Online Practice Test 35

Your Results for: "NCLEX® Review"

Print this page

Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 35 > NCLEX® Review Date/Time Submitted: July 24, 2012 at 6:57 AM (UTC/GMT)

Summary of Results 44% Correct of 9 Scored items: 4 Correct:  44% 5 Incorrect:  56% 1 question not scored. 9 scored questions. More information about scoring

1.		A medication order reads, "Restoril 15mg hs prn". The nurse gives the medication: Your Answer: At bedtime as needed
		Objective: Define selected terms related to the administration of medications. Rationale: Many abbreviations are used whenever medication orders are written, transcribed, and followed. Nurses must understand the abbreviations in order to interpret the instructions correctly. The abbreviations in Table 35-7 must be learned and applied when administering medications. In addition to this table, institutions may use different abbreviations. A nurse needs to become familiar with the institution's own acceptable abbreviations and use those exclusively to avoid medication error. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		The nurse uses the following landmarks when using the ventrogluteal muscle for intramuscular injection:  Your Answer: Lateral femoral condyle, iliac crest, anterior iliac spine Correct Answer: Greater trochanter, iliac crest, anterior superior iliac spine
		Objective: Identify sites used for intradermal, subcutaneous, and intramuscular injections. Rationale: The various landmarks used to identify intramuscular injection sites may be shared physically, and have similar names that may confuse those first learning them. It is crucial that students be able to identify landmarks by name and by site in order to prevent injury. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
3.		The nurse performs a subdermal allergy test correctly if the nurse:  Your Answer: Forms a bleb under the epidermis
		Objective: Describe essential steps for safely administering parenteral medications by intradermal, subcutaneous, intramuscular, and intravenous routes. Rationale: For allergy testing, the needle is inserted at a 15-degree angle; the allergen is injected slowly to allow a wheal to form; do not massage. Allow the allergen to be absorbed naturally. Nursing Process: Evaluation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		An infant of 11 months is to receive a penicillin injection. The nurse prepares which muscle for injection? Your Answer: Vastus lateralus Correct Answer: Ventrogluteal
		Objective: Identify sites used for intradermal, subcutaneous, and intramuscular injections. Rationale: The ventrogluteal is the preferred site for most intramuscular injections from age 7 months to adult. Advantages of this site are listed in the section that reviews the use of each site. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
5.		Intramuscular Demerol (meperidine) is injected correctly when the nurse: Your Answer: Uses the nondominant hand to pull the skin 2.5 centimeters (one inch) to the side of the injection site
		Objective: Describe essential steps for safely administering parenteral medications by intradermal, subcutaneous, intramuscular, and intravenous routes. Rationale: Using the principle of cleanest to dirty, the cleaning begins at the injection site and moves outward in a circular manner. The needle of an intramuscular injection is inserted rapidly to avoid pain. Blood is not expected with aspiration; if seen, it indicates the needle may be in a blood vessel, and the needle is withdrawn before the medication is administered. Nursing Process: Evaluation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		The nurse is to administer morphine sulfate intravenous (IV) push into an existing IV of 5% dextrose and .45% normal saline running at a rate of 125 ml/hour. The nurse injects the morphine sulfate into the injection port that is:  Your Answer: Closest to the IV clam Correct Answer: Closest to the client
		Objective: Describe essential steps for safely administering parenteral medications by intradermal, subcutaneous, intramuscular, and intravenous routes. Rationale: Medication given by IV push is best given as close to the client's circulation as possible. Answers 1, 2, and 3 are sites more distant. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		While preparing to irrigate a client's ears, the nurse instructs the client to: Your Answer: Expect a cold sensation Correct Answer: Expect a feeling of fullness in her ears
		Objective: Describe essential steps in safely administering topical medications: dermatologic, ophthalmic, otic, nasal, vaginal, respiratory inhalation, and rectal preparations. Rationale: The client is positioned in a sitting or side-lying position with the head turned toward the affected ear. Prewarm the solution for client comfort. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
8.		A medication dose is written as 25mg/ kilogram (kg). The client weighs 113 pounds. The nurse will administer a dose of: __________ . Your Answer: 1284 mg Correct Answer: 1285 mg
		Objective: State systems of measurement that are used in the administration of medications. Rationale: There are 2.2 pounds in one kilogram (kg). Mathematically, this forms a ratio of 2.2 lb/1 kg. Since the patient weighs 113 pounds, kg will be calculated as (113/ 2.2) X 25 mg = dose. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Application Strategy: Describe essential steps in safely administering topical medications: dermatologic, ophthalmic, otic, nasal, vaginal, respiratory inhalation, and rectal preparations.
9.		A client is receiving a transdermal medication. The nurse administers the medication correctly when: Your Answer: the patient reports improvement of his/her condition.
		Answer: The nurse applies gloves while applying the medication. Objective: Describe essential steps in safely administering topical medications: dermatologic, ophthalmic, otic, nasal, vaginal, respiratory inhalation, and rectal preparations. Rationale: Apply the medication to a central location rather than a distant location, as a distant site may slow absorption if there are circulation problems. Apply medication to dry skin. Patches are removed at the time indicated, usually when the new patch is applied. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		A client tells the nurse, "These pills don't look like the ones I usually take." The nurse says: Your Answer: "I'll take these back and recheck your medications."
		Objective: State the "rights" to accurate medication administration. Rationale: Most clients are familiar with the medications they take. Sometimes, generic medications or different brands of medications are given in hospitals, but do not assume this is the reason for medications looking different. Do not rely on appearances, as some medications look similar but actually are different. If there is any question about a medication, do not give the medication until the question is answered. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Decide what is the best action for client and situation.