NUR 120 EXAM 2 NEWEST ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
After describing the process of drug absorption to a group of students, the instructor
determines the need for additional teaching when the students identify which process as
being involved? - ANSWERDistribution
Which client is most likely to experience the benefits of the placebo effect? - ANSWERA
client who states, "I know this drug is going to work for me"
A client has developed a tolerance to a drug. How should the nurse address this when
providing care? - ANSWERAssess whether the client needs larger doses to achieve the
effect.
The nurse is assessing factors that may affect the absorption of a drug that the nurse
will soon administer. What factor should the nurse prioritize? - ANSWERthe route of
administration that has been prescribed
A client in distress is brought to the emergency department by ambulance. Emergency
medical technicians state that an anaphylactic reaction from oral penicillin is suspected.
Which of the nurse's assessment findings best supports this diagnosis? -
ANSWERBlood pressure: 186/100 mm Hg, shortness of breath
A client is diagnosed with hypercholesterolemia and is prescribed a statin. As part of
client education, the nurse should teach the client to avoid eating: - ANSWERgrapefruit
A black male client asks the nurse why the health care provider orders a diuretic as part
of his treatment plan for hypertension, when the health care provider ordered an ACE
inhibitor for his friend with the same diagnosis. After consulting with the provider, how
would the nurse respond? - ANSWER"Diuretics are shown to be more effective than
ACE inhibitors for black males with hypertension."
,The nurse is assessing a client who is being admitted to the healthcare facility. When
asked about allergies, the client states, "I'm allergic to penicillin." What is the nurse's
best initial response? - ANSWER"Do you remember what happened the last time you
received penicillin?"
Why does the nurse need to be alert for any indication of an allergic reaction in clients?
- ANSWERto maintain the client's safety during drug therapy
What term is used to describe the physiological process of absorption, distribution, and
elimination of a drug in the body? - ANSWERpharmacokinetics
What does PRN stand for? - ANSWERpro re nata (as needed)
A nurse needs to administer a subcutaneous heparin injection to a client. Which
injection site is most suitable for heparin? - ANSWERabdomen
Which assessment should be conducted by the nurse before the nurse administers
tuberculin intradermal injection? - ANSWERchecking for documented allergies to food
or drugs
A health care provider who just arrived on the unit gives a verbal order to the nurse
regarding a nonemergent client situation. What is the nurse's appropriate response? -
ANSWERTactfully request the provider to input the order into the computerized provider
order system.
A client with a new diagnosis of glaucoma (increased pressure within the eye) has been
prescribed a medication that is to be administered by an eye drop. Which action should
the nurse perform? - ANSWEREnsure that drops of the medication fall onto the client's
conjunctival sac.
A nursing responsibility in managing IV therapy is to monitor the fluid infusions and to
replace the fluid containers as needed. What is an accurate guideline for IV
management that the nurse should consider? - ANSWERIt is the responsibility of the
nurse to provide ongoing verification of the IV solution and the infusion rate with the
physician's order.
A client who has been receiving a secondary infusion of a new antibiotic for several
minutes reports itching and a sensation of throat tightness. What is the priority nursing
intervention? - ANSWERStop the infusion of the antibiotic.
The nurse administers the client's scheduled morning medications. The previous dose
of antihypertensive was held due to a blood pressure that was too low according the
health care provider's parameters. What does the nurse do with this scheduled unit-
dose packaged antihypertensive medication? - ANSWERSet the antihypertensive dose
aside pending assessment.
,The nurse has given a client an injection. How will the nurse prevent an accidental
needle stick? - ANSWERImmediately activate the safety needle and place the syringe
and needle into a Sharps container
A medication order has ac written after the medication dosage. What does ac stand for?
- ANSWERbefore meals
What is the term used for the amount of time it takes for 50% of the blood concentration
of a drug to be eliminated from the body? - ANSWERhalf life
Which resource(s) does the nurse utilize to identify the right client when administering
medications? Select all that apply. - ANSWERIdentification bracelet
Verbal statement from the client verifying name and date of birth
Electronic medication record with personal identifiers
A nurse is providing care for a client who has a history of dementia. Which method
should the nurse use in order to determine the client's identity prior to medication
administration? - ANSWERcheck patients ID band
The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example
of which type of order? - ANSWERstanding order
Which "rights" are included in the "six rights for medication administration"? Select all
that apply. - ANSWERRight time
Right dose
Right route
Right medication
Which contains all the components of a valid order? - ANSWERJohn Smith, Atenolol 50
mg, twice a day, by mouth
The nurse has inadvertently administered medication ordered for Client A to Client B.
What is the appropriate nursing action? Select all that apply. - ANSWERassess Client B
thoroughly.
Complete an incident report.
Contact the provider to report the error
A postoperative client's medication administration record (MAR) provides for PRN
administration of a number of analgesics by various routes. Which action should the
nurse take to assess the client's pain to determine the appropriate analgesic to
administer? - ANSWERThe nurse will have the client rate pain on the pain scale of 1 to
10 and proceed accordingly.
What is the term used for the concentration of drug in the blood serum that produces
the desired effect without causing toxicity? - ANSWERtherapeutic range
, The nurse is preparing supplies for a tuberculosis screening. The nurse should choose
which syringes and needles? - ANSWER1 mL syringe; ½-inch (1.25-cm), 26-gauge
needle
A client who has been prescribed an inhaler points to the spacer and asks, "What is this
for?" What is the appropriate nursing response? - ANSWERMedication stays in the
chamber so you can continue to inhale it."
The nurse is caring for a client with a secondary urinary tract infection for which
amoxicillin 250 mg PO has been prescribed. The nurse recognizes this as a drug that is
routinely administered every 8 hours; however, the prescription does not state the
frequency of administration. The health care provider is no longer present. What is the
appropriate nursing action? - ANSWERContact the health care provider to clarify the
prescription by reading back to the provider, update the electronic medical record
(EMR) while on the phone, then document it was a phone prescription.
3 main types of wound healing - ANSWERPrimary, secondary and tertiary
3 phases of wound healing - ANSWERinflammatory, proliferative, remodeling
What happens in the inflammatory phase? - ANSWERControl the bleeding, establish
clean wound bed and it's lasts 1-5 days
What happens in the proliferating phase? - ANSWER"Rebuilding phase" days 6-21.
Granulatation, epithelialization, contraction,
What is the remodeling phase? - ANSWERFinal phase of full thickness repair.
3 weeks - 2 years
It replaces Connective tissue and strength is acquired within 3 months
But it will NEVER be as strong as the original tissue
Full thickness repair and keloid scar
What is granulation? - ANSWERTissues fill the wound with vessels and connective
tissue
What is Contraction of wound? - ANSWERWound edges pull together to reduce the
size of the wound opening
Days of the phases of wounds - ANSWERInflammatory- 1-5 days
Proliferative 6 - 21 days
Remodeling phase 3 weeks - 2 years
What are the factors affecting wound healing - ANSWERTissue perfusion(passage of
blood in the capillary tissue), nutritional status, diabetes mellitus, corticosteroids, and
age
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