Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing to administer several medications via NG tube to a client who is receiving continuous tube feeding.
Which of the following actions should the nurse take?
A. Dilute each crushed medication with sterile water.
When administering multiple medications via an NG tube, each medication should be prepared separately by crushing (if appropriate) and diluting it with sterile water. This method helps prevent drug interactions, ensures that medications are adequately dissolved, and minimizes the risk of clogging the tube.
B. Combine the medications with the formula in the feeding bag.
Choice B is wrong because medications should not be combined with the formula in the feeding bag.
C. Flush the NG tube with 5 mL of sterile water prior to administration.
Choice C is wrong because the NG tube should be flushed with at least 15 to 30 mL of water before and after drug delivery.
D. Mix the medications together in a single syringe.
Choice D is wrong because each medication should be administered separately when it is being given at the same time.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Fundamentals 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
When administering multiple medications via an NG tube, each medication should be prepared separately by crushing (if appropriate) and diluting it with sterile water. This method helps prevent drug interactions, ensures that medications are adequately dissolved, and minimizes the risk of clogging the tube.
Choice B is wrong because medications should not be combined with the formula in the feeding bag.
Choice C is wrong because the NG tube should be flushed with at least 15 to 30 mL of water before and after drug delivery.
Choice D is wrong because each medication should be administered separately when it is being given at the same time.
Similar Questions
A nurse is caring for a client.
Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.
Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.
Bilateral breath sounds with crackles and scattered wheezes throughout.
Cough productive for yellow, purulent sputum.
What are the first two actions the nurse should take?
A. Administer antibiotics and bronchodilators.
Choice A is wrong because administering antibiotics and bronchodilators should only be done after a diagnosis has been made.
B. Initiate airborne precautions and isolation.
Choice B is wrong because airborne precautions and isolation may not be necessary depending on the cause of the client’s symptoms.
C. Start the client on cough suppressants and antihistamines.
Choice C is wrong because cough suppressants and antihistamines may not be appropriate treatments depending on the cause of the client’s symptoms.
D. Obtain sputum culture and chest X-ray.
The first two actions the nurse should take are to obtain a sputum culture and a chest X-ray. These tests can help diagnose the cause of the client’s symptoms and guide treatment.
Full Explanation
The first two actions the nurse should take are to obtain a sputum culture and a chest X-ray.
These tests can help diagnose the cause of the client’s symptoms and guide treatment.
Choice A is wrong because administering antibiotics and bronchodilators should only be done after a diagnosis has been made.
Choice B is wrong because airborne precautions and isolation may not be necessary depending on the cause of the client’s symptoms.
Choice C is wrong because cough suppressants and antihistamines may not be appropriate treatments depending on the cause of the client’s symptoms.
A nurse is caring for a client.
What are the first two actions the nurse should take?
A. Notify the healthcare provider and initiate treatment for TB.
Choice A is wrong because the test results are negative, so initiating treatment for TB is not necessary.
B. Repeat the tests and compare the results with the previous ones.
Choice B is wrong because repeating the tests may not provide any additional information.
C. Review the client's medical history and assess for symptoms.
The first two actions the nurse should take are to review the client’s medical history and assess for symptoms. This can help determine if further testing or treatment is necessary.
D. Educate the client about TB prevention and management.
Choice D is wrong because educating the client about TB prevention and management may not be necessary if the client does not have TB.
Full Explanation
The first two actions the nurse should take are to review the client’s medical history and assess for symptoms.
This can help determine if further testing or treatment is necessary.
Choice A is wrong because the test results are negative, so initiating treatment for TB is not necessary.
Choice B is wrong because repeating the tests may not provide any additional information.
Choice D is wrong because educating the client about TB prevention and management may not be necessary if the client does not have TB.
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
A. "No changes noted to the wound from previous nursing notes.".
Choice A is wrong because it does not provide specific details about the wound or the dressing change.
B. "New dressing applied as prescribed; no drainage on old dressing.".
The nurse’s entry “New dressing applied as prescribed; no drainage on old dressing” demonstrates correct documentation because it includes specific details about the wound and the dressing change.
C. "The wound seems clean and does not appear to be infected.".
Choice C is wrong because it includes subjective language (“seems” and “does not appear”) rather than objective observations.
D. "Client premedicated with MSO4 subq prior to dressing change.".
Choice D is wrong because it only documents medication administration and does not provide any information about the wound or the dressing change.
Full Explanation
The nurse’s entry “New dressing applied as prescribed; no drainage on old dressing” demonstrates correct documentation because it includes specific details about the wound and the dressing change.
Choice A is wrong because it does not provide specific details about the wound or the dressing change.
Choice C is wrong because it includes subjective language (“seems” and “does not appear”) rather than objective observations.
Choice D is wrong because it only documents medication administration and does not provide any information about the wound or the dressing change.