Module 5 Quizzes

What instructions should the nurse give a client following the administration of prescribed eye drops? Select all that apply.

"Do not rub the medicated eye(s).", "Damage may occur if you touch the dropper to the eye.", "Wash your hands before and after you use the eye drops."

The nurse has educated the client on the use and reasons for using inhaled medications via a small-volume nebulizer. Which statements by the client indicate that education has been effective?

"Medication can be delivered through mouthpiece or mask.", "Drops improve ventilation and oxygenation."

The nurse administers a dry powder dose inhaler to a client. The nurse stops and teaches the client when the client makes which statement?

"My allergies are not bothering me. I do not need the inhaler.

The nurse is preparing to irrigate a 5-year-old client's ear. The nurse simultaneously teaches the parent how to perform ear irrigation. While demonstrating the proper technique, which statements made by the nurse would be correct? Select all that apply.

"Position the child flat.", "Pull the pinna up and back.", "Position the child's head with affected ear up."

The client with chronic obstructive pulmonary disease uses an albuterol metered-dose inhaler at home. The client asks how to use the newly prescribed dry powder inhaler. What does the nurse explain to the client?

"The dry powder inhaler only delivers medication when you inhale."

The client is prescribed digoxin 0.125 mg PO every day. The nurse obtains the medication from unit stock and discovers that digoxin only comes in a 0.25-mg tablet. How many tablets of digoxin should the nurse administer to the client?

0.5 tablet

The nurse is preparing to administer a subcutaneous injection for an adult client. The nurse knows that the volume of the injection is limited to how many milliliters of fluid?

1 mL

The nurse needs to prepare an insulin pen for injection of a prescribed dose of insulin. Place the following steps in the correct order. Use all options.

1)Clean the tip of the reservoir with alcohol. 2)Screw the correct needle onto the reservoir. 3)Dial the dose selector to 2 units. 4)Hold the pen upright and press the plunger firmly. 5)Watch for a drop of insulin at the needle tip. 6)Verify the dose selector returned to "0."

The nurse is preparing supplies for a tuberculosis screening. The nurse should choose syringe and needle?

1-mL syringe; 1/2-inch, 27-gauge needle

The nurse is preparing hydrochlorothiazide 50-mg tablet from unit stock. The health care provider orders 75 mg of hydrochlorothiazide PO for the client's hypertension. How many tablets of hydrochlorothiazide will the nurse administer to the client?

1.5 tablets

The nurse is administering an intradermal injection to a client to test for allergies. How far would the nurse insert the needle into the dermis?

1/8 in (32 mm) with the entire bevel under the skin.

The nurse is preparing a liquid medication for a client. The health care provider prescribes cimetidine hydrochloride 600 mg PO for gastrointestinal bleeding. The pharmacy sends cimetidine hydrochloride 300 mg/5 mL. How many teaspoons should the nurse administer?

2 teaspoons

A nurse has just administered a medication to client via nasal spray. The nurse instructs the client to refrain from blowing the nose for a minimum of how long?

5 minutes

The nurse has just finished administering the 0800-prescribed 10 units regular insulin in the left arm using an insulin injection pen. What will the nurse include in the documentation?

Administered 10 units regular insulin subcutaneous at 0800 in the left arm.

The nurse is in the client's room to administer the client's morning oral medications. Which action should the nurse take first?

Confirm the client's identity.

A nurse is preparing to administer oral medications to a client. While opening the unit dose package, the medication inadvertently falls on the floor. Which action by the nurse would be most appropriate?

Discard the current unit-dose package and obtain a new one.

The nurse is holding the skin with the non-dominant hand prior to inserting the needle for an intramuscular injection. What is the recommended technique?

Displace the skin using the Z-track technique by pulling the skin to one side 1 inch.

The nurse is splitting medications. After splitting the tablet and administering half to the client, what should the nurse do with the remaining half? Select all that apply.

Dispose of medication per hospital protocol. If the medication is a narcotic, waste with another nurse present.

The nurse is preparing a local anesthetic to be administered intradermally to a client undergoing a minor surgical procedure. Which guideline is recommended for administering this injection?

Do not massage the site following administration.

The nurse is administering a client's medication and more tablets than needed fall into the bottle cap. What should the nurse do?

Drop extra tablets into bottle from bottle cap.

The nurse will be administering an inhaled medication via a small-volume nebulizer to a client. What would the nurse have the client do first?

Encourage client to blow the nose and cough up secretions.

The nurse has just completed administering a nasal spray to a client. What should the nurse do next?

Evaluate client for medication effectiveness.

What instruction will the nurse include when teaching a client how to administer nasal drops?

Hold the dropper just above the nostril to administer the drops.

The nurse uses a large volume of sterile solution to irrigate a client's eye after an injury. What technique does the nurse use?

Irrigate from the inner canthus and flush toward the outer canthus.

A client has had an accident with metal shavings. During the subsequent eye irrigation, the nurse sees a small piece of metal in the client's eye. What action does the nurse take?

Irrigate the client's eye with the prescribed solution.

The nurse administering a subcutaneous injection to a client avoids massaging the site after injecting the medication. Why is massaging the site contraindicated?

It can damage underlying tissue.

A nurse is giving a client an intradermal injection to perform a tuberculin test. In what layer of the skin are intradermal injections administered?

Just below the epidermis.

The nurse prepares the client's nightly medication doses and needs to administer an as needed dose of a hypnotic medication for sleep. The sleep medication is in a unit-dose package. What action does the nurse take?

Open the package after the client confirms the dose is wanted.

The nurse is administering an intramuscular injection of the hepatitis B vaccine to a client. At what angle would the nurse insert the needle?

Perpendicular to the skin.

After administering ear drops to a client, how does the nurse ensure the medication is delivered completely?

Place gentle pressure on the tragus after administration.

When pouring a liquid medication into a graduated liquid medication cup, which nursing action would be most appropriate?

Place the cup on a flat surface at eye level.

The nurse is administering routine medications to a postsurgical client and the client asks, "Could I have something for pain?" The nurse checks the medication administration record (MAR) and notes that the medication is an opioid. What should the nurse do?

Place the opioid into a separate cup.

The nurse is administering an intramuscular injection to a client using the ventrogluteal site. How would the nurse locate the site?

Place the palm on the greater trochanter and the index finger on the anterior superior iliac spine.

The nurse is preparing to split medication for client administration. What method should the nurse use to split the medication?

Place the pill in the pill splitter and close.

The nurse needs half of a tablet of medication and is preparing to split the tablet but there is no score. What should the nurse do? Select all that apply.

Refrain from splitting the tablet Call the health care provider

After administering an inhaled medication via a small-volume nebulizer, which action should the nurse have the client do?

Rinse and gargle with tap water.

After administering an inhaled medication via a metered-dose inhaler, the nurse asks the client to take which action?

Rinse and gargle with water.

The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? Select all that apply.

Sit comfortably in the bed. Insert the tip of the nose piece into one nostril. Hold the breath for a few seconds after administering the spray.

The nurse administers a dry powder inhaler to a client. The client takes this medication at home. What action does the nurse take?

Teach the client how to use the inhaler using step-by-step instructions.

The nurse has just finished administering an insulin pen injection on a client and documents the administration in the electronic health record. Which is the correct information to document?

The fact that the medication was given, the dose and the time, and the site.

The nurse irrigates a client's ear. Which supplies does the nurse gather for this procedure? Select all that apply.

Waterproof pad, Saline or antiseptic, Emesis basin

When administering medications to a client, what information should the nurse know about the medication? Select all that apply.

action, safe dose range, adverse effects, purpose

The nurse is preparing to administer 10 units regular insulin via insulin injection pen to a client with a body mass index (BMI) equal to 40. How will the nurse best administer this medication?

at 90-degree angle using a 5/8-in (1.6-cm) needle

The nurse is preparing to administer ear drops to a 2-year-old client. The nurse would pull the pinna in which direction?

down and backward

The nurse is teaching the client how to correctly use a metered-dose inhaler. Which client action displays understanding of the education?

holding the inhaler 2 cm (0.75 inches) away from the mouth

The nurse is administering eye drops to a client. Where should the nurse place the drops?

lower conjunctival sac

The nurse is teaching a client with diabetes to withdraw insulin from a vial when the client and the client asks why it is recommended to recap the needle after withdrawing the medication. What is the best response by the nurse?

"Recapping the needle maintains sterility of the needle before injecting."

The nurse is preparing to administer a sublingual medication. Which instruction to the client is correct?

"Try not to swallow while the pill dissolves."

The client is prescribed ear drops to be given in both ears. After administering the ear drops in one ear, how long would the nurse wait before administering the ear drops in the other ear?

5 minutes

The nurse is preparing to administer an allergy test via an intradermal injection. Which injection site would be most appropriate in this situation?

Inner surface of the forearm

The nurse is preparing to administer a subcutaneous injection of insulin to a client. Which site would the nurse choose?

Outer aspect of the upper arm.

The nurse enters the client's room to administer oral medications. Which action would the nurse take first?

Perform hand hygiene.

During an eye irrigation, the client reports an urge to blink. What action does the nurse take?

Stop the irrigation so the client can blink.

The nurse has instructed the client in the use of a metered-dose inhaler. Which instruction should the nurse include in the client education?

Teach the client to push the top of the medication canister while taking a deep breath

The client tells the nurse that the medication in the cup is not the same as the medication he took the day before. The client is insistent that the medication is not the one prescribed. Which action by the nurse would be least appropriate?

Tell the client that he must take this medication because it is prescribed by the health care provider.

The nurse is teaching the student nurse where a subcutaneous injection is administered. How would the nurse describe the appropriate skin layer?

The adipose tissue layer, just below the epidermis and dermis.

The nurse is teaching a client how to prepare and administer liquid medications. The client has been on other types of medications for several years. What common error would be most appropriate for the nurse to include in teaching this client?

The client can use any type of measuring device.

The nurse is administering prescribed eye drops to a client. What action would cause the nurse to stop the administration?

The dropper touches the client's eyelid.

The nurse is initiating an ear irrigation on a client. Which finding causes the nurse to stop the irrigation procedure?

The medical record states the eardrum is punctured.

The nurse administering an intramuscular injection to a client divides the thigh into thirds, horizontally and vertically to locate the site. What injection site is the nurse using?

Vastus lateralis site.

What is the best way for the nurse to remove air bubbles from the syringe after drawing up medication from an ampule?

Withdraw the needle from the ampule, tap the syringe, and push on the plunger.

The nurse is preparing to administer eye drops to a client. What purposes are commonly associated with instilling medications via eye drops? Select all that apply.

pupil constriction, pupil dilation, control of intraocular pressure, infection treatment

The nurse is preparing to administer a vaccination to an adult in the deltoid site. In what position would the nurse place the client?

sitting

The nurse is administering a medication using a small-volume nebulizer. What should the nurse instruct the client to do?

Have the client inhale slowly and deeply through the mouth.

After the client inhales a dose from a dry powder inhaler, which action does the nurse instruct the client to take next?

Hold breath for 5 to 10 seconds.

After reviewing the skills for administering different medications, a student nurse demonstrates the need for additional review when she does takes which action?

Leaves before verifying that the client has swallowed the medication.

How quickly would the nurse inject solution into an intramuscular site?

10 sec/mL of medication.

The nurse assesses the client and checks the medication prescription prior to administering an intramuscular injection. Which factor affects the choice of an intramuscular site?

Medication volume.

The nurse is preparing to administer medications to the client. The client sees the nurse double checking each medication and asks the nurse what is occurring. What is the nurse's best response?

"Checking the medication again to ensure the right medication is given to you."

Prior to the nurse administering eye drops to the client, what should the nurse do?

Clean the eyelids of any loose eyelashes.

The nurse is teaching a parent how to administer ear drops to a 3-year-old client with an ear infection. What instructions should the nurse give the parent?

"Have the child lie down with the affected ear facing the ceiling while administering the drops and then wait for 5 minutes after the drops are in."

The nurse is preparing a medication from a vial and contaminates the plunger after the medication is drawn into the syringe. What should the nurse do next?

Administer the medication as prescribed

Which client would most likely be injected using an intradermal injection?

A client having an allergy test performed.

The nurse is administering an inhaled medication via a small-volume nebulizer to a client. What indicates that the medication is being administered correctly?

A fine mist forms in the air.

The nurse is demonstrating to a client with diabetes how to properly self-inject insulin. Which injection site would be most appropriate to recommend to the client?

Abdomen

The nurse is administering an intramuscular injection of cortisone to a client. What action would the nurse take immediately following the injection?

Apply gentle pressure with a dry gauze.

The nurse is preparing to administer a transdermal medication. How should the nurse proceed?

Apply the medication directly to the skin.

The client completes use of the dry powder inhaler. What action must the nurse perform after use of this medication?

Assist the client to rinse out the mouth.

After preparing the skin of a client's arm in preparation for an intradermal injection, how would the nurse insert the needle?

At a 5- to 15-degree angle, almost against the skin, bevel side up.

The nurse has educated a client about the use of a prescribed metered-dose inhaler. What actions should the client learn to perform prior to inhaling the metered dose? Select all that apply.

Blow the nose., Cough up respiratory tract secretions.

The health care provider writes a medication prescription for "saline irrigation O.D. twice daily." What action does the nurse take next?

Call the health care provider about this prescription.

The nurse opens the multidose container of oxycodone. The nurse needs 1.5 tablets to deliver the as needed dose, and the tablets in the container are not scored. What action by the nurse is best?

Call the pharmacy to request a supply change.

The nurse is performing the third medication check for a medication administered from a multi-dose bottle. What should the nurse do?

Check the multi-dose bottle label after identifying the client and before administering the medication.

The nurse has administered a client's medication. Which action would be most appropriate if the client vomits immediately, or soon after administration?

Check the vomit/emesis for pills or pill fragments and call the client's health care provider.

The nurse is preparing to administer an intramuscular injection to a client. Which statement accurately describes how to prepare the client's skin prior to the injection?

Cleanse the area around the injection site with an antimicrobial swab using firm, circular motions moving outward from the site.

Which is true about giving medication using the intramuscular route?

Delivers medication into the muscle tissues.

The instructor observes a nursing student who is preparing a liquid medication from a multi-dose bottle. Which action would concern the instructor if it were demonstrated by the student?

Holds the bottle of liquid medication with the label facing the medication cup.

The nurse is preparing to administer a nasal spray. Place the nurse's actions in order, from first to last. Use all options.

Identify the client using two identifiers and verify any allergies. Offer the client a tissue and ask the client to blow the nose. Insert the tip of the nasal spray into one nostril and close the other nostril with a finger. Compress the nasal spray while the client breathes in through the nose. Remove the tip of the spray from the client's nostril and release the compression.

The nurse has a prescription to administer a tuberculin test for a client. On what body site would the injection be administered?

Inner surface of the forearm.

A nurse is administering an intramuscular injection to a client. Which best describes the nurse's recommended hand movements?

Moves non-dominant hand to steady the lower end of the syringe, and dominant hand to the end of the plunger.

Which route of medication administration is most commonly prescribed?

Oral

A nurse is preparing several oral medications for administration. One of the medications requires the nurse to obtain the client's apical pulse before administering it. Which action would be most appropriate?

Placing the medication requiring the assessment in a separate medication cup.

The nurse is distributing afternoon medications to the clients. When removing a tablet from a multi-dose bottle, what should the nurse do first?

Pour the tablet into the bottle cap.

A nurse is distributing the 0900 medications to the client. What should the nurse do when removing a tablet from a multi-dose bottle? Select all that apply.

Put an extra tablet back into the bottle from cap., Use gloves for extra protection., Take the multi-dose bottle into the client's room.

A nurse has administered a pain medication to the client. What should the nurse do next?

Reassess the client.

The nurse is administering an intramuscular injection in the deltoid site when the client pulls away from the needle before the medication is fully injected. What should the nurse do next?

Replace the needle on the syringe and administer the remaining medication in another site.

The nurse has just finished injecting a medication intramuscularly, and needle is still in the client's arm. Which is the correct immediate next step?

Wait 10 seconds and then withdraw the needle

The nurse administers an irrigating solution into the client's ear. What actions does the nurse take? Select all that apply.

Warm the solution to body temperature., Teach the client the purpose of the medication., Demonstrate the technique that will be used.

When administering an intradermal injection, what sign will the nurse observe that indicates when to pull out the needle?

Wheal

What is the best method for opening an ampule of morphine for a prescribed IV push?

Wrap a small gauze pad around the neck and use a snapping motion to break the top at the scored line in the neck.

The new nurse places a transdermal medication patch on a client. The preceptor stops the new nurse for which action?

Writes date on medication patch.

The nurse is caring for a client for whom the health care provider has prescribed a metered-dose inhaler medication and the client expresses concern about possible side effects. Which systemic effects would the nurse advise the client may occur with this medication? Select all the apply.

tachycardia irritation of mucous membranes palpitations

A nurse is measuring a liquid medication in a graduated liquid medication cup. The nurse determines the correct amount by reading:

the bottom of the meniscus.

The nurse is preparing to administer ear drops to an adult client. In what direction would the nurse position the pinna?

up and back

The nurse is cleaning the injection site prior to administering an intradermal injection. What motion should the nurse use for this action?

Circular motion from the injection site outward.

The nurse teaches the client about home use of a transdermal medication patch for pain. The nurse evaluates the teaching as effective when the client makes which statement?

"I can't use my heating pad in the same area as the patch."

The nurse is administering medications to the client. What does the nurse explain to the client who asks about the checks of medication administration? Select all that apply.

"I check the label before removing the medication from its container.", "I check the label when taking medication from the storage area.", fab"I check the label of any medication before administering it to you."

The client overhears the nurse reviewing the rights of medication administration and asks, "Why are you saying, 'right medication, right client, right route, right dose'?" What is the nurse's best response?

"I review these to make sure your medications are accurate and correct."

The nurse administers medication to a client. Which statement by the nurse is required to satisfy the three checks and rights of medication administration?

"Please tell me your name and date of birth."

The nurse has chosen the deltoid site to administer an intramuscular injection to an adult client. What size needle would the nurse use?

1 to 1 1/2 in (2.5 to 3.8 cm).

The nurse is to administer a medication to a client in isolation and the medication is in a multi-dose container. How will the nurse complete the third check of medication administration?

Check the multi-dose label before putting the container back in the drawer and label medicine cup with needed information.

The nurse is caring for a client who has a newly written prescription for "fluoxetine 20 mg by mouth daily for treatment of depression." The nurse is unfamiliar with this medication. Which action is most appropriate?

Consult a professional medication reference before preparing to administer the medication.

The nurse is preparing to irrigate a 2-year-old client's ear, and the nurse sees a bean that is occluding the ear. What is the nurse's most appropriate action?

Do not perform irrigation

The nurse is preparing a medication form a vial and notices that a piece of the self-sealing stopper is floating in the medication in the syringe. What should the nurse do next?

Obtain a new vial, syringe and needle and start over

What will the nurse do with the filter needle after withdrawing medication from an ampule?

Remove the filter needle and attach the administration needle.

The nurse is preparing to apply a new transdermal patch to a client's chest. What would the nurse do first?

Remove the old patch from the client's skin.

The nurse administers the client's scheduled morning medications. The previous dose of antihypertensive was held due to a blood pressure that was too low according the health care provider's parameters. What does the nurse do with this scheduled unit-dose packaged antihypertensive medication?

Set the antihypertensive dose aside pending assessment.

The nurse is withdrawing insulin from a vial to prepare an injection for a client. After removing the metal cap on the vial, what would be the nurse's next step in the procedure?

Swab the rubber top with an antimicrobial swab and allow it to dry.

The nurse splits a medication for client administration. What should the nurse do to assure safety and proper documentation? Select all that apply.

Take computer to the bedside. Take medication package and label to bedside. Take medication to bedside.

The nurse is preparing to draw up a medication that is supplied in a glass ampule. Place in order, the steps the nurse will take. Use all options.

Wrap a small gauze pad around the neck of the ampule. Break off the top of the ampule. Attach the filter needle to the syringe. Withdraw the medication. Discard the filter needle. Attach a sterile administration device to the syringe.

The nurse is preparing to irrigate a client's eye. Where would the nurse place the basin to catch the irrigant?

affected side

A nurse is preparing a medication from a glass ampule. After breaking the ampule, the nurse notes blood on the gauze pad. What should the nurse do first?

discard the ampule and medication

How much air does the nurse inject into a vial prior to withdrawing the medication?

equal to the amount of the medication dosage

The nurse is preparing to administer a transdermal medication. Which placement is appropriate?

posteriorly on the shoulder