Question 1

A client is ordered heparin following open heart surgery. What method would the nurse use to administer this medication?

Accepted Answer

A)  Intradermal 
B)  Subcutaneous 
C)  Intramuscular 
D)  Intravenous 
A)  Intradermal 
B)  Subcutaneous 
C)  Intramuscular 
D)  Intravenous

Question 2

A nurse at a rehabilitation center is required to administer medications to clients via enteral and parenteral routes. Which should the nurse be aware of with reference to enteral and parenteral administration?

Accepted Answer

A)  Parenteral administration means medication administration through the digestive tract. 
B)  Intradermal indicates an enteral method of medication administration. 
C)  Absorption rate of oral medications given via the enteral method is rapid. 
D)  Among parenteral injections, intravenous medications are most rapidly absorbed. 
A)  Parenteral administration means medication administration through the digestive tract. 
B)  Intradermal indicates an enteral method of medication administration. 
C)  Absorption rate of oral medications given via the enteral method is rapid. 
D)  Among parenteral injections, intravenous medications are most rapidly absorbed.

Question 3

What is a recommended guideline when caring for the client receiving IV therapy?

Accepted Answer

A)  If signs of infiltration exist, remove the device and use a new IV setup. 
B)  Be sure to replace IV bags before they are totally empty. 
C)  Irrigate the IV to determine patency. 
D)  Write on an IV bags with a felt tip marker or pen to label the date/time. 
A)  If signs of infiltration exist, remove the device and use a new IV setup. 
B)  Be sure to replace IV bags before they are totally empty. 
C)  Irrigate the IV to determine patency. 
D)  Write on an IV bags with a felt tip marker or pen to label the date/time.

Question 4

A nurse is preparing to administer medication is packaged in an ampule. What should the nurse do with the unused portion of the medication?

Accepted Answer

A)  Prepare a second injection for the second use. 
B)  Cap the ampule and keep refrigerated for the next injection. 
C)  Label the ampule with client ID and place in medication cart. 
D)  Discard any unused portion of the lidocaine in the ampule. 
A)  Prepare a second injection for the second use. 
B)  Cap the ampule and keep refrigerated for the next injection. 
C)  Label the ampule with client ID and place in medication cart. 
D)  Discard any unused portion of the lidocaine in the ampule.

Question 5

Which client would be the best candidate for the insertion of a peripherally placed catheter?

Accepted Answer

A)  A client who is receiving chemotherapy infusions for breast cancer 
B)  An unconscious client receiving TPN for the past 2 weeks 
C)  A client who is receiving fluids postoperatively 
D)  A client with end stage lung cancer who is receiving morphine for pain 
A)  A client who is receiving chemotherapy infusions for breast cancer 
B)  An unconscious client receiving TPN for the past 2 weeks 
C)  A client who is receiving fluids postoperatively 
D)  A client with end stage lung cancer who is receiving morphine for pain

Question 6

The nurse is choosing the gauge and length of a needle for a subcutaneous injection of vitamin B12 for a client who has pernicious anemia. Which type of needles would be the best choice?

Accepted Answer

A)  25-G, 3/8 in 
B)  23-G, 1 in 
C)  18-G, 3/8 in 
D)  18-G, 2 in 
A)  25-G, 3/8 in 
B)  23-G, 1 in 
C)  18-G, 3/8 in 
D)  18-G, 2 in

Question 7

The nurse is explaining to the student nurse the purposes of IV administration. Which descriptions of this procedure are accurate? Select all that apply.

Accepted Answer

A)  A primary infusion consists of one IV line plus a smaller bag. 
B)  In tandem infusion, the smaller bag is connected at the same level as the primary bag. 
C)  In nearly all cases, IV solutions are supplied in glass bottles. 
D)  Medications are absorbed more rapidly via the IV route than any other route. 
E)  Large quantities of a solution may be given IV by way of an infusion.
F) If blood is administered via IV, the procedure is referred to as a blood infusion. 
A)  A primary infusion consists of one IV line plus a smaller bag. 
B)  In tandem infusion, the smaller bag is connected at the same level as the primary bag. 
C)  In nearly all cases, IV solutions are supplied in glass bottles. 
D)  Medications are absorbed more rapidly via the IV route than any other route. 
E)  Large quantities of a solution may be given IV by way of an infusion.
F) If blood is administered via IV, the procedure is referred to as a blood infusion.

Exam 64: Normal Pregnancy

A client is ordered heparin following open heart surgery. What method would the nurse use to administer this medication?

A nurse at a rehabilitation center is required to administer medications to clients via enteral and parenteral routes. Which should the nurse be aware of with reference to enteral and parenteral administration?

What is a recommended guideline when caring for the client receiving IV therapy?

A nurse is preparing to administer medication is packaged in an ampule. What should the nurse do with the unused portion of the medication?

Which client would be the best candidate for the insertion of a peripherally placed catheter?

The nurse is choosing the gauge and length of a needle for a subcutaneous injection of vitamin B12 for a client who has pernicious anemia. Which type of needles would be the best choice?

The nurse is explaining to the student nurse the purposes of IV administration. Which descriptions of this procedure are accurate? Select all that apply.

The Origins of Nursing

Beginning Your Nursing Career

The Healthcare Delivery System

Legal and Ethical Aspects of Nursing

Basic Human Needs

Health and Wellness

Community Health

Transcultural Healthcare

The Family

Infancy and Childhood

Adolescence

Early and Middle Adulthood

Older Adulthood and Aging

Death and Dying

Organization of the Human Body

The Integumentary System

Fluid and Electrolyte Balance

The Musculoskeletal System

The Nervous System

The Endocrine System

The Sensory System

The Cardiovascular System

The Hematologic and Lymphatic Systems

The Immune System

The Respiratory System

The Digestive System

The Urinary System

The Male Reproductive System

The Female Reproductive System

Basic Nutrition

Transcultural and Social Aspects of Nutrition

Diet Therapy and Special Diets

Introduction to the Nursing Process

Nursing Assessment

Nursing Diagnosis and Planning

Implementing and Evaluating Care

Documenting and Reporting

The Healthcare Facility Environment

Emergency Preparedness

Introduction to Microbiology

Medical Asepsis

Infection Control

Emergency Care and First Aid

Therapeutic Communication Skills

Admission, Transfer, and Discharge

Vital Signs

Data Collection in Client Care

Body Mechanics and Positioning

Beds and Bed Making

Personal Hygiene and Skin Care

Elimination

Specimen Collection

Bandages and Binders

Heat and Cold Applications

Client Comfort and Pain Management

Preoperative and Postoperative Care

Surgical Asepsis

Wound Care

End-Of-Life Care

Review of Mathematics

Introduction to Pharmacology

Classification of Medications

Administration of Medications

Normal Labor, Delivery, and Postpartum Care

Care of the Normal Newborn

High-Risk Pregnancy and Childbirth

The High-Risk Newborn

Sexuality, Fertility, and Sexually Transmitted Diseases

Fundamentals of Pediatric Nursing

Care of the Infant, Toddler, or Preschooler

Care of the School-Age Child or Adolescent

The Child or Adolescent With Special Needs

The nurse is choosing the gauge and length of a needle for a subcutaneous injection of^vit^{amin B}12 ^{for a client who has pernicious anemia. Which type of needles would be the} best choice?