2025 FUNDAMENTALS FINAL NR224 EXAM 3 LATEST UPDATED 60 QUESTIONS WITH VERIFIED ANSWERS, Exams of Nursing

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2025 FUNDAMENTALS FINAL NR

EXAM 3 LATEST UPDATED 60

QUESTIONS WITH CORRECT

VERIFIED ANSWERS (EXPERT

SOLVED)

1. The nurse is having difficulty reading of physician's order for a medication. He or she know that the physician is very busy and does not like to be called. What is the most appropriate next step for the nurse to take?: Call the physician to have the order clarified.
2. The patient has an order for 2 tablespoons of milk of magnesia. How much medication does the nurse give him or her?: 30 ML
3. In nurses administering ear drops to an 8-year-old patient with an ear infection. How does the nurse pull the patient's ear when administering the medication?: ...
4. The patient is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-mg tablets. How many tablets does the nurse administer?: 2 tablets 5. The nurse is administering medications to a four-year-old patient. After he or she explains which medications are being given, the mother states, "I don't remember my child having that medication before." What is the nurse's next action?: Withhold the medications and verify the medication orders.

6. A patient is transitioning from the hospital to the home environment. A home care referral is obtained. What is a priority in relation to safe medication administration for the discharge nurse?: Ensure that the home care agency is aware of medication and health teaching needs.
7. A nursing student take a patient's antibiotic to his room. The patient asks the nursing student what it is and why he should take it. What information does the nursing student include when replying to the patient?: The student provides the name of the medication and a description of its desired effect. 8. The nurses is administering a sustained-release capsule to a new patient. The patient insists that he cannot swallow pills. What is the nurse's next best course of action?: Ask the prescriber to change the order.
8. The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is not going to take it. What is the nurses next action?: Ask the patient's reason for refusal.
9. The nurse receives an order to start getting a loop diuretic to a patient to help lower his or her blood pressure. The nurse determines the appropriate route for administering the diuretic according to:: The prescriber's order.
10. A patient is receiving intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse:: Stops the administration of the medication and follows agency policy.
11. If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at the site, the nurses suspects:: Phlebitis.

a drug via this route?: Flush the tube with water between each drug administered.

25. Which parenteral route of administration has the longest absorption?: Intradermal.
26. The nurse is preparing a patient for discharge, and this patient has been prescribed an eye medication disk for use at home. Which statement is factual and important to discuss with the patient?: The disk will be effective for up to 1 week.
27. A nurse educator is reviewing information related to medication administration documentation with a group of graduate nurses. Which guideline for document will the nurse discuss with the group?: Document administration of the medication immediately after administering the drug.
28. To which of the following patients would the nurse be most likely to administer a PRN medication? a. a patient who is experiencing severe and unprecedented chest pain. b. a patient whose asthma is treated with inhaled corticosteroids. c. a patient who is complaining of pain near her surgical site. d. a patient who requires daily medication to control hypertension.: C. A complain of "breakthrough" pain, especially post surgery, would likely require the nurse to administer a PRN analgesic. A new onset of chest pain would likely require a stat order, while longstanding treatment of hypertension and asthma would likely include standing orders for relevant medications.
29. The medical chart of a newly admitted patient notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the

same drug family after reviewing the patient's wound culture and sensitivity. How should the nurse respond to this situation?: Withhold the medication until the potential drug allergy has been addressed by the care team.

30. A patient with a complex cardiac history has been prescribed digoxin (Lanoxin) 0.0625 mg PO. The drug is available as 125 mcg tablets. How many of the tablets will the nurse administer?: 0.5. 125 mcg= 0.125mg. 0.0625 mg/ 0.125 mg= 0.5 tablets
31. At what point should the nurse perform the first of the three checks of medication administration?: As the nurse reaches for the drug package or container.
32. Which of the following patients receives a drug that requires parenteral route? a. a woman who takes diuretic pill each morning. b. a man who has an antifungal ointment applied to his skin rash daily. c. a man with emphysema who uses nebulized bronchodilators. d. a woman who has been ordered intravenous antibiotics.: D. a woman who has been ordered intravenous antibiotics.
33. A nurse is providing care for a patient who has a history of dementia. Which of the following methods should the nurse use in order to determine the patient's identity prior to medication administration?: Check the patient's identification band.
34. The nurse is preparing to administer meperidine (Demerol) as an intramuscular injection in an adult patient's deltoid site. Which of the following needles should the nurse select for this injection? a. 2"; 18 gauge b. 1 1/2"; 18 gauge

38. The Z-track technique is utilized during drug administration by which of the following routes?: Intramuscular.
39. What are the 6 rights of medication administration?: Right Time Right Dose Right Patient Right Route Right Medication Right Documentation
40. Therapeutic Effect: Intended effect.
41. Side Effect: Unintended effect, secondary effect; ex:nausea, vomiting
42. Adverse Effect: Severe response
43. Toxic Effect: Medication accumulates; ex: respiratory depression 44. pharmacokinetics is the study of how medicines:: enter the body are absorbed and distributed into cells, tissues, or organs reach their site of action alter physiological functions are metabolize d exit the body.
44. Standing or routine orders: administered until the dosage is changed or another medication is prescribed.
45. PRN orders: given when the client requires it.
46. Single (one-time) orders: given one time only for a specific reason.
47. STAT orders: given immediately in an emergency.
48. Now orders: when medication is needed right away, but not STAT.

50. Parts of the medication order (6): Client's full name Date and time order is written Medication name Dosage of drug Route by which drug is to be administered Time and frequency of administration of the drug Signature of person writing the order Box 31- 11
51. When an error occurs: Check patient's condition immediately; Observe for adverse effects Notify nurse manager and physician Write description of error and remedial steps taken on medical record Complete an incident report (remember this does not go in chart) Nurses play an essential role in medication reconciliation.
52. Three checks: 1) as you reach for the med

2. before opening or pouring
3. as you replace the med to drawer and before giving to patient

53. Maintaining patients' rights: To be informed about a medication To refuse a medication To have a medication history To be properly advised about experimental nature of medication To receive labeled medications safely To receive appropriate supportive therapy To not receive unnecessary medications

58. Intravenous bolus Injection Needle Size and Volume Injected:: Needle Size: 18 - 23 gauge x 1 to 1 1/2 in. Volume Injected (mL): Average: 1-10 Range: 0.5-50 (or more by continuous infusion)
59. A patient needs to learn to use a walker. Which domain is required for learning this skill?: Psychomotor domain
60. The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply) a. When there are visitors in the room. b. When the patient's pain medications are working c. Just before lunch, when the patient is most awake and alert d. When the patient is talking about current stressors in his or her life: B. When the patient's pain medications are working.