Medication Administration Review Questions

A nurse enters a patients room to administer a drug that is in the form of a tablet. The patient states, "I am nauseated and feel like I am going to vomit" What should the nurse do next in relation to administering of the medication? 1. Obtain a prescription for an alternative route of administration 2. Give the medication and hope that the patient does not vomit 3. Obtain a liquid form of the prescribed medication and give it to the patient 4. hold the medication for an hour and a half and then attempt to give it again

1

A nurse is preparing to administer a medication that is know to be teratogenic. What should the nurse say to the patient before administering this medication? 1. Are you pregnant? 2. do you have an allergy to gluten. 3. You must eat some food just before taking this drug 4. I have to obtain blood for a culture and sensitivity test before you can take this drug.

1

A nurse reconstituted and drew up a medication from a vial. Which nursing action compromise the ability to withdraw an accurate dose? 1. Injected air into the vial with the bevel of the needle below the level of the solution. 2.Placed slightly more air into the vial the the volume of solution to be removed. 3. Rolled the vial in the paps of the hands after the diluent was added to the vial. 4. Instilled the diluent into the vial slowly.

1

A patient with diabetes who is on insulin coverage has been receiving 3 to 4 injections of insulin a day. What is important for the nurse to do when administering these injections? 1. Alternate injection sites to minimize tissue injury. 2.Spread the skin to facilitate entry of the needle through the skin. 3. Instill the medication over 5 seconds to promote absorption of the medication 4. use a syringe with a needle that is 1.5 inches long to ensure access of subcutaneous tissue.

1

A nurse is interviewing a newly admitted patient as part of a nursing history and physical. What information should be included in the medication reconciliation form? Select all that apply. 1. _____ Vitamins 2. _____ Drug allergies 3. _____ Food supplements 4. _____ Over the counter herbs 5. _____ Prescribed medications

1, 2, 3, 4, 5 All correct answers.

A patient has a prescription for the insertion of a vaginal cream. Which steps should the nurse preform when administering the medication? Select all that apply 1. Have the patient void before the procedure. 2. Clean the perineal area before inserting the cream 3. Withdraw the application rapidly after the cream is inserted 4.place the patient in the supine position with the legs extended 5. direct the insertion of the application upward toward the umbilicus 6. press the plunger to expel a small amount of ream at the tip of the application before insertion.

1,2,6

A nurse is administering a medication via buccal route. What should the nurse instruct the patient to do? 1. swish the solution around in your mouth and the swallow it. 2. Hold the tablet between your cheek and gum until it dissolves. 3. Extend your forearm and i will inject a small amount of fluid under your skin 4. Roll on your side with your knees bent and I will insert a suppository into your rectum

2

A nurse is evaluating a patients mobility to see administer a medication to both nasal passages via a nasal spray. What action by the patient indicated that the nurse must provide additional teaching? 1. Compressing the other nostril while initiating the spray into the first nostril. 2.Exhaling slowly through the nose after initiating the spray. 3.Tilting the head backward after inhaling the spray 4. Inhaling the spray while squeezing the container.

2

What should the nurse do to best prevent needle stick injuries when administering injections? 1. Bend the needle of the syringe before disposal 2. recap the needles while transporting it to a sharps container. 3.Use a syringe with a device that automatically covers the needle after its use. 4. dispose of a syringe with its attached needle into the closest sharps container.

3

What site would be appropriate for the nurse to administer heparin? 1. Top of the thigh 2. Butt 3. Stomach 4. Back of arm

3

A nurse plans to administer an intramuscular injection to an obese patient. What muscle should the nurse consider the least desirable site for a intramuscular injection in an obese adult? 1. Vastus Lateralis 2. Rectus fermoirs 3. Dorsogluteal 4. Deltoid

Dorsogluteal - has a thick fat layer, and an intramuscular injection will deposit the medication into subcutaneous tissue rather than a muscle.

A nurse is apply a transdermal patch to a patients upper arm. Which nursing actions are essential for every patient to complete this procedure? Select All that Apply. 1. Wear clean gloves when removing and applying a medicated patch 2.Shave body hair in the area that the medicated patch is to be applied. 3 wash and dry the area where the previous medicated patch was removed 4. compress the medicated patch against the skin for 10 seconds after it is applied 5. remove the previous medicated patch one house after applying the new medicated patch to the pt.

1,3,4

A nurse is caring for a patient who was admitted to the hospital as a result of an accidental double dose of a prescribed medication. Which strategy should the nurse suggest that the patient use to best prevent this from happening? 1. Teach the patient how to use a medication organizer system 2. set and alarm clock to ring at the time a drug is to be taken as a reminder 3. Suggest that a family member call to remind the patient when to take the medication 4. hand a calenda in a significan place that indicates the drug names, does , and time it is to be taken.

1.

A nurse is to administer one nose drop to each nostril of a school aged child. Which action should the nurse perform as part of this procedure? 1. Positions the child in the supine position with the head tilted backward when inserting the drops 2. Positions the tip of the medication dropper within a nostril when expelling the drop 3. instruct the child to breath deeply through the nose after the drop is inserted 4. return the unused nose drops in the dropper to the medication bottle.

1.

A primary health care provider prescribes a medication based on a child's weight. The pediatric nurse identifies that the prescribed does is for a child weighing 10lb more than the weight of the child who the drug dose was prescribed what should the nurse do? 1. call the primary health care provider and discuss the excessive dose 2. Recalculate the does using the actual weight and five the recalculated does 3. ask the pharmacist about the weight difference and whether it is necessary to change the does. 4.notify the nurse manage and seek support to confront the primary health care provides about the does.

1. not number 2 because It is not within the scope of practice for a nurse to change the medication dose age.

A nurse must administer a rectal suppository. Which should the nurse do when administering the suppository? 1. Use the full length of a gloved lubricated index finger when inserting the suppository to endure it is beyond the rectal sphincters. 2. Explain the need to remain seated for several minutes after insertion of the suppository to promote its retention in the rectum. 3. Take the suppository out of the refrigerator a half hour before insertion to allow it to warm to room temp. 4. Place the patient in the supine position to allow easy access to the anus when inserting the suppository.

1. A gloved lubricate index finder and suppository moves the suppository 3 to 4 inches into the rectum past the external and internal sphincters.

A patient had an order foR IVE: 0.9% sodium chloride to infuse 80mL/hr. The nurse has a infusion set that has a drop factor of 10 drops/mL at how many drops per minute should the nurse set the infection rate?

13.33 drops per min. Can round down to 13 drops per minute total mL to br infused X the drop factor / total time in minutes

A nurse is monitoring a patient's intravenous insertion site that is in the right forearm just below the antecubital fosse. The nurse identifies that an infiltration has occurred and removes the intravenous catheter. What should the nurse do next? 1. Keep the right arm dependent 2. Restart the infusion in the patients left forearm 3. apply the standing ordered warm soak to the right forearm. 4. reinsert the infusion distal to the previous site in the patients right arm

2

A nurse is to administer an antibiotic capsule orally but first asks the patient, "What is your name, and date of birth." What should the nurse do next after receiving this information? 1.Give the patient a glass of apple juice to take with the oral medication. 2. compare the response to the patients identification bracelet to verify the information 3. Raise the head of the patients bed to allow gravity to facilitate swallowing the oral dose 4. Check the patient's allergy bracelet to ensure that the patient is not allergic to the medication.

2

A patient has a prescription for 2 drops of medication to be placed into an eye. What is the important nursing actions associated with this procedure? 1. Having the patient look down while the medication is inserted 2. Applying slight pressure over the inner cants of the eye after drop administering 3. Placing a finger the top lid while simultaneously pulling the lid toward the forehead. 4. Cleansing the eye by wiping gently from the outer canthus to the inner canthus with a cotton ball.

2

A patient has an intravenous infusion running at 30 drops per min by gravity. The nurse must administer hydromorphone IV push via an infusion port in this line. What should the nurse do to ensure that the patient received the full effect of the dose? 1. Use the port furthest from the insertion site. 2. pinch the tubing above the port as the medication is instilled 3. double the flow rate of the solution for a half house after the drug is given 4. shut the roller clamp off on the tubing before administering the medication

2

A primary health care providers orders a medication to be administered every 6 hrs prn. What should the nurse teach the patient about this medication. 1. "i will give this medication every 6 hours" 2. "I can give you this medication every 6 hours if you need it" 3."I must wait 6 hours before administering this medication to you" 4."I have to give you this medication every 6 hours around the clock.

2

In what section of the medication administration record should a nurse document STAT drug give in an emergency. 1. PRN section 2. Single dose section 3. Progress note section 4. Standing drug section

2

A nurse is to administer an intradermal injection for a tuberculin test to an adult. The nurse verifies the primary health care providers order, washes the hands, and collects the medication following the five rights and three checks associated with medication administration. The nurse then dons clean gloves. Places the following steps in the order in which they should be implemented. 1. Draw 1' circle around the wheal 2. Position the patient with the forearm supinated 3. stabilize tissue on both sides of the puncture site as the needles is quickly removed at the same angle of insertion. 4. clean the site with an alcohol tips using a circular motion moving from the center outward and allow the site to dry. 5. injet the solution with slow even pressure so that a small wheal of guilt becomes apparent under the skin 6. insert a 1/4 to 5/8 inch 25-27 gauge needle with the bevel up just below the skin surface at a 10 to 15 degree angle until the bevel is no longer visible.

2,4,6,5,3,1

A nurse in a hospital receives a telephone order from a patients primary health care provider. What action must the nurse take before hanging up the telephone? 1. insert the order into the patients clinical record 2. recite the order back to the primary health care provider 3. confirm that the ordered medication is available in the hospital pharmacy 4. state that the primary health care provider must sign the order within 48 hrs.

2.

A nurse is monitoring a patients IV site that is on the forearm just below the antecubital fossa. Which clinical manifestation alerts the nurse that an infiltration may have occurred? 1. A blood return overs when the intravenous site solution bag is lowered below the insertion site. 2. A red line under the skin extends several inches above the insertion site. 3. There is swelling of tissue around the insertion site. 4. The skin feels warm around the insertion site.

3

A nurse is to administer an intramuscular injection into the deltoid muscle. What body landmark should the nurse use to help located the appropriate site? 1.Knee 2.Greater Trochanter 3.Acromion process 4.Anterior superior iliac spine.

3

A nurse withdrew fluid from an ampule. what did the nurse do to ensure that the entire dose was withdrawn. 1. Placed a plastic cover over the top of the ampule before snapping the constricted neck 2.Changed the needle on the syringe after aspirating the solution from the ampule 3. Flicked the ampule above the constricted neck several times 4. used a filter needle to aspirate solution from the ampule.

3

A patient has a prescription for 22 units of NPH insulin and 8units of regular insulin once daily at 8 am. The nurse teaches a patient how to draw up and self administer these insulins.Which amount of solution indicated that the patient prepared the correct dose? 1. 8 units 2. 22 units 3. 30 units 4. 44 units

3

A nurse is planning to piggyback an intermittent infusion of a medication to an existing primary infusion set that is delivering normal saline at 100mL per hour. What steps should the nurse perform to administer this medication appropriately? Select all that apply. 1. Warm the bad of solution with the medication before administering 2. hang the secondary infusion bag lower than the primary infusion bag 3. wipe the port with alcohol before connecting the secondary infusion tubing 4. Prime the secondary infusion line before attaching it to the primary infusion line. 5. Open the clamp on the secondary infusion tubing and use the clamp on the primary infusion tubing to control the flow.

3,4,5

4A nurse teaching a patent how to administer eardrums to a 2 year old child with an ear infection. What instructions should the nurse give the parent? 1. Dispense the drops while holding the dropper several inches above your child ear canal. 2. Keep the medication refrigerated until just before you are going to give your child the drops 3. Pull your child pinna up and backward to straighten the ear canal before inserting the drops 4.Have your child lie with the ear facing the ceiling while inserting the drops and for five minutes after the drops are inserted.

4

A nurse is caring for a patient who is to be screened for tuberculosis. Which injection route should the nurse use to inject tuberculin purified protein derivative? 1. Hold needle at 90 degree angle and push into the muscle 2. Hold needle at 90 degree angle and push into the fat. 3. Hold at a 45 degree angle and push into the fat 4. Hold at a 10 degree angles and push just under the epidermis.

4

A nurse is to administer 1mL of a liquid medication to a 3 month old infant. Which is the best way to administer this medicine? 1. Use a needless syringe to instill the medication on the back of the infants tongue 2. Use a dropper to inset the medication into the infant's buccal cavity 3. use a medicine cup to allow the infant to sip the medication slowly 4. Use a medication nipple so that the infant can suck the medicine.

4

primary health care provider orders 1,000mL of 0.9% sodium chloride with 20mEg of KCI to be administered at 75mL/hr. The nurse finds only 250 mL bags of 0.9% sodium chloride on the unit. What should the nurse do in this situation? 1. Used 1,000mL bag of dextrose 5% in water with 20mEq of KCI until the appropriate bag of solution is obtained. 2. Withhold starting the intravenous infusion until a 1,000mL bag of the appropriate solution is obtained. 3.Insert 20mEq of KCI into a 250 mL bag of 0.9% sodium chloride and set it to 25 mL/hr 4.Insert 5mEq of KCI into a 250 mL bag of 0.9% sodium chloride and set it at 75 mL/hr

4

A primary health care provider prescribes clindamycin palmitate hydrochloride oral suspension 60 mg three times a day for 10 days for a young child. The bottle of medication indicated that there're 75mg per 5mL of solution how many milliliters of solution should the nurse plan to administer for each does? Record your answer using a whole number.

4 mL

A nurse is to administer eyedrops to a patient. The nurse verifies the primary health-care provider's prescription, washes the hands, and collects the medication following the five rights and three checks associated with medication administration. The nurse places the patient in a supine position with the head extended and then dons clean gloves. Place the following steps in the order in which they should be implemented. 1. instruct the patients to look up toward the ceiling without moving their head 2. Direct the patient to gently close eyelids but avoid squeezing the eyes shut. 3. Instruct the patient to press firmly on the nasolacrimal duct for 30 to 60 sec 4. wash each ever from inner to outer cants using a different moistened cotton ball for each eye. 5. Place a finger of the non dominant hand below the lower lid and gently pull the skin down to reveal the conjunctival sac 6. Place the dominant hand on the forehead, approach the eye from the side with the eye dropper 1-2 cm about the conjunctival sac and instill the ordered number of drops

4,1,5,6,2,3

Which nursing action is indicated when administering heparin injection 1. rubbing the site after the injection 2. placing the needle just under the epidermis 3. spreading the skin during insertion of the needle 4. cleaning the site with a disinfectant before the injection

4.

patient with moderate dementia who lives at home with a relative insists on being as independent as possible. The patient frequently forgets to take the prescribed medications .. Which action should the nurse discuss with the patient and relative 1. The relative should verbally explain to the patient which medications to take each morning 2. A divided medication dispensing system should be used for all of the patients medications 3. a written list of the medications that must be taken should be left on the patients beds table 4. the relative should places the medications in a medication cup by the patients toothbrush in the bathroom each morning.

4.

A nurse must administer 3mL of a distasteful liquid medication to a 3 year old child. Which should the nurse do to promote ingestion of the medication ? 1. Dilute it in several ounces of the childs favorite fruit juice and then give it to the child 2. Use a needlessness syringe and instill it all at the same time into the childs buccal cavity 3. Mix it in a glass of water and have the child sip the medication through a straw. 4. Have the child eat an ice pop and then administer the medication to the child.

4. An ice pop numbs the nerve endings in the taste buds of the tongue limiting the experience of the distasteful medicine.

A nurse observed another nurse administering an injection via the Z-track technique. Which action by the nurse indicated that the technique was performed correctly? 1. Obtained a syringe with 25 gauge needles for the procedure 2. Used the same needle for drawing up and administering medication 3. Attached a needle with 1 in length after medication was drawn into the syringe 4. Pulled the skin laterally before insertion of the needle and removed the needle at the same angle of its insertion.

4. pulling the skin and subcutaneous tissue to the side established a zigzag path before needle insertions, when the skins release after insertion of the medication the tissue planes slide across each other confining the medication in the muscle and preventing it from flowing back up the needle track.

During report, a nurse is informed that an assigned patient has diabetes mellitus with insulin coverage before meals and before going to sleep at night. The nurse tests the patient blood glucose level before lunch and identifies that it is elevated. Place the interventions in the order in which they nurse should perform them 1. Wash the hands with soap and water 2. Don gloves and asminister the prepared insulin 3. draw up the prescribed amount of insulin to be administered. 4. Compare the patients blood glucose level to the insulin prescription 5. Verify the primary health care providers prescription for insulin coverage.

5,4,1,3,2

A patient has an order for IVF: 1,000 mL of 5% dextrose in water every 12 hours. At what rates should the nurse set the volume infusion device.

83 mL/hour

A primary health-care provider prescribes .75 g of an antibiotic intramuscularly for a patient with an infection. The vial of the medication contains 1 gram of the medication and it must be reconstituted. The vial has instructions to instill 1.8mL of silent to yield 2mL of solution. How much solution should the nurse administer? A. .5mL B. 1.0mL C. 1.5mL D. 2.0mL

C. desire .75g = xmL / Have 1 gram =2mL 1x=.75x2 1x=1.5 x=1.5mL