Unit 1: Ch. 9- Photo Atlas of Drug Administration NCLEX Questions

The RN is preparing to give a Z-track IM injection. This technique is indicated in which situation?

With medications that are known to be irritating, painful, or staining to tissues.

Which action by the nurse is most correct when administering drugs via nasogastric tube?

Allow the fluid to flow via gravity.

Which nursing intervention is most appropriate when crushing oral medications to administer to a patient with dysphagia?

Crush and administer each medication separately. -Keeping the drugs separate allows for accurate identification if a dose is spilled.

Which injection technique will the nurse use when administering a medication subcutaneously?

Insert the needle at a 45- or 90-degree angle, depending on patient size, to penetrate subcutaneous tissue. -The proper technique for subcutaneous injections involves the use of a 1/2- to 5/8-inch, 25-gauge needle at a 45- or 90-degree angle of insertion depending on patient size. Aspiration is not done with anticoagulants and insulin. The landmark for the vastus lateralis is one handbreadth below the greater trochanter and above the knee on the outer aspect of the thigh.

The RN will apply a transdermal patch to a site that is...

Non-hairy.

Which position is correct when the nurse administers nasal drops for the frontal or maxillary sinuses?

Place a pillow under the pt's shoulders and tilt back the head.

As a portion of the new nine rights o medication administration, the RN knows to use two pt identifiers before administering medications. The RN would be functioning according to policy if which two identifiers were used?

Pt name and date of birth.

During medication administration, which will the RN consider to be a contraindication to the administration of rectal suppositories?

Rectal bleeding.

When giving sublingual medications, the RN recalls that medications given by this route have which advantage?

They're immediately absorbed.

When planning to administer an intradermal medication, the nurse knows which location is the preferred site of injection on the forearm?

Three to 4 finger widths below the antecubital space. -In general, 3 to 4 finger widths below the antecubital space and 1 hand width above the wrist is the preferred location on the forearm.

The nurse will check how many patient identifiers before administering a medication to a patient?

Two. -The Joint Commission requires that two patient identifiers (e.g., name, birthday, account number) be checked before administration of any medication.

The nurse will use a Z-track technique when giving an intramuscular (IM) injection in which situation?

With medications that are known to be irritating, painful, or staining to tissues. -The Z-track method prevents medication from leaking into subcutaneous tissues, where it can be irritating or painful. This method should be used with medications that are particularly irritating to the tissue. Some institutional policies require the use of the Z-track method with all IM injections.

Which interventions are correct regarding the administration of opthalmic medications? (Select all that apply.)

-Have the pt look upward while instilling the medication. -Instill the prescribed number of drops into the conjunctival sac. - Apply gentle pressure to the pt's nasolacrimal duct for 30 to 60 seconds after instilling.

The nurse is preparing to administer an IM medication using an airlock to prevent leakage of the medication into the subcutaneous space. Which amount of air should the nurse withdraw for the air lock?

0.2 mL. -A total of 0.2 mL of air should be withdrawn into the syringe to provide an airlock and prevent the leakage of medication back into the subcutaneous tissue.

The RN is preparing to give an intradermal injection and will perform which action?

Avoid massaging the site.

A RN assessing the response of a pt to a sublingual or IV push medication would evaluate the pt according to which time frame?

30 minutes.

The RN is adding more than one medication to a solution. What action is most important at this time?

Asses the two drugs for compatibility.

When giving a medication via IV push, how will the RN correctly occlude the IV line?

By pinching or clamping the tubing just above the injection port.

The prochlorperazine (Compazine) rectal suppository is twice the strength of what has actually been ordered. Which is the RN's best action?

Call the physician for clarification.

What is important for the RN to teach the pt about the instillation of nasal drops?

Clear the nasal passage by blowing the nose gently before administering the medication.

When administering ophthalmic eyedrops, the nurse will perform which action?

Drop the prescribed number of drops into the conjunctival sac. -The eyedropper is held 1 to 2 cm above the conjunctival sac. The nurse should drop the prescribed number of drops into the conjunctival sac. Never apply eyedrops to the cornea. If the drops land on the outer eyelid margins (e.g., if the patient moved or blinked), the procedure should be repeated.

Which position is MOST appropriate for the nurse to position a patient when administering medications via a nasogastric (NG) tube?

Fowler's. -The patient should be positioned in a semi-Fowler's or Fowler's position during and after administration of medications via an NG tube to reduce the risk of aspiration.

After administering ear drops, which action by the RN is correct?

Gently massage the tragus of the ear.

When administering oral medications, the RN will follow which correct procedure?

Stay with the pt until each medication has been swallowed.

Which are the appropriate landmarks for an IM injection into the dorsogluteal region?

The dorsogluteal region is no longer recommended for injection; a different site should be selected. -The dorsogluteal injection site is no longer recommended for injections because of the close proximity to the sciatic nerve and major blood vessels. Injury to the sciatic nerve from an injection may cause partial paralysis of the leg. The dorsogluteal site is not to be used for IM injections.

When administering a sublingual medication, which action will the nurse perform?

Wear gloves to place the tablet under the patient's tongue. -Standard precautions require the wearing of gloves when placing a tablet under a patient's tongue. The patient should not chew a sublingual tablet and should not drink or swallow until the tablet is completely dissolved and absorbed.