1. Select the step of blood glucose level monitoring that is NOT accurate.
A.Turn the finger down so the blood will drop with gravity.
B. Wipe off the first drop of blood using sterile gauze.
C. Prick the side of the finger using the lancet.
D. Prick the pad of the finger using the lancet

2. Select the opioid classification that is accurately coupled with an example of it AND a side effect or adverse reaction to it.
A. Opioid Agonist: Dilaudid: Constipation
B. Opioid Agonist: Naloxone: Constipation
C. Opioid Antagonist: Dilaudid: Anaphylaxis
D. Opioid Antagonist: OxyContin: Anaphylaxis

3. Place these steps of the medication reconciliation process in the correct sequential order from # 1 to # 5. Do NOT include steps that are not part of the medication reconciliation process. 1: Compile a list of newly prescribed medications and other preparations 2: Compile a list of current medications and other preparations 3: Compile a list of only current vitamins, over the counter medications, herbal remedies, nutritional and dietary supplements 4: Compare the two lists and make note of any discrepancies and inconsistencies 5: Employ critical thinking and professional judgments during the comparisons of the two lists 6: Communicate and document the new list of medications to the appropriate healthcare providers
A. 3,2,1,4,6
B. 2,1,4,5,6
C. 1,2,3,5,4
D. 4,1,3,2,6

4. Place the following steps for mixing NPH and regular insulin in the proper sequential order from # 1 to # 6 below. #1 – Prep the top of the shorter acting insulin with an alcohol swab #2 – Inject air that is equal to the ordered dosage of the shorter acting insulin using the same insulin syringe. #3 – Withdraw the ordered dosage of the shorter acting insulin using the same insulin syringe. #4 – Prep the top of the longer acting insulin vial with an alcohol swab. #5 – Inject air that is equal to the ordered dosage of the longer acting insulin using the insulin syringe. #6 – Withdraw the ordered dosage of the longer acting insulin using the same insulin syringe.
A. 1,5,4,2,3,6
B. 4,3,2,6,1,5
C. 4,2,5,3,1,6
D. 1,5,3,6,4,2

5. How many mLs will you administer to the client after you use 3.3 mL of normal saline to reconstitute a medication that will yield 12 mg per mL and the doctor’s order is as follows. Doctor’s order: 25 mg of medication BID
A. 1.9 mL
B. 2.0 mL
C. 2.5 mL
D. 2.1 mL

6. The best way to determine whether or not a medication is compatible with a particular intravenous fluid is to:
A. Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for color changes
B. Refer to a compatibility chart
C. Call the doctor and ask if the medication is compatible with the particular intravenous fluid
D. Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for any precipitates

7. Which of the following impacts on the client’s preferences in terms of hygiene routines and practices?
A. Culture
B. Locus of control
C. Bodily surface area
D. Diaphoresis

8. You are working as a wound care nurse. You measure the size of a client’s wound and it is 3 cm deep, 2 cm long and 4 cm wide. You would document the dimension of this wound as:
A. 6 cm
B. 12 cm
C. 20 cm
D. 24 cm

9. During you musculoskeletal assessment of the client, you determine that the client has muscular strength against gravity but not against resistance. You would document this assessment as:
A. 1 on the scale of 1 to 3
B. 2 on the scale of 1 to 5
C. 3 on the scale of 0 to 5
D. 4 on the scale of 0 to 5

10. Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
A. An aphasia aid
B. A button hook
C. Honey thickened liquids
D. A word board