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Medication I
1. 
A nursing student is preparing to administer an intramuscular (IM) injection to an infant. The nurse preceptor instructs the student to use which injection site?

2. 
When administering an intramuscular (IM) injection to an adult, the nurse ensures proper insertion depth by choosing a needle length of

3. 
A nurse is preparing to administer intravenous fluids that lower serum osmolarity and pull fluid into the intracellular space. Which fluid should the nurse administer?

4. 
The nurse is administering an insulin injection. The nurse decides the best site for this type of injection is the

5. 
A patient with a potassium level of 2.9 mEq/L is prescribed potassium chloride, 40 mEq IV. The patient only has a peripheral intravenous. The nurse should administer this medication

6. 
An elderly patient is admitted to the hospital after several adverse reactions to the prescribed medications. This patient may benefit from

7. 
The nurse is preparing to administer vancomycin, 500 mg IV, over 60 minutes. The solution is 250 ml and the intravenous tubing has a drip factor of 15 gtt/ml. What is the drip rate?

8. 
A nurse is preparing to administer a lipid emulsion to a patient requiring total parenteral nutrition (PN). Which of the following fatty acids is present in lipid emulsions?

9. 
A nursing student administers an intravenous medication but forgets to prime the syringe. The patient then becomes confused and pale. Suspecting an air embolus, which is the appropriate response?

10. 
After administering a subcutaneous injection, the nurse should recap the needle and save it for the next administration

11. 
The nurse should never recap a used needle as to prevent accidental needle sticks when attempting to recap it.

12. 
A nurse administering blood products should keep the infusion time under

13. 
A patient with a nasogastric (NG) tube has medications ordered. The nurse recognizes that which of the following medications can be administered through the NG tube:

14. 
A patient is receiving isotonic fluids intravenously at a rate of 150 ml/hour. Which of the following would indicate a need for more intravenous fluids?

15. 
The nurse is preparing to administer 500 ml of 5% dextrose in normal saline over 1 hour. The intravenous tubing has a drip rate of 15 gtt/ml. What is the drip rate?

16. 
Of the following, which intervention would be the highest priority before discontinuing an intravenous line?

17. 
A nurse is administering a vesicant chemotherapeutic agent. Which of the following actions is most important to protect the patient from extravasation?

18. 
The nurse reviews an order written by the doctor for a patient with pneumonia. The order is as follows: Levofloxacin 750 mg po qd X1 week. The order is forwarded to the pharmacy and put into the medication administration record (MAR) incorrectly as levofloxacin 750 mg 4 times per day for one week. Of the following, which is the correct way this order should have been written to avoid confusion?

19. 
While preparing to administer a subcutaneous injection, the nurse disinfects the injection site and waits for how long before administering the injection?

20. 
A patient receiving total parenteral nutrition is being discharged to home care. The nurse recognizes that preventing complications such as infection and metabolic imbalances are major concerns that must be included in the discharge plan. When conducting the discharge teaching, which of the following will the nurse emphasize?

21. 
Before administering medications, the nurse should assess the kidney and liver function of which of the following populations?

22. 
A physician orders morphine: 1 ml every 4 hours. Which of the following is true regarding this medication order?

23. 
A patient is prescribed lactated Ringer's solution, 2500 ml over 24 hours. The nurse sets the infusion rate at 125 ml/hour. The infusion will be complete in

24. 
While preparing to administer medication, the nurse safely verifies the patient's identity by

25. 
Of the following nursing diagnoses, which is most appropriate for the care plan of a patient having trouble remembering to take all of his medications?

26. 
A newly diagnosed type 1 diabetic requires education on insulin administration. Why should the nurse instruct the patient to rotate insulin injection sites?

27. 
A physician order reads "furosemide, 40 mg intravenously daily, times 4 days." Which type of medication order is this?

28. 
The nurse is preparing to administer potassium chloride, 20 mEq in 100 ml solution over 2 hours. The intravenous tubing has a drip rate of 15 gtt/ml. What is the drip rate?

29. 
A nurse is helping a patient and realizes the patient is receiving the wrong intravenous medication. The first action taken by the nurse should be to

30. 
A patient is developing hives after the administration of blood products. The physician has ordered a one-time dose of diphenhydramine. Which of the following side effects can the nurse expect?

31. 
A nurse receives an order for an intramuscular (IM) injection for a 3-year-old patient. Which of the following sites should the nurse use for the IM injection?

32. 
The nurse administers a purified protein derivative (PPD) test to a co-worker. The nurse will read the test at

33. 
A nurse is reviewing a physician order for a medication that she does not recognize. After the nurse looks up the medication in a drug reference with no success, which should she do next?

34. 
A nurse receives an order for an intramuscular (IM) injection for a 3-year-old patient. Which of the following sites should the nurse use for the IM injection?

35. 
A patient in diabetic ketoacidosis (DKA) with a urinary tract infection (UTI) needs an insulin infusion and intravenous antibiotics. The nurse is unsure if intravenous insulin is compatible with intravenous Azithromycin. How could the nurse verify intravenous compatibility?

36. 
The nurse is caring for a patient with a hydromorphone (Dilaudid) patient-controlled analgesia (PCA) set at a basal rate of 0.1 mg per hour, with a 0.1 mg bolus every 10 minutes. The nurse is concerned for opioid toxicity when she notes which of the following findings?

37. 
A nurse is preparing to administer a blood transfusion to an anemic patient. Which of the following interventions are necessary before starting the transfusion?

38. 
A newly diagnosed diabetic asks the nurse how much a unit of insulin is equal to. The nurse responds by explaining that a unit of insulin

39. 
After the insertion of a peripherally inserted central catheter, the nurse should

40. 
The nurse is administering hydromorphone, 1 mg orally (PO), to a patient with moderate abdominal pain. The nurse can expect the patient's pain to improve after

41. 
A patient has an elevated serum osmolality and a serum sodium level of 159 mEq/L. The most beneficial intravenous fluid would be

42. 
A medical-surgical unit is implementing a floor stock system for medications. Which of the following is an advantage of a floor stock system?

43. 
A nurse is preparing to give a suppository medication to a patient with diarrhea. Which approach is best?

44. 
A physician writes a pro ren nata (PRN), or as-needed, medication order. Which of the following should be included in the order?

45. 
While caring for a stable infant, the physician writes an order to start an intravenous infusion at 400 ml/hr. The nurse should question this order because infants are at risk for

46. 
The nurse is preparing to administer one unit of packed red blood cells. The nurse should include which of the following interventions?

47. 
The nurse withholds an ordered medication before the patient's scheduled procedure. What should the nurse do next?

48. 
A nurse on the psychiatric unit is caring for a patient with schizophrenia who recently started clozapine. Upon assessment, the patient has a temperature of 101.2 F, heart rate of 97 beats per minute, and a productive cough. The patient’s laboratory findings show hemoglobin 15 g/dL, hematocrit 42%, (white blood cell (WBC) of 1700/mm³, and ANC (absolute neutrophil count) of 700/mm³. The nurse suspects which of the following?

49. 
After administering morphine sulfate 3 hours ago, the patient complains of rapid onset pain rated as 8 out of 10. The nurse would consider this to be

50. 
After administering morphine sulfate 3 hours ago, the patient complains of rapid onset pain rated as 8 out of 10. The nurse would consider this to be

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