Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following information should the nurse include in the teaching?
A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider.”.
The list obtained from the client should include all medications the client is taking, regardless of who prescribed them. This includes over-the-counter medications and supplements.
B. "A comprehensive list of medications is provided for the client at the time of discharge.”.
Providing a comprehensive list of medications for the client at the time of discharge is an important component of medication reconciliation. This helps to ensure the client understands what medications they should be taking, how to take them, and why they are taking them.
C. "Complete the reconciliation process one time when the client is first admitted to the hospital.”.
The reconciliation process should be completed at each transition of care, not just when the client is first admitted to the hospital. This is to ensure that any changes in medication are accurately documented and communicated.
D. "A nurse should write a verbal order in the medical record for medications the client was taking at home.”.
A nurse should not write a verbal order in the medical record for medications the client was taking at home without confirmation from the provider. This could lead to errors in medication administration.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Fall 2023 Term 2 Proctored Exam 3. Take the full exam now
Full Explanation
Choice A rationale:
The list obtained from the client should include all medications the client is taking, regardless of who prescribed them. This includes over-the-counter medications and supplements.
Choice B rationale:
Providing a comprehensive list of medications for the client at the time of discharge is an important component of medication reconciliation. This helps to ensure the client understands what medications they should be taking, how to take them, and why they are taking them.
Choice C rationale:
The reconciliation process should be completed at each transition of care, not just when the client is first admitted to the hospital. This is to ensure that any changes in medication are accurately documented and communicated.
Choice D rationale:
A nurse should not write a verbal order in the medical record for medications the client was taking at home without confirmation from the provider. This could lead to errors in medication administration.
Similar Questions
A nurse is preparing to administer penicillin IM to an adult client.
Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?
A. 60°.
An angle of 60° is not typically used for IM injections. It is more commonly used for subcutaneous injections.
B. 45°.
An angle of 45° is also more commonly used for subcutaneous injections, not IM injections.
C. 90°.
An angle of 90° is the correct angle for an IM injection into the ventrogluteal muscle. This allows for the needle to penetrate deep into the muscle tissue.
D. 75°. .
An angle of 75° is not typically used for any type of injection. It could potentially cause injury to the client if used for an IM injection.
Full Explanation
Choice A rationale:
An angle of 60° is not typically used for IM injections. It is more commonly used for subcutaneous injections.
Choice B rationale:
An angle of 45° is also more commonly used for subcutaneous injections, not IM injections.
Choice C rationale:
An angle of 90° is the correct angle for an IM injection into the ventrogluteal muscle. This allows for the needle to penetrate deep into the muscle tissue.
Choice D rationale:
An angle of 75° is not typically used for any type of injection. It could potentially cause injury to the client if used for an IM injection.
A nurse is reinforcing teaching with a client regarding reduction of risk factors for coronary artery disease.
Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
A. "I will stop consuming alcohol.”.
Stopping alcohol consumption can have various health benefits, but moderate alcohol consumption is not a primary risk factor for coronary artery disease. Instead, excessive drinking is more concerning.
B. "I must stop smoking.”.
Smoking is a significant risk factor for coronary artery disease. Quitting smoking greatly reduces the risk and improves overall cardiovascular health.
C. "I am limiting my intake of fast foods.”.
Limiting fast food intake is an important dietary change, as fast foods are often high in unhealthy fats, salt, and calories, which can contribute to coronary artery disease.
D. "I should lower my HDL cholesterol level.”.
The statement "I should lower my HDL cholesterol level" is incorrect. HDL cholesterol is considered "good" cholesterol and helps to protect against heart disease. Therefore, lowering HDL cholesterol would not be beneficial.
E. "I need to monitor my weight.”.
Monitoring and maintaining a healthy weight is crucial for reducing the risk of coronary artery disease. Excess weight, particularly around the abdomen, is a known risk factor.
Full Explanation
The correct answers are Choice B: "I must stop smoking.", Choice C: "I am limiting my intake of fast foods.", and Choice E: "I need to monitor my weight."
Choice A rationale:
Stopping alcohol consumption can have various health benefits, but moderate alcohol consumption is not a primary risk factor for coronary artery disease. Instead, excessive drinking is more concerning.
Choice B rationale:
Smoking is a significant risk factor for coronary artery disease. Quitting smoking greatly reduces the risk and improves overall cardiovascular health.
Choice C rationale:
Limiting fast food intake is an important dietary change, as fast foods are often high in unhealthy fats, salt, and calories, which can contribute to coronary artery disease.
Choice D rationale:
The statement "I should lower my HDL cholesterol level" is incorrect. HDL cholesterol is considered "good" cholesterol and helps to protect against heart disease. Therefore, lowering HDL cholesterol would not be beneficial.
Choice E rationale:
Monitoring and maintaining a healthy weight is crucial for reducing the risk of coronary artery disease. Excess weight, particularly around the abdomen, is a known risk factor.
A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag.
At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)
Full Explanation
The correct answer is 1100.
Calculation: The current time is 0700 and there are 300 mL remaining in the bag. The IV is infusing at a rate of 75 mL/hr. Therefore, 300 mL ÷ 75 mL/hr = 4 hours. Adding 4 hours to the current time of 0700 gives 1100.