NS520 - Exam 1 Latest Update 2024-2025 Actual
Exam 225 Questions and 100% Verified Correct
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4 Special considerations for administering meds to Elderly patients - CORRECT
ANSWER: 1. Go low and slow
2. Commonly have slower absorption and a prolonged duration of action
3. Commonly have decreased liver and renal function which may effect metabolism and
excretion of drug
4. Remember to consider economics, social determinants of health, health literacy
4 Special considerations for administering meds to Pediatric Patients - CORRECT
ANSWER: 1. Do not put medications in common, necessary foods
2. Never refer to medication as candy
3. Acknowledge and assist with discomfort
4. Medications based on weight
4 special considerations for administering meds to Pregnant Patients - CORRECT
ANSWER: 1. Know the pregnancy category of every drug you administer to a woman of
child-bearing age
2. Be aware of which OTC and Px drugs are considered safe for pregnancy
3. Know if patient is breastfeeding
4. Know if patient is sexually active, uses birth control, and when last period was
6 Rights of Medication Administration - CORRECT ANSWER: Right:
1. Patient
2. Drug
3. Dose
,4. Route
5. Time
6. Documentation
A client who lives at high altitude may normally have an increased Hgb and RBC count
because:
1. High altitudes cause vascular fluid loss, leading to hemp concentration
2. Hypoxia caused by decreased atmospheric O2 stimulates erythropoietin
3. The function of the spleen in removing old RBCs is impaired at high altitudes
4. Impaired production of platelets leads to proportionally higher RBC counts -
CORRECT ANSWER: Answer - 2
Air is "thinner" at high altitudes meaning there are fewer oxygen molecules per volume
of air - when O2 levels become low, the kidneys release Erythropoietin (EPO), which
triggers the production of more RBCs to aid in oxygen delivery to the muscles
A new graduate nurse is administering a rectal suppository as ordered. The new
graduate nurse has followed the appropriate guidelines when they perform the following
steps: Select all that apply.
A. Identify the client using at least two patient identifiers
B. Apply lubrication to the suppository prior to administration
C. Observe the client post administration for symptoms such as a bowel movement or
relief of nausea
D. Ensure that the lightening is adequate to visualize the anus
E. Review the medical history of the patient prior to administration - CORRECT
ANSWER: Answer: A, B, C, D, E
,A nurse accidentally gives a patient the medications that were ordered for the client's
roommate. What is the nurse's first priority?
A. Complete an incident (occurrence) report
B. Notify the health care provider
C. Inform the charge nurse of the error
D. Assess the Patient for adverse effects - CORRECT ANSWER: Answer - D
Always Assess first
A nursing student is administering medications through a gastric tube (G-tube). Which of
the following actions by the nursing student requires the instructor to intervene?
A. The nursing student places all meds in different medicine cups
B. The nursing student evaluates each medication and holds the feeding tube before
administering a medication that needs to be administered on an empty stomach
C. The nursing student flushes the tube with 30 mL of water between each medication
D. The nursing student crushes a nifedipine extended release tablet and flushes with 30
mL of water prior to prevent clogging - CORRECT ANSWER: Answer - D
A patient with a gunshot wound to the right side of the chest arrives in the emergency
department with severe shortness of breath and decreased breath sounds on the right
side of the chest. Which action should the nurse take immediately?
A. Cover the chest wound with a nonporous dressing taped on three sides.
B. Pack the chest wound with sterile saline soaked gauze and tape securely.
C. Stabilize the chest wall with tape and initiate positive pressure ventilation.
D. Apply a pressure dressing over the wound to prevent excessive loss of blood. -
CORRECT ANSWER: Answer: A. The patient has a sucking chest wound (open
pneumothorax). Air enters the pleural space through the chest wall during inspiration.
Emergency treatment consists of covering the wound with an occlusive dressing that is
secured on three sides. During inspiration, the dressing pulls against the wound,
, preventing air from entering the pleural space. During expiration, the dressing is pushed
out and air escapes through the wound and from under the dressing.
A student nurse is administering a medication and the client states, "this pill looks
different from the pill that i usually take." The best response from the nurse is:
A. Assure the client it is the correct medication
B. Tell the client the hospital uses a different pharmacy
C. Recheck the order
D. Show the client the medication packet - CORRECT ANSWER: Answer - C
Whenever in doubt, recheck. Patient knows their body best, so if unsure about
something always double check
After receiving a change-of-shift report for several patients with neutropenia, which
patient should the nurse assess first?
A. 33-year-old with a temp of 100.4˚ F
B. 56-year-old with a new episode of diarrhea
C. 66-year-old who has thrush
D. 23-year-old complaining of sever fatigue - CORRECT ANSWER: A - 33-year-old with
temp of 100.4˚ F
Risk for infection in these patients - high temp is highest concern b/c know infection
present
As you're evaluating teaching for a patient with iron deficiency anemia, you determine
more instruction is needed if the client says:
A. My stools will likely turn a tarry, black color soon
B. I can take the iron and my calcium supplements at the same time
C. I will increase my fluid and fiber intake as long as I am on the iron
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