NR 224 Fundamentals Final Exam with All Correct &
100% Verified Answers |Actual Complete Exam|
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A nurse knows that patient education has been effective when the patient states ✔Correct
Answer-"I will rotate the location where I give myself injections."
Which statement by the patient is an indication to use the Z-track method? ✔Correct Answer-"The
last shot like that turned my skin colors."
A 2-year-old child is ordered to have ear irrigation performed daily. The nurse correctly performs the
procedure by ✔Correct Answer-Pulling the auricle down and back to straighten the ear canal.
A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer? ✔Correct Answer-20 units
A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer? ✔Correct Answer-0.4 mL
The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to draw a
trough level is ✔Correct Answer-0830.
A patient who has been receiving intermittent chemotherapy through a peripheral IV site is ordered
to receive a high dose of vancomycin through the same vein. Why does this concern the nurse?
✔Correct Answer-Chemotherapy is irritating to the vascular system and may cause the vein to
infiltrate.
A physician orders 1000 mL of normal saline to infuse at a rate of 50 mL/hr. The nurse plans on
hanging a new bag at what time? ✔Correct Answer-20 hours
The nurse is preparing to administer a 0.5-mL rabies vaccine into the deltoid muscle of a patient.
Which needle size is best for the procedure? ✔Correct Answer-25 gauge x 5/8 inch
The nurse knows that the purpose of aspiration on IM injections is to ✔Correct Answer-Ensure
proper placement of the needle.
The nurse is giving an IM injection. Upon aspiration, the nurse notices blood return in the syringe.
What should the nurse do? ✔Correct Answer-Withdraw the needle and prepare the injection
again.
The nurse is planning to administer a tuberculin test with a 27-gauge, 3/8-inch needle. The nurse
should insert the needle at an angle of _____ degrees. ✔Correct Answer-15
The nurse knows to assess for signs of medication toxicity within older adults because of which
physiological change? ✔Correct Answer-Reduced glomerular filtration
, A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers
25 mg of the medication to a patient, and then discovers that the dose was incorrectly interpreted
and should have been 15 mg. Who is ultimately responsible for the error? ✔Correct Answer-Nurse
A patient is to receive medication through a nasogastric tube. What is the most important nursing
action to ensure effective absorption? ✔Correct Answer-Clamp suction for 30 to 60 minutes after
medication administration.
Aspirin is an analgesic, antipyretic, antiplatelet, and anti-inflammatory agent. A physician writes for
aspirin 650 mg every 4 to 6 hours prn: febrile. For which patient would this order be appropriate?
✔Correct Answer-62-year-old female with pneumonia
A patient is in need of immediate pain relief for a severe headache. The nurse knows that which
medication will be absorbed the quickest? ✔Correct Answer-Hydromorphone (Dilaudid) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this, the nurse anticipates that the medication
will be administered by which route? ✔Correct Answer-Oral
The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine (Sudafed) is
occurring when the patient ✔Correct Answer-Falls asleep during daily activities.
An order is written for (phenytoin) Dilantin 500 mg IM q3-4h prn for pain. The nurse recognizes that
treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the
prescriber meant to write for hydromorphone (Dilaudid). What should the nurse do? ✔Correct
Answer-Call the prescriber to clarify and justify the order.
A patient needs assistance excreting a gaseous medication. What is the correct nursing action?
✔Correct Answer-Encourage the patient to cough and deep-breathe.
A nurse has withdrawn a narcotic from the medication dispenser. Upon checking the drug against the
medication administration record, the nurse notices that the narcotic order has expired. What should
be the nurse's first action? ✔Correct Answer-Return the medication to the medication dispenser
according to protocol.
The nurse knows that patient education about a buccal medication has been effective when the
patient states ✔Correct Answer-"I should let the medication dissolve completely."
What is the nurse's priority action to protect a patient from medication error? ✔Correct Answer-
Requesting that the prescriber write out an order, rather than giving a verbal order
The patient is in severe pain and is requesting a prn medication before the prn time interval has
elapsed. The nurse's priority is to ✔Correct Answer-Call the prescriber and request a stat order.
A patient is at risk for aspiration. What nursing action is most appropriate? ✔Correct Answer-Have
the patient self-administer the medication.
A confused patient refuses his medication. What is the nurse's first response? ✔Correct Answer-
Educates the patient about the importance of the medication
A patient who is being discharged today is going home with an inhaler. The patient is to administer 2
puffs of his inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately
100% Verified Answers |Actual Complete Exam|
Already Graded A+
A nurse knows that patient education has been effective when the patient states ✔Correct
Answer-"I will rotate the location where I give myself injections."
Which statement by the patient is an indication to use the Z-track method? ✔Correct Answer-"The
last shot like that turned my skin colors."
A 2-year-old child is ordered to have ear irrigation performed daily. The nurse correctly performs the
procedure by ✔Correct Answer-Pulling the auricle down and back to straighten the ear canal.
A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer? ✔Correct Answer-20 units
A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer? ✔Correct Answer-0.4 mL
The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to draw a
trough level is ✔Correct Answer-0830.
A patient who has been receiving intermittent chemotherapy through a peripheral IV site is ordered
to receive a high dose of vancomycin through the same vein. Why does this concern the nurse?
✔Correct Answer-Chemotherapy is irritating to the vascular system and may cause the vein to
infiltrate.
A physician orders 1000 mL of normal saline to infuse at a rate of 50 mL/hr. The nurse plans on
hanging a new bag at what time? ✔Correct Answer-20 hours
The nurse is preparing to administer a 0.5-mL rabies vaccine into the deltoid muscle of a patient.
Which needle size is best for the procedure? ✔Correct Answer-25 gauge x 5/8 inch
The nurse knows that the purpose of aspiration on IM injections is to ✔Correct Answer-Ensure
proper placement of the needle.
The nurse is giving an IM injection. Upon aspiration, the nurse notices blood return in the syringe.
What should the nurse do? ✔Correct Answer-Withdraw the needle and prepare the injection
again.
The nurse is planning to administer a tuberculin test with a 27-gauge, 3/8-inch needle. The nurse
should insert the needle at an angle of _____ degrees. ✔Correct Answer-15
The nurse knows to assess for signs of medication toxicity within older adults because of which
physiological change? ✔Correct Answer-Reduced glomerular filtration
, A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers
25 mg of the medication to a patient, and then discovers that the dose was incorrectly interpreted
and should have been 15 mg. Who is ultimately responsible for the error? ✔Correct Answer-Nurse
A patient is to receive medication through a nasogastric tube. What is the most important nursing
action to ensure effective absorption? ✔Correct Answer-Clamp suction for 30 to 60 minutes after
medication administration.
Aspirin is an analgesic, antipyretic, antiplatelet, and anti-inflammatory agent. A physician writes for
aspirin 650 mg every 4 to 6 hours prn: febrile. For which patient would this order be appropriate?
✔Correct Answer-62-year-old female with pneumonia
A patient is in need of immediate pain relief for a severe headache. The nurse knows that which
medication will be absorbed the quickest? ✔Correct Answer-Hydromorphone (Dilaudid) 4 mg IV
A drug requires a low pH to be metabolized. Knowing this, the nurse anticipates that the medication
will be administered by which route? ✔Correct Answer-Oral
The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine (Sudafed) is
occurring when the patient ✔Correct Answer-Falls asleep during daily activities.
An order is written for (phenytoin) Dilantin 500 mg IM q3-4h prn for pain. The nurse recognizes that
treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the
prescriber meant to write for hydromorphone (Dilaudid). What should the nurse do? ✔Correct
Answer-Call the prescriber to clarify and justify the order.
A patient needs assistance excreting a gaseous medication. What is the correct nursing action?
✔Correct Answer-Encourage the patient to cough and deep-breathe.
A nurse has withdrawn a narcotic from the medication dispenser. Upon checking the drug against the
medication administration record, the nurse notices that the narcotic order has expired. What should
be the nurse's first action? ✔Correct Answer-Return the medication to the medication dispenser
according to protocol.
The nurse knows that patient education about a buccal medication has been effective when the
patient states ✔Correct Answer-"I should let the medication dissolve completely."
What is the nurse's priority action to protect a patient from medication error? ✔Correct Answer-
Requesting that the prescriber write out an order, rather than giving a verbal order
The patient is in severe pain and is requesting a prn medication before the prn time interval has
elapsed. The nurse's priority is to ✔Correct Answer-Call the prescriber and request a stat order.
A patient is at risk for aspiration. What nursing action is most appropriate? ✔Correct Answer-Have
the patient self-administer the medication.
A confused patient refuses his medication. What is the nurse's first response? ✔Correct Answer-
Educates the patient about the importance of the medication
A patient who is being discharged today is going home with an inhaler. The patient is to administer 2
puffs of his inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately
