Before a child’s hospital discharge, the nurse is teaching the parents how to administer an oral medication to the child. Which nurse instruction would be most appropriate?

The nurse is assessing the veins of the client’s hand and arm prior to inserting an IV catheter for a transfusion of RBCs. Which vein would be best for the nurse to select?

The client who inhales a corticosteroid medication through a metered-dose inhaler states, “I have a foul taste in my mouth after I use the inhaler.” Which is the nurse’s best response?

The student nurse is administering a clonidine transdennal patch to the client with hypertension. Which action requires the observing nurse to intervene?

The nurse notes that a hospital coworker omits treatments for clients, has mood swings, makes frequent requests for help with assignments, and has numerous requests to witness the waste ofcontrolled substances. Which nursing action is most appropriate?

The nurse is preparing to administer cefotaxime. Which action is most appropriate when the nurse notes that the client has an allergy to ceftriaxone?

The clinic nurse is preparing to administer monovalent HepB (hepatitis B vaccine) IM to a newbom. Which site is best for the nurse to select?

The client’s son asks the hospice nurse to administer larger doses of pain medication. Despite having pain, the client, who is Hispanic, adamantly refuses increased doses. The client states, “I believe that accepting pain is God’s will for me.” By withholding larger analgesic doses, the nurse best demonstrates ethical practice guided by which principle?

The nurse is preparing to administer a transfusion of RBCs to the client with blood type AB negative. The blood bank does not have any units of AB negative PRBCs so provides a unit of 0 negative RBCs. What should the nurse do?

The experienced nurse is observing the student nurse provide care to the client. Which action by the student nurse most definitely requires the observing nurse to intervene?

The experienced nurse instructs the new nurse to give an IM injection into the dorsogluteal muscle of the older adult client. Which is the new nurse’s best action?

An LPN is administering medications to adult clients. Which action requires the RN to intervene?

The nurse, working the evening shift, is planning to administer insulin subcutaneously to a child. Which statement made by the nurse to the mother would be inappropriate?

The client experiences nausea atter an oral dose of cephalexin, and interventions for nausea are unsuccessful. When the nurse attempts to administer the next dose of cephalexin, the client adamantly refuses to take it. Which nursing intervention is best?

The inexperienced nurse used a child’s ear illustration to teach the child’s mother how to administer eardrops. While pointing to the illustration, the nurse stated, “Warm the solution and clean your 2-year—old’s ear. Then pull the child’s ear up and back, instill the medication, and depress on the tragus of the ear. Keep the child side-lying for about 5 minutes and then insert a small cotton fluff loosely in the auditory canal for about 20 minutes.” Which action is best for the observing nurse to take during or following the teaching?

The nurse receives new orders for multiple clients. Which order should be the nurse’s priority?

The client with a central venous access device suddenly develops dyspnea, chest pain, tachycardia, and hypotension after the nurse attaches new injection caps during a central line dressing change. Which action should be taken by the nurse first?

The HCP prescribed intermittent flushing of an infant’s peripheral [V access device to maintain patency. Which action should be taken by the nurse?

The nurse is caring for the client who has 0.9% NaCl infusing intravenously. The HCP wrote an order the previous day to change the IV solution to 0.9% NaCl with 10 mEq KCL. Which action should the nurse initiate first?

The client with cellular dehydration is to receive an IV solution that will rehydrate cells. Which solution, if prescribed by the HCP, should the nurse proceed to administer?

The nurse is administering mctoclopramide 10 mg IV to the client with decreased peristalsis. Which action would result in a medication error?

The client has a low serum potassium level. What should the nurse consider when preparing to administer potassium replacement intravenously?

The nurse observes a nursing student prepare and administer medications to adult clients. Which action by the nursing student warrants intervention by the nurse?

The experienced nurse is supervising the new nurse caring for a hospitalized child. Which action indicates that the new nurse needs additional orientation regarding IV therapy for children?

The nurse administers a prochlorperazine suppository to the adult client. Which action best ensures the nurse that the medication is correctly administered?

The client is prescribed ferrous sulfate 300 mg PO bid. Which action should be taken by the nurse?

The nurse starts cefazolin sodium 500 mg intravenously for the client. Five minutes later, the nurse stops the infusion when the client states, “My throat feels like it is closing shut.” Which intervention should the nurse implement next?

The nurse is evaluating whether the client on multiple oral medications is taking the medications correctly. Which finding should be most concerning to the nurse because the absorption rate of medications can be increased?