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Concepts of Nursing Test

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1.
The nurse is going to administer eye ointment in the newborn’s eyes. Which action by the nurse is the correct procedure?
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2.
The nurse is administering medication to a patient when the patient accidentally drops the tablet on the floor. What should the nurse do?
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3.
When should the patient depress the canister when using an MDI?
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4.
What can the nurse do to help the patient relax the anal sphincter before administering a rectal suppository?
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5.
A patient has been prescribed eye drops for the treatment of glaucoma. The nurse is observing the patient self-administer the eye drops. Which action by the patient requires further teaching?
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6.
The nurse is working with an NAP she knows has helped care for her diabetic mother. The nurse is busy with the admission of a new patient. What can the nurse delegate to the NAP?
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7.
The nurse is administering a preoperative medication intramuscularly. As the nurse aspirates, the nurse sees blood return into the syringe. What should the nurse do next?
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8.
Which would be a contraindication for inserting a rectal suppository? A patient with: (Select all that apply.)
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9.
A patient has been hospitalized for several days after a motor vehicle accident. The patient has several fractured bones and has cuts and scratches across the chest area. Where should you apply the fentanyl (Duragesic) patch to treat the patient's pain?
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10.
The following medications are to be administered. Which patient receives medication the most often? The patient who:
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11.
The nurse is giving a tuberculosis test injection; at what angle does the nurse insert the needle?
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12.
How far should the nurse insert a rectal suppository in an adult? (Select all that apply.)
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13.
Which of the following are contraindications to oral medication administration? (Select all that apply.)
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14.
You are planning to teach a patient about using an MDI without a spacer device. What are some points you should include in the teaching plan? (Select all that apply.)
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15.
A medication label states, “For Parenteral Use Only.” What is the correct interpretation of this statement?
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16.
The nurse selects a med according to MAR for the correct drug name, dosage, and route. . The nurse administers the med orally because it is a pill and then documents the medication administration. Which of the following six rights did the nurse violate?
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17.
What additional instruction should you include for the patient who is receiving steroids via an MDI? The patient:
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18.
When withdrawing medication from a vial, why is it important to first inject air into the vial?
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19.
The nurse is teaching the patient how to use an MDI with a spacer device. Which statement, if made by the patient, indicates further teaching is required?
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20.
Which of the following patients is at highest risk for a toxic medication effect?
A.
The right time.
B.
The medication should be administered by injection.
C.
It prevents the buildup of negative pressure in the vial.
D.
Bevel up, 5- to 15-degree angle.
E.
The nurse applies a ribbon of ointment along the lower eyelid on the conjunctiva from inner to outer canthus.
F.
Instruct patient how to time inhalation with depression of medication canister. Instruct patient to shake canister before administration. Warn patient about overuse of the inhaler, including side effects. Show the patient how canister fits into inhaler.
G.
Diarrhea. Rectal bleeding. Recent rectal surgery.
H.
Reporting if the patient is exhibiting signs of hypoglycemia.
I.
The patient should depress the canister simultaneously with slow inhalation.
J.
Discard the tablet and get another one.
K.
Withdraw the needle and start over.
L.
Approximately 10 cm (4 inches). Past the internal anal sphincter.
M.
Nausea/vomiting. Postoperative after gastrointestinal surgery. Inability to swallow. Continuous gastric suction.
N.
“I should wait 20 to 30 seconds between puffs and 2 to 5 minutes between inhalations of different medications. I should administer the inhaled steroids first followed by the bronchodilator.”
O.
Should rinse the mouth after use of the MDI.
P.
The patient who has liver and kidney problems and takes high doses of aspirin to relieve pain.
Q.
The patient touches the conjunctival sac with the eyedropper to make sure she is in the correct location.
R.
Ask the patient to take slow, deep breaths through the mouth.
S.
Receives antibiotics q4h.
T.
On the upper back in an area that is free of hair.
Type the Answer that corresponds to the displayed Question.
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21.
After giving a subcutaneous injection of heparin, the nurse refrains from massaging the site so as to prevent:
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22.
Generally with a subcutaneous injection, medication absorption is _______ than that of an IM injection.
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23.
The nurse has to give a 1 month old the hepatitis B vaccine. Which is the best site for administration?
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24.
At what angle should a subcutaneous injection be delivered in an obese adult?
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25.
A patient has an order to receive nystatin oral suspension PC. When will the nurse administer this medication?
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26.
The health care provider has ordered an antibiotic to be given 3 times in a 24-hour period. Which would be the best dosing schedule for this medication in order to maintain a therapeutic blood level?
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27.
At what temperature should the solution be when eardrops are instilled?
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28.
The nurse is reviewing a patient's prescribed medications. The patient states that she quit taking her blood pressure medication because it made her "too weak and tired." What type of medication action was the patient most likely experiencing?

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