Erudiway

RN Nursing School · Pharmacology · 242 questions

Safe Medication Administration practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Safe Medication Administration, practise in the app.

Practise Safe Medication Administration in the appAbout the RN Nursing School program →
  1. 1A client who weighs 91 kg receives a prescription for a continuous infusion of dopamine at 3 mcg/kg/min. The solution is labeled Dopamine 400 mg in 5% Dextrose Injection 250 mL. How many mL/hr should the nurse program the infusion pump to deliver? Enter numeric value only. If rounding is required, round to the nearest tenth.Answer →
  2. 2The nurse is caring for a patient who is receiving an intravenous antibiotic. The nurse notes that the provider has ordered serum drug peak and trough levels. The nurse understands that these tests are necessary for which type of drugs?Answer →
  3. 3A nurse is monitoring a patient who is receiving a medication on a fixed schedule. The goal is to keep the drug's concentration in the blood consistent over time. Which term best describes this condition?Answer →
  4. 4A nurse is caring for a group of clients. For which the following situations should the nurse complete an incident report?Answer →
  5. 5A medication has a half-life of 12 hours. The prescriber orders it to be taken once daily. The nurse recognizes that this dosing schedule may be not therapeutic. Please choose the correct explanationAnswer →
  6. 6After realizing that she administered 0.25 mg of digoxin instead of the prescribed 0.125 mg, what should be the nurse's next step?Answer →
  7. 7The healthcare provider prescribes ampicillin 140 mg intravenously (IV) every 8 hours for a child with meningitis. The vial is labeled Ampicillin 250 mg for reconstitution with 8.3 mL sterile normal saline for injection to yield a total solution concentration of 30 mg/mL. How many mL should the nurse administer? Enter the numeric value only. If rounding is required, round to the nearest tenth.Answer →
  8. 8A nurse is preparing to administer an intradermal injection for a tuberculin screening. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)Answer →
  9. 9The client has an order for lorazepam 0.5 mg/hr IV. The medication is available lorazepam 10 mg/100 mL. At what rate will the nurse set the infusion? ______ mL/hr (If needed, round to the nearest whole number.)Answer →
  10. 10A client is receiving D5W at 125 mLhour and a secondary infusion of pantoprazole 40 mg IV daily The pharmacy provides a 110 mL premixed solution of pantoprazole to be infused over 15 minutes The nurse should program the secondary infusion to deliver how many mL per hour Enter numeric value onlyAnswer →
  11. 11A nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. The nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  12. 12A patient has a chest tube connected to a water-seal drainage system. Which of the following actions by the nurse are INAPPROPRIATE? (Select All that Apply.)Answer →
  13. 13Upon assessment of the patient, a nurse notes that a dopamine infusion has extravasated into the forearm of a patient. After stopping the infusion, the nurse alerts the ICU physician who proceeds to order what medication?Answer →
  14. 14Which statement BEST reflects an important administration consideration for topical acne medications?Answer →
  15. 15A nurse is reviewing the medication profile of a client who has severe liver disease. Which of the following medications should the nurse recognize as requiring careful monitoring?Answer →
  16. 16A college student begins adapalene therapy for acne. During the first two weeks of treatment, the patient reports skin redness, burning, and dryness. Which of the following is the nurse practitioner's most appropriate recommendation regarding treatment?Answer →
  17. 17A client diagnosed with primary open angle glaucoma received a prescription for miotic eye drops Which instruction should the nurse plan to include in this client's teachingAnswer →
  18. 18The nurse is planning the home health care of a client who is receiving a mydriatic medication. Which environment is best for this client?Answer →
  19. 19The RN charge nurse on the cardiac unit has to float a nurse to the emergency department for the shift. Which nurse should be floated to the emergency department?Answer →
  20. 20A client is newly prescribed Finasteride. The provider orders a dosage that requires the nurse to score (break) the tablet. The female nurse of child bearing age will prioritize which of the following actions?Answer →
  21. 21Order: Amoxicillin 20mg/kg/day in three divided doses. The child weighs 22 pounds. Available: Amoxicillin 160 mg/5 mL liquid suspension. How many (1) mL(s) will the nurse administer for each dose? Round your answer to 1 decimal place.Answer →
  22. 22A nurse is preparing to perform medication reconciliation for a client who is being admitted. Which of the following actions should the nurse take?Answer →
  23. 23A patient is to receive an IVPB with 35 mg of a medication mixed in 125 mL of solution over 30 minutes. How many mL/hr should this run? (Round to the nearest whole number.)Answer →
  24. 24The client has an order for levodopa 50 mg orally. The medication available is levodopa 25 mg capsules. How many capsules will the nurse administer?Answer →
  25. 25A nurse is preparing to administer an intramuscular injection to a client. Which of the following actions should the nurse take to minimize the risks associated with intramuscular injections? (Select all that apply)Answer →
  26. 26A nurse is teaching a student about the blood-brain barrier (BBB). Which statement best describes the purpose of the blood-brain barrier?Answer →
  27. 27A nurse is preparing to administer medication parenterally to a patient who cannot take oral medications due to swallowing difficulties. Which of the following best defines parenteral medication administration and justifies its use in this scenario?Answer →
  28. 28A child who weighs 44 pounds with otitis media receives a prescription for azithromycin 10 mg/kg once then 10 mg/kg daily for 4 days. The medication is available in a solution containing 200 mg/5 mL. How many mL should the nurse administer on the first day of the treatment regimen? Enter numeric value only.Answer →
  29. 29A patient with hypoglycemia is ordered Dextrose 50% (D50W) 25 grams IV push. The vial of D50W is labeled 50% = 50 g per 100 mL. How many milliliters should the nurse administer to give the prescribed dose?Answer →
  30. 30A 6-month-old infant requires treatment with a central nervous system (CNS) drug. Which pharmacologic consideration is MOST important when selecting a medication for this patient?Answer →
  31. 31Provider Order: Infuse 1 Liter of Normal Saline over 6 hours via IV infusion pump. How many mL/hr will the nurse set the infusion pump? Round your answer to 1 decimal place.Answer →
  32. 32A client is receiving one liter of D5W 0.45% normal saline IV every 8 hours by gravity infusion The IV tubing has a drip factor of 12 gtt/mL The nurse should regulate the IV to deliver how many drops per minute Enter numeric value onlyAnswer →
  33. 33A patient is prescribed a medication that is known to have a high first-pass effect. Which principle of pharmacology does this concept refer to?Answer →
  34. 34A client is receiving one liter of D5W 0.45% normal saline IV every 8 hours by gravity infusion. The IV tubing has a drip factor of 12 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute? Enter numeric value only. If rounding is required, round to the nearest whole number.Answer →
  35. 35The healthcare provider ordered propofol 8 mcg/kg/min IV. The client weighs 119 lbs. The pharmacy delivered propofol 100 mg/50 mL 0.9% sodium chloride. At what rate will the nurse set the infusion? ______ mL/hr (If needed, round to the nearest whole number.)Answer →
  36. 36Which types of medications are not commonly involved in severe medication errors?Answer →
  37. 37A patient with a PEG tube is to receive ferrous sulfate, 65 mg per the tube, daily. The medication is available as an elixir, 220 mg/5 mL. How many milliliters will the patient receive per dose? Record your answer using one decimal place.Answer →
  38. 38A nurse is reviewing a provider's prescription for IV fluid therapy for a client who has fluid volume deficit. Which of the following units of measurement should the nurse use to administer the fluid using an IV pump?Answer →
  39. 39A patient receives a new medication and develops an unexpected reaction that is different from the known side effects of the drug. Which term best describes this type of reaction?Answer →
  40. 40The healthcare provider prescribes one liter of normal saline to infuse over 12 hours The IV administration set delivers 20 gtt/mL How many gtt/minute should the nurse regulate the infusion Enter numeric value only If rounding is required round to the nearest whole numberAnswer →
  41. 41A patient is ordered to receive 600 mg of Drug C. The patient weighs 50 lbs. The recommended safe dose range is 15–30 mg/kg. What is the safe dose range for this patient? Is this dose considered safe? (Round to the nearest tenth).Answer →
  42. 42The patient is to receive oral guaifenesin, 3 teaspoons, twice a day. Today, the nurse was busy and misread the order and gave 3 tablespoons of guaifenesin. What type of problem does this represent?Answer →
  43. 43Order: 6,000 units of heparin intravenously. Vial contains 10,000 units/2 mL. How many mL will the nurse administer?Answer →
  44. 44To prepare a client for the potential side effects of a newly prescribed medication, which action should the nurse implement?Answer →
  45. 45A nurse is preparing to administer an intramuscular (IM) injection to an adult patient. During the assessment phase of the nursing process, which factor should the nurse prioritize to ensure safe and effective IM medication administration?Answer →
  46. 46A client receives ciprofloxacin 400 mg IV over 1 hour. The IV bag contains 400 mg in 200 mL D5W. How many mL/hr should the nurse program the pump?Answer →
  47. 47The healthcare provider prescribes epoetin alfa 50 units/kg SUBQ twice a day (BID) for a client who weighs 63 kg. The available vial is labeled Epoetin alfa 10,000 units/mL. How many milliliters should the nurse administer?Answer →
  48. 48What is the term used for drugs that categorize medications as to whether they may or may not pose a risk to a growing fetus?Answer →
  49. 49A nurse is assisting a client who has recently transitioned to crutches following ankle sprain in the emergency department. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  50. 50A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?Answer →
  51. 51A patient is receiving an IV medication through an infusion pump. The medication is a vesicant and the patient begins to complain of pain, swelling, and redness of their arm. Based on the assessment, which of the following is the priority nursing intervention?Answer →
  52. 52A client is receiving a secondary infusion of vancomycin 1500 mg in 250 mL to be infused over two hours The IV administration set delivers 15 gttmL How many gttmin should the nurse regulate the infusion Enter numeric value only If rounding is required round to the nearest whole numberAnswer →
  53. 53Which term describes the effect of a drug that improves body function?Answer →
  54. 54The nurse assesses the wound of a client who received sutures for a laceration of the hand two days ago. Which finding is a normal inflammatory response?Answer →
  55. 55An adolescent with meningococcal meningitis is receiving a continuous IV infusion of penicillin G which is prescribed as 20 million units in a total volume of 2 liters of normal saline every 24 hours The pharmacy delivers 10 million unitsliter of normal saline How many mLhour should the nurse program the infusion pump Enter numeric value only If rounding is required round to the nearest whole numberAnswer →
  56. 56An adult patient is about to receive intravenous (IV) ondansetron (Zofran) during a chemotherapy treatment. A dose of 0.15 mg/kg IV 30 minutes before chemotherapy is ordered. The patient weighs 140 pounds. The medication is supplied in a vial marked 2 mg/mL for IV administration. Identify how many milliliters the nurse will administer for this dose. (record answer to one decimal place)Answer →
  57. 57The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?Answer →
  58. 58A nurse is providing teaching to a client who has a prescription for total parenteral nutrition (TPN). Which of the following information should the nurse include in the teaching?Answer →
  59. 59A nurse is assisting with admitting a client who reports they are currently unemployed. Which of the following factors of the social determinants of health (SDOH) is challenging for the client?Answer →
  60. 60A nurse is reviewing medication formulations with a newly licensed nurse. Which of the following statements should the nurse include?Answer →
  61. 61For each of the findings below, indicate whether it is consistent with correct or incorrect use of a walker. Each finding may be associated with one or both categories.Answer →
  62. 62The time when the medication has its greatest concentration or maximum therapeutic effect is called?Answer →
  63. 63Ordered: Dicloxacillin sodium suspension 500 mg p.o. every 6 hours Labeled: Dicloxacillin sodium suspension 62.5 mg per 5 ml How many mLs will you give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  64. 64Which medication should be given as an antidote for atropine?Answer →
  65. 65The client has an order for diazepam 10 mg PO. The medication available is diazepam 5 mg per scored tablet. How many tablets will the nurse administer? (If needed, round to the nearest whole number.)Answer →
  66. 66Which of these statements best describes Apoptosis?Answer →
  67. 67The nurse is administering medications to a patient who has a diagnosis of liver failure. The nurse is aware that this patient would most likely have problems with which pharmacokinetic phase?Answer →
  68. 68A nurse is preparing to administer medications to a client. Which of the following resources should the nurse use to obtain information about medications they have never administered?Answer →
  69. 69A nurse is preparing to administer lidocaine via continuous IV infusion at 4 mg/min. Available is lidocaine 2 g dextrose 5% in water 500 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  70. 70A client with neuroleptic malignant syndrome receives a prescription for dantrolene 1.5 mg/kg IV. The client weighs 132 pounds. The label on 250 mg vial reads: Reconstitute with 5 mL sterile water for injection USP. Reconstitution yields 50 mg/mL. How many mL should the nurse administer?Answer →
  71. 71You are to administer 1,500 mL of an IV solution over a 24-hour period. The IV administration set reads 45 gtt = 1 mL. How many mL/hr will the IV infuse at? (Round to the nearest whole number.)Answer →
  72. 72After an IV antibiotic is started the nurse determines that the medication is not prescribed for the client and stops the infusion Which action should the nurse implement nextAnswer →
  73. 73A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The client last received the medication at 2 p.m. Which of the following times is the earliest the nurse can administer the next dose?Answer →
  74. 74A patient returns to the clinic after hearing from their healthcare provider that their Pap smear results revealed cervical dysplasia. Which of these statements, made by the healthcare provider, accurately describes the condition?Answer →
  75. 75A patient receiving codeine is still having an occasional cough. The patient asks the nurse if the dose of codeine can be increased. The nurse explains that increasing the dose will not increase its efficacy because of which effect?Answer →
  76. 76A nurse is preparing to administer haloperidol 5 mg by IV bolus over 15 minutes. Available is haloperidol 5 mg in 50 mL, dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  77. 77A nurse is caring for a group of clients. Which of the following situations requires an incident report?Answer →
  78. 78A nurse is preparing to administer digoxin 6 mcg/kg PO daily. The client weighs 132 lb. How many kilograms should the nurse use to calculate the correct dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  79. 79The client has an order for aminophylline 0.4 mg/kg/hr IV. The client weighs 142 lbs. How many mg/hr will the nurse administer? (If needed, round to the nearest tenth.)Answer →
  80. 80A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?Answer →
  81. 81A patient is prescribed antibiotics for an infection. She is currently using oral birth control pills. What important information should the nurse provide regarding the interaction between antibiotics and oral contraceptives?Answer →
  82. 82A nurse is caring for a client who was prescribed a new medication. Which of the following actions is an example of the nurse incorporating information technology into educating the client about their new medication?Answer →
  83. 83A nurse is preparing to infuse a 250-ml unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  84. 84The nurse is administering an intradermal ID injection Which action should the nurse takeAnswer →
  85. 85Ordered: Probenecid 4 G p.o. daily in a.m. Labeled: Probenecid 2 G per tablet How many tablets will the nurse give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  86. 86A child who weighs 44 pounds with otitis media receives a prescription for azithromycin 10 mgkg once then 10 mgkg daily for 4 days The medication is available in a solution containing 200 mg5 mL How many mL should the nurse administer on the first day of the treatment regimen Enter numeric value onlyAnswer →
  87. 87The nurse is conducting a class for senior citizens about the use of over-the-counter (OTC) drugs. Which statement would the nurse include in the teaching? (Select all that apply).Answer →
  88. 88The pharmacologic target or binding site located on or within a cell.Answer →
  89. 89The client has an order for 750 mL of Lactated Ringers to infuse over 6 hours. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  90. 90A nurse is preparing to administer Normal Saline at 125 mL/hr by continuous IV infusion. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? Round to the nearest whole number. Enter numeric value only (no commas or labels)Answer →
  91. 91A patient has an order for 600 mL of NS over 3 hours. The drop factor is 20 gtt/mL. How many gtt/min should be given? (Round to the nearest whole number.)Answer →
  92. 92Provider order: Ibuprofen 800mg PO q8h prn. Available: Ibuprofen 200 mg tablets. How many tab(s) will the nurse administer? Round your answer to a whole number.Answer →
  93. 93The length of time a drug remains effective (providing a therapeutic effect) in the body, after administration.Answer →
  94. 94A patient with open-angle glaucoma is prescribed latanoprost. At a follow-up visit, the NP notes the patient has developed a gradual darkening of the iris and longer, thicker eyelashes. Which is the BEST action by the NP?Answer →
  95. 95The client has an order for benztropine 0.5 mg IM. The medication available is benztropine 2 mg/2 ml. How many mL will the nurse administer? (If needed, round to the nearest tenth.)Answer →
  96. 96A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D, lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  97. 97What is the term for the amount of time it takes a medication to demonstrate a therapeutic response?Answer →
  98. 98A drug that binds to its receptors and activates it is called anAnswer →
  99. 99To prepare a client for the potential side effects of a newly prescribed medication, which action should the nurse implement?Answer →
  100. 100A nurse is preparing to administer a hazardous IV medication to a client. Which of the following actions should the nurse take?Answer →
  101. 101A client has a prescription for heparin 1000 units IV STAT. Several prefilled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?Answer →
  102. 102The nurse is preparing to administer the morning medications, which includes amoxicillin. While preparing to administer the medication, the dietary staff delivers the patient's breakfast tray. Which action should the nurse implement?Answer →
  103. 103The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?Answer →
  104. 104The nurse is preparing to administer a newly prescribed medication that is highly protein bound. Review of the patient's laboratory results reveals hypoalbuminemia. Which concern is most important for the nurse to recognize before administering this medication?Answer →
  105. 105Ordered: Probenecid 3 G p.o. daily in a.m. Labeled: Probenecid 1.5 G per tablet How many tablets will the nurse give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  106. 106A male client receives a scopolamine transdermal patch 2 hours before surgery Four hours after surgery the client tells the nurse that he is experiencing pain and asks why the patch is not working Which action should the nurse takeAnswer →
  107. 107When the plasma level of a medication is above the therapeutic range, it is said to beAnswer →
  108. 108A nurse is preparing to administer a medication via the sublingual mucous membrane. Which rationale best explains why this route is chosen over oral administration?Answer →
  109. 109A patient receiving a unit of PRBCs for anemia begins to experience chills, fever, and lower back pain 15 minutes into the transfusion. What is the nurse's priority action?Answer →
  110. 110A nurse is caring for a client who is diagnosed with benign prostatic hyperplasia. The client refuses to take the prescribed medication and states they would like to try saw palmetto. Which of the following actions should the nurse take?Answer →
  111. 111A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline NS to be infused over 2 hours The IV administration set delivers 10 gtt/mL How many gtt/min should the nurse regulate the infusion Enter numerical value only If rounding is required round to the nearest whole numberAnswer →
  112. 112A nurse is preparing to administer a medication to a client. Using the rights of medication administration, which of the following actions should the nurse take to ensure the right medication is administered to the client?Answer →
  113. 113The healthcare provider ordered 1,200 mL 0.9% sodium chloride to infuse over 10 hours. The available tubing delivers 20 gtt/mL. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  114. 114The healthcare provider ordered 250 mL packed red blood cells to infuse over 3 hours. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  115. 115The nurse is administering an intradermal (ID) injection. Which action should the nurse take?Answer →
  116. 116A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?Answer →
  117. 117The healthcare provider ordered lorazepam 2 mg, IV, every 6 hours. The medication available is lorazepam 1 mg/mL vials. How many mL will the client receive each day? (If needed, round to the nearest whole number.)Answer →
  118. 118A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?Answer →
  119. 119Drug D is supplied as 100 mg/2 mL. The recommended safe dose is 5 mg/kg/day to be divided into 3 doses every 8 hours. The doctor orders this for a patient weighing 36 lbs. How many mL will you give the patient per day? How many mL will you give the patient for each dose? (Round to the nearest tenth).Answer →
  120. 120A nurse is assisting with providing teaching to a client who has a new prescription for an antibiotic. Which of the following statements should the nurse make?Answer →
  121. 121A nurse is reviewing the medication list of a client prescribed a new antibiotic. The client is also taking warfarin, prednisone, and grapefruit juice daily. Which potential drug interaction should the nurse prioritize and notify the healthcare provider about to prevent serious complications?Answer →
  122. 122A nurse is preparing to administer nafcillin 500 mg IM. Available is nafcillin powder for injection in a 2 g vial. The nurse reconstitutes the powder with 8 mL of sterile water for a concentration of nafcillin 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  123. 123The healthcare provider ordered trazodone 2 mg/kg PO three times daily. The client weighs 122 lbs. How many mg will the nurse administer each day? (If needed, round to the nearest whole number.)Answer →
  124. 124A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?Answer →
  125. 125A nurse is preparing to administer buspirone 100 mg PO every 12 hr to a client. The amount available is buspirone 25 mg/tablet. How many tablets should the nurse administer per dose? Enter whole number. Enter numeric value only (no commas or labels) tablet(s)Answer →
  126. 126A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?Answer →
  127. 127A child who weighs 44 pounds with otitis media receives azithromycin 10 mg/kg once, then daily for 4 days. The medication is 200 mg/5 mL. How many mL on day 1?Answer →
  128. 128A nurse is preparing to administer an intramuscular injection to an adult patient in the ventrogluteal site. Considering the patient's muscle size and subcutaneous tissue, which needle insertion angle should the nurse use to ensure proper medication delivery?Answer →
  129. 129A nurse is preparing to administer a prescribed medication that requires rapid absorption and a larger injection volume. Considering the differences between subcutaneous and intramuscular routes, which action should the nurse take to ensure optimal medication administration?Answer →
  130. 130The nurse is planning the home health care of a client who is receiving a mydriatic medication Which environment is best for this clientAnswer →
  131. 131A client diagnosed with primary open-angle glaucoma received a prescription for miotic eye drops. Which instruction should the nurse plan to include in this client's teaching?Answer →
  132. 132Ordered: Heparin 7,500 units subcutaneous every 6 hours Labeled: Heparin 5,000 units per 5 ml How many mLs will the nurse give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  133. 133A client who weighs 91 kg receives a prescription for a continuous infusion of dopamine at 3 mcgkgmin The solution is labeled Dopamine 400 mg in 5 Dextrose Injection 250 mL How many mLhr should the nurse program the infusion pump to deliver Enter numeric value only If rounding is required round to the nearest tenthAnswer →
  134. 134Order: Administer Vancomycin 1,200mg over 125 minutes. Available: Vancomycin 1,200mg in 284mL. How many mL/hr should the nurse set the IV infusion pump for? (1 mL/hr. Round your answer to 1 decimal place.)Answer →
  135. 135Ordered: Theophylline 0.2 G p.o. every 6 hours Labeled: Theophylline 100 mg per 5 mL How many mLs will the nurse give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  136. 136A nurse is preparing to administer medications to a client. Which of the following resources should the nurse use to check for medication incompatibilities?Answer →
  137. 137A patient receives basal insulin dosing and sliding-scale insulin with meals, three times a day. The sliding scale insulin order reads, "do glucose testing before meals. For glucose results over 150 mg/dl give regular insulin, 1 unit for every 20 mg/dl over 150 mg/dl. If the glucose level is 330 mg/dl, how many units will the patient receive?Answer →
  138. 138Ceftazidime 750 mg IV every 12 hours is prescribed for a client with an infection. The directions on the label are: Ceftazidime 750 mg vial — reconstitute with 100 mL sterile water. The reconstituted medication provides how many mg/mL? Enter numeric value only. If rounding is required, round to the nearest tenth.Answer →
  139. 139A client is receiving D5W at 125 mL/hour and a secondary infusion of pantoprazole 40 mg IV daily. The pharmacy provides a 110 mL premixed solution of pantoprazole to be infused over 15 minutes. The nurse should program the secondary infusion to deliver how many mL per hour? Enter numeric value only.Answer →
  140. 140The nurse is administering postop medications to a patient. She notices the medication has two names, acetaminophen (Tylenol). In this instance what is the name acetaminophen considered?Answer →
  141. 141A nurse is preparing to administer morphine to a client. Which of the following actions should the nurse plan to take?Answer →
  142. 142A nurse is preparing to administer cefazolin 1 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  143. 143After a seven day treatment with an IV antibiotic the healthcare provider discharges a client from the hospital and writes a prescription for an oral antibiotic While providing discharge instructions the nurse notes that the dosage for the oral antibiotic is significantly higher than the IV antibiotic Which resource should the nurse use first in resolving the situationAnswer →
  144. 144A patient is to receive enalapril (Vasotec) 5 mg IV every 6 hours. Each dose is given over 5 minutes. The medication is available in an injectable form, 1.25 mg/ml. Identify how many milliliters of medication will the nurse draw up for each dose.Answer →
  145. 145After a seven day treatment with an IV antibiotic the healthcare provider discharges a client from the hospital and writes a prescription for an oral antibiotic. While providing discharge instructions the nurse notes that the dosage for the oral antibiotic is significantly higher than the IV antibiotic. Which resource should the nurse use first in resolving the situation?Answer →
  146. 146A nurse is caring for a client who has a gonococcal infection and has been prescribed an IM injection of ceftriaxone. The client refuses the medication because they are afraid of needles. Which of the following responses should the nurse make?Answer →
  147. 147A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 mg/kg/dose IV STAT. The medication is available in 5 mg/mL vials. How many mL should the nurse administer? Enter numeric value only. If rounding is required, round to the nearest tenth.Answer →
  148. 148A nurse is admitting a 10-year-old child with Trisomy 21 (Down syndrome) of Asian descent to the pediatric inpatient unit for acute appendicitis. The nurse is gathering data regarding the cultural considerations that should be included in the plan of care. Which of the following actions by the nurse demonstrates appropriate cultural considerations for this child?Answer →
  149. 149A patient is to receive enalapril (Vasotec) 5 mg IV every 6 hours. Each dose is given over 5 minutes. The medication is available in an injectable form, 1.25 mg/mL. Identify how many milliliters of medication will the nurse draw up for each dose.Answer →
  150. 150Which of the meds would be considered an agonist?Answer →
  151. 151Ordered: Amoxil suspension 2000 mg p.o. every 8 hours Labeled: Amoxil suspension 2 G per 80 ml How many mLs will the nurse give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  152. 152A 22-year-old female presents for initiation of isotretinoin therapy for severe nodulocystic acne that has not responded to conventional treatment. Which of the following actions should the nurse practitioner take BEFORE prescribing this medication?Answer →
  153. 153The movement of a drug by the circulatory system to the intended site of action is what kind of pharmacokinetic action?Answer →
  154. 154Magnesium oxide 1200 mg PO daily to be divided into three equal doses is prescribed for the client. Each capsule contains 400 mg. How many capsules should the nurse administer with each dose? Enter numeric value only.Answer →
  155. 155The client has an order for chlordiazepoxide 100 mg IV. The medication available is chlordiazepoxide 50 mg/mL. How many mL will the nurse administer? (If needed, round to the nearest whole number.)Answer →
  156. 156The nurse is administering medications to the patient who is in end stage liver failure. The nurse is aware that patients with liver failure would most likely have problems with which pharmacokinetic phase?Answer →
  157. 157The client has an order for lorazepam 2 mg IV. The medication available is lorazepam 4 mg/mL. How many mL will the nurse administer?Answer →
  158. 158A patient is to receive heparin 3,500 units subcutaneously. The vial of heparin contains 5,000 units/2 mL. What will the nurse administer? Do not round.Answer →
  159. 159The patient is to receive medication H, ordered as 70 units/kg bolus followed by a continuous infusion at 25 units/kg/hour by way of IV pump. The patient weighs 212 lb. How many units should the patient receive as the bolus dose? How many units/hour will this patient receive? (Round to the nearest whole number.)Answer →
  160. 160What statement about parenteral drug administration is correct?Answer →
  161. 161The client has an order for 1,800 mL of Lactated Ringers to infuse over 12 hours. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  162. 162The healthcare provider (HCP) prescribes cyanocobalamin 100 mcg IM every 3 days for a client with pernicious anemia. The vial is labeled: Cyanocobalamin Injection USP 1 mg/mL. How many mLs should the nurse administer? Enter numerical value only. If rounding is required, round to the nearest tenth.Answer →
  163. 163A nurse is setting up a sterile field for a urinary catheterization procedure. Which action would NOT compromise the sterile field?Answer →
  164. 164A client taking a beta blocker reports dizziness and fatigue. Vital signs: BP 88/54, HR 48 bpm. What is the nurse's priority action?Answer →
  165. 165A nurse is reviewing a client's medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?Answer →
  166. 166The medication order reads, "Give simvastatin (Zocor) 30 mg daily at bedtime, PO." The medication is available in 20-mg tablets. Identify how many tablets the nurse will administer to the patient.Answer →
  167. 167Which aspect of pharmacology does the nurse use in understanding a medication's mechanism of action?Answer →
  168. 168The process of absorption as it refers to medications is…Answer →
  169. 169The client is requesting juice to take with a buccal medication dose. Which action should the nurse implement?Answer →
  170. 170Ordered: Orinase 1500 mg p.o. once daily Labeled: Orinase 0.5 G per tablet How many tablets will you give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  171. 171The nursing student is reviewing the concept of the first-pass effect. What statement describes this process?Answer →
  172. 172Ordered: Ilosone 0.75 G p.o. four times per day Labeled: Ilosone 125 mg per 5 ml How many mLs will you give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  173. 173A nurse is providing teaching to a client about total parenteral nutrition (TPN). Which of the following information should the nurse include?Answer →
  174. 174Which of the following steps should a nurse take to safely administer a potassium infusion? (Select all that apply)Answer →
  175. 175A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which of the following client findings should the nurse identify as an adverse effect of TPN administration?Answer →
  176. 176The client has an order for PO rivastigmine 12 mg divided into two doses. The medication available is 3 mg capsules. How many capsules will the nurse administer for each dose?Answer →
  177. 177A patient has an order for 500 mL of 0.45% saline to be infused over 6 hours. How many mL/hr should the IV pump be programmed for? (Round to the nearest whole number.)Answer →
  178. 178A nurse is providing education to a client who has been prescribed benzoyl peroxide for the treatment of acne vulgaris. Which of the following instructions is most important for the nurse to emphasize to prevent unwanted side effects?Answer →
  179. 179The client is requesting juice to take with a buccal medication dose Which action should the nurse implementAnswer →
  180. 180The nurse is preparing a client's dose of an IM analgesic in a single syringe The prescription is hydromorphone 4 mg and hydroxyzine 25 mg The hydromorphone ampule is labeled 10 mg/mL and the hydroxyzine is labeled 50 mg/mL How many mL in total should the nurse administer Enter numerical value only If rounding is required round to the nearest tenthAnswer →
  181. 181The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore Her husband expresses concern regarding the effectiveness and safety of using herbs How should the nurse respondAnswer →
  182. 182A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  183. 183A patient with rheumatoid arthritis has been taking naproxen for pain relief. During an assessment, the patient states: "I've been taking an antacid for some stomach upset. I also started crushing the naproxen tablets and mixing them in applesauce. I started exercising to help with the symptoms, and I've noticed some weight loss over the past 2 weeks." Which of the patient's statements requires further education from the nurse?Answer →
  184. 184Which property of a drug is most likely to reduce the risk of medication errors?Answer →
  185. 185A nurse is preparing to administer atropine 0.02 mg/kg via IV bolus to a school-age child who weighs 30 kg. Available is 0.4 mg/mL. How many mL should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if it applies. DO not use a trailing zero).Answer →
  186. 186A nurse is assessing a client who has a continuous IV infusion. The nurse should identify that which of the following findings is a manifestation of fluid overload?Answer →
  187. 187A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?Answer →
  188. 188Which assessment data indicates to the nurse that a client is having an anaphylactic reaction to a medication?Answer →
  189. 189A patient is to receive furosemide (Lasix) via a percutaneous endoscopic gastrostomy (PEG) tube. The order reads, "Give furosemide, 80 mg, per PEG tube once daily. The medication is available in a liquid form, 40 mg/5 mL. Identify how many milliliters the nurse will administer for each dose.Answer →
  190. 190A client is receiving one liter of D5W 0.45% normal saline IV every 8 hours by gravity infusion. The IV tubing has a drip factor of 12 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute? Enter numeric value only.Answer →
  191. 191A postoperative client has three different prescriptions for PRN analgesics prescribed for different levels of pain The nurse inadvertently administers a dose that is not within the prescribed parameters Which action should the nurse take firstAnswer →
  192. 192Which factor does the nurse recognize as having the greatest impact on the absorption of an orally administered medication?Answer →
  193. 193Vancomycin 250 mL over 2 hours, tubing 15 gtt/mL. Calculate the rate in gtt/min.Answer →
  194. 194The healthcare provider prescribes one liter of normal saline to infuse over 12 hours. The IV administration set delivers 20 gtt/mL. How many gtt/minute should the nurse regulate the infusion? Enter numeric value only. If rounding is required, round to the nearest whole number.Answer →
  195. 195Which statement best describes the term duration of action when referring to a medication?Answer →
  196. 196What term is used when some medications may not be safe for a patient who is breastfeeding?Answer →
  197. 197During the prodromal stage of an infection, which is the priority nursing intervention?Answer →
  198. 198The nurse is assessing factors that may affect the absorption of a drug that the nurse will soon administer. What factor should the nurse prioritize?Answer →
  199. 199A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?Answer →
  200. 200The healthcare provider ordered ketorolac 15 mg IV. The medication available is ketorolac 15 mg/mL. How many mL will the nurse administer?Answer →
  201. 201A provider orders doxycycline for a 2-year-old child, what is the next action by the nurse?Answer →
  202. 202A client is receiving one liter of D5W/0.45% normal saline IV every 8 hours by gravity infusion. The IV tubing has a drip factor of 12 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute? Enter numeric value only. If rounding is required, round to the nearest whole number.Answer →
  203. 203A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?Answer →
  204. 204A nurse is preparing to administer a subcutaneous injection to a patient with limited subcutaneous tissue. Which injection angle should the nurse use to ensure proper medication delivery while minimizing tissue trauma?Answer →
  205. 205A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?Answer →
  206. 206The healthcare provider prescribes cytovene 375 mg every 12 hours to infuse over 90 minutes. The pharmacy delivers cytovene 375 mg in a 150 mL IV bag. How many mL/hour should the nurse program the infusion pump? Enter a whole number only.Answer →
  207. 207A nurse is administering a unit of RBC 250 mL over 4 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr? Round to the nearest tenth. Enter numeric value and decimal if needed only (no commas or labels) mL/hrAnswer →
  208. 208What is the correct meaning of the term half-life?Answer →
  209. 209Ordered: Bicillin 750,000 units IM twice per day Labeled: Bicillin 1,500,000 units per 2 mL How many mLs will the nurse give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  210. 210A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?Answer →
  211. 211An adolescent with meningococcal meningitis is receiving a continuous IV infusion of penicillin G which is prescribed as 20 million units in a total volume of 2 liters of normal saline every 24 hours. The pharmacy delivers 10 million units/liter of normal saline. How many mL/hour should the nurse program the infusion pump? Enter numeric value only. If rounding is required, round to the nearest whole number.Answer →
  212. 212A client taking benztropine reports they have not urinated in 14 hours. What should the nurse do first?Answer →
  213. 213A nurse is completing an 8-hr I&O record for a client who consumed the following: 4 oz juice 8 oz hot tea 150 mL water IV bolus of 250 mL 4 oz broth 1 cup of coffee The nurse should record how many mL of intake in the client's record? Do not round answer. Enter numeric value only (no commas or labels) mLAnswer →
  214. 214When administering morning medications for a newly admitted patient, the nurse notes that the patient has an allergy to sulfa drugs. There is an order for the Sulfonylurea glyburide (DiaBeta). Which action by the nurse is correct?Answer →
  215. 215The healthcare provider ordered 2 L 0.9% sodium chloride to infuse at 125 mL/hr. The available tubing delivers 20 gtt/mL. At what rate will the nurse set the infusion? (If needed, round to the nearest whole number.)Answer →
  216. 216The nurse is preparing to administer enoxaparin 135 mg subcutaneously. The medication is available in a cartridge labeled 150 mg/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)Answer →
  217. 217A nurse administers the wrong dose of medication to a client. Which of the following actions should the nurse implement first?Answer →
  218. 218The healthcare provider prescribes ampicillin 140 mg intravenously (IV) every 8 hours for a child with meningitis. The vial is labeled Ampicillin 250 mg for reconstitution with 8.3 mL sterile normal saline for injection to yield a total solution concentration of 30 mg/mL. How many mL should the nurse administer? Enter the numeric value only. If rounding is required, round to the nearest tenth.Answer →
  219. 219The nurse is preparing to administer an antibiotic to a patient. The provider orders are to administer 750mg PO The medication is dispensed in a vial that contains 1 gram of antibiotic powder. After reconstitution, the concentration is 250mg/ml How many ml. should the nurse administer?Answer →
  220. 220A patient will be receiving amoxicillin suspension, 500 mg via a gastrostomy tube every 8 hours. The bottle of Augmentin liquid is labeled 250 mg/5 mL. What will the nurse administer for each dose? Do not round.Answer →
  221. 221A client scheduled for coronary artery bypass surgery (CABG) is to receive an IV infusion of cefazolin 1 gram in 50 mL 0.9% sodium chloride over 30 minutes. The nurse should program the infusion pump to deliver how many mL/hour? Enter numeric value only as a whole number.Answer →
  222. 222After an IV antibiotic is started, the nurse determines that the medication is not prescribed for the client and stops the infusion. Which action should the nurse implement next?Answer →
  223. 223A client is receiving a secondary infusion of vancomycin 1500 mg in 250 mL to be infused over two hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? Enter numeric value only. If rounding is required, round to the nearest whole number.Answer →
  224. 224A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The IV administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion? Enter numerical value only. If rounding is required, round to the nearest whole number.Answer →
  225. 225The client has an order for phenobarbital 150 mg orally. The medication available is 160 mg/2 mL. How many mL will the nurse administer?Answer →
  226. 226The client has an order for diazepam IV in 3 divided doses. The client weighs 72 lbs. The minimum therapeutic dose for diazepam is 0.12 mg/kg/day in 3 divided doses. What is the minimum therapeutic dosage of medication in mg that this client can receive per dose? (If needed, round to the nearest tenth.)Answer →
  227. 227A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?Answer →
  228. 228A bag of IV solution reads 45,000 units of Medication A in 500 mL of IV fluid. The physician orders the IV to infuse at 1,200 units/hr. How many mL/hr should this solution run? (Round to the nearest whole number.)Answer →
  229. 229The healthcare provider prescribes filgrastim 5 mcg/kg/day subcutaneous for a client who weighs 132 pounds and has just completed chemotherapy. The medication is available in Filgrastim 480 mcg/0.8 mL. How many mL should the nurse administer? Enter numerical value only. If rounding is required, round to the nearest tenth.Answer →
  230. 230A postoperative client has three different prescriptions for PRN analgesics prescribed for different levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. Which action should the nurse take first?Answer →
  231. 231A nurse is preparing to apply a topical medication for a patient with herpes simplex lesions. Which is the most important rationale for using the topical route in this scenario?Answer →
  232. 232A nurse is assessing a client who has a prescription for cofactor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?Answer →
  233. 233Which medication information helps the nurse maintain a serum drug level within the therapeutic index? (Select all that apply.)Answer →
  234. 234A 20-year-old female client is newly prescribed isotretinoin for the treatment of acne. Which statement is most consistent with the iPledge requirements?Answer →
  235. 235A nurse is preparing to administer an intramuscular injection to an adult patient with a high body mass index (BMI). Which needle length should the nurse select to ensure the medication is delivered into the muscle tissue effectively?Answer →
  236. 236How does the blood-brain barrier affect the entry of therapeutic agents into the brain?Answer →
  237. 237A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?Answer →
  238. 238Ordered: Vancomycin 2 g p.o. Q8H Labeled: Vancomycin 500 mg per 5 mL How many mLs will you give? If your answer is greater than 1, round to the nearest tenth. If your answer is less than 1, round to the nearest hundredth. Round all drop rate (gtt/min) calculations to the nearest whole number. Round unit calculations to the nearest whole number. Do not include units in your answer.Answer →
  239. 239Which of the following are the responsibility of the nurse when administering medications? (Select all that Apply)Answer →
  240. 240The healthcare provider prescribes a liter of normal saline 0.9% to be infused over 9 hours for a client who is NPO. The nurse should program the infusion pump to deliver how many mL/hour? Enter numeric value only. If rounding is required, round to the nearest whole number.Answer →
  241. 241A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?Answer →
  242. 242A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?Answer →