NR224 Fundamentals of Nursing Final Exam With Answers (68 Solved Questions)
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The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine (Sudafed)
is occurring when the patient 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? Call the prescriber to clarify and justify the order.
A patient needs assistance excreting a gaseous medication. What is the correct nursing
action? 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A nurse has withdrawn a narcotic from the medication dispenser.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
The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine (Sudafed)
is occurring when the patient 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? Call the prescriber to clarify and justify the order.
A patient needs assistance excreting a gaseous medication. What is the correct nursing
action? 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A nurse has withdrawn a narcotic from the medication dispenser.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? 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 "I should let the medication dissolve completely."
What is the nurse's priority action to protect a patient from medication error? 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 Call the prescriber and request a stat order.
A patient is at risk for aspiration. What nursing action is most appropriate? Have the
patient self-administer the medication.
A confused patient refuses his medication. What is the nurse's first response? 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 advise the patient to refill his medication? 6 weeks from the start of
using the inhaler
The nurse knows that a subcutaneous injection takes longer to absorb because Fewer
blood vessels are found under the subcutaneous level.
The nurse realizes which patient is at greatest risk for an unintended synergistic effect?
72-year-old who is seeing four different specialists
Which patient using an inhaler would benefit most from using a spacer? 25-year-old
with multiple sclerosis
The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The
therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority? Notify the physician
that the prescribed dose is below the therapeutic range.
The nurse is administering an intravenous medication that is to be administered over 10
minutes. Which method should the nurse choose to efficiently administer the medication?
Attach separate tubing and set the medication syringe in a mini-infusion pump.
patient's peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a
red streak that is warm to the touch. What is the nurse's initial action? Apply a cool
compress to the site
A nurse knows that patient education has been effective when the patient states "I will
rotate the location where I give myself injections."
dispenser according to protocol.
The nurse knows that patient education about a buccal medication has been effective when
the patient states "I should let the medication dissolve completely."
What is the nurse's priority action to protect a patient from medication error? 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 Call the prescriber and request a stat order.
A patient is at risk for aspiration. What nursing action is most appropriate? Have the
patient self-administer the medication.
A confused patient refuses his medication. What is the nurse's first response? 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 advise the patient to refill his medication? 6 weeks from the start of
using the inhaler
The nurse knows that a subcutaneous injection takes longer to absorb because Fewer
blood vessels are found under the subcutaneous level.
The nurse realizes which patient is at greatest risk for an unintended synergistic effect?
72-year-old who is seeing four different specialists
Which patient using an inhaler would benefit most from using a spacer? 25-year-old
with multiple sclerosis
The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The
therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority? Notify the physician
that the prescribed dose is below the therapeutic range.
The nurse is administering an intravenous medication that is to be administered over 10
minutes. Which method should the nurse choose to efficiently administer the medication?
Attach separate tubing and set the medication syringe in a mini-infusion pump.
patient's peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a
red streak that is warm to the touch. What is the nurse's initial action? Apply a cool
compress to the site
A nurse knows that patient education has been effective when the patient states "I will
rotate the location where I give myself injections."
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