Tiêu đề RECALLS 9 (NP1) - STUDENT COPY ✅

2 | Page C. Jacket restraint D. Mitt restraint 14. Which time of day is of most concern for the nurse when trying to protect a patient with dementia from injury? A. Afternoon B. Morning C. Evening D. Night 15. Which human response to illness alerts the nurse that a patient has the greatest risk for aspiration during meals? A. Bulimia B. Lethargy C. Anorexia D. Stomatitis 16. What clinical manifestation indicates that a further nursing assessment is necessary to determine if the patient is having difficulty swallowing? A. Debris in the buccal cavity B. Abdominal cramping C. Epigastric pain D. Constipation 17. A toaster is on fire in the pantry of a hospital unit. What should the nurse do first? A. Unplug the toaster B. Activate the fire alarm C. Put out the fire with an extinguisher D. Evacuate the patients from the room next to the kitchen 18. The nurse is caring for a patient with a nasogastric tube for gastric decompression. Which nursing action takes priority? A. Discontinuing the wall suction when providing care B. Positioning the patient in the semi-Fowler position C. Instilling the tube with 30 mL of air every 2 hours D. Caring for the nares at least every 8 hours 19. An unconscious patient begins vomiting. In which position should the nurse place the patient? A. Supine B. Side-lying C. Orthopneic D. Low Fowler 20. A school nurse is teaching children about fire safety procedures. What is the first thing they should be taught to do if their clothes catch on fire? A. Yell for help B. Roll on the ground C. Take their clothes off D. Pour water on their clothes Situation: A nurse working in a busy hospital unit is preparing and administering various medications, focusing on safe and effective techniques for injection, oral, and topical routes. The following questions will assess key nursing actions related to medication administration. 21. The instructions with a medication states to use the Z-track method. What should the nurse do that is specific to this procedure? A. Pinch the site throughout the procedure B. Massage the site after the needle is removed C. Remove the needle immediately after the medication is injected D. Change the needle after the medication is drawn into the syringe 22. A nurse instructs a patient to close the eyes after the administration of eye drops. What rationale for this instruction should the nurse explain to the patient? A. Limits corneal irritation B. Squeezes excess medication from the eyes C. Disperses the medication over the eyeballs D. Prevents medication from entering the lacrimal duct 23. A nurse is assessing a patient for the appropriateness of administering a medication via the oral route. What clinical manifestation indicates that the nurse should ask the practitioner for a change in route? A. Nausea B. Unconsciousness C. Gastric suctioning D. Difficulty swallowing 24. A practitioner prescribes a medication that must be administered via the intramuscular route. Which site should the nurse eliminate from consideration because it has the highest potential for injury when administering an intramuscular injection? A. Vastus lateralis B. Rectus femoris C. Ventrogluteal D. Dorsogluteal 25. It is most important for the nurse to use a filtered needle when preparing a parenteral medication that: A. Has to be reconstituted B. Is supplied in an ampule C. Appears cloudy in the vial D. Is to be mixed with another medication 26. A practitioner prescribes nose drops to be administered twice a day. What should the nurse do when instilling nose drops? A. Place the patient in the supine position with the head tilted backward B. Pinch the nares of the nose together briefly after the drops are instilled C. Instruct the patient to blow the nose 5 minutes after the drops are instilled D. Insert the drop applicator 1/8 inch into the nose toward the base of the nasal cavity 27. A nurse holds a bottle with the label next to the palm of the hand when pouring a liquid medication. What is the rationale for this action? A. Conceal the label from the curiosity of others B. Prevent the soiling of the label by spilled liquid C. Ensure the accuracy of the measurement of the dose D. Guarantee the label is read before pouring the liquid 28. A nurse must administer a medication into the ear of an adult. What should the nurse do to limit patient discomfort when administering ear drops? A. Warm the solution to body temperature B. Place the patient in a comfortable position C. Pull the pinna of the ear upward and backward D. Instill the fluid in the center of the auditory canal 29. A nurse is to administer an eye irrigation to a patient’s right eye. What should the nurse do? A. Direct the flow of solution from the inner to the outer canthus B. Irrigate with an asepto syringe several inches from the eye C. Don sterile gloves before beginning the procedure D. Position the patient in a right lateral position 30. A nurse must reconstitute a powdered medication. What should the nurse do? A. Keep the needle below the initial fluid level as the rest of the fluid is injected B. Instill the solvent that is consistent with the manufacturer’s directions C. Score the neck of the ampule before breaking it D. Shake the vial to dissolve the powder 31. A nurse is preparing to administer a tablet to a patient. When should the nurse remove the medication from its unit dose package? A. Outside the door to the patient’s room
3 | Page B. At the patient’s bedside C. In the medication room D. At the medication cart 32. A nurse prescribes a rectal suppository for an adult patient. What should the nurse do when administering the rectal suppository? A. Lubricate the medication before insertion B. Warm the medication to body temperature C. Insert the medication just inside the rectum’s external sphincter D. Place the patient in the prone position to administer the medication 33. What should the nurse do to limit discomfort when administering an injection? A. Pull back on the plunger before injecting the medication B. Apply ice to the area before the injection C. Pinch the area while inserting the needle D. Inject the medication slowly 34. A nurse is preparing to administer a subcutaneous injection of insulin. What site should the nurse use to best promote its absorption? A. Upper lateral arms B. Anterior thighs C. Upper chest D. Abdomen 35. What should the nurse do to reduce skin discoloration when administering an iron injection? A. Apply ice to the area before the injection B. Massage the injection site after administration C. Inject the medication slowly and deeply into the muscle D. Choose a site with good circulation and avoid massaging afterward Situation: A nurse working on a medical-surgical unit is preparing to administer medications to patients who are on various prescriptions. The nurse is focused on safe administration and monitoring for potential side effects, especially with high-risk medications. 36. A practitioner prescribes aluminum hydroxide/magnesium hydroxide (Maalox) tablets, an antacid agent, for a patient with symptoms of indigestion. What is the most important thing the nurse needs to teach this patient to do? A. Document the characteristics of gastric discomfort in a log B. Notify the practitioner if coffee-ground vomitus occurs C. Take the drug an hour before meals D. Swallow the tablets whole 37. A nurse, working on an infection disease unit, routinely administers antibiotics. Which nursing action is most important in relation to the administration of most antibiotics? A. Assessing for constipation B. Administering between meals C. Encouraging foods high in vitamin K D. Monitoring the volume of urinary output 38. A nurse is preparing to administer an injection of heparin (Hep-Lock). What is the preferred site for this injection? A. Leg B. Arm C. Buttock D. Abdomen 39. A nurse in the hospital is evaluating patient responses to medications. Which classification of drugs commonly precipitates diarrhea as an adverse effect? A. Sedatives B. Narcotics C. Antibiotics D. Antiemetics 40. After administering a drug, the nurse monitors the patient for reactions. Which reaction has the greatest potential to be life-threatening? A. Toxicity B. Habituation C. Anaphylaxis D. Idiosyncratic 41. A patient in pain requests the prescribed pain medication, which is an opioid. Which nursing assessment is essential before administering the opioid? A. Pulse B. Respirations C. Temperature D. Blood pressure 42. A practitioner prescribes an antihypertensive medication to be administered twice a day. What is essential for the nurse to assess before administering the antihypertensive agent? A. Level of consciousness B. Apical heart rate C. Blood pressure D. Respirations 43. After the nurse administers an opioid, the patient becomes excitable. Which response should the nurse identify is being experienced by the patient? A. Toxic B. Allergic C. Synergistic D. Idiosyncratic 44. A patient has a prescription for an antiemetic as an adjunct to antineoplastic therapy. What dosing schedule should the nurse anticipate that the practitioner will prescribe? A. After the patient vomits B. 30 minutes before meals C. When the patient reports nausea D. 30 minutes before initiation of chemotherapy 45. A nurse must administer a medication that is a digitalis derivative. Which nursing assessment is essential before administering this medication? A. Pulse rate B. Blood pressure C. Respiratory rate D. Level of consciousness 46. A nurse is responsible for administering medications via various routes to a group of patients. Which route of administration is the most effective way to achieve and maintain a drug’s therapeutic level? A. IV push B. Sublingual route C. Oral administration D. Large-volume infusion 47. While the nurse is applying a transdermal patch, the patient asks the nurse, “Why can’t I just take a pill?” What should the nurse explain is the advantage of administering a medication via a transdermal patch? A. Limits allergic responses B. Prevents drug interactions C. Delivers the drug over a period of time D. Provides a local rather than a systemic effect 48. A nurse is caring for a patient who is being weaned from long-term prescribed corticosteroids. The nurse understands that this is necessary because a sudden discontinuance of corticosteroids can contribute to: A. Hypothermia B. Bleeding C. Seizures D. Shock 49. A nurse is preparing to administer a medication to a patient with a history of peptic ulcer disease. Which classification of drug should the nurse anticipate being prescribed to reduce gastric acid secretion? A. Antacids B. Proton pump inhibitors C. Histamine H2-receptor antagonists D. Antiemetics