal tube? - Answers 7.5 cm to 10 cm or 3-4 inches
A nurse has a handwritten prescription that is difficult to read. Which of the following actions
should the nurse take to avoid an error in medication administration? - Answers Call the provider
for clarification of the prescription.
Which of the following actions demonstrates correct use of the Ten Rights of Medication
Administration? - Answers Administering a client's medication by the route the provider has
prescribed
Which of the following describes a medications generic name? - Answers It is the same as its
nonproprietary name.
A nurse is preparing to administer an oral medication to a client. Which of the following actions
is the nurses priority? - Answers Confirm the client's identity using two methods.
, A nurse is preparing to administer several PO medications to a client. The client states they can
only take one pill at a time. Which of the following actions should the nurse take? - Answers
Remain at the bedside until the client has taken all of the medications.
A client drinks 8 oz of water. Which of the following is a correct conversion of the clients intake?
- Answers 240 mL
Which of the following routes of medication has no barriers to absorption? - Answers
Intravenous.
A nurse is caring for a client who is receiving a medication that typically causes drowsiness.
While assessing the client, the nurse notes that the medication has caused the client to become
hyperactive. Which of the following terms describes the client's unexpected response to the
medication? - Answers Idiosyncratic effect.
Which of the following clients is exhibiting medication tolerance? - Answers A client who
requires an increased dose of a medication to achieve continued therapeutic benefit.
Which of the following represents the correct administration of the prescribed medication? -
Answers Amoxicillin 1 g PO prescribed: two 500-mg tablets given.
A nurse is reviewing a group of prescriptions. Which of the following should the nurse identify
as an example of a complete prescription? - Answers Digoxin 1.25 mg PO daily.
A nurse is documenting a clients response to a pain medication. Which of the following is an
example of correct documentation regarding the clients response to pain? - Answers The client
reports pain decreased 30 min after medication administration to 3 on a scale of 0 to 10.
A nurse has just inserted a peripheral IV catheter. Which of the following actions should the
nurse take to secure the catheter? - Answers Apply an IV securement device.
A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback
chamber after puncturing the skin and selected vein. Which of the following actions should the
nurse perform next? - Answers Advance the catheter into the vein with the finger hub.
A nurse is discontinuing a peripheral IV catheter. Upon removal, the nurse should assess the
catheter for which of the following? - Answers An intact catheter tip.
A nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous
infusion. How often should the nurse plan to replace the primary infusion tubing? - Answers
Every 96 hours.
Which of the following actions should a nurse take when converting an IV infusion to a saline
lock? - Answers Flush the IV catheter to confirm patency.
A nurse is removing a clients IV catheter. Which of the following actions should the nurse take?
