Deck 33: Medication Administration

Question 1

An order is written for 80 mg of a medication in elixir form.The medication is available in 80 mg/tsp strength.Which of the following does the nurse prepare to administer?

A) 2 mL
B) 5 mL
C) 10 mL
D) 15 mL

Answer 1

B

Question 2

The physician orders 0.125 mg digoxin orally.The medication is available in 0.25 mg.Which of the following is the correct dose to administer to the patient?

A) One-half tablet
B) One tablet
C) Two tablets
D) Four tablets

Answer 2

A

Question 3

Which of the following is the most effective way in the acute care environment to determine the patient's identity before administering medications?

A) Ask the patient's name.
B) Check the name on the chart.
C) Ask the other caregivers.
D) Check the patient's name band.

Answer 3

D

Question 4

The patient receiving an intravenous (IV)infusion of morphine sulphate begins to experience respiratory depression and decreased urine output.How is this effect described?

A) Therapeutic
B) Toxic
C) Idiosyncratic
D) Allergic

Question 5

The nurse administers the IM medication of iron by the Z-track method.Why was this method used?

A) To provide faster absorption of the medication
B) To reduce discomfort from the needle
C) To provide a more even absorption of the drug
D) To prevent the drug from irritating sensitive tissue

Question 6

The patient is nauseated,has been vomiting for several hours,and needs to receive an antiemetic medication.The nurse recognizes that which of the following statements is true about this medication?

A) An enteric-coated medication should be given.
B) Medication will not be absorbed as easily because of the nausea.
C) A parenteral route is the route of choice.
D) A rectal suppository must be administered.

Question 7

On which of the following are calculations most precisely based to determine proper drug dosages for children?

A) The child's weight
B) The child's height
C) The child's age
D) The child's body surface area

Question 8

The nurse is working on the pediatric unit.In preparing to give medications to a preschool-age child,which of the following is an appropriate interaction by the nurse?

A) "Do you want to take your medication now?"
B) "Would you like the medication with water or juice?"
C) "Let me explain about the injection that you will be getting."
D) "If you don't take the medication now, you will not get better."

Question 9

The nurse is teaching the patient how to prepare 10 units of short-acting (regular)insulin and 5 units of intermediate-acting NPH insulin for injection.Which of the following instructions does the nurse give the patient?

A) Inject air into the short-acting (regular) insulin, then into the intermediate-acting NPH insulin.
B) Withdraw the short-acting (regular) insulin first.
C) Inject air into and withdraw the intermediate-acting NPH immediately.
D) Inject air into both vials, and withdraw the short-acting (regular) insulin first.

Question 10

The patient is to receive a medication via the buccal route.Which of the following actions does the nurse plan to implement?

A) Place the medication inside the cheek.
B) Crush the medication before administration.
C) Offer the patient a glass of orange juice after administration.
D) Use sterile technique to administer the medication.

Question 11

The student nurse reads the order to give a 1-year-old patient an intramuscular (IM)injection.Which of the following is the appropriate and preferred muscle to select?

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

Question 12

The patient has a prescription for a medication that is administered via an inhaler.Which of the following will allow the nurse to determine whether the patient requires a spacer for the inhaler?

A) The dosage of medication required
B) The coordination of the patient
C) The schedule of administration
D) The use of a dry powder inhaler

Question 13

The nurse is documenting administration of a medication that is given at 10:00
A) Morphine sulphate, 10 mg q4h prn

A)m., 2:00 p.m., and 6:00 p.m. Which of the following medications is the nurse documenting?
B) Propranolol (Inderal), 10 mg orally BID
C) Diazepam, 5 mg orally TID
D) Cephalexin (Keflex), 500 mg orally q8h

Question 14

Which of the following actions must the nurse take in preparing two different medications from two vials?

A) Inject fluid from one vial into the other.
B) Uncap the syringe, and wipe the needle with an alcohol preparation before inserting into either vial.
C) Discard the medication from vial number two if medication from vial number one is pushed into it.
D) Insert air into the first vial, but not the second vial.

Question 15

The physician has ordered 6 mg morphine sulphate every three to four hours prn for a patient's postoperative pain.The unit dose in the medication dispenser has 15 mg in 1 mL.How much solution should the nurse give?

A) 1.5 mL
B) 1.3 mL
C) 0.4 mL
D) 1.25 mL

Question 16

An order is written for meperidine (Demerol),500 mg IM q3-4h prn for pain.The nurse recognizes that this is significantly more than the usual therapeutic dose.Which of the following actions should the nurse take?

A) Give 50 mg IM as it was probably intended to be written.
B) Refuse to give the medication, and notify the nurse manager.
C) Administer the medication, and watch the patient carefully.
D) Call the prescriber to clarify the order.

Question 17

The physician has ordered that the patient have eye drops administered daily to both eyes.On which part of the eye should eye drops be instilled?

A) Cornea
B) Outer canthus
C) Lower conjunctival sac
D) Opening of the lacrimal duct

Question 18

The patient is to receive a Mantoux test for tuberculosis.This test is administered via an intradermal injection.The nurse recognizes that which angle of injection is used for an intradermal injection?

A) 15 degrees
B) 30 degrees
C) 45 degrees
D) 90 degrees

Question 19

After the nurse has administered ear drops to the patient's left ear,how should the nurse position the patient?

A) Prone
B) Upright
C) Right lateral
D) Dorsal recumbent with hyperextension of the neck

Question 20

Which age-related change is true in regard to the aging patient and medication use?

A) Liver mass increases.
B) Brain receptors become less sensitive.
C) Enzymes lose the ability to process some drugs.
D) Absorption and active transport mechanisms increase.

Question 21

The nurse knows that which of the following medications absorb most quickly?

A) Tablets
B) Capsules
C) Suspensions
D) Medications with a base pH

Question 22

The patient is to receive heparin by injection.Where does the nurse prepare to inject this medication?

A) In the patient's scapular region
B) In the patient's vastus lateralis
C) In the patient's posterior gluteal area
D) In the patient's abdomen

Question 23

For which of the following purposes does the nurse prepare to administer an intradermal injection for the administration of medication?

A) Immunization
B) Allergy testing
C) Anticoagulant therapy
D) Low-dose insulin requirements

Question 24

The nurse is evaluating the integrity of the ventrogluteal injection site.How does the nurse find the site?

A) By locating the middle third of the lateral thigh
B) By locating the greater trochanter, anterior iliac spine, and iliac crest
C) By locating the anterior aspect of the upper thigh
D) By locating the acromion process

Question 25

A medication is prescribed for the patient and is to be administered by IV bolus injection.Which of the following is a priority for the nurse before administering the medication via this route?

A) Set the rate of the IV infusion.
B) Check the patient's mental alertness.
C) Confirm placement of the IV line.
D) Determine the amount of IV fluid to be administered.

Question 26

Which of the following is a priority for the nurse in the administration of oral medications and prevention of aspiration?

A) Checking for a gag reflex
B) Allowing the patient to self-administer
C) Assessing the ability to cough
D) Using straws and extra water for administration

Question 27

With regard to metabolism,when does biotransformation occur?

A) When enzymes detoxify and degrade the biologically active chemicals
B) After a medication is absorbed by the body
C) Once the medication binds to proteins after absorption
D) When proteins are bound to albumin and considered still active

Question 28

Which of the following liquid forms has an alcoholic ingredient?

A) Extract
B) Troche
C) Tincture
D) Aqueous suspension

Question 29

The nurse is administering a metered-dose inhaler to a patient using a spacer.The nurse instructs the patient to exhale completely and then depresses the medication chamber.How long does the nurse instruct the patient to inhale deeply and slowly through the mouth before holding the breath for 10 seconds?

A) 3 to 5 seconds
B) 10 to 15 seconds
C) 15 to 20 seconds
D) 25 to 30 seconds

Question 30

A patient on the medical unit receives regular insulin at 7:00 a.m.The nurse is alert to a possible hypoglycemic reaction by which time?

A) 7:30 a.m.
B) 9:00 a.m.
C) 4:00 p.m.
D) 8:00 p.m.