Nokea
When giving a tubal medication the nurse should flush the tubing with 30 to 50 __ of water.
Correct Answer: mL
Rationale: The water will enhance the absorption of the drug and also clear the tubing.
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The nurse administered a sedative to an older adult who was having difficulty sleeping. Later the patient was walking the halls and becoming agitated. What is this drug response known as?
- A. Expected
- B. Untoward
- C. Idiosyncratic
- D. Hypersensitive
Correct Answer: C
Rationale: An unexpected response to a medication is termed idiosyncratic.
Which of the following fractions is the largest?
- A. 3/4
- B. 1/4
- C. 1/2
- D. 1/8
Correct Answer: A
Rationale: The smaller the denominator, the larger the fraction.
What important principle should be taken to prevent medication errors?
- A. Placing an unlabeled syringe on the medication cart
- B. Following the six rights of medication administration
- C. Leaving a medication with the patient only when family is there
- D. Always charting medications before the end of the shift
Correct Answer: B
Rationale: Following the six rights ensures excellent drug administration practice. Unlabeled syringes should never be left on a medication cart. Medications should never be left in a patient's room. Medications should be charted immediately after they are administered.
The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15. The nurse should set the drop control to deliver __ gtts/min.
Correct Answer: 3
Rationale: 100 mL divided by 8 = 12.5 mL/h; (12.5 mL/h ? 15 gtts/mL) ÷ 60 min/h ? 3 gtts/min.
In some health care facilities the LPN/LVN is allowed to take telephone orders from a health care provider. What is one precaution the nurse must take when receiving a verbal order?
- A. Write quickly.
- B. Repeat the order to the health care provider.
- C. Have another nurse listen on an extension.
- D. Sign and initial the health care provider's name on the order.
Correct Answer: B
Rationale: The nurse should always repeat the order to the health care provider. The nurse should write slowly to avoid making a mistake. It is not necessary to have another nurse listen to the verbal order. The nurse should not sign the health care provider's name to the order.