1. Which of the following is the normal reference value of Prothrombin Time?

A. 9 to 13 seconds
B. 10-15 seconds
C. 11 to 12.5 seconds
D. 10.5 to 13.5 seconds
2. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is
scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and
begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel
sounds are diminished. Which is the most appropriate nursing intervention?
A. Reposition the client and apply a heating pad on the warm setting to the client’s
abdomen.
B. Call and ask the operating room team to perform surgery as soon as possible.
C. Administer the prescribed pain medication.
D. Notify the physician.
3. Which antibiotic class would the nurse monitor for photosensitivity? Select all that apply.
A. Sulfanomides
B. Tetracyclines
C. Aminoglycosides
D. Fluoioroquinolones
4. During antibiotic therapy, the nurse will assess the client for a condition that may occur because
of the disruption of normal flora. The nurse knows this as what condition?
A. Resistant infection
B. Superinfection
C. Nosocomial infection
D. Allergic reaction
5. A nurse removes a central line access device once the patient no longer requires intravenous
(IV) antibiotics. This action is an example of which strategy to prevent antimicrobial resistance
established by the Centers for Disease Control and Prevention (CDC)?
A. Preventing transmission
B. Proper diagnosis
C. Preventing infection
D. Prudent antibiotic use
6. What action should the nurse prioritize before administering penicillin through IV?
A. Flush the IV site with normal saline.
B. Assess the patient for allergies.
C. Review the patient's intake and output record.
D. Determine the latest creatinine clearance result
7. A patient asks the student nurse to describe how penicillins (PCNs) work to treat bacterial
infections. The student is correct in responding that penicillins:
A. disinhibit transpeptidases.
B. disrupt bacterial cell wall synthesis.
C. inhibit autolysins.
 D. inhibit host cell wall function.
8. Mr. Curtis has Epogen 12,000 units subcutaneous injection three times a week to treat anemia
related to chemotherapy. How many milliliters will you administer?

A. 1 ml
B. 1.2 ml
C. 2.1 ml
D. 2 ml
9. Mr. Ryan has Tigan 200 mg IM ordered three times a day for nausea and vomiting. How many
milliliters will you administer?

A. 1 ml
B. 1.5 ml
C. 2 ml
D. 3 ml
10. A patient with anuria has an order for 1000 mL of 0.9% NS to be infused over 1 hour. The tubing
drop factor is 10 gtts/mL. How many drops per minute should be given? Round up to a whole
number.
A. 137 gtts/min
B. 167 gtts/min
C. 157 gtts/min
D. 147 gtts/min