Name:
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Email:
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1.
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Which of these abbreviations indicate that a drug is to be administered at a regularly spaced interval during a 24 hour period?
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Every 4 hours PRN
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BID AC
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Every 8 hours
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None of the above
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2.
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The IV order reads 2000 cc over 24 hours. The minidrip tubing delivers 60gtt/cc. What is the IV rate?
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115 cc/hr
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60 cc/hr
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83 cc/hr
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100 cc/hr
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3.
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Which guage needle can deliver a larger volume of fluid?
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16g critikon
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23g butterfly
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14g critikon
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18g 3 inch spinal needle
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4.
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A patient with AB negative blood may receive: 1) O Negative, 2) AB Negative, 3) AB Positive, 4) A Negative
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Only 1 and 3
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Only 2
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1,2,4
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Only 3
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5.
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The patient complains of redness and pain at the IV site. The infusion is dripping at the calculated rate. The nurse would:
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Culture the site and, if the results were positive, discontinue the infusion.
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Discontinue the infusion after the present IV solution is infused.
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Discontinue the IV completely.
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Clamp the IV until examined by a physician.
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6.
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The patient presently takes theophylline as directed. On arrival to the unit, the nurse notes a rapid heart rate, generalized restlessness and nausea. What lab tests might be ordered?
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CBC, sed rate, theophylline level
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CBC, theophlline level, VDRL
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CBC, theophylline level, chemistry
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CBC
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7.
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The patient has received Demerol IM for pain. What drug could potentiate it's action?
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Vincristine
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Vistaril
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Vancomycin
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Flagyl
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8.
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A nurse received an order for tpn 1000cc/24 hours, 15% Dextrose, standard electrolyte and vitamins. This nurse should:
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Mix the TPN as directed
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Mix only 12 hours of solution at a time
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Call the MD and remind him the dextrose concentrate should be 24%
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Return the order to the pharmacy for mixing under the hood
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9.
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The risk of infection or vein irritation for an IV site is related to:
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Sterile vs septic technique for insertion
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The length of the cannula utilized
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The type of medication infused
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All of the above
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10.
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When instilling eye drops, the nurse should teach the patient to instill the drops:
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From the right to left eye
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While the patient is lying flat
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With gloves on
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While looking up and into the conjuctival sac
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11.
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Signs and symptoms of infection at an IV site could include which of the following:
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Redness, swelling, thrombosis
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Swelling, redness, painful to touch
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Cyanosis, swelling, redness
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Coolness, swelling, paleness
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12.
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When reconstituting an IV antibiotic, the nurse should use the diluent that:
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Is used throughout the hospital
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Is recommended by the drug manufacturer
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Was the smallest volume
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Is refrigerated
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13.
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IM injection volumes are limited to:
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The deltoid muscle because of it's proximity to the heart
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The gluteus because it absorbs more
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3 ml in the average size adult
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Volume unable to be given per subcutaneous route
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14.
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Aspirin and Tylenol are commonly found in most homes. The nurse should advise:
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"Child-proofing" as both drugs are potentially dangerous if overdose ingestion occurs
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Always giving Tylenol first and then aspirin for a headache
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Giving the drugs together to increase the effect of OTC medication
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Always using aspirin for an elevated temp.
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15.
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To increase the rate of absorption of a drug, the nurse would:
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Increase the amount of the drug
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Use a larger diameter of needle for injection
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Consider the circulation of the tissue into which the drug is being injected
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Warm the drug to 100*F
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16.
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Rectal suppository insertion should include:
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Placing the medication past the internal sphincter
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Lubricating the tip with a small amount of zylocaine jelly
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Setting the patient in a sitz bath for 15 minutes after insertion
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All of the above
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17.
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The nurse would consider the following when selecting the appropriate size needle for an intramuscular injection?
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The body weight of the patient
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The viscosity of the medication
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The ph of the medication
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The frequency of the medication
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18.
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When administering narcotics, the nurse should assess the post operative patient's:
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Last dose, level of pain, vital signs
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Last dose, vital signs, when patient ate last
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The number of times the patient has had the narcotic
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Whether or not the patient is really in pain
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19.
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Protamin sulfate is kept refrigerated and available for administration to counteract the effect of which drug?
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Heparin
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Coumadin
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Activase
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Aspirin
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20.
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Once an IV container has been accessed for infusion, it should be discarded after:
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48 hours
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72 hours
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8 hours
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24 hours
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Drug Calculation
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21.
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Penicillin G 600,000u
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On Hand:
1,200,000 u/2cc |
Dose to Be Given:
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22.
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Keflex 400 mg Suspension
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On Hand:
250 mg/cc |
Dose to Be Given:
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23.
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Lanoxin 0.125 mg
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On Hand:
0.5 mg/2cc |
Dose to Be Given:
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24.
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Methylprednisolone 45mg
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On Hand:
20mg/ml in a 5ml vial |
Dose to Be Given:
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25.
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Aspirin grX
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On Hand:
Aspirin 325 mg/tab |
Dose to Be Given:
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26.
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Compazine 15 mg
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On Hand:
5 mg/cc |
Dose to Be Given:
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27.
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Vistaril 30mg
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On Hand:
100mg/2cc |
Dose to Be Given:
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28.
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Demerol 37 mg
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On Hand:
100mg/2cc |
Dose to Be Given:
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29.
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Sulfasuxidine 2 Gm
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On Hand:
500mg / 1 tab |
Dose to Be Given:
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30.
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Gentamicin 120 mg
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On Hand:
Gentamicin 100 mg / cc |
Dose to Be Given:
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