Nurses role
clinical judgement
your mom
med admin
legal ethical
100

A nurse is preparing to administer a medication to a client using the bar-coded medication administration (BCMA) system. Which of the following actions should the nurse perform to ensure medication safety?

  • Verify with the client there have been no changes in their medications.
  • Verify the medication by scanning the barcode and comparing it with the electronic medication administration record (eMAR).
  • Socialize with colleagues to confirm the medication's appropriateness for the client's condition.
  • Adjust the medication dosage based on the nurse's previous experience with similar clients.
  • Verify the medication by scanning the barcode and comparing it with the electronic medication administration record (eMAR).
100

A nurse is administering medications to a client who is unable to verbally confirm their identity. According to best practices for medication safety, which of the following actions should the nurse use to correctly identify the client?

  • Ask the Unlicensed Assistive Personnel (UAP)  assisting the client to confirm the client's identity.
  • Check the client's room number and bed assignment in the facility's system.
  • Use the client's identification band to verify their name and date of birth against the medical record.
  • Proceed with medication administration based on the client's appearance and the nurse's previous knowledge.
  • Use the client's identification band to verify their name and date of birth against the medical record.
100

A nurse is collecting data about barriers to implementing an evidence-based practice change in medication administration. Which of the following should the nurse identify as a common barrier to EBP implementation?

  • Excessive time available for staff training and education
  • Limited resources and authority to change existing processes and procedures
  • Overabundance of high-quality research evidence available for review
  • Strong organizational support for evidence-based practice changes
  • Limited resources and authority to change existing processes and procedures
100

A nurse is considering the use of a new antihypertensive drug based on a recent systematic review. Which of the following actions should the nurse take to ensure the application of evidence-based practice (EBP) in client care?

  • Rely solely on the systematic review to make a decision about the medication's use.
  • Evaluate the systematic review in conjunction with client preferences and clinical expertise before deciding.
  • Disregard the systematic review if it contradicts the nurse's past experiences with antihypertensive drugs.
  • Implement the new drug protocol without reviewing the research to save time.
  • Evaluate the systematic review in conjunction with client preferences and clinical expertise before deciding.
100

A nurse is researching the effectiveness of a new protocol for the prevention of venous thromboembolism (VTE) in postoperative clients. The nurse should understand that which of the following types of study design provides the highest quality of evidence for this research?

  • A qualitative study exploring client experiences with VTE prevention protocols
  •  A randomized controlled trial comparing the new VTE prevention protocol with the standard care 
  • A case series documenting the outcomes of clients who received the new VTE prevention protocol
  • An expert panel's consensus on the best practices for VTE prevention

A randomized controlled trial comparing the new VTE prevention protocol with the standard care

200

A nurse is reinforcing teaching with a client about the importance of evidence-based practice in medication management. Which of the following should the nurse include as a benefit of evidence-based practice?

  • Evidence-based practice ensures that medication management is based on the nurse's intuition and experience.
  • Evidence-based practice aligns medication management with the best current research evidence to improve client outcomes.
  • Evidence-based practice allows for a trial-and-error approach to determine the most effective medication management strategies.
  • Evidence-based practice prioritizes the cost of medication over the quality of client care.
  • Evidence-based practice aligns medication management with the best current research evidence to improve client outcomes.
200

A nurse is working in an emergency care facility and must prioritize client care based on the severity of conditions. Which of the following clients should the nurse see first?

  • A client who has a life-threatening condition requiring immediate administration of antiarrhythmic medication
  • A client waiting for a scheduled dose of an oral pain medication
  • A client who has Parkinson’s disease and is due for their medication to manage manifestations  
  • A client who is stable but requires a PRN medication for mild discomfort
  • A client who has a life-threatening condition requiring immediate administration of antiarrhythmic medication
200

A nurse receives delegated tasks in an inpatient setting. Which of the following tasks is appropriate to delegate to a practical nurse (PN) by a registered nurse (RN) according to the five rights of nursing delegation?  

  • Assessing a client's response to a new cardiac medication
  • Administering IV medications through a central line
  • Reinforcing education provided by the registered nurse (RN) to a client about their medications
  • Developing a nursing care plan for a client who has complex needs
  • Reinforcing education provided by the registered nurse (RN) to a client about their medications
200

A nurse is preparing to administer a high-alert medication to a client. Which of the following actions should the nurse use to prevent a knowledge-based error?

  • Administer the medication quickly to adhere to the medication schedule.  
  • Verify understanding of the medication's effects and side effects.
  • Ask the client to self-report any known allergies to medications.
  • Consult with a colleague to confirm the dosage calculation.  
  • Verify understanding of the medication's effects and side effects.
200

A nurse is collaborating with a pharmacist regarding a client's medication regimen. Which of the following actions best demonstrates effective interprofessional collaboration?

  • Accepting the pharmacist's recommendations without question to maintain a positive working relationship
  • Discussing medication changes with the pharmacist to identify possible discrepancies
  • Delegating the responsibility of discussing medication changes with the client to the pharmacist
  • Informing the pharmacist that medication changes are solely the provider's responsibility
  • Discussing medication changes with the pharmacist to identify possible discrepancies
300

A nurse is reviewing the electronic medication administration record (eMAR) before administering medications to a client. According to the rights of medication administration, which of the following actions should the nurse take to ensure the correct medication is given?

  • Confirm that the medication matches the provider's prescription in the eMAR.
  • Educate the client on the importance of taking medications as prescribed.
  • Check the client's ability to swallow before administering oral medication.
  • Review the client's allergy information to ensure no known allergies to the medication
  • Confirm that the medication matches the provider's prescription in the eMAR.
300

During interprofessional rounds, a nurse notes a discrepancy in the client's medication list. Which of the following actions should the nurse take?

  • Wait until rounds are over to avoid interrupting the flow of discussion.
  • Correct the discrepancy in the electronic health record prior to consulting the team.
  • Bring up the discrepancy immediately to the team for clarification and resolution.
  • Assume the discrepancy is minor and does not need to be addressed.
  • Bring up the discrepancy immediately to the team for clarification and resolution.
300

A nurse receives a telephone order from a provider for a medication. Which of the following actions by the nurse demonstrates effective communication according to best practices?

  • Writing down the prescription and administering the medication based on the nurse's understanding
  • Asking a colleague to listen in on the call and verify the prescription
  • Repeating the prescription back to the provider to confirm accuracy before ending the call
  • Administering the medication and then confirming the prescription with the provider at a later time
  • Repeating the prescription back to the provider to confirm accuracy before ending the call
300

A nurse is transcribing a handwritten prescription for a client. The prescription is difficult to read. Which of the following actions should the nurse take to ensure safe medication administration?

  • Use clinical judgment to interpret the prescription and proceed with medication administration.
  • Contact the prescribing provider immediately to clarify the prescription.
  • Ask another nurse to interpret the prescription and proceed based on the combined interpretation.
  • Transcribe the prescription as best as possible and verify with the pharmacist when possible.
  • Contact the prescribing provider immediately to clarify the prescription.
300

A nurse is managing a client who requests a PRN medication for pain, rating their pain at 8 on a scale from 0 to 10. Which of the following actions should the nurse prioritize?

  • Wait until all scheduled medications have been administered before addressing the PRN medication.
  • Administer the PRN medication for severe pain as soon as possible.
  • Delegate the administration of the PRN medication to assistive personnel.  
  • Document the client's request for pain medication and plan to reassess in one hour.  
  • Administer the PRN medication for severe pain as soon as possible.
400

A nurse is working in an outpatient clinic and must manage medication tasks for clients with varying needs. Which of the following clients should the nurse prioritize for medication administration?

  • A client who is due for a routine vaccination
  • A client who has diabetes who requires an adjustment to their insulin dosage based on blood sugar values
  • A client who needs a refill of their maintenance medication for hypertension
  • A client who is waiting for education on a new medication they will be starting

 client who has diabetes who requires an adjustment to their insulin dosage based on blood sugar values

400

A nurse is prioritizing tasks for multiple clients in an inpatient setting. Which of the following tasks should the nurse address first according to Maslow's Hierarchy of Needs?

  • Providing medication education to a client regarding antihypertensive medication
  • Inquiring about the client’s social support related to disease management
  • Participating in interprofessional rounds regarding prescribed medications
  • Administering a bronchodilator to a client who is experiencing shortness of breath
  • Administering a bronchodilator to a client who is experiencing shortness of breath
400

A nurse is reviewing the medication profile of a client who has severe liver disease. Which of the following medications should the nurse recognize as requiring careful monitoring?

  • Topical hydrocortisone cream
  • Sublingual nitroglycerin
  • Oral acetaminophen
  • Inhaled albuterol
  • Oral acetaminophen
400

A nurse is caring for a client who has chronic renal failure and has been prescribed a medication known for its high protein-binding and long half-life. Which of the following actions should be included to ensure safe medication administration?

  • Monitor the client for signs of medication toxicity due to potential accumulation.
  • Increase the frequency of medication administration to maintain therapeutic levels.
  • Administer a higher dose of the medication to achieve the desired therapeutic effect.
  • Increase fluid intake to facilitate renal excretion of the medication.
  • Monitor the client for signs of medication toxicity due to potential accumulation.
400

A nurse is caring for a client who has been prescribed a lipid-lowering medication that is primarily metabolized by the liver. Which of the following actions should the nurse take to prevent adverse drug events?

  • Increase the frequency of medication administration to maintain therapeutic drug levels.
  • Monitor the client for muscle pain or weakness.
  • Advise the client to consume grapefruit juice daily to enhance medication absorption.
  • Encourage the client to engage in high-intensity exercise to boost medication metabolism.
  • Monitor the client for muscle pain or weakness.
500

A nurse is caring for a client who has low serum albumin levels who is prescribed warfarin and has a dose of ciprofloxacin due. Which of the following actions should the nurse take?

  • Administer both medications as prescribed.
  • Hold the dose of ciprofloxacin and consult with the health care provider.
  • Increase the dose of warfarin to counteract the inhibitory effect of ciprofloxacin on the metabolism.
  • Monitor the client's platelet count.
  • Hold the dose of ciprofloxacin and consult with the health care provider.
500

A nurse is preparing to administer a medication to a client who has cirrhosis. The medication is known to undergo extensive first-pass metabolism. Which of the following changes to the medication profile should the nurse anticipate will ensure safe medication administration?

  • Increasing the oral dose of the medication
  • Switching the medication to an intravenous route
  • Administering the medication with food to slow absorption
  • Splitting the medication administration into smaller, more frequent doses
  • Switching the medication to an intravenous route
500

A nurse is caring for a client receiving methotrexate, who has been advised to avoid taking NSAIDs concurrently. Which of the following explanations should the nurse include to reinforce education?

  • NSAIDs can reduce the anti-inflammatory effects of methotrexate, leading to decreased therapeutic outcomes.
  • Concurrent use of NSAIDs and methotrexate can lead to increased risk of gastrointestinal bleeding.
  • NSAIDs can increase the concentration of methotrexate in the bloodstream, leading to toxicity.
  • Methotrexate can enhance the pain-relieving properties of NSAIDs, causing oversedation.

NSAIDs can increase the concentration of methotrexate in the bloodstream, leading to toxicity

500

A nurse is reviewing the medication profile for a client who has chronic opioid use disorder. The provider prescribes an agonist medication over an antagonist. Which of the following statements made by the nurse explains the action of this prescription?

  • "Agonists, unlike antagonists, provide immediate euphoric effects that are beneficial in the treatment of opioid use disorder."
  • "Agonists cause upregulation of receptors, leading to an increased response to endogenous opioids and assisting in recovery."
  • "Antagonists require full withdrawal from opioids before initiation to avoid precipitating withdrawal manifestations."
  • "Antagonists, such as naloxone, are preferred for long-term maintenance therapy due to their ability to prevent respiratory depression."

Antagonists require full withdrawal from opioids before initiation to avoid precipitating withdrawal manifestations."

500

A nurse is reinforcing education with a client about the effect of alpha blockers prescribed for hypertension. Which of the following statements explains the effect of alpha blockers on hypertension?

  • "Alpha blockers act as agonists to increase the effects of catecholamines on alpha receptors."
  • "Alpha blockers are noncompetitive antagonists that bind to alpha receptors."
  • "Alpha blockers are competitive antagonists that bind to alpha receptors."
  • "Alpha blockers are partial agonists that bind to alpha receptors."
  • "Alpha blockers are competitive antagonists that bind to alpha receptors."
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