Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse is preparing to administer ear drops to an adult client.
Which of the following actions should the nurse plan to take?.
A. Avoid applying pressure to the tragus of the ear
A rationale: Applying pressure to the tragus of the ear can help move the liquid in deeper. Therefore, this statement is incorrect.
B. Pull the pinna upward and backward.
B rationale: For adults, the pinna should be pulled upward and backward to straighten the ear canal. Therefore, this statement is correct.
C. Don sterile gloves to instill the medication.
C rationale: Sterile gloves are not necessary when administering ear drops. Therefore, this statement is incorrect.
D. Chill the otic solution prior to administration.
D rationale: Ear drops should be at room temperature. If they’re too cold or hot, they can make you feel dizzy and disoriented. 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:
Applying pressure to the tragus of the ear can help move the liquid in deeper. Therefore, this statement is incorrect.
Choice B rationale:
For adults, the pinna should be pulled upward and backward to straighten the ear canal. Therefore, this statement is correct.
Choice C rationale:
Sterile gloves are not necessary when administering ear drops. Therefore, this statement is incorrect.
Choice D rationale:
Ear drops should be at room temperature. If they’re too cold or hot, they can make you feel dizzy and disoriented. Therefore, this statement is incorrect.
Similar Questions
A nurse is reviewing the medication record of a client who has heart failure and has a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as a possible cause of the client's potassium level?.
A. Furosemide
A rationale: Furosemide is a diuretic that can cause your blood level of potassium to decrease, which is known as hypokalemia. Therefore, this statement is correct.
B. Spironolactone.
B rationale: Spironolactone is a potassium-sparing diuretic which conserves potassium, thereby balancing its levels in the body. Therefore, this statement is incorrect.
C. Metoprolol.
C rationale: Metoprolol does not significantly affect potassium levels. Therefore, this statement is incorrect.
D. Nitroglycerin.
D rationale: Nitroglycerin does not significantly affect potassium levels. Therefore, this statement is incorrect.
Full Explanation
Choice A rationale:
Furosemide is a diuretic that can cause your blood level of potassium to decrease, which is known as hypokalemia. Therefore, this statement is correct.
Choice B rationale:
Spironolactone is a potassium-sparing diuretic which conserves potassium, thereby balancing its levels in the body. Therefore, this statement is incorrect.
Choice C rationale:
Metoprolol does not significantly affect potassium levels. Therefore, this statement is incorrect.
Choice D rationale:
Nitroglycerin does not significantly affect potassium levels. Therefore, this statement is incorrect.
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.
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.
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.