The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

One nurse who is going off duty and one nurse coming on duty.

The unit's head nurse and a hospital pharmacist.

Everyone who has given or will be giving narcotics on both shifts.

One pharmacy technician and the unit's head or charge nurse.

Answer and Explanation

The Correct Answer is A

Choice A reason: Narcotics are controlled substances requiring strict accountability; two nurses—one ending and one starting the shift—verify counts to ensure accuracy and prevent diversion per regulatory standards.

Choice B reason: The head nurse and pharmacist may oversee inventory, but shift change counts involve direct caregivers for real-time accuracy, not administrative staff, ensuring immediate responsibility and oversight.

Choice C reason: Involving all nurses from both shifts is impractical and unnecessary; it dilutes accountability and increases error risk, as only two are needed to confirm the count efficiently.

Choice D reason: Pharmacy technicians lack authority over unit narcotics, and the charge nurse alone doesn’t suffice; two nurses ensure a witnessed, reliable count per hospital policy and law.

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Correct Answer is A

Explanation

Choice A reason: Zestril at 5 mg per tablet is common; strength is the dose per unit, and this matches typical labeling for hypertension management effectively.

Choice B reason: 10 mg is a Zestril strength but not assumed here; without label confirmation, 5 mg is the base unit from prior context, not this option.

Choice C reason: 15 mg isn’t standard for Zestril tablets; it’s a total dose possibility, not a per-tablet strength, mismatching typical medication packaging norms.

Choice D reason: 20 mg exists for Zestril but isn’t the default; 5 mg aligns with the supplied strength in earlier questions, making it the likely label.

A. Fentanyl transdermal patch 25 mcg every 3 days B. Acetaminophen with oxycodone 10 mg/325 mg PO every 6 hours C. Morphine extended-release 60 mg PO every 12 hours D. Ketorolac 10 mg IV every 4 hours as needed

Correct Answer is D

Explanation

Choice A reason: Fentanyl patches provide continuous opioid delivery for 72 hours; their fixed schedule isn’t “as needed,” making them unsuitable for acute, variable pain management.

Choice B reason: Acetaminophen with oxycodone is scheduled every 6 hours; this fixed interval lacks the flexibility of “as needed,” limiting its use for breakthrough pain relief.

Choice C reason: Morphine extended-release is designed for sustained release over 12 hours; its fixed dosing isn’t “as needed,” restricting its role to chronic, not acute, pain control.

Choice D reason: Ketorolac IV every 4 hours prn allows flexible dosing; this NSAID targets inflammation and pain acutely, ideal for as-needed administration within safe limits.

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The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Using the label, what is the strength of the medication? (No label; assuming Zestril from prior context.)

Correct Answer is A

Explanation

Which pain medication may be administered to the patient as needed?

Correct Answer is D

Explanation

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