1.

A nurse is monitoring the status of a client’s fat emulsion (lipid) infusion and notes
that the infusion is 2 hours delay. The nurse should do which of the following
actions?
a. Adjust the infusion rate to run faster until the solution is finished on time
b. Q1 Increase the infusion rate to catch up over the next few hours
c. Make sure the infusion rate is infusing at the ordered rate
d. Adjust the infusion rate to catch up over the next hour
2. MD writes an order for Tylenol 180 mg by mouth as needed every 6 hours for pain
for a child. Pharmacy dispenses you with 80 mg per ml. How many ml will you
administer per dose?
a. 2.25 ml/dose
b. 6 ml/dose
c. 0.5 ml/dose
d. 25 ml/dose

3. A newly registered nurse is about to insert a nasogastric tube to a client who is

unconscious to determine the accurate measurement of the length of the tube be
inserted, the nurse should:

a. Place the tube at the base of the nose and measuring by extending the tube to the
earlobe and then down to the top of the sternum
b. Place the tube at the tip of the nose and measure by extending the tube to the earlobe
and then down to the top of the sternum.
c. Place the tube at the tip of nose and measure by extending the tube to the earlobe and
down to the xiphoid process
d. Place the tube at the tip of the nose and measure by extending the tube down to the
chin and then down to the top of the xiphoid process

4. Doctor's order says: "650 mL of D5W to infuse over 8 hours." Drip factor: 10
gtt/mL
a. 360 gtt/min
b. 14gtt/min
c. 33 gtt/min
d. 18 gtt/min

5. A patient receiving parenteral nutrition is administered via the following route

except
a. Subclavian line
b. Central venous catheter
c. Peripherally inserted central catheter (PICC) line
d. Percutaneous endoscopic gastrostomy (PEG) tube
6. A client requiring surgery is anxious about the possible need for a blood transfusion
during or after the procedure. The nurse suggests to the client to take which
action(s) to reduce the risk of possible transfusion complication
a. Request that any donated blood be screened twice by the blood bank
b. Take iron supplement prior to the surgery and eat green leafy vegetables
c. Do an autologous blood donation
d. Have a family member donate their own blood

7. The nurse who is about to begin a blood transfusion knows that cells starts to
deteriorate after a certain period of time. Which item is important to check
regarding the age of blood cells before the transfusion?
a. Blood identification number
b. Expiring date
c. Presence of clot
d. Blood group and type

8. Which of the following is NOT a complication that can arise from transfusion?
a. Circulatory overload
b. Haemolytic reaction- fever, tachycardia, dyspnoea, rigor
c. Non- haemolytic reactions- urticarial, anaphylaxis, sepsis
d. Thrombocytosis

9. The nurse is caring for clients with cirrhosis of the liver. The client has developed
ascites and requires a paracentesis. Which of the following symptoms is associated
with ascites and should be relieved by the paracentesis?
a. Dyspnoea
b. Jaundice
c. Peripheral neuropathy
d. Pruritis
10. A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected
lung cancer. Which of the following is a contraindication to the study for this
patient?
a. The patient has a pacemaker
b. The patient is allergic to shellfish
c. The patient suffers from claustrophobia
d. The patient takes antipsychotic medication
11. What does the prescription abbreviation gtt stands for
a. As directed
b. Drop
c. Every
d. Swallow

12. What does the prescription acronym p.c. stand for?

a. After food
b. As needed
c. At bed time
d. Rectally

13. A nurse is conducting a follow-up home visit to a client who has been discharged
with a parenteral nutrition (PN). Which of the following should the nurse most
closely monitor in this kind of therapy?
a. Blood pressure and pulse rate
b. Blood pressure and temperature
c. Height and weight
d. Temperature and weight

14. What does the prescription abbreviation bucc. Stand for?

a. Blood sugar
b. Bolus
c. Inside cheek
d. Lower leg

15. You just inserted a Nasogastric tube. Which of the following is NOT a correct way
to check correct placement of the tube?
a. Administration of a 100c water flush and assessing for patient coughing
b. Checking pH of GI contents to be 1 to 3.5
c. Following the doctors order for an x-ray to confirm placement
d. Obtain a sample of GI contents through the tube by aspirating

16. The physician has ordered 6mg morphine sulphate every 3 to 4 hours prn for a
client’s postoperative pain. The unit dose in the medication dispenser has 15 mg in
1ml. how much solution should the nurse give?
a. 0.3ml
b. 0.4ml
c. 0.5ml
d. 0.6ml
17. A nurse is making initial rounds at the beginning of the shift and noticed that the
parenteral nutrition (PN) bag of an assigned client is empty. Which of the following
solutions readily available on the nursing unit should the nurse hang until another
PN solution mixed and delivered to the nursing unit?
a. 10% dextrose in water
b. 5% dextrose in lactated ringer solution
c. 5% dextrose in normal saline
d. Dextrose saline solution

18. Doctor’s order: Nafcillin 500mg po pc 8 hourly; available: Nafcillin is 1 gm. tab.
How many tab will you administer per day?
a. 1 tab
b. 1.5 tabs
c. 2 tabs
d. 2.5 tabs

19. Intramuscular injections should be administered at a_______ degree angle

a. 10-15
b. 25
c. 45
d. 90

20. Once the site for intramuscular injection has been determined, the area cleansed
with alcohol and allowed to dry, the needle is uncapped and inserted. Immediately
after insertion of the needle the next step is to:
a. Aspirate
b. Inject the medication rapidly
c. Massage the site
d. Place a plaster over the site

21. Which nursing intervention takes highest priority when caring for a client who is
receiving a blood transfusion?
a. Document blood administration in the clients chart
b. Informing the client that the transfusion usually takes 4 to 6 hours
c. Instructing the client to report any itching, chest pain, or dyspnoea
d. Warming the blood prior transfusion

22. Nurse Paulo has received a blood bank and has rechecked the blood bag properly
with Nurse Edward. Prior the facilitation of the blood transfusion, nurse Paulo
priority check which of the following?
a. Intake and output
 b. NPO standing order
c. Skin turgor
d. Vital signs
23. A client is receiving a first time blood transfusion of packed RBC. How long should
be the nurse stay and monitor the client to ensure a transfusion reaction will not
happen?
a. 10 minutes
b. 30 minutes
c. 45 minutes
d. 60 minutes

24. Nurse Jay is caring for a client with an ongoing transfusion of packed RBC’s when
suddenly the client is having difficulty of breathing, skin is flushed and having chills.
Which action should Nurse Jay take first?
a. Administer oxygen
b. Check the clients temperature.
c. Place the client on Nil per os
d. Stop transfusion

25. Before finding a client via NGT, the nurse aspirates gastric juice and obtains an
amount of 90ml. what is the appropriate action for the nurse to take.
a. Discard the residual amount
b. Hold the due feeding
c. Push back the amount and continue with administering the feeding
d. Skip the feeding and administer the next feeding due in 4 hours

26. Immediate post-operative nursing care for a patient who has had colostomy
performed should include:
a. Keeping the skin around the stoma clean and dry
b. Limiting fluid intake for several days
c. Teaching the patient how to change the colostomy bag
d. Withholding all fluids for 72 hours

27. A 10 year old child who ingested 2g of acetaminophen tablet 45mins ago is seen in
the emergency department. Which of these should the nurse do first?
a. Administer activated charcoal per pharmacy
b. Administer anti histamine per age per pharmacy
c. Perform gastric lavage
d. Start an IV dextrose 5% with 0.33% normal saline to keep vein open

28. After terminating the transfusion during a reaction, which action should the nurses
immediately be taken next?
a. Fast drip 200ml normal saline
 b. Remove the IV line
c. Run a solution of 5% dextrose in water
d. Run normal saline at a deep vein open rate

29. The following include the advantage of taking oral medication EXCEPT
a. Painless
b. Safe with no injuries
c. It is easy to swallow
d. No risk of infection and complication

30. What is characteristic of the oral route?

a. Fast onset of effect
b. Absorption depends on GI tract secretion and motor function
c. A drug reaches the blood passing the liver
d. The sterilization of medicinal forms is obligatory

31. Tick the feature of the sublingual route:

a. Pretty fast absorption
b. A drug is exposed to gastric secretion
c. A drug is exposed more prominent liver metabolism
d. A drug can be administrated in a variety of doses

32. Pick out the parenteral route of medicinal agent administration:

a. Rectal
b. Oral
c. Sublingual
d. Inhalation

33. Parenteral administration

a. Cannot be used with unconsciousness patients
b. Generally results in a less accurate dosage than oral administration
c. Usually produces a more rapid response than oral administration
d. Is too slow for emergency use

34. What is characteristic of the intramuscular route of drug administration?

a. Only water solutions can be injected
b. Oily solutions can be injected
c. Opportunity of hypertonic solution injections
d. The action develops slower, than at oral administration

35. Intravenous injections are more suitable for oily solutions

 a. True
b. False
c. Both A & B

36. Correct statements listing characteristics of a particular route of drug

administration include all of the following EXCEPT
a. Intravenous administration provides a rapid response
b. Intramuscular administration requires a sterile technique
c. Inhalation provides slow access to the general circulation
d. Subcutaneous administration may cause local irritation

37. You just inserted a nasogastric tube. Which of the following is not a correct way to
check correct placement of the tube?
a. Administering a 100cc water flush and assessing for patient coughing
b. Checking pH of GI contents to be at 1- 3.5
c. Following the MD order for and x-ray to confirm placement
d. Obtaining a sample of GI content through the tube by aspirating

38. A patient is receiving parenteral nutrition (PN) complains of a headache. A nurse’s

note that the patient has an increased blood pressure, bounding pulse, jugular
distention, and crackles bilaterally. The nurse determines that the patient is
experiencing which complication of PN therapy?
a. Air embolism
b. Hyperglycaemia
c. Hypervolemia
d. Sepsis

39. Nurse Amina is preparing to hang the initial bag of the parenteral nutrition solution
via the central line of a malnourished client. Nurse Amina ensures the availability of
which medical equipment before hanging the solution?
a. Nebuliser
b. Dressing tray
c. Glucometer
d. Infusion pump

40. Nurse Sandra is ordered to administer ampicillin capsule TID p.o. nurse Sandra
should give medication
a. Three times daily after meal
b. Three times a day orally
c. Two times a day by mouth
d. Two times daily before meals
ANSWERS

1. C
2. A
3. C
4. B
5. D
6. C ( The D is good but priority is C - ones own blood)
7. B
8. D
9. A
10. C
11. B
12. A
13. D
14. C
15. A
16. B
17. A
18. B
19. D
20. A
21. C
22. D
23. B
24. D
25. C
26. A
27. C
28. D
29. D
30. B
31. A
32. D
33. C
34. B
35. B
36. C
37. A
38. C
39. D
40. B