Question 1

The nurse is preparing to administer a rectal suppository antipyretic medication. Which action by the nurse is correct?

Accepted Answer

A)  Allowing the suppository to soften at room temperature before inserting 
B)  Explain the administration procedures to the patient 
C)  Having the patient remain flat or on one side for at least 30 minutes after insertion 
D)  Using an oil-based lubricant such as petrolatum gel (Vaseline) to lubricate the medication 
A)  Allowing the suppository to soften at room temperature before inserting 
B)  Explain the administration procedures to the patient 
C)  Having the patient remain flat or on one side for at least 30 minutes after insertion 
D)  Using an oil-based lubricant such as petrolatum gel (Vaseline) to lubricate the medication C

Question 2

The nurse is preparing to start an IV line in a preschool-age child. After applying a eutectic mixture of local anesthetics, what will the nurse do to prepare the child?

Accepted Answer

A)  Describe what the IV line will feel like and how long it will be in place. 
B)  Explain the purpose of the procedure. 
C)  Give the child equipment to handle and practice on a doll. 
D)  Reassure the child that the pain will only last a few minutes. 
A)  Describe what the IV line will feel like and how long it will be in place. 
B)  Explain the purpose of the procedure. 
C)  Give the child equipment to handle and practice on a doll. 
D)  Reassure the child that the pain will only last a few minutes. C

Question 3

The nurse is teaching a parent to administer medications using a child's gastrostomy tube. The parent asks why it is necessary to give water after each medication. The nurse explains that the water is given for which purpose?

Accepted Answer

A)  To decrease gastrointestinal upset 
B)  To dilute the medication and enhance absorption 
C)  To ensure that all medication is infused into the stomach 
D)  To improve overall hydration 
A)  To decrease gastrointestinal upset 
B)  To dilute the medication and enhance absorption 
C)  To ensure that all medication is infused into the stomach 
D)  To improve overall hydration C

Question 4

A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer. The patient asks why the spacer is necessary. The nurse will explain that the spacer:

Accepted Answer

A)  allows a larger dose to be given safely. 
B)  is used to enhance the delivery of medications when using a metered-dose inhaler. 
C)  minimizes adverse effects of the steroid. 
D)  prevents contamination of the metered-dose inhaler. 
A)  allows a larger dose to be given safely. 
B)  is used to enhance the delivery of medications when using a metered-dose inhaler. 
C)  minimizes adverse effects of the steroid. 
D)  prevents contamination of the metered-dose inhaler.

Question 5

The nurse is teaching a nursing student about giving liquid medications. Which statement by the student indicates understanding of the teaching?

Accepted Answer

A)  "A suspension is a mixture in which drug particles are dissolved in solution." 
B)  "I will line up the bottom of the medication curve with the line in the syringe." 
C)  "I will need to shake an elixir before measuring the dose." 
D)  "I will never need to refrigerate liquids once they are reconstituted." 
A)  "A suspension is a mixture in which drug particles are dissolved in solution." 
B)  "I will line up the bottom of the medication curve with the line in the syringe." 
C)  "I will need to shake an elixir before measuring the dose." 
D)  "I will never need to refrigerate liquids once they are reconstituted."

Question 6

The nurse is performing tuberculin testing on a patient. Which action by the nurse is correct?

Accepted Answer

A)  Insert the needle, bevel up, at a 30-degree angle. 
B)  Massage the area gently after the injection. 
C)  Measure the diameter of the area of erythema when reading the result. 
D)  Use a 25-gauge, 1/4" needle. 
A)  Insert the needle, bevel up, at a 30-degree angle. 
B)  Massage the area gently after the injection. 
C)  Measure the diameter of the area of erythema when reading the result. 
D)  Use a 25-gauge, 1/4" needle.

Question 7

The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching?

Accepted Answer

A)  "I may put the tablet in food if I don't like the taste." 
B)  "I may take a sip of water after placing the tablet in my mouth." 
C)  "I will place the tablet between my cheek and gum." 
D)  "I will place the tablet under my tongue and let it absorb." 
A)  "I may put the tablet in food if I don't like the taste." 
B)  "I may take a sip of water after placing the tablet in my mouth." 
C)  "I will place the tablet between my cheek and gum." 
D)  "I will place the tablet under my tongue and let it absorb."

Question 8

When administering topical medications, which is an important nursing action?

Accepted Answer

A)  Applying the medication liberally 
B)  Cleaning skin with alcohol before applying 
C)  Using sterile technique 
D)  Wearing gloves 
A)  Applying the medication liberally 
B)  Cleaning skin with alcohol before applying 
C)  Using sterile technique 
D)  Wearing gloves

Question 9

A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the nurse respond?

Accepted Answer

A)  "The patch can always be cut when dosage adjustments are needed." 
B)  "Drug levels fluctuate less with the patch." 
C)  "There are fewer systemic side effects with transdermal patches." 
D)  "There is less risk of toxicity when using a patch." 
A)  "The patch can always be cut when dosage adjustments are needed." 
B)  "Drug levels fluctuate less with the patch." 
C)  "There are fewer systemic side effects with transdermal patches." 
D)  "There is less risk of toxicity when using a patch."

Question 10

The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran. Which statement by the student indicates understanding of the teaching?

Accepted Answer

A)  "This is used when administering IM injections to help minimize local skin irritation." 
B)  "This technique allows slower, more sustained absorption." 
C)  "You may use the deltoid site when using this method." 
D)  "I should use a 27-gauge needle to minimize discomfort with this method." 
A)  "This is used when administering IM injections to help minimize local skin irritation." 
B)  "This technique allows slower, more sustained absorption." 
C)  "You may use the deltoid site when using this method." 
D)  "I should use a 27-gauge needle to minimize discomfort with this method."

Question 11

A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to swallow. How will the nurse respond to the patient?

Accepted Answer

A)  "Crushing the medication can possibly lead to administration of a toxic medication dose." 
B)  "Crushing the medication is safe and can prevent gagging on pills." 
C)  "The tablet may be crushed if a small amount of pudding is used." 
D)  "The tablet may be dissolved in liquid but not crushed and put in food." 
A)  "Crushing the medication can possibly lead to administration of a toxic medication dose." 
B)  "Crushing the medication is safe and can prevent gagging on pills." 
C)  "The tablet may be crushed if a small amount of pudding is used." 
D)  "The tablet may be dissolved in liquid but not crushed and put in food."

Question 12

The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication. The parent asks why the medication can't be given in a bottle of formula to make it taste better. How will the nurse respond?

Accepted Answer

A)  "Adding a medication to the formula will cause the formula to curdle." 
B)  "Formula and medications can form toxic compounds if mixed together." 
C)  "The infant may not always take the entire bottle of formula." 
D)  "This may cause the infant to refuse formula in the future." 
A)  "Adding a medication to the formula will cause the formula to curdle." 
B)  "Formula and medications can form toxic compounds if mixed together." 
C)  "The infant may not always take the entire bottle of formula." 
D)  "This may cause the infant to refuse formula in the future."

Question 13

A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size. The nurse will perform which action?

Accepted Answer

A)  Contact the provider to discuss an alternate form of the medication. 
B)  Crush the tablet and put it in applesauce to help the patient swallow it. 
C)  Cut the tablet in half so the patient can take it more easily. 
D)  Dissolve the tablet in liquid. 
A)  Contact the provider to discuss an alternate form of the medication. 
B)  Crush the tablet and put it in applesauce to help the patient swallow it. 
C)  Cut the tablet in half so the patient can take it more easily. 
D)  Dissolve the tablet in liquid.

Question 14

The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site selection for this injection, what will the nurse ask the child's parent?

Accepted Answer

A)  "How long has your child been walking?" 
B)  "How much does your child weigh?" 
C)  "Is your child afraid to look at needles?" 
D)  "Is your child right- or left-handed?" 
A)  "How long has your child been walking?" 
B)  "How much does your child weigh?" 
C)  "Is your child afraid to look at needles?" 
D)  "Is your child right- or left-handed?"

Exam 10: Drug Administration

The nurse is preparing to administer a rectal suppository antipyretic medication. Which action by the nurse is correct?

The nurse is preparing to start an IV line in a preschool-age child. After applying a eutectic mixture of local anesthetics, what will the nurse do to prepare the child?

The nurse is teaching a parent to administer medications using a child's gastrostomy tube. The parent asks why it is necessary to give water after each medication. The nurse explains that the water is given for which purpose?

A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer. The patient asks why the spacer is necessary. The nurse will explain that the spacer:

The nurse is teaching a nursing student about giving liquid medications. Which statement by the student indicates understanding of the teaching?

The nurse is performing tuberculin testing on a patient. Which action by the nurse is correct?

The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching?

When administering topical medications, which is an important nursing action?

A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the nurse respond?

The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran. Which statement by the student indicates understanding of the teaching?

A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to swallow. How will the nurse respond to the patient?

The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication. The parent asks why the medication can't be given in a bottle of formula to make it taste better. How will the nurse respond?

A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size. The nurse will perform which action?

The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site selection for this injection, what will the nurse ask the child's parent?

The Nursing Process and Patient-Centered Care

Drug Development and Ethical Considerations

Pharmacokinetics, Pharmacodynamics, and Pharmacogenetics

Pharmacogenetics

Complementary and Alternative Therapies

Pediatric Considerations

Geriatric Considerations

Drugs of Abuse

Safety and Quality

Drug Calculations

Fluid Volume and Electrolytes

Vitamin and Mineral Replacement

Nutritional Support

Adrenergic Agonists and Antagonists

Cholinergic Agonists and Antagonists

Stimulants

Depressants

Antiseizure Drugs

Drugs for Parkinson Disease and Alzheimer Disease

Drugs for Neuromuscular Disorders and Muscle Spasms

Antipsychotics and Anxiolytics

Antidepressants and Mood Stabilizers

Antiinflammatories

Analgesics

Antibacterials

Antituberculars, Antifungals, and Antivirals

Peptides, Antimalarials, and Anthelmintics

Hiv- and Aids-Related Drugs

Transplant Drugs

Vaccines

Anticancer Drugs

Targeted Therapies to Treat Cancer

Biologic Response Modifiers

Upper Respiratory Disorders

Lower Respiratory Disorders

Cardiac Glycosides, Antianginals, and Antidysrhythmics

Diuretics

Antihypertensives

Anticoagulants, Antiplatelets, and Thrombolytics

Antihyperlipidemics and Peripheral Vasodilators

Gastrointestinal Tract Disorders

Antiulcer Drugs

Eye and Ear Disorders

Dermatologic Disorders

Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Antidiabetics

Urinary Disorders

Pregnancy and Preterm Labor

Labor, Delivery, and Postpartum

Neonatal and Newborn

Womens Reproductive Health

Mens Reproductive Health

Sexually Transmitted Infections

Adult and Pediatric Emergency Drugs

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