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1. A nurse receives a prescription for phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? a. One b. Two c. Three d. Four - A 2. A nurse is reviewing medication metabolism. Which of the following factors should the nurse determine as a reason to administer lower medication dosages? a. Increased renal excretion b. Increased medication metabolizing syndrome c. Liver failure d. Peripheral vascular disease e. Concurrent use of medication the same pathways metabolizes - C E 3. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? a. Have the client lie on one side b. Ask the client to look up at the ceiling c. Tell the client to blink when the drops enter the eye d. Drop the medication into the client's conjunctival sac e. Instruct the client to close the eye gently after instillation - B D E 4. A nurse is reinforcing teaching to a client about transdermal patch. Which of the following statements should the nurse identify as an indication that the client understands? a. I will clean the site with an alcohol swab before I apply the patch b. I will rotate the application sites weekly c. I will apply the patch to an area of skin with no hair d. I will place the new patch on the site of the old patch - C 5. A nurse is reviewing a client's medical record notes a new a prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take? a. Obtain a blood specimen immediately prior to administering the next dose of medication b. Verify that the client has been taking the medication for 24 hr. before c. Ask the client to provide a urine specimen after the next dose of medication 6. Administer the medication and obtain a blood specimen 30 minutes later - A 7. A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? a. Reinforce teaching with the client about the medication b. Determine the dosage c. Monitor for adverse reactions d. Lock the compartments for controlled substances e. Determine the client's insurance status - A C D 8. A nurse is preparing to administer digoxin to a client who states, " I don't want to take that medication. I do not want one more pill." Which of the following responses should the nurse make? a. Your physician prescribed it for you, so you really should take it b. Well, lets just get it over quickly then c. Okay, I'll just give you your other medications d. Tell me your concerns about taking the medications - D 9. A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration? a. The client drank grapefruit juice, which could reduce a medication's effectiveness b. The medication has orthostatic hypotension as an adverse effect c. A medication is approved for ages 12 and older, and the client is 8 years old d. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a preoperative sedative - C 10. A nurse is collecting data from a client before administering medications. Which of the following data should the nurse obtain? a. Use of herbal products b. Daily fluid intake c. Ability to swallow d. Previous surgical history e. Allergies - A C E 11. A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? a. Taking all the medications out of the unit-dose wrappers before entering the client's room b. Checking the prescription when a single dose requires administration of multiple tablets c. Administering a medication, then looking up the usual dosage range Relying on another nurse to clarify a medication prescription - b 12. Relying on another nurse to clarify a medication prescription A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available in vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the natural IV infusion to deliver how many gtt/min? - 22 13. A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCI) to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? - 200 14. A nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10mg / 1 mL. How many mL should the nurse administer? - 8 15. A nurse is preparing to administer haloperidol 2 mg PO every 12 hr. The amount available is haloperidol 1mg/tablet. How many tablets should the nurse administer? - 2