1. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The

client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the

nurse?

a. “This test will indicate if you are at risk for developing blood clots

b. “This test will determine if your heart is performing properly”

c. “This test will provide information about the function of your liver”

Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver

Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure your

kidney function

d. “This test is used to check how your kidneys are working”

2 A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the

whole 10 mg from the single-dose vial. Which of the following actions should the nurse take first? a.

Notify the client’s provider.

b. Report the incident to the pharmacy.

c. Complete an incident report.

d. Measure the client’s respiratory

rate.

Rationale: morphine OD = pulmonary edema fills lungs w/ fluid leading cause of death for OD

Rationale: Morphine can cause respiratory depression if given too much. Also you should ALWAYS

ASSESS the patient first when a med error is performed to make sure med error doesn’t put the

client’s health in risk.

3 A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty

swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following images

shows the correct # of mL the nurse should administer? (Round the answer to the nearest whole

number.) Click on the syringe that has 8 mL of med.

20 mg x (5mL/12.5mg) = 8 mL

4 A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day

administered intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin should the nurse

administer with each dose ? (Round the answer to the nearest whole number. Use a leading zero if it

applies. Do not use a trailing zero.)

So it says each dose for the final answer, but we are given 80 mg/kg/day.

80 x 20 = 1600 / 4 (dose is given every 6 hours a day) = 400 mg

Rationale: 80 mg x 20 kg = 1,600 1,600/4 x day (q6h) = 400 mg

6. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV

pump. Which of the following actions should the nurse take first?

a. Label the pump with a defective equipment sticker.