Nursing Leadership & Management
1.
When administering a subcutaneous injection of heparin, the nurse should use a(n)
2.
The nurse is preparing to administer a subcutaneous heparin injection. At which angle should the nurse insert the needle?
3.
A patient at the clinic is prescribed a Schedule III narcotic analgesic for chronic pain. The nurse should instruct the patient that the prescription will become void if not filled within
4.
Which of the following blood transfusion matches would cause a hemolytic reaction?
5.
The nurse accidentally administers the wrong dose of a medication. After assessing the client, which should be the nurse's next priority action?
6.
Before administering intravenous medication into an unused intravenous catheter, the nurse should flush the intravenous line with
7.
When preparing an intravenous medication from an ampule, the nurse should remember to
8.
A nurse is preparing to administer intravenous fluids that raise serum osmolarity in order to pull fluid into the vascular compartment. Which intravenous fluid should the nurse administer?
9.
When preparing to administer an intravenous pyelogram (IVP) drug, the nurse observes swelling at the patient's intravenous site. It feels cool and the patient reports mild discomfort. Which should the nurse do next?
10.
A nurse is preparing to administer an intramuscular injection and observes a few small air bubbles in the syringe. Small air bubbles will alter which aspect of medication administration?
11.
Which of the following must the nurse document when administering medications?
12.
A chest x-ray is ordered to confirm the placement of a central venous catheter. The tip of the catheter should be in the
13.
"Metoprolol, 5 mg IV, Now" is which type of medication order?
14.
"Acetaminophen 650 mg, PO, q4h, for temperature greater than 101.5" is which type of medication order?
15.
A nurse is preparing to administer bedtime medications to a patient. She finds a filled, unlabeled syringe in the patient's room. What action is most appropriate?
16.
When administering lipid emulsions via piggyback to a patient requiring total parenteral nutrition, the nurse remembers to
17.
A nurse is preparing an intravenous medication from a vial. After the nurse removes the cap from the unused vial, the nurse should
18.
A diabetic patient's blood glucose levels have been increasing so the doctor has written an order as follows: Regular insulin 5u subcut before meals. Lunch will arrive in 15 minutes, so the nurse draws up 50 units of regular insulin. The second verifying nurse questions the amount of insulin prior to administration. Which of the following demonstrates the correct way the order should have been written?
19.
A nurse is assessing her patient and notices the wrong intravenous fluids are infusing. Which actions should the nurse take?
20.
The physician orders guaifenesin, 3 teaspoons PO as needed. What is the conversion of 1 teaspoon to the metric system?
21.
A nurse is preparing to administer parenteral nutrition (PN) to a toddler. However, the patient does not have a central access, requiring the nurse to administer the PN via peripheral intravenous line (IV). What is the maximum safe glucose concentration that can be administered through a peripheral IV?
22.
The nurse is caring for a patient with an intravenous infiltration from normal saline. The nurse first stops the infusion. Which other action demonstrates an appropriate response?
23.
A nursing student is preparing an intravenous injection from an ampule. The nurse preceptor reminds the nurse to use a(n)
24.
A nurse administers 20 mg of morphine sulfate, orally (PO), to a patient. The nurse should reassess the patient's pain rating
25.
When giving an intramuscular (IM) influenza vaccine, the nurse should insert the needle at which angle?When giving an intramuscular (IM) influenza vaccine, the nurse should insert the needle at which angle?
26.
A nurse is administering purified protein derivative (PPD) tests to other health care workers. The nurse inserts the needle at which angle?
27.
The nurse in the intensive care unit (ICU) is caring for a patient in an induced comatose state. The patient has been in the ICU for 7 days and is receiving total parenteral nutrition therapy. The nurse knows that the risk factors for total parenteral nutrition include which of the following?
28.
A patient is admitted to the hospital with an international normalized ratio (INR) of 3.9, history of a gastrointestinal (GI) bleed, and osteomyelitis. The patient is complaining of bone pain, so the nurse prepares to administer morphine. Which route should be avoided?
29.
A nurse is caring for a group of patients requiring intravenous medication administration. Which of the following patients is most suitable for a central venous catheter?
30.
The nurse is preparing to administer a rectal medication. The nurse knows which is a common effect of per rectum drug administration?
31.
The nurse is discontinuing a central venous catheter. Which of the following steps should be taken?
32.
While preparing to administer an intradermal injection, the nurse attaches the syringe to a(n)
33.
A nurse is preparing a blood transfusion for an anemic patient. Which of the following blood transfusion matches would cause a hemolytic reaction?
34.
A nurse is preparing to administer intravenous fluids that will not alter serum osmolarity or pull fluid into or out of the intravascular space. Which fluid should the nurse administer?
35.
A nurse preceptor is teaching a student how to properly administer an extended-release tablet. Which of the following is true about extended-release tablets?
36.
A physician orders a blood transfusion for an anemic patient. Before transfusing the patient, the nurse should
37.
The physician orders morphine sulfate, 4 mg intravenous, for a patient with postoperative pain. The vial concentration is 10 mg/ml. What is the correct volume to administer?
38.
A nurse is preparing to administer an enema to a 9-year-old with severe constipation. Which of the following patient positions should be used?
39.
A patient is prescribed vitamin K, 5 mg intramuscularly (IM). Which of the following factors affects drug absorption when using the intramuscular route?
40.
A nurse administers a medication to a patient with pneumonia. Which of the following is the nurse responsible for documenting?
41.
When administering a heparin injection, the nurse minimizes pain by choosing which insertion site?
42.
While preparing to give an intramuscular (IM) injection with a volume of 2 ml to an adult, the nurse identifies which muscle as the first choice for administration?
43.
The nurse on a labor and delivery unit is caring for a patient admitted for induction of labor. The doctor has written an order as follows: "Start oxytocin 4cc/hr IV." The doctor's handwriting is small and difficult to read. The nurse initiates the infusion at a rate of 400 milliliters per hour. After 10 minutes, the patient is in severe pain and the fetus is in distress. Of the following, which is true regarding this adverse event?
44.
A nursing student is preparing an intramuscular (IM) injection and asks the preceptor which gauge of the needle to use? The preceptor replies
45.
A patient is receiving 1 unit of packed red blood cells. The patient develops signs of a hemolytic reaction. How should the nurse respond?
46.
After combining two intravenous medications into a single vial, how should the nurse mix the two solutions?
