Deck 4: Medication Administration

Question 1

A nurse is preparing to administer a deep IM injection to a client. Which site is suited for a deep IM injection?

A) Abdomen
B) Dorsogluteal
C) Deltoid
D) Vastus lateralis

Answer 1

Dorsogluteal

Question 2

A nurse prepares to administer an ear medication to a 2-year-old child. What is the correct action by the nurse?

A) Position the child with the ear down on the bed.
B) Pull the ear upward and backward.
C) Put the child in high-Fowler's position.
D) Pull the ear downward and backward.

Answer 2

Pull the ear downward and backward.

Question 3

The nurse is preparing to administer an intramuscular injection to an infant. What is the most accurate site for the nurse to select for this administration?

A) Ventrogluteal
B) Vastus lateralis
C) Dorsogluteal
D) Deltoid

Answer 3

Vastus lateralis

Question 4

A client has been using his inhaler at home. He tells the nurse that "the medication doesn't seem to work as well as it did." What should the nurse assess for first?

A) Tolerance to the medication
B) Unhealthy drug-seeking behaviors
C) Physical addiction
D) Poor tolerance of pain

Question 5

The nurse is teaching the client how to administer a sublingual tablet in the home setting. What is the highest priority instruction?

A) Take nothing by mouth for one hour before taking the medication.
B) Avoid taking fluid with the medication.
C) Gently place the tablet between the teeth and gums.
D) Take the medication with food so as to avoid gastrointestinal irritation.

Question 6

A client returns to the nursing unit from conscious sedation after having a fracture set and placed in a cast. The client expresses pain 3 hours after the procedure. The choice of medication and route will be based on which information?

A) The client should not receive pain medication because of his previous sedation.
B) The client will need to void before receiving any pain medication in order to avoid urinary retention.
C) The client should receive intravenous medication only for pain because of the operative procedure.
D) The client's ability to swallow should be evaluated before he or she receives oral medication.

Question 7

A nurse is applying nitroglycerin ointment to a client. When applying medication topically, what is the highest priority nursing intervention?

A) Apply medication liberally.
B) Avoid contact of the medication with the nurse's skin.
C) Massage the area.
D) Have client apply medication.

Question 8

During administration of eye drops, the nurse should teach the client to prevent systemic absorption of the drug by performing which action?

A) Use the ointment form of the drug.
B) Apply the drug directly on the cornea.
C) Have the client look straight ahead.
D) Gently press on the lacrimal duct.

Question 9

A nurse is administering an intradermal PPD to test for client exposure to the tuberculosis bacterium. Which method is the correct one for administering this injection?

A) Use a 5-degree angle to insert a 20-gauge needle.
B) Use a 10-degree angle to insert a 25-gauge needle.
C) Use a 45-degree angle to insert a 26-gauge needle.
D) Use a 90-degree angle to insert an 18-gauge needle.

Question 10

A nurse administers an injection using the Z-track method. The nurse instructs the patient that the Z-track technique is designed to accomplish what?

A) Allow the client to accept at least 5 mL of medication.
B) Prevent medication from leaking into subcutaneous tissue.
C) Decrease the possibility of "self-sticks."
D) Take less time to administer.

Question 11

The nurse is preparing to administer a subcutaneous injection of morphine sulfate (MSO₄) to a client. The client's height, weight, and muscle mass are within normal limits. What are the appropriate needle size and angle for this injection?

A) 27-gauge needle, 10-degree angle
B) 20-gauge needle, 90-degree angle
C) 23-gauge needle, 20-degree angle
D) 25-gauge needle, 45-degree angle

Question 12

What is an appropriate nursing intervention to use to meet the psychiatric needs of a hospitalized infant?

A) Move slowly while conducting care.
B) Explain procedures carefully.
C) Use the oral route for medications.
D) Allow the child to express feelings.

Question 13

A client with chronic angina is ordered to receive nitroglycerin via patch. What is the highest priority nursing action regarding this method of administration?

A) Cut the patch to provide the correct dose of medication.
B) Use sterile technique when applying the patch.
C) Remove the old patch before applying the new patch.
D) Cover the patch with an airtight dressing after application.