NSG 3100 Exam 3
Supplemental with complete
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The nurse identifies which medication that has the highest potential
for abuse?
a. Methylphenidate (Ritalin)—schedule II
b. Alprazolam (Xanax)—schedule IV
c. Acetaminophen & codeine (Tylenol #3)—schedule III
d. Diphenoxylate & atropine (Lomotil)—schedule V - answer a
The nurse is caring for a patient who will self-administer medication
injections at home after discharge. How can the nurse best
determine that the patient understands the technique and can
administer the injections correctly?
a. Provide written instructions about how to administer the
injections.
b. Watch the patient self-administer an injection.
c. Call the patient the next day to ask if there is any difficulty with
administering the injections.
d. Ask the patient to express understanding as to how to administer
the injections. - answer b
The nurse is caring for a patient who is in agonizing pain. All the
following options are listed on the patient's medication order sheet
to relive pain. The nurse knows which option that will provide the
most rapid pain relief for the patient?
a. Morphine (MSContin) 10 mg PO
b. Hydromorphone (Dilaudid) 1 mg IV push
,c. Meperidine (Demerol) 75 mg IM
d. Fentanyl (Duragesic) 50 mcg transdermal patch - answer b
The nurse administers a medication to a patient. Shortly afterward,
the patient develops an itchy rash over the entire body and reports
feeling very unwell. What is the priority action of the nurse?
a. Leave the patient to notify the provider and the pharmacist.
b. Determine if the patient is having any difficulty breathing.
c. Document the reaction in the patient's chart.
d. Obtain an order for hydrocortisone cream to relieve the itching. -
answer b
The nurse identifies which medication order to be administered
PRN?
a. Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep
b. Prednisone 10 mg PO today, then taper down 1 mg each day for
the next 10 days
c. Humulin R 10 units subcutaneously before each meal and at
bedtime
d. Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery - answer a
After administering an antibiotic to the patient, the nurse notes the
patient complaining of feeling ill, is scratching and has hives. The
patient soon starts having difficulty breathing and is hypotensive.
What is the nurse's assessment of the situation?
a. The patient is having a mild allergic reaction and an
antihistamine will make the patient feel better.
b. The patient is having an anaphylactic reaction and epinephrine
should be administered right away.
c. The patient's infection is worsening and progressing to septic
shock so blood cultures should be drawn.
d. The patient has developed toxic shock syndrome and the
antibiotic orders must be changed right away. - answer b
, The nurse makes a medication error. Which action will the nurse
take first?
a. Prepare an incident report.
b. Explain to the patient that a medication error has occurred.
c. Assess the patient for any adverse reactions.
d. Document the medication given, the response, and corrective
actions taken. - answer c
The nurse begins a shift on a busy medical-surgical unit and will be
caring for multiple patients. Which patient does the nurse assess
first?
a. A patient who would like some acetaminophen (Tylenol) for a mild
headache.
b. A patient who has a question about her daily medications.
c. A patient who needs discharge teaching about an antibiotic.
d. A patient who just received nitroglycerin for chest pain. - answer
d
The nurse carefully reviews the patient's medication list. Which
observation about the list indicates the highest risk for serious
drug-drug interactions?
a. The patient has been taking the same medications for a long
time. b. The patient is taking a large number of medications.
c. Most of the drugs on the list are prescribed at high doses.
d. The patient takes oral, injected, and inhaled medications. -
answer b
The nurse is caring for a patient who is taking many prescription
medications for various health problems. Which direction from the
nurse will help the patient avoid dangerous drug interactions?
a. Only take over-the-counter medications.
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