Question 1

Before the nurse administers a liquid medication to an 83-year-old male patient, the nurse should:

Accepted Answer

A)  assess the swallowing reflex by offering a sip of water. 
B)  ask the patient if he would prefer to give the medication to himself. 
C)  mix thoroughly in applesauce or pudding. 
D)  assess the ability to understand information relative to the medication. 
A)  assess the swallowing reflex by offering a sip of water. 
B)  ask the patient if he would prefer to give the medication to himself. 
C)  mix thoroughly in applesauce or pudding. 
D)  assess the ability to understand information relative to the medication.

Question 2

The nurse explains that the patient with a respiratory disorder can open small airways to ease respiration effort with the use of:

Accepted Answer

A)  albuterol (Proventil). 
B)  montelukast (Singulair). 
C)  ipratropium (Atrovent). 
D)  beclomethasone (Vanceril). 
A)  albuterol (Proventil). 
B)  montelukast (Singulair). 
C)  ipratropium (Atrovent). 
D)  beclomethasone (Vanceril).

Question 3

When applying ophthalmic ointments, the nurse should: (Select all that apply.)

Accepted Answer

A)  fill only the center of the conjunctival sac. 
B)  ask the patient to roll the eye around and from side to side. 
C)  remove excess ointment from the lid with a cotton ball. 
D)  ask the patient to close the eyelids tightly to distribute ointment. 
E)  remove gloves and perform hand hygiene. 
A)  fill only the center of the conjunctival sac. 
B)  ask the patient to roll the eye around and from side to side. 
C)  remove excess ointment from the lid with a cotton ball. 
D)  ask the patient to close the eyelids tightly to distribute ointment. 
E)  remove gloves and perform hand hygiene.

Question 4

Data pertaining to a patient's medication therapy that the nurse should document in the nurses' notes, in addition to documenting in the medication administration record (MAR or eMAR), is:

Accepted Answer

A)  medication name and dose. 
B)  the route of the medication. 
C)  the time of the medication. 
D)  medication side effects experienced. 
A)  medication name and dose. 
B)  the route of the medication. 
C)  the time of the medication. 
D)  medication side effects experienced.

Question 5

In the event of a discrepancy in the count of the narcotics between the day shift and the evening shift, the day nurse is required to:

Accepted Answer

A)  correct the count to the number of pills counted and sign full name. 
B)  write a report and give it to the charge nurse with signatures of both nurses. 
C)  notify the pharmacy of the discrepancy. 
D)  remain on duty until the miscount is resolved. 
A)  correct the count to the number of pills counted and sign full name. 
B)  write a report and give it to the charge nurse with signatures of both nurses. 
C)  notify the pharmacy of the discrepancy. 
D)  remain on duty until the miscount is resolved.

Question 6

The nurse is to administer a dissolved medication via feeding tube. After donning gloves and attaching the irrigation syringe to the tube, the nurse should next:

Accepted Answer

A)  instill the medication into the syringe slowly. 
B)  draw the medication into the syringe and gently push into the tube. 
C)  flush the tubing with 15 to 30 mL of tap water and add the medication just as the water is about to finish. 
D)  flush the tubing with 15 to 30 mL of sterile water and add the medication just as the water is about to finish. 
A)  instill the medication into the syringe slowly. 
B)  draw the medication into the syringe and gently push into the tube. 
C)  flush the tubing with 15 to 30 mL of tap water and add the medication just as the water is about to finish. 
D)  flush the tubing with 15 to 30 mL of sterile water and add the medication just as the water is about to finish.

Question 7

To reduce the systemic absorption of eye drops, the nurse should:

Accepted Answer

A)  use finger pressure to close the eyelid tightly. 
B)  apply slight finger pressure over the lacrimal duct. 
C)  request the patient tilt the head slightly to the side of the unaffected eye. 
D)  instruct the patient to widen the eyes in order to increase access to the lacrimal duct. 
A)  use finger pressure to close the eyelid tightly. 
B)  apply slight finger pressure over the lacrimal duct. 
C)  request the patient tilt the head slightly to the side of the unaffected eye. 
D)  instruct the patient to widen the eyes in order to increase access to the lacrimal duct.

Question 8

A patient is attempting to put pills in his mouth from a medicine cup and drops one pill on the bed sheet. The nurse should:

Accepted Answer

A)  retrieve the pill from the linens and allow the patient to take it. 
B)  scoop up the pill in a soufflé cup and hand the cup to the patient. 
C)  discard the pill and get another from the dose pack. 
D)  report the loss of the pill as a medication error. 
A)  retrieve the pill from the linens and allow the patient to take it. 
B)  scoop up the pill in a soufflé cup and hand the cup to the patient. 
C)  discard the pill and get another from the dose pack. 
D)  report the loss of the pill as a medication error.

Question 9

The nurse checking the MAR or eMAR finds that an order for an antibiotic is now 8 days old. The nurse should:

Accepted Answer

A)  check the medications, performing three medication checks. 
B)  give the ordered medication. 
C)  contact the primary care provider for a new order. 
D)  give the medication, then notify the primary care provider. 
A)  check the medications, performing three medication checks. 
B)  give the ordered medication. 
C)  contact the primary care provider for a new order. 
D)  give the medication, then notify the primary care provider.

Question 10

For easier insertion of a rectal suppository, the nurse should position the patient in the __________ position.

Accepted Answer

A)  knee chest 
B)  prone 
C)  left Sims' 
D)  dorsal lithotomy 
A)  knee chest 
B)  prone 
C)  left Sims' 
D)  dorsal lithotomy

Exam 34: Administering Oral, Topical, and Inhalant Medications

Before the nurse administers a liquid medication to an 83-year-old male patient, the nurse should:

The nurse explains that the patient with a respiratory disorder can open small airways to ease respiration effort with the use of:

When applying ophthalmic ointments, the nurse should: (Select all that apply.)

Data pertaining to a patient's medication therapy that the nurse should document in the nurses' notes, in addition to documenting in the medication administration record (MAR or eMAR), is:

In the event of a discrepancy in the count of the narcotics between the day shift and the evening shift, the day nurse is required to:

The nurse is to administer a dissolved medication via feeding tube. After donning gloves and attaching the irrigation syringe to the tube, the nurse should next:

To reduce the systemic absorption of eye drops, the nurse should:

A patient is attempting to put pills in his mouth from a medicine cup and drops one pill on the bed sheet. The nurse should:

The nurse checking the MAR or eMAR finds that an order for an antibiotic is now 8 days old. The nurse should:

For easier insertion of a rectal suppository, the nurse should position the patient in the __________ position.

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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