Question 1

A nurse passing medications at the nursing home is supposed to provide Cardizem (diltiazem)90 mg po TID.The pharmacy stocks 60 mg tablets.The nurse should provide ____________________ tablets.

Accepted Answer

The answer of A nurse passing medications at the nursing...

Question 2

The nurse is caring for a patient in the intensive care unit who is to be started on dopamine 1 mcg/kg/min.The patient weighs 220 pounds.The drip rate in mg/hr should be ____________________.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 3

A patient with newly diagnosed type 2 diabetes has been instructed on administration of insulin,human inhalation (Afrezza).Which of the following statements should be included in the patient teaching? Select all that apply.
A)Administer at beginning of each meal
B)Do not take your Subcut insulin with Afrezza
C)Use the Afrezza inhaler upside down
D)Avoid smoking while taking inhaled insulin
E)Monitor blood glucose every 6 hr,Monitor your weight daily.Afrezza may cause weight loss.

Accepted Answer

See Nursing Implications,and Patient/Family Teaching for Insulin,Human Inhalation (Afrezza): Afrezza should be administered at the beginning of each meal.It must be used in combination with subcut long-acting insulin.The inhaler must be level while in use.Patients should not smoke while using Afrezza.Monitor blood glucose every 6 hr.Afrezza may cause weight gain.

Question 4

Place the following steps in the correct order for the nurse to provide Prevacid (lansoprazole)15 mg capsule qd through an NG tube.
A)Flush NG tube with 20 mL water
B)Check chest x-ray results to verify NG tube placement.
C)Flush NG tube with additional 20 mL water or apple juice.
D)Open capsule and mix contents with 40 mL apple juice.
E)Inject medication mixture through the NG tube.
F)Aspirate NG tube and check pH of aspirate.

Accepted Answer

See Implementation for lansoprazole.Prior to giving anything into an NG tube,placement must be verified via chest x ray.Prior to medication administration,exact placement should be checked by aspirating stomach contents and checking the pH of the aspirate;flush the NG tube with water after this procedure.For patients with an NG tube getting Prevacid,capsules may be opened and intact granules may be mixed in 40 mL of apple,cranberry,grape,orange,pineapple,prune,or V8 vegetable juice and injected through the NG tube into stomach.Flush NG tube with additional apple juice or water to clear tube.

Question 5

MATCHING
Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 1
A)Press down on the inhaler to release medication.
B)Hold your breath for 10 sec.
C)Shake the inhaler.
D)Tilt your head back and breathe out slowly.
E)Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Accepted Answer

The answer of MATCHING
Match the instructions for using an inhaler...

Question 6

MATCHING
Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 5
A)Press down on the inhaler to release medication.
B)Hold your breath for 10 sec.
C)Shake the inhaler.
D)Tilt your head back and breathe out slowly.
E)Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Accepted Answer

The answer of MATCHING
Match the instructions for using an inhaler...

Question 7

MATCHING
Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 6
A)Press down on the inhaler to release medication.
B)Hold your breath for 10 sec.
C)Shake the inhaler.
D)Tilt your head back and breathe out slowly.
E)Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Accepted Answer

The answer of MATCHING
Match the instructions for using an inhaler...

Question 8

MATCHING
Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 3
A)Press down on the inhaler to release medication.
B)Hold your breath for 10 sec.
C)Shake the inhaler.
D)Tilt your head back and breathe out slowly.
E)Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Accepted Answer

The answer of MATCHING
Match the instructions for using an inhaler...

Question 9

The nurse is preparing to infuse Keflex (cephalexin)1 g in 50 mL over 30 min.To infuse 50 mL of fluid over 30 min,the pump should be set at __________________mL/hr (= hourly rate).

Accepted Answer

The answer of The nurse is preparing to infuse Keflex...

Question 10

The nurse is caring for a patient who is to receive 40 mg of Lasix (furosemide)as an intravenous push.If the recommended administration time is 20 mg/min,the nurse will take ____________________ min to administer the medication.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 11

A nurse working in the neonatal intensive care unit receives an order to provide Lasix (furosemide)2 mg/kg orally now.The neonate weighs 2.5 kg,and the medication is available as a liquid with a concentration of 10 mg/mL.The calculated dose the nurse will provide in mL is __________________ mL.

Accepted Answer

The answer of A nurse working in the neonatal intensive...

Question 12

MATCHING
Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 2
A)Press down on the inhaler to release medication.
B)Hold your breath for 10 sec.
C)Shake the inhaler.
D)Tilt your head back and breathe out slowly.
E)Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Accepted Answer

The answer of MATCHING
Match the instructions for using an inhaler...

Question 13

The nurse receives new orders to start clindamycin 25 mg/kg/day in four equal intravenous doses every 6 hr to a child who weighs 20 kg.The dose of medication the nurse should provide with each administration is ___________________mg.

Accepted Answer

The answer of The nurse receives new orders to start...

Question 14

A nurse in the intensive care unit is establishing a continuous infusion of Levophed (norepinephrine).The pharmacy has supplied 1,000 mL of D5NS with 4 mg of norepinephrine.In terms of mL/hr,the rate the nurse should program into the pump to keep the patient on a continuous infusion of 2 mcg/min is ____________________.

Accepted Answer

The answer of A nurse in the intensive care unit...

Question 15

Place the following steps in proper sequence to provide 12 units NPH insulin and 4 units regular insulin.
A)Draw up 12 units NPH insulin.
B)Draw up 4 units regular insulin.
C)Administer subcutaneous injection.
D)Select and prep the site.
E)Mix NPH insulin vial by rotating briskly between hands.
F)Verify order and current blood glucose result.

Accepted Answer

See Nursing Implications and Patient/Family Teaching for NPH insulin: Implementation Insulin NPH insulin is an intermediate-acting insulin.It is important with all medication administration that the order be verified.The current blood sugar result should be determined for safety to prevent hypoglycemia.Roll intermediate-acting insulin vial between palms to mix,rather than shaking (may cause inaccurate dose).Completing this step before drawing up any insulin will decrease the need to recap the needle between vials.When mixing insulins,draw regular insulin,insulin aspart,insulin glulisine,or insulin lispro into syringe first to avoid contamination of regular insulin vial.The site should be selected and prepped prior to administration

Question 16

The nurse is caring for a patient who reports taking 20 mg Adalat (nifedipine)three times daily.The hospital has 10 mg capsules.The patient should take ____________________ capsules in a 24-hr period.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 17

The nurse is passing medications for a patient whose medication administration record reads,"Neurontin (gabapentin)300 mg po TID." Gabapentin is provided by the pharmacy in 600 mg scored tablets.The nurse should provide ____________________ tablets with each dose.

Accepted Answer

The answer of The nurse is passing medications for a...

Question 18

The nurse is caring for an infant who weighs 4.5 kg.Penicillin at 25,000 units/kg every 8 hr has been ordered.The amount of penicillin in each dose is ____________________ units.

Accepted Answer

The answer of The nurse is caring for an infant...

Question 19

MATCHING
Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 4
A)Press down on the inhaler to release medication.
B)Hold your breath for 10 sec.
C)Shake the inhaler.
D)Tilt your head back and breathe out slowly.
E)Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Accepted Answer

The answer of MATCHING
Match the instructions for using an inhaler...

Question 20

Prior to initiating continuous drip intravenous therapy with dopamine,the nurse checks the infusion bag that lists 250 mg dopamine has been added to 250 mL of 0.9 NS.The nurse determines the concentration,expressed as mg/mL,is ____________________.

Accepted Answer

The answer of Prior to initiating continuous drip intravenous therapy...

Quiz 1: Medication Errors: Improving Practices and Patient Safety

A nurse passing medications at the nursing home is supposed to provide Cardizem (diltiazem)90 mg po TID.The pharmacy stocks 60 mg tablets.The nurse should provide ____________________ tablets.

The nurse is caring for a patient in the intensive care unit who is to be started on dopamine 1 mcg/kg/min.The patient weighs 220 pounds.The drip rate in mg/hr should be ____________________.

A patient with newly diagnosed type 2 diabetes has been instructed on administration of insulin,human inhalation (Afrezza) .Which of the following statements should be included in the patient teaching? Select all that apply.

Place the following steps in the correct order for the nurse to provide Prevacid (lansoprazole) 15 mg capsule qd through an NG tube.

MATCHING Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 1

MATCHING Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 5

MATCHING Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 6

MATCHING Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 3

The nurse is preparing to infuse Keflex (cephalexin)1 g in 50 mL over 30 min.To infuse 50 mL of fluid over 30 min,the pump should be set at __________________mL/hr (= hourly rate).

The nurse is caring for a patient who is to receive 40 mg of Lasix (furosemide)as an intravenous push.If the recommended administration time is 20 mg/min,the nurse will take ____________________ min to administer the medication.

A nurse working in the neonatal intensive care unit receives an order to provide Lasix (furosemide)2 mg/kg orally now.The neonate weighs 2.5 kg,and the medication is available as a liquid with a concentration of 10 mg/mL.The calculated dose the nurse will provide in mL is __________________ mL.

MATCHING Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 2

The nurse receives new orders to start clindamycin 25 mg/kg/day in four equal intravenous doses every 6 hr to a child who weighs 20 kg.The dose of medication the nurse should provide with each administration is ___________________mg.

Place the following steps in proper sequence to provide 12 units NPH insulin and 4 units regular insulin.

The nurse is caring for a patient who reports taking 20 mg Adalat (nifedipine)three times daily.The hospital has 10 mg capsules.The patient should take ____________________ capsules in a 24-hr period.

The nurse is passing medications for a patient whose medication administration record reads,"Neurontin (gabapentin)300 mg po TID." Gabapentin is provided by the pharmacy in 600 mg scored tablets.The nurse should provide ____________________ tablets with each dose.

The nurse is caring for an infant who weighs 4.5 kg.Penicillin at 25,000 units/kg every 8 hr has been ordered.The amount of penicillin in each dose is ____________________ units.

MATCHING Match the instructions for using an inhaler in the following section with the number they should occur in. -Step 4

Prior to initiating continuous drip intravenous therapy with dopamine,the nurse checks the infusion bag that lists 250 mg dopamine has been added to 250 mL of 0.9 NS.The nurse determines the concentration,expressed as mg/mL,is ____________________.