Nclex RN Medication and IV Administration Q & A

 Nclex RN Medication and IV Administration Q & A
1.A health care provider orders 0.5 mg of protamine sulfate for a client who is showing signs of bleeding after receiving a 100-unit dose of heparin. The nurse should expect the effects of the protamine sulfate to be noted in which of the following time frames?
a) 5 minutes.
b) 10 minutes.
c) 20 minutes.
d) 30 minutes.


2.A client is scheduled for an excretory urography at 10 a.m. An order directs the nurse to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at:
a) 7:30 a.m.
b) 8:30 a.m.
c) 9 a.m.
d) 9:30 a.m

3.A nurse is helping a physician insert a subclavian central line. After the physician has gained access to the subclavian vein, he connects a 10-ml syringe to the catheter and withdraws a sample of blood. He then disconnects the syringe from the port. Suddenly, the client becomes confused, disoriented, and pale. The nurse suspects an air embolus. She should:
a) place the client in a supine position and prepare to perform cardiopulmonary resuscitation.
b) place the client in high-Fowler's position and administer supplemental oxygen.
c) turn the client on his left side and place the bed in Trendelenburg's position.
d) position the client in the shock position with his legs elevated.

4.The client is receiving an I.V. infusion of 5% dextrose in normal saline running at 125 ml/hour. When hanging a new bag of fluid, the nurse notes swelling and hardness at the infusion site. The nurse should first:
a) Discontinue the infusion.
b) Apply a warm soak to the site.
c) Stop the flow of solution temporarily.
d) Irrigate the needle with normal saline



5.Total parenteral nutrition (TPN) is prescribed for a client who has recently had a significant small and large bowel resection and is currently not taking anything by mouth. The nurse should:
a) Administer TPN through a nasogastric or gastrostomy tube.
b) Handle TPN using strict aseptic technique.
c) Auscultate for bowel sounds prior to administering TPN.
d) Designate a peripheral intravenous (IV) site for TPN administration.

6.To prevent development of peripheral neuropathies associated with isoniazid administration, the nurse should teach the client to:
a) Avoid excessive sun exposure.
b) Follow a low-cholesterol diet.
c) Obtain extra rest.
d) Supplement the diet with pyridoxine (vitamin B6).

7.When giving an I.M. injection, the nurse should insert the needle into the muscle at an angle of:
a) 15 degrees.
b) 30 degrees.
c) 45 degrees.
d) 90 degrees.

8.A woman is taking oral contraceptives. The nurse teaches the client to report which of the following danger signs?
a) Breakthrough bleeding.
b) Severe calf pain.
c) Mild headache.
d) Weight gain of 3 lb.

9.The nurse administers an intradermal injection to a client. Proper technique has been used if the injection site demonstrates which of the following?
a) Minimal leaking.
b) No swelling.
c) Tissue pallor.
d) Evidence of a bleb or wheal.