Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client.
Which of the following is the priority nursing action?.
A. Check the client's vital signs
A rationale: The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.
B. Notify the charge nurse.
B rationale: Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
C. Document an objective description of what has happened in the client's chart.
C rationale: Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
D. Fill out an occurrence report according to institutional policy.
D rationale: Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Cohert 6 Pharmacology Quiz 2 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.
Choice B rationale:
Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice C rationale:
Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice D rationale:
Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Similar Questions
A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops.
For which of the following adverse effects should the nurse monitor the client?.
A. Bradycardia
A rationale: Timolol is a non-selective beta blocker that can slow heart rate, leading to bradycardia.
B. Seizures.
B rationale: Seizures are not a common side effect of timolol.
C. Hypertension.
C rationale: Timolol is used to decrease intraocular pressure, not blood pressure.
D. Anemia.
D rationale: Anemia is not a known side effect of timolol.
Full Explanation
Choice A rationale:
Timolol is a non-selective beta blocker that can slow heart rate, leading to bradycardia.
Choice B rationale:
Seizures are not a common side effect of timolol.
Choice C rationale:
Timolol is used to decrease intraocular pressure, not blood pressure.
Choice D rationale:
Anemia is not a known side effect of timolol.
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus.
The client has a prescription for two inhalations from an albuterol metered-dose inhaler.
Which of the following statements by the client indicates an understanding of the teaching?.
A. "I will hold the inhaler with my non-dominant hand.”.
A rationale: The hand used to hold the inhaler does not affect its effectiveness.
B. "I will hold my breath at least 10 seconds after inhaling the medication.”.
B rationale: Holding breath allows more medication to reach the lungs.
C. "I will wait 10 min between each inhalation.”.
C rationale: Waiting 1 minute, not 10, between inhalations allows for better absorption.
D. "I will tilt my head forward while inhaling the medication.”.
D rationale: Head position does not affect inhalation.
Full Explanation
Choice A rationale:
The hand used to hold the inhaler does not affect its effectiveness.
Choice B rationale:
Holding breath allows more medication to reach the lungs.
Choice C rationale:
Waiting 1 minute, not 10, between inhalations allows for better absorption.
Choice D rationale:
Head position does not affect inhalation.
A nurse is caring for a client who has hypertension and is to start taking atenolol.
The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?.
A. Constipation
A rationale: Atenolol does not commonly cause constipation.
B. Bradycardia.
B rationale: Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.
C. Cough.
C rationale: Atenolol does not typically cause cough.
D. Headache.
D rationale: While some may experience headache, it’s not a common side effect of atenolol.
Full Explanation
Choice A rationale:
Atenolol does not commonly cause constipation.
Choice B rationale:
Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.
Choice C rationale:
Atenolol does not typically cause cough.
Choice D rationale:
While some may experience headache, it’s not a common side effect of atenolol.