Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing to administer cefotaxime 100 mg IM to a client.
How many grams (g) should the nurse plan to administer?
A. 10 g.
Administering 10 grams (g) of cefotaxime 100 mg IM is an excessive dose. The correct calculation for administering 100 mg would be 0.1 g (100 mg divided by 1000 to convert milligrams to grams). This choice is incorrect.
B. 100 g.
Administering 100 grams (g) of cefotaxime 100 mg IM is a significantly excessive dose and is incorrect. The correct calculation is 0.1 g (100 mg divided by 1000 to convert milligrams to grams). This choice is incorrect.
C. 0.1 g.
Administering 0.1 grams (g) of cefotaxime 100 mg IM is the correct dose calculation. To convert milligrams (mg) to grams (g), you divide by 1000. Therefore, 100 mg equals 0.1 g. This choice is correct.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom T1 PM Summer 2023 Proctored Exam 5. Take the full exam now
Similar Questions
A nurse is discussing potential barriers to effective communication with a newly licensed nurse.
Which of the following barriers should the nurse include?
A. Noise from nearby monitoring equipment.
Noise from nearby monitoring equipment can be a significant barrier to effective communication between healthcare providers and patients. It can make it difficult for patients to hear and understand instructions or for healthcare providers to hear patient concerns. This choice is correct.
B. Adequate lighting in a client's room.
Adequate lighting in a client's room is not a barrier to effective communication but rather a facilitator. Good lighting is essential for clear communication, as it allows healthcare providers to assess the patient's condition, read documents, and observe nonverbal cues effectively. This choice is incorrect.
C. Cultural differences between a client and nurse.
Cultural differences can lead to misunderstandings regarding eye contact, personal space, and health beliefs. Without cultural competence, the nurse may misinterpret a client's behavior or inadvertently cause offense, hindering the therapeutic relationship and communication.
D. Use of medical terminology when speaking to a client.
The use of medical terminology when speaking to a client can be a barrier to effective communication. Healthcare professionals should use plain language and avoid medical jargon to ensure that patients understand the information being conveyed. This choice is correct.
E. The nurse faces the client when speaking.
The nurse facing the client when speaking is not a barrier but a best practice in effective communication. Facing the client allows for better nonverbal communication, including eye contact and the ability to assess the client's reactions and understanding. This choice is incorrect.
Full Explanation
Choice A rationale: Environmental factors like noise from monitoring equipment create physical barriers. These sounds can drown out verbal messages, cause distractions, or increase anxiety, making it difficult for the client and nurse to exchange clear information.
Choice B rationale: Adequate lighting is a facilitator, not a barrier, to effective communication. Good visibility allows the client and nurse to observe non-verbal cues, such as facial expressions and gestures, which enhance the overall understanding of the message.
Choice C rationale: Cultural differences can lead to misunderstandings regarding eye contact, personal space, and health beliefs. Without cultural competence, the nurse may misinterpret a client's behavior or inadvertently cause offense, hindering the therapeutic relationship and communication.
Choice D rationale: Using medical jargon is a common semantic barrier. Clients often do not understand complex clinical terms, which can lead to confusion, fear, and a lack of compliance with treatment plans if the information is not simplified.
Choice E rationale: Facing the client while speaking is a positive non-verbal communication technique. It demonstrates active listening, encourages engagement, and allows the client to see the nurse's mouth and expressions, which facilitates better understanding and builds trust.
A nurse is caring for a client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take?
A. Clarify the dosage of the morphine.
Clarify the dosage of the morphine. Rationale: The dosage of morphine prescribed (1 to 2 mg) is within the acceptable range for subcutaneous administration every 4 hours as needed for pain. There is no need to clarify the dosage since it falls within the prescribed range.
B. Administer up to 2 mg of morphine in 4 hr.
Administer up to 2 mg of morphine in 4 hr. Rationale: The correct action is to administer up to 2 mg of morphine every 4 hours as needed for pain, as per the prescription. This is a standard dosing range for morphine for pain management.
C. Clarify the route of the morphine.
Clarify the route of the morphine. Rationale: The prescription clearly states the route of administration as subcutaneous (subcut). There is no need to clarify the route since it is already specified.
D. Administer 2 mg of morphine every 2 hr.
Administer 2 mg of morphine every 2 hr. Rationale: Administering morphine every 2 hours would exceed the recommended dosing interval and could potentially lead to an overdose or respiratory depression. The prescribed dosing interval is every 4 hours, not every 2 hours.
Full Explanation
he correct answer is:
A. Clarify the dosage of the morphine.
Explanation:
The prescription indicates that the client should receive 1 to 2 mg of morphine subcutaneously every 4 hours as needed for pain. This means that the nurse can administer 1 mg or 2 mg of morphine, but the exact dose should be determined based on the client's pain level and response to the medication. The nurse should clarify with the prescriber to determine the specific dosage range that is appropriate for the client.
The other options are incorrect:
- B. Administer up to 2 mg of morphine in 4 hr: The prescription states that the client can receive up to 2 mg in 4 hours, but the nurse should not administer the maximum dose without first assessing the client's pain level and determining the appropriate dose based on their individual needs.
- C. Clarify the route of the morphine: The prescription clearly states that the morphine should be administered subcutaneously, so there is no need to clarify the route.
- D. Administer 2 mg of morphine every 2 hr: The prescription states that the morphine should be administered every 4 hours, not every 2 hours. Administering the medication more frequently than prescribed could lead to overdose or other adverse effects.
It is important for nurses to carefully review all prescriptions and clarify any uncertainties with the prescriber to ensure that medications are administered correctly and safely.
A nurse is obtaining an oxygen saturation on a client.
Which of the following actions should the nurse take?
A. Wait 10 sec after placing the probe before obtaining the oxygen saturation reading.
Wait 10 sec after placing the probe before obtaining the oxygen saturation reading. Rationale: Waiting for 10 seconds after placing the oxygen saturation probe is unnecessary and may lead to a delay in obtaining important oxygen saturation information. Typically, oxygen saturation readings are obtained immediately after placing the probe.
B. Place the sensor probe on the same extremity as an electronic blood pressure cuff.
Place the sensor probe on the same extremity as an electronic blood pressure cuff. Rationale: It is generally not recommended to place the oxygen saturation sensor probe on the same extremity as an electronic blood pressure cuff. The pressure from the cuff may interfere with the accuracy of the oxygen saturation reading. It is advisable to place the probe on a different extremity.
C. Relocate the sensor every 8 hrs.
Relocate the sensor every 8 hrs. Rationale: There is no specific guideline that requires relocating the oxygen saturation sensor every 8 hours. The sensor should be left in place as long as it is providing accurate readings and remains well-tolerated by the patient. Frequent repositioning may cause discomfort and skin irritation.
D. Choose a finger with a capillary refill less than 2 sec.
Choose a finger with a capillary refill less than 2 sec. Rationale: It is important to choose a finger with a capillary refill less than 2 seconds when placing the oxygen saturation probe. This helps ensure adequate perfusion and accurate oxygen saturation readings. Capillary refill time is a good indicator of peripheral perfusion.