NCLEX-PN

A.​ 3,2,1,4,6 B.​ 2,1,4,5,6 C.​ 1,2,3,5,4 D.​ 4,1,3,2,6 Correct Response : B Explanation: The procedure for this medication reconciliation process is:

2. Compile a list of current medications and other preparations

1. Compile a list of newly prescribed medications

4. Compare the two lists and make note of any discrepancies or 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 (See Engaging in the Medication Reconciliation Process: A Vital Role for Physicians ) 6.​ Place the following steps for mixing NPH and regular insulin in the proper 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 Correct Response : A Explanation : The steps for mixing NPH, the long-acting insulin, with regular insulin and short acting insulin in the correct sequential order are: 1.​ Prep the top of the longer-acting insulin vial with an alcohol swab. 2.​ Inject air that is equal to the ordered dosage of the longer-acting insulin using the insulin syringe. Do NOT withdraw the longer-acting insulin yet. 3.​ Prep the top of the shorter-acting insulin with an alcohol swab 4.​ Inject air that is equal to the ordered dosage of the shorter-acting insulin using the same insulin syringe. 5.​ Withdraw the ordered dosage of the shorter-acting insulin using the same insulin syringe.

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