Deck 3: Principles of Drug Administration

Question 1

The nurse is preparing to administer medications to a client by nasogastric (NG)tube.Which type of medication should not be given by this route?
1)All medications can be given via NG tube
2)Tablets
3)Sustained-release medications
4)Liquid medications

Answer 1

3

Question 2

Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)PO-pills only
2)gtt-drop
3)no-number
4)qh-every hour
5)qid-three times a day

Answer 2

2,3,4

Question 3

The physician ordered amlodipine (Norvasc)5 mg tab PO bid.The drug is dispensed as 1 tablet,which is 5 mg.How should the nurse administer the medication?
1)One tablet orally four times per day
2)One tablet orally three times per day
3)One tablet orally once per day
4)One tablet orally twice per day

Answer 3

4

Question 4

The nurse is speaking with a client regarding current medications.The client states she does not always take the medications as prescribed.What are the potential reasons for this client's noncompliance? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Patients sometimes forget doses of medications.
2)The drug may be too expensive or may not be approved by the patient's health insurance plan.
3)Adverse effects such as headache,dizziness,nausea,diarrhea,or impotence often cause noncompliance.
4)The client takes medications as prescribed.
5)The client may not understand the reason for the medication.

Question 5

Which routes are appropriate for the nurse to use when administering enteral medications? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Subcutaneous
2)Oral
3)Via gastrostomy tube
4)Via nasogastric tube
5)Via intravenous tube

Question 6

The nurse is caring for a client who has medications ordered to be given PO.The client asks the nurse what PO means.What is the best response by the nurse?
1)PO medications are given orally.
2)PO medications are given rectally.
3)PO medications are given intramuscularly.
4)PO medications are given vaginally.

Question 7

The nurse is preparing to administer a medication.Which six rights of drug administration should the nurse assess for prior to administering the prescribed medication? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Right client
2)Right route of administration
3)Right dose
4)Right time of preparation
5)Right documentation

Question 8

The nurse is recording intake for a client.The nurse must document the client's intake in milliliters.What is the conversion between cups and milliliters?
1)One cup equals 15 mL
2)One cup equals 240 mL or 8 ounces
3)One cup equals 30 mL
4)One cup equals 500 mL

Question 9

The physician orders a medication to be given via the buccal route.What instructions should the nurse provide to the client prior to taking the medication?
1)The tablet should be crushed and given in either pudding or applesauce.
2)The tablet is placed in the oral cavity between the gum and the cheek.
3)The tablet is placed under the tongue and allowed to dissolve slowly.
4)This drug should be applied directly to the skin.

Question 10

A client has been prescribed a liquid medication to be taken 15 mL tid.How should the nurse instruct the client to take this medication?
1)Carefully measure the medication using any teaspoon and take one teaspoon three times per day.
2)Carefully measure the medication using any tablespoon available and take one tablespoon three times per day.
3)Carefully measure using a medical dosing device and take 15 mL,which equals one tablespoon three times per day.
4)Carefully measure using a medical dosing device and take 15 mL,which equals one teaspoon three times per day.

Question 11

The nurse is reviewing some medication administration orders for her clients.Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)hs-hour of sleep/bedtime
2)ac-after meals; after eating
3)prn-when needed/necessary
4)qid-three times per day
5)pc-before meals

Question 12

After administering a medication,the nurse notes that the client has itching and a runny nose.What is the nursing priority?
1)Document the findings
2)Assess vital signs
3)Notify the charge nurse
4)Monitor the client closely

Question 13

A client is being discharged with an order to drink 2400 mL of fluid per day.The client asks the nurse how many cups this equals.Which nursing response is the most appropriate?
1)You should drink five 8-ounce glasses of fluid per day.
2)You should drink ten 8-ounce glasses of fluid per day.
3)You should drink 1 pint of fluid per day.
4)You should drink 2 pints of fluid per day.

Question 14

What type of medication order should be given immediately or only once?
1)A single order
2)An ASAP order
3)A prn order
4)A STAT order

Question 15

The physician writes an order for a medication to be given SL tid.How should the nurse administer the prescribed medication order to the client?
1)Subcutaneous three times per day
2)Subcutaneous four times per day
3)Sublingual three times per day
4)Sublingual four times per day

Question 16

The nurse is preparing to administer a medication to a client.What are the checks that must occur prior to medication administration? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Checking the drug after administering it to the patient
2)Checking the drug when preparing it,pouring it,taking it out of the unit dose container,or connecting the IV tubing to the bag
3)Checking the drug with the medication administration record (MAR)or medication information system when removing it from the medication drawer,refrigerator,or controlled substance locker
4)Checking the drug before administering it to the patient
5)Checking the drug prior to documenting

Question 17

The nurse is weighing an infant during a well-care visit.The nurse weighs the child in kilograms but the client's parents ask what the weight is in pounds and ounces.The nurse calculates the weight based on which conversion?
1)One kilogram equals 2.2 pounds.
2)One kilogram equals 3.2 pounds.
3)One kilogram equals 1.2 pounds.
4)One kilogram equals 0.45 pounds.

Question 18

What does the nurse need to determine prior to administering a medication to a client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Contraindications for this medication
2)What drug is ordered
3)The generic and trade name of the medication
4)The manufacturer of the medication
5)The drug classification

Question 19

The nurse is reviewing orders for a newly admitted client with a student.Which statement by the student indicates that the student understands the meaning of a standing order?
1)It is to be given only once and at a specific time.
2)It is written in advance of a situation,and should be carried out under specific circumstances.
3)It is usually carried out within two hours of the time the order is written by the physician,but the exact timing is defined by each facility.
4)It is administered as required by the patient's condition.

Question 20

Following administration of a drug to a client,who has the greatest responsibility for monitoring the client for adverse reactions?
1)The nurse
2)The nursing assistant
3)The family of the client
4)The physical therapist

Question 21

The nurse is preparing a syringe for an intramuscular injection.The nurse plans to administer the injection in the deltoid muscle.What is the maximum amount of medication that the nurse can administer to this site?
1)1 mL
2)4 mL
3)3 mL
4)2 mL

Question 22

The nurse is teaching a client about parenteral medication administration.Which routes of administration should the nurse include in the teaching? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Oral
2)Intravenous infusion
3)Intramuscular injection
4)Vaginal
5)Sublingual

Question 23

A nurse is providing the client information about the prescribed medication.Which statement requires additional teaching about the medication regime?
1)I will take the medication as directed.
2)I should skip my medication when I cannot afford it.
3)I understand why I need the medication.
4)I know the importance of not self-adjusting my medication.

Question 24

The nurse is preparing to administer an IM injection to a client.Which site is not appropriate for an IM injection?
1)Ventrogluteal site
2)Vastus lateralis site
3)Subscapular areas of the upper back
4)Deltoid site

Question 25

A nurse is preparing to administer medication to a patient.Which action is the priority?
1)Review the medication order and check for allergies
2)Obtain vital signs and record in electronic health record
3)Wash hands and prepare for a head to toe assessment
4)Assess the other patients and review their medications

Question 26

Which statement made by the nurse regarding topical medications is the most appropriate when referring to the desired reaction?
1)The desired reaction is absorption of the medication into the circulation.
2)The desired reaction is a specified rate of delivery.
3)The desired reaction is fewer side effects.
4)The desired reaction is systemic absorption through the skin.

Question 27

What is a disadvantage of administering medication via the subcutaneous or intramuscular route?
1)This route allows medications to avoid digestive enzymes.
2)This route allows medications to avoid the first-pass effect in the liver.
3)This route allows only small volumes to be administered.
4)This route can be used in clients who are unable to take medications orally.

Question 28

Which are administration guidelines for transdermal drugs? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Apply gloves before handling the patch
2)Ask the patient to remain in the position for five minutes
3)Ask the patient to blow his nose
4)Apply the medication to clean,dry,and hairless skin
5)Rotate the skin sites