Question 1

What should the nurse do to assist a patient who is having difficulty swallowing tablets?

Accepted Answer

A)  Administer the medication with less fluid. 
B)  Insert a nasogastric tube and instill the medication. 
C)  Crush the medications and administer with a small amount of food. 
D)  Administer the tablets one at a time with plenty of water. 
A)  Administer the medication with less fluid. 
B)  Insert a nasogastric tube and instill the medication. 
C)  Crush the medications and administer with a small amount of food. 
D)  Administer the tablets one at a time with plenty of water.

Question 2

The nurse is preparing to administer a pediatric dose of liquid medication to an infant.Which action by the nurse is appropriate?

Accepted Answer

A)  Empty the unit-dose container into a plastic cup. 
B)  Gently shake the multidose bottle before pouring the medication. 
C)  Draw the medication into a syringe with a needle. 
D)  Use an oral syringe to measure liquid dosages greater than 25 mL. 
A)  Empty the unit-dose container into a plastic cup. 
B)  Gently shake the multidose bottle before pouring the medication. 
C)  Draw the medication into a syringe with a needle. 
D)  Use an oral syringe to measure liquid dosages greater than 25 mL.

Question 3

The nurse is preparing to administer a rectal suppository to an adult patient.Which action should be taken by the nurse?

Accepted Answer

A)  Apply sterile gloves before handling the suppository. 
B)  Apply extra lubricant to the suppository if there is active rectal bleeding. 
C)  Insert the suppository past the internal sphincter,against the rectal wall,about 15 to 25 cm (6-10 inches). 
D)  Instruct the patient to remain lying flat or on the side for 5 minutes after insertion of the suppository. 
A)  Apply sterile gloves before handling the suppository. 
B)  Apply extra lubricant to the suppository if there is active rectal bleeding. 
C)  Insert the suppository past the internal sphincter,against the rectal wall,about 15 to 25 cm (6-10 inches). 
D)  Instruct the patient to remain lying flat or on the side for 5 minutes after insertion of the suppository.

Question 4

The patient is prescribed an ophthalmic medication via an intraocular disc.Which action by the nurse is appropriate when administering the medication?

Accepted Answer

A)  Place the disc in the conjunctival sac. 
B)  Apply sterile gloves before placing the disc. 
C)  Pull on the patient's upper eyelid and ask the patient to look up. 
D)  Instruct the patient that the disc will be changed daily. 
A)  Place the disc in the conjunctival sac. 
B)  Apply sterile gloves before placing the disc. 
C)  Pull on the patient's upper eyelid and ask the patient to look up. 
D)  Instruct the patient that the disc will be changed daily.

Question 5

The nurse is preparing to administer aspirin to a patient via an enteral feeding tube.Which form is appropriate for the nurse to administer?

Accepted Answer

A)  Crushed chewable aspirin 
B)  Liquid aspirin 
C)  Enteric-coated aspirin 
D)  Sustained-release aspirin capsule 
A)  Crushed chewable aspirin 
B)  Liquid aspirin 
C)  Enteric-coated aspirin 
D)  Sustained-release aspirin capsule

Question 6

The nurse is preparing several topical medications for a patient.The nurse identifies which of the following as ways to administer a topical medication? (Select all that apply.)

Accepted Answer

A)  Administering through an enteral tube placed in the jejunum 
B)  Inhaling an aerosol spray into the lungs 
C)  Spraying a mist into the nose 
D)  Dissolving a medication under the tongue 
A)  Administering through an enteral tube placed in the jejunum 
B)  Inhaling an aerosol spray into the lungs 
C)  Spraying a mist into the nose 
D)  Dissolving a medication under the tongue

Question 7

The nurse is preparing oral medications for administration.Which action by the nurse is appropriate?

Accepted Answer

A)  Using a cutting device to cut scored tablets 
B)  Unwrapping all of the medications to be given and placing them together in a cup 
C)  Crushing capsules and enteric-coated medication for easier swallowing 
D)  Holding the medication cup at eye level to pour a liquid dosage 
A)  Using a cutting device to cut scored tablets 
B)  Unwrapping all of the medications to be given and placing them together in a cup 
C)  Crushing capsules and enteric-coated medication for easier swallowing 
D)  Holding the medication cup at eye level to pour a liquid dosage

Question 8

The patient is receiving vaginal suppositories for a vaginal infection.Which assessment finding by the nurse indicates a desired outcome of the treatment?

Accepted Answer

A)  The patient reports pruritus and burning. 
B)  The vaginal walls are bright red in colour. 
C)  White curdlike patches appear on the vaginal walls. 
D)  Vaginal discharge the same colour of the medication is noted. 
A)  The patient reports pruritus and burning. 
B)  The vaginal walls are bright red in colour. 
C)  White curdlike patches appear on the vaginal walls. 
D)  Vaginal discharge the same colour of the medication is noted.

Question 9

The nurse is to administer several medications to a patient via a nasogastric (NG)tube.What should the nurse do first?

Accepted Answer

A)  Add the medications to the tube feeding being given. 
B)  Crush all tablets and capsules before administration. 
C)  Administer all of the medications mixed together. 
D)  Check for placement of the NG tube. 
A)  Add the medications to the tube feeding being given. 
B)  Crush all tablets and capsules before administration. 
C)  Administer all of the medications mixed together. 
D)  Check for placement of the NG tube.

Question 10

When preparing to administer medication via a nasogastric tube,the nurse aspirates 275 mL of gastric residual.What is the first action the nurse should take?

Accepted Answer

A)  Wait 1 hour and recheck the residual. 
B)  Administer the medication with more fluid. 
C)  Return the aspirate and withhold the medication. 
D)  Attach the nasogastric tube to suction to remove additional volume. 
A)  Wait 1 hour and recheck the residual. 
B)  Administer the medication with more fluid. 
C)  Return the aspirate and withhold the medication. 
D)  Attach the nasogastric tube to suction to remove additional volume.

Question 11

How should the nurse position the patient to administer nose drops to the maxillary sinus?

Accepted Answer

A)  Sitting upright with the head tilted backward toward the side to be treated 
B)  Supine with a small pillow under the shoulders and the head tilted backward 
C)  Supine with the head tilted backward and turned to the unaffected side 
D)  Head tilted back over the edge of the bed and turned toward the side to be treated 
A)  Sitting upright with the head tilted backward toward the side to be treated 
B)  Supine with a small pillow under the shoulders and the head tilted backward 
C)  Supine with the head tilted backward and turned to the unaffected side 
D)  Head tilted back over the edge of the bed and turned toward the side to be treated

Question 12

The patient has a bronchodilator and an inhaled steroid scheduled for the same time.What teaching should the nurse provide to the patient about administering these medications?

Accepted Answer

A)  Inhale the bronchodilator,wait 20 to 30 seconds,then inhale the steroid. 
B)  Inhale the bronchodilator,wait 2 to 5 minutes,then inhale the steroid. 
C)  Inhale the steroid,wait 20 to 30 seconds,then inhale the bronchodilator. 
D)  Inhale the steroid,wait 2 to 5 minutes,then inhale the bronchodilator. 
A)  Inhale the bronchodilator,wait 20 to 30 seconds,then inhale the steroid. 
B)  Inhale the bronchodilator,wait 2 to 5 minutes,then inhale the steroid. 
C)  Inhale the steroid,wait 20 to 30 seconds,then inhale the bronchodilator. 
D)  Inhale the steroid,wait 2 to 5 minutes,then inhale the bronchodilator.

Question 13

The easiest and most desirable way to administer medications is via the _________ route.

Accepted Answer

A)  Nasogastric feeding tube 
B)  Oral 
C)  Buccal 
D)  Sublingual 
A)  Nasogastric feeding tube 
B)  Oral 
C)  Buccal 
D)  Sublingual

Question 14

The nurse is preparing to administer a medication.Which of the following is the most critical to assess before medication administration?

Accepted Answer

A)  Diet history 
B)  Allergy history 
C)  Surgical history 
D)  Medication tolerance 
A)  Diet history 
B)  Allergy history 
C)  Surgical history 
D)  Medication tolerance

Question 15

The nurse is preparing to administer a rectal suppository to a patient.The patient should be assisted to which position for insertion of the rectal suppository?

Accepted Answer

A)  Prone 
B)  Supine 
C)  Dorsal recumbent 
D)  Left Sims' position 
A)  Prone 
B)  Supine 
C)  Dorsal recumbent 
D)  Left Sims' position

Question 16

The nurse is teaching a patient how to use a topical medication.Which statement indicates an understanding of the procedure?

Accepted Answer

A)  "If the patch starts to come off,I can secure it with tape." 
B)  "If the patch falls off,I will put a new one on in the same place." 
C)  "If my skin is irritated,I will cleanse it using water only." 
D)  "I can dispose of used materials in the household trash as usual." 
A)  "If the patch starts to come off,I can secure it with tape." 
B)  "If the patch falls off,I will put a new one on in the same place." 
C)  "If my skin is irritated,I will cleanse it using water only." 
D)  "I can dispose of used materials in the household trash as usual."

Exam 21: Nonparenteral Medications

What should the nurse do to assist a patient who is having difficulty swallowing tablets?

The nurse is preparing to administer a pediatric dose of liquid medication to an infant.Which action by the nurse is appropriate?

The nurse is preparing to administer a rectal suppository to an adult patient.Which action should be taken by the nurse?

The patient is prescribed an ophthalmic medication via an intraocular disc.Which action by the nurse is appropriate when administering the medication?

The nurse is preparing to administer aspirin to a patient via an enteral feeding tube.Which form is appropriate for the nurse to administer?

The nurse is preparing several topical medications for a patient.The nurse identifies which of the following as ways to administer a topical medication? (Select all that apply.)

The nurse is preparing oral medications for administration.Which action by the nurse is appropriate?

The patient is receiving vaginal suppositories for a vaginal infection.Which assessment finding by the nurse indicates a desired outcome of the treatment?

The nurse is to administer several medications to a patient via a nasogastric (NG)tube.What should the nurse do first?

When preparing to administer medication via a nasogastric tube,the nurse aspirates 275 mL of gastric residual.What is the first action the nurse should take?

How should the nurse position the patient to administer nose drops to the maxillary sinus?

The patient has a bronchodilator and an inhaled steroid scheduled for the same time.What teaching should the nurse provide to the patient about administering these medications?

The easiest and most desirable way to administer medications is via the _________ route.

The nurse is preparing to administer a medication.Which of the following is the most critical to assess before medication administration?

The nurse is preparing to administer a rectal suppository to a patient.The patient should be assisted to which position for insertion of the rectal suppository?

The nurse is teaching a patient how to use a topical medication.Which statement indicates an understanding of the procedure?

Evidence-Informed Nursing Practice

Transitions in Care

Communication and Collaboration

Documentation and Informatics

Medical Asepsis

Sterile Technique

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Emergency Preparedness and Disaster Management

Pain Assessment and Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Vascular Access and Infusion Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination and Catheterization

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Prevention and Care of Skin Breakdown

Wound Care Management and Dressings

Therapeutic Use of Heat and Cold

Safety in the Community

Self-Care Teaching in the Community

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