NACE Pharmacological and Parenteral Therapies 2

Question 1

A patient is prescribed heparin 5,000 units subcutaneously. The vial contains 10,000 units/mL. How many mL should the nurse administer?

Accepted Answer

0.5 mL

Answer

0.25 mL

Answer

1 mL

Answer

2 mL

Question 2

Which assessment is most important before administering digoxin?

Accepted Answer

Apical heart rate for one full minute

Answer

Blood pressure

Answer

Respiratory rate

Answer

Temperature

Question 3

A patient receiving IV vancomycin develops flushing of the face, neck, and upper body. What is the nurse's priority action?

Accepted Answer

Slow the infusion rate

Answer

Administer epinephrine for anaphylaxis

Answer

Stop the infusion permanently and notify the provider

Answer

Apply cold compresses to the flushed areas

Question 4

Which medication requires the nurse to monitor potassium levels closely due to the risk of hyperkalemia?

Accepted Answer

Spironolactone

Answer

Furosemide

Answer

Hydrochlorothiazide

Answer

Mannitol

Question 5

A nurse is administering total parenteral nutrition (TPN) through a central line. Which nursing action is essential?

Accepted Answer

Monitor blood glucose levels regularly

Answer

Administer TPN through a peripheral IV line for convenience

Answer

Run TPN at a rapid rate to complete it within 12 hours

Answer

Add medications directly into the TPN bag

Question 6

A patient with diabetes is prescribed NPH insulin and regular insulin. In which order should the nurse draw up the insulins?

Accepted Answer

Regular first, then NPH

Answer

NPH first, then regular

Answer

Either order is acceptable

Answer

They must be given in separate syringes