Deck 21: Medication Administration

Question 1

Ibuprofen 200 mg is obtained:

A) by prescription.
B) over-the-counter.
C) as an herb.
D) as a supplement.

Answer 1

over-the-counter.

Question 2

The nurse should assess the client for the use of herbal and botanical supplements. The client reports taking a botanical medication to treat mild depression. Which agent would the client report using?

A) Echinacea
B) Ginkgo biloba
C) St. John's wort
D) Green tea

Answer 2

St. John's wort

Question 3

A medication order has a.c. written after the medication dosage. What does a.c. stand for?

A) Before meals
B) After meals
C) Before
D) After

Answer 3

Before meals

Question 4

Which client would be most likely to use a self-administered medication system?

A) A client who is alert and in an area where other clients won't disturb the drugs
B) A 10-year-old child who is ambulatory on a pediatric unit of multiple-bed rooms
C) An elderly client in a semiprivate room with another client who is confused
D) A client who is restrained to the bed as a safety measure against falling

Question 5

What electronic medical record advancement helps the nurse recognize when a generic drug has been ordered?

A) The computer verbally pronounces the medication.
B) The computer displays the generic name and the chemical name side by side.
C) The computer uses "Tall-man letters" to identify generic drugs.
D) The computer will bold the medication for enhanced clarity.

Question 6

Which medication dosage is properly written?

A) 0.8 mg
B) 0.125 mcg
C) 00.125 mg
D) 0.25 mg

Question 7

In terms of categories of controlled substance, which description reflects schedule IV drugs?

A) May lead to severe psychological dependence
B) Has the highest potential for abuse
C) May lead to limited physical dependence
D) Deemed safe for use in pregnancy

Question 8

The primary reason for the Controlled Substances Act is:

A) to regulate the purchase of antibiotics.
B) to regulate the purchase of narcotics.
C) to prevent overuse of antibiotics.
D) to prevent drug abuse.

Question 9

Regarding medication administration, what must occur at the change of shifts?

A) The client's medications must be drawn up.
B) The medications for the division are counted.
C) The narcotics for the division are counted.
D) Only the LPNs on the division count medications.

Question 10

If the dosage is inappropriate for a client, who is responsible?

A) Physician
B) Pharmacist
C) Nurse
D) Medical technician

Question 11

In administering medications, the six rights include client, drug, route, time, and documentation. What is the sixth right?

A) Heart rate
B) Dosage
C) Intrathecal
D) Pain level

Question 12

The physiologic and biochemical effects of a drug on the body defines:

A) Pharmacology
B) Pharmacotherapeutics
C) Pharmacokinetics
D) Pharmacodynamics

Question 13

Which client is likely to have altered metabolism of medications?

A) School-age child
B) Adolescent
C) Middle adult
D) Older adult

Question 14

When the client demonstrates a rash 30 minutes after taking a dose of penicillin, the nurse recognizes that the client is likely demonstrating which type of drug reaction?

A) Allergy
B) Anaphylaxis
C) Antagonistic
D) Idiosyncratic

Question 15

A severe allergic reaction from a medication requires:

A) Aspirin
B) Atarax
C) Dopamine
D) Epinephrine

Question 16

Children's medication dosages are most often calculated using the child's body surface area and:

A) age.
B) diagnosis.
C) height.
D) weight.

Question 17

When the nurse administers the morning dose of a medication during the evening, which of the rights of medication administration has he or she failed to follow?

A) Client
B) Medication
C) Dose
D) Time

Question 18

When administering heparin subcutaneously, the nurse should:

A) aspirate after the injection.
B) aspirate before the injection.
C) vigorously massage the site.
D) never aspirate.

Question 19

A nurse is preparing to administer a prescribed antiarrhythmic agent to a client. The nurse would evaluate which aspect to determine the drug's effectiveness?

A) Blood pressure
B) Heart rhythm
C) Airway patency
D) Stool consistency

Question 20

A client is prescribed an opioid analgesic. The nurse is teaching the client about the need to avoid ingesting alcohol with the drug to prevent an interaction, which would potentiate the effects of the analgesic. The nurse is describing which event?

A) Synergism
B) Antagonism
C) Incompatibility
D) Tolerance