Deck 7: Preparing and Administering Medications

Question 1

An elderly patient is scheduled to take six medications each morning.What should the nurse know to do when administering these medications?

A) Allow extra time to administer all of the medications.
B) Allow the patient to take only the medications she can swallow.
C) Crush all of the medications before giving them.
D) Leave the medication at the bedside so the patient can take them slowly.

Answer 1

Allow extra time to administer all of the medications.

Question 2

Standard precautions to prevent transmission of HIV and other bloodborne pathogens should be used when the nurse is likely to come into contact with blood,semen,vaginal secretions,and possibly breast milk.Only these four fluids have been shown to transmit HIV.Although the risk is unknown,universal precautions for prevention of HIV have also been suggested for which bodily fluids?

A) Tears
B) Sweat
C) Pleural fluid
D) Nasal secretions

Answer 2

Pleural fluid

Question 3

If an IV has become infiltrated,the nurse will observe which assessment findings?

A) Pallor, pain
B) Erythema, warmth
C) Erythema, swelling
D) Warmth, swelling

Answer 3

Erythema, swelling

Question 4

Which is the correct needle for an intramuscular (IM)injection?

A) 18 G, 1-inch
B) 20 G, 1/2 -inch
C) 25 G, 2-inch
D) 21 G, 1 1/2-inch

Question 5

Which principles of medication administration will be taught to a patient who will be administering his own subcutaneous injections?

A) Use a 22-gauge, 5/8-inch needle.
B) Rotate sites among the upper arm, abdomen, and anterior thigh.
C) Avoid injecting within 3 inches of a previous injection site.
D) Insert the needle at a 30-degree angle to the skin.

Question 6

Which represents the proper way for a nurse to administer an oral capsule?

A) Tell the patient to swallow it whole.
B) Pierce it with a needle and squeeze into the mouth.
C) Crush and dilute it in warm water.
D) Tell the patient to chew it completely.

Question 7

Metered-dose inhalers are used to deliver specific amounts of medication.The nurse gives the patient which instructions?

A) Never shake the inhaler medication before use.
B) Exhale while squeezing the canister to deliver the medication.
C) Sit upright, exhale, then activate the inhaler as the next inhalation begins.
D) Hold the head back while inhaling the medication.

Question 8

Injectable iron should be administered by which injection method?

A) Subcutaneous
B) Intradermal
C) Z-track intramuscular injection
D) IV piggyback

Question 9

When a patient is experiencing a life-threatening emergency,the nurse may be given an order to administer medication via which route?

A) IV
B) IM
C) Subcutaneous
D) Rectal

Question 10

Which are examples of medications that are given by enteral routes? (Select all that apply.)

A) Total parenteral nutrition (TPN) solutions
B) Oral tablets
C) Oral capsules
D) Rectal suppositories
E) Liquid medications

Question 11

When giving a medicine through a nasogastric (NG)tube,which will the nurse do first?

A) Flush the tube with 30 mL of water.
B) Check placement of the tube.
C) Take the vital signs.
D) Ask the patient if the tube is painful.

Question 12

A nurse is observing another nurse prepare insulin for administration to a diabetic patient.Which observation is considered unsafe?

A) The nurse draws up the Regular insulin first, then the NPH insulin.
B) The nurse draws up both the Regular and NPH insulin in the same syringe.
C) The nurse draws up the insulin in a syringe calibrated in milligrams (mg).
D) The nurse draws up 30 units of NPH insulin as ordered by the physician.

Question 13

Which way can a nurse prevent injury from a needlestick?

A) Recap the needle before disposal.
B) Remove the needle from the syringe.
C) Immediately discard the needle and syringe in a puncture-proof container.
D) Stick it into the patient's mattress until it can be disposed of.

Question 14

As part of an antismoking program,nicotine can be administered by which delivery system?

A) Intravenously
B) Enterally
C) Sublingually
D) Transdermally

Question 15

A nurse discovers that an infusion is failing to infuse properly.Which items should be checked? (Select all that apply.)

A) IV pole height
B) IV site for infiltration
C) Whether tubing is bent
D) Position of needle
E) IV solution type

Question 16

When using the mucous membrane for percutaneous medication administration,the nurse should use an oily base for medication absorption when which is true?

A) The mucous membrane is too dry, and skin will flake off.
B) The patient is allergic to oil-based preparations.
C) The medication needs a slow absorption.
D) The medication needs a rapid absorption.

Question 17

Which should the nurse do when applying a topical nitroglycerin ointment?

A) Massage it thoroughly into the skin.
B) Squeeze it onto the applicator paper and place it on the skin.
C) Apply it to the medial aspect of the thigh.
D) Shave the skin prior to application.

Question 18

When giving an IM injection to an HIV-positive patient,the nurse recognizes that the HIV infection is spread in which body fluids? (Select all that apply.)

A) Sputum
B) Vaginal fluid
C) Breast milk
D) Blood
E) Semen

Question 19

Which is done after giving medication through a nasogastric tube that is connected to suction?

A) The tube is reconnected to the suction.
B) The tube is clamped for 10 minutes and then reconnected to suction.
C) The tube is clamped for 30 minutes and then reconnected to suction.
D) The tube is left off for 4 hours and then reconnected to suction.

Question 20

The nurse instructs a clinic patient on using an inhaler for his asthma attacks.Which is correct about the use of an inhaler?

A) The medication must go into the back of the nose.
B) The medication must go directly into the throat.
C) The medication must get to the ears.
D) The medication must go into the lungs.

Question 21

List the nursing actions in the correct sequence for a patient with an infiltrated IV.Separate letters by a comma and space as follows: A,B,C,D.

A) Contact the physician.
B) Inspect for signs of injury.
C) Apply warm, moist compresses.
D) Discontinue the infusion.