NURS 230 Exam 2 review questions with complete solutions
A nurse is preparing to administer a medication that is excreted by the kidneys and requires dosage adjustment for impaired kidney function. What lab value should the nurse check?
A. billirubin
B. creatinine C. potassium D. white blood cells Correct Answer-C. creatinine
The nurse reviews an order and finds the medication amount is higher than the standard dose. What should the nurse do?
A. give the standard dose instead of the ordered dose B. ask the nursing supervisor for a second opinion C. call the provider to discuss the order D. administer the medication as ordered Correct Answer-C. call the provider to discuss the order
Another nurse hands you an unlabeled, filled syringe and tells you it is furosemide 40mg which is ordered STAT for one of your patients. What action should you take?
A. discard the syringe B. obtain a label for the syringe C. administer the medication in the syringe D. verify the contents of the syringe with another nurse Correct Answer-A. discard the syringe The nurse is administering a rectal suppository. How far will the nurse insert the suppository? A. past the internal sphincter B. just past the opening of the anus C. far enough to still visualize the end of the suppository D. until the client reports feelings of discomfort Correct Answer-A. past the internal sphincter
A nurse is teaching a patient how to use a metered dose inhaler. which instruction should be included? A. be careful not to shake the inhaler before using it B. inhale quickly through the mouth C. give all ordered puffs with the same breath D. hold breath for 10 seconds before exhaling Correct Answer-D. hold breath for 10 seconds before exhaling
A patient with a new diagnosis of diabetes mellitus has received teaching on insulin. Which patient statement indicates the patient understands what they have been taught?
A. "I will take insulin until my blood sugars are normal"
B. "I will take my medication sin between meals for the maximum effect"
C. "I will mix insulin glargine with insulin lispro at bedtime"
D. "I will test my glucose level before meals and using sliding scale insulin" Correct Answer-D. "I will test my glucose level before meals and using sliding scale insulin"
A patient is ordered insulin. Which of the following demonstrate appropriate administration? A. using a 1 inch needle to give in the shoulder B. using a 1 1/2 inch needle to give in the abdomen C. using a 3/8 needle to give in the forearm D. using a 5/8 needle to give in the upper thigh Correct Answer-D. using a 5/8 needle to give in the upper thigh
A male patient who is high-risk for falls is unable to void. The nurse assists him top stand at the bedside but he can't void with someone else in the room. What is the nurse's BEST action? A. Leave the room after making sure the patient can reach the call bell B. Pretend to leave the room but stand on the other side of the curtain C. Ask the patients wife to stay with him as he voids
D. stand beside the patient while he attempts to void Correct Answer-D. stand beside the patient while he attempts to void
A nurse is caring for an alert, ambulatory, older resident who voids frequently and has difficulty making it to the bathroom in time. Which nursing intervention would
be MOST helpful for this patient?
A. teach the patient that incontinence is a normal part of aging B. ask the patient's family to purchase incontinence pads for the patient C. teach the patient to perform Kegel exercises everyday
D. insert an indwelling catheterizations to prevent skin breakdown Correct Answer-C. teach the patient to perform Kegel exercises everyday
Before bed, a post-op patient states that morphine lasts about 3 hours. I don't want to be woken up but give me another dose at midnight. What does the nurse do? Correct Answer-do not give the med while the patient is asleep. you need to reassess the pain and make sure that you are not over sedating the patient. either wake them up or wait til they wake up
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