ENWE Exam Quiz 3 with 100% Correct Answers.
A nurse has received a new order. The order reads amoxicillin 250 mg PO every eight hours. The pharmacy has125 mg chewable amoxicillin tablets in stock. How many tablets should the nurse will administer? - CORRECT ANSWER 2 tablets
A client is prescr...
ENWE Exam Quiz 3 with 100% Correct
Answers.
A nurse has received a new order. The order reads amoxicillin 250 mg PO every eight hours. The
pharmacy has125 mg chewable amoxicillin tablets in stock. How many tablets should the nurse will
administer? - CORRECT ANSWER 2 tablets
A client is prescribed an IV infusion of D ¼ NS at 150 mL/hr. There are no IV pumps available, so the
nurse must hang the solution on gravity ow tubing. The tubing has a drop factor of 10 gtt/mL. The nurse
should adjust the IV to run at how many gtt/min? - CORRECT ANSWER 25 gtts/min
A nurse is assessing a client who has numerous bruises on his upper extremities. The client reports that
he has taken warfarin (Coumadin) daily for the past 3 months. Which of the following statements by the
client indicates the client needs further teaching? - CORRECT ANSWER "I have started taking ginger root
to treat my joint stiffness."
A nurse is talking with a client who is about to start taking allopurinol (Zyloprim) to treat gout. Which of
the following statements indicates that the client understands how to take this medication? - CORRECT
ANSWER "I need to drink at least 3 quarts of water a day."
A client is receiving pancreatic enzymes as a digestive aid. The nurse should tell the client expect which
of the following gastrointestinal changes? - CORRECT ANSWER Decreased fat in stools
A nurse is caring for a client who is hospitalized with deep vein thrombosis and has been on IV heparin
for 5 days. The provider prescribes oral warfarin (Coumadin) without discontinuing the heparin. The
client asks the nurse why both anticoagulants are necessary. Which of the following is an appropriate
nursing response? - CORRECT ANSWER "The Coumadin takes several days to work so the IV heparin will
be used until the coumadin reaches a therapeutic level."
A nurse is caring for a client who is to receive liquid medications via gastrostomy tube. The client is
prescribed phenytoin (Dilantin) 250 mg. The nurse has available unit dose vials of phenytoin that are
labeled 125 mg/5 mL. How many mL should the nurse administer per dose? - CORRECT ANSWER 10 ml
,A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which
of the following? - CORRECT ANSWER Move the decimal point 3 places to the right
A nurse is preparing to administer potassium chloride (KCL). The provider prescribes potassium chloride
(KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. How many milliliters
should the nurse administer? - CORRECT ANSWER 2 mL
A provider prescribes 2 g of a medication to give to a client in eight divided doses over the next 24 hr.
How many mg should the nurse administer for each dose? - CORRECT ANSWER 250 mg
Which of the following are appropriate references for the nurse to use to ensure safe medication
administration? (Select all that apply.) - CORRECT ANSWER - Published journals
- Pharmacists
- Physicians' Desk Reference
A newborn who weighs 1,260 g on admission is prescribed a dose of cephazolin (Kefzol). The safe dose
of cephazolin for a newborn is 50 mg/kg. How many mg does the nurse determine is a safe dose to
administer to the newborn? - CORRECT ANSWER 63 mg
A nurse is reinforcing medication instruction to a group of clients. Which of the following statements
indicates a need for further clarication? - CORRECT ANSWER "I will take aspirin for headaches like I did
when I had a stroke."
A nurse is preparing to administer potassium chloride (KCL) The provider prescribes potassium chloride
(KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. Which of the following
should the nurse administer? - CORRECT ANSWER 2 mL
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What
is the sequence of events the nurse should follow? (Move the steps of mixing insulin on the left into the
box on the right, placing them in the selected order of performance. All steps must be used.) - CORRECT
ANSWER 1- Inspect vials for contaminants.
2- Roll NPH vial between palms of hands.
3- Inject air into NPH insulin vial.
4- Inject air into regular insulin vial.
,5- Withdraw short-acting insulin into syringe.
6- Add intermediate insulin to syringe.
A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best
determines therapeutic client response to this medication? - CORRECT ANSWER 0 rating on pain scale
Calculate the drops per minute of an IV bolus of 500 ml of LR to be infused over 3 hours using 20
drop/ml tubing. - CORRECT ANSWER 56 gtts/min
A nurse receives a new prescription from the provider which reads "give 14 units of regular insulin and
28 units of long-acting insulin to be given subcutaneously at the breakfast hour." What is the total
number of units of insulin that the nurse will prepare in the insulin syringe? - CORRECT ANSWER 42 units
A client is prescribed an IV drip medication to infuse at 4 mcg/min to maintain the diastolic blood
pressure of less than 80 mmHg. The solution strength is 6 mg in 1000 mL 5% dextrose in water. Calculate
the rate of infusion mL/hr. - CORRECT ANSWER 40 mL
A nurse is preparing to administer lidocaine 2 g in dextrose 5% in water 500 mL IV to infuse at the rate of
2 mg/min. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole
number.) - CORRECT ANSWER 30 mL/hr
A nurse is caring for a client who is taking lisinopril (Zestril). Which of the following outcomes should the
nurse anticipate? - CORRECT ANSWER Decreased blood pressure
A nurse is caring for a client who takes levothyroxine (Synthroid) 88 mcg/day PO, furosemide (Lasix) 100
mg/day PO, acyclovir (Zovirax) 200 mg PO BID, and cimetidine (Tagamet) 300 mg PO QID. Which one of
the following medications poses the highest risk for life-threatening adverse effects? - CORRECT
ANSWER Furosemide
A client has been taking omeprazole (Prilosec) for the past 4 weeks. The nurse determines that the
medication is effective when the client reports relief from - CORRECT ANSWER acid indigestion
A nurse is caring for a client that is experiencing Cushing's Triad following a subdural hematoma. The
client exhibits a widening pulse pressure (increased systolic and decreased diastolic blood pressure), a
, decrease in pulse rate, and altered respiratory pattern. Which of the following should the nurse
administer? - CORRECT ANSWER Mannitol 25%
Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following
medications should the nurse have on hand in the event of an overdose? - CORRECT ANSWER Vitamin K
The nurse is preparing a medication and observes the date of expiration on the vial occurred two
months ago. Which action should the nurse perform? - CORRECT ANSWER Return the medication to the
pharmacy.
A nurse is caring for a client who is receiving a unit of packed RBC. The nurse notices the client's face is
flushing and he begins to report low back pain. Which of the following actions is the nurse's priority? -
CORRECT ANSWER "Stop the transfusion"
A nurse is teaching a client about the side effects of taking tamoxifen (Nolvadex) to treat breast cancer.
Which client statement indicates understanding of the possible effects? - CORRECT ANSWER "I will call
my doctor if i notice any unusual menstrual bleeding"
A home health nurse is reviewing the medication list of an older adult client who reports falling a couple
of times over the past week. Which of the following meds should the nurse suspect is contributing to the
client's falls? - CORRECT ANSWER "Alprazolam"
A nurse is teaching a client who is about to start therapy with alendronate (Fosamax) to treat
osteoporosis. Which of the following adverse effects should the nurse instruct the client to report? -
CORRECT ANSWER "Jaw pain, blurred vision, dysphagia"
A nurse at a family practice clinic receives a call from a client who is taking oral contraceptives but forgot
to take one oral contraceptive pill. which of the following instructions should the nurse give her? -
CORRECT ANSWER "Take the missed dose along with the next dose."
A nurse is caring for a client. The client states, " I don't want to take my medication." Which of the
following actions should the nurse take? - CORRECT ANSWER "Document that the client refuses the
medication"
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