Question 1

Which action(s)will the nurse perform when preparing to administer a topical medication?(Select all that apply.)

Accepted Answer

A)  Wash hands before and after administration. 
B)  Maintain a dry environment to encourage wound healing. 
C)  Wear gloves during the application process. 
D)  Use sterile dressings for all wounds. 
A)  Wash hands before and after administration. 
B)  Maintain a dry environment to encourage wound healing. 
C)  Wear gloves during the application process. 
D)  Use sterile dressings for all wounds. A,C

Question 2

Where does the nurse correctly administer ophthalmic medication?

Accepted Answer

A)  At the inner canthus of the eye 
B)  In the lower conjunctival sac 
C)  Directly onto the eyeball 
D)  To the outer corner of the eyelid 
A)  At the inner canthus of the eye 
B)  In the lower conjunctival sac 
C)  Directly onto the eyeball 
D)  To the outer corner of the eyelid B

Question 3

Why are sublingual and buccal medications rapidly absorbed?

Accepted Answer

A)  Their action is localized to the mouth. 
B)  They are metabolized in the liver. 
C)  Blood flow is diminished in these sites. 
D)  These drugs pass directly into systemic circulation. 
A)  Their action is localized to the mouth. 
B)  They are metabolized in the liver. 
C)  Blood flow is diminished in these sites. 
D)  These drugs pass directly into systemic circulation. D

Question 4

Which is an accurate nursing action when treating a patient's rash with a lotion?

Accepted Answer

A)  Avoid shaking the container prior to application. 
B)  Cleanse area with alcohol prior to treatment. 
C)  Cover the area with gauze because of the oil base. 
D)  Pat on the area with a gloved hand. 
A)  Avoid shaking the container prior to application. 
B)  Cleanse area with alcohol prior to treatment. 
C)  Cover the area with gauze because of the oil base. 
D)  Pat on the area with a gloved hand.

Question 5

Which order(s)would be examples of percutaneous medication administration?(Select all that apply.)

Accepted Answer

A)  Timolol 0.5% 1 drop to each eye daily 
B)  Albuterol nebulizer 2.5 mg qid 
C)  Heparin 5000 units IV 
D)  Lasix 20 mg PO every AM 
E)  Silvadene 1% topically to affected area 
A)  Timolol 0.5% 1 drop to each eye daily 
B)  Albuterol nebulizer 2.5 mg qid 
C)  Heparin 5000 units IV 
D)  Lasix 20 mg PO every AM 
E)  Silvadene 1% topically to affected area

Question 6

The nurse is instructing a patient to use a corticosteroid inhaler.Which statement by the patient indicates the need for further teaching?

Accepted Answer

A)  "I will shake the inhaler before I use it." 
B)  "I need to rinse my mouth after I use the inhaler." 
C)  "I will use this when I'm lying in bed in the morning." 
D)  "After I inhale, I will hold my breath and then breathe out slowly." 
A)  "I will shake the inhaler before I use it." 
B)  "I need to rinse my mouth after I use the inhaler." 
C)  "I will use this when I'm lying in bed in the morning." 
D)  "After I inhale, I will hold my breath and then breathe out slowly."

Question 7

Which medications must be sterile?

Accepted Answer

A)  Topical 
B)  Vaginal 
C)  Ophthalmic 
D)  Nasal 
A)  Topical 
B)  Vaginal 
C)  Ophthalmic 
D)  Nasal

Question 8

The nurse is preparing an otic solution.When instructing the patient in regard to area of administration,the nurse will explain that the solution will be placed

Accepted Answer

A)  into the eye. 
B)  under the tongue. 
C)  topically. 
D)  into the ear. 
A)  into the eye. 
B)  under the tongue. 
C)  topically. 
D)  into the ear.

Question 9

Which effect would be important for the nurse to address when teaching a patient about the overuse of nose drops?

Accepted Answer

A)  Rebound 
B)  Ceiling 
C)  Idiosyncratic 
D)  Measured 
A)  Rebound 
B)  Ceiling 
C)  Idiosyncratic 
D)  Measured

Question 10

Which nursing assessment accurately describes the results of an intradermal skin test?

Accepted Answer

A)  Itching and weeping 
B)  Erythema and induration 
C)  Swelling and coolness 
D)  Pallor and drainage 
A)  Itching and weeping 
B)  Erythema and induration 
C)  Swelling and coolness 
D)  Pallor and drainage

Question 11

A patient has an infected wound with large amounts of drainage.Which type of dressing would the nurse use?

Accepted Answer

A)  Telfa 
B)  OpSite 
C)  DuoDerm 
D)  AlgiDERM 
A)  Telfa 
B)  OpSite 
C)  DuoDerm 
D)  AlgiDERM

Question 12

The nurse is teaching a patient about nitroglycerin ointment.Which is an advantage of this form of the medication?

Accepted Answer

A)  It does not give the patient a bad taste in the mouth. 
B)  The amount of ointment does not matter in obtaining a therapeutic response. 
C)  It does not cause headaches as an adverse effect. 
D)  It provides relief of anginal pain for several hours longer than sublingual medication. 
A)  It does not give the patient a bad taste in the mouth. 
B)  The amount of ointment does not matter in obtaining a therapeutic response. 
C)  It does not cause headaches as an adverse effect. 
D)  It provides relief of anginal pain for several hours longer than sublingual medication.

Question 13

Place the following steps for administration of nose drops in the correct order.(Enter your answer with a comma and space between each lettered option as follows: A,B,C,D,E.)

Accepted Answer

A)  Draw medication into the dropper. 
B)  Instruct patient to blow the nose gently. 
C)  Review practice setting policy. 
D)  Explain the steps to the patient. 
E)  Position the patient into supine position with head backward over edge of bed.
F) Instill medication. 
A)  Draw medication into the dropper. 
B)  Instruct patient to blow the nose gently. 
C)  Review practice setting policy. 
D)  Explain the steps to the patient. 
E)  Position the patient into supine position with head backward over edge of bed.
F) Instill medication.

Question 14

A 2-year-old child is hospitalized with the diagnosis of tonsillitis and bilateral otitis media.The nurse is preparing to administer eardrops.When instilling the eardrops,the nurse will pull the earlobe

Accepted Answer

A)  upward and back. 
B)  sideways and down. 
C)  downward and back. 
D)  sideways and up. 
A)  upward and back. 
B)  sideways and down. 
C)  downward and back. 
D)  sideways and up.

Question 15

When applying nitroglycerin topically,which nursing intervention is correct?

Accepted Answer

A)  Secure the paper on two sides with tape. 
B)  Shave the area prior to application of the paper. 
C)  Wear gloves while placing the new paper. 
D)  Remind the patient to discontinue use of the medication if chest pain is relieved. 
A)  Secure the paper on two sides with tape. 
B)  Shave the area prior to application of the paper. 
C)  Wear gloves while placing the new paper. 
D)  Remind the patient to discontinue use of the medication if chest pain is relieved.

Question 16

What is the rationale for the nurse applying gentle pressure to the inner corner of the eyelid after instilling eyedrops?

Accepted Answer

A)  Decreases the risk of infection 
B)  Maintains intraocular pressure 
C)  Prevents systemic effects 
D)  Provides comfort to the patient 
A)  Decreases the risk of infection 
B)  Maintains intraocular pressure 
C)  Prevents systemic effects 
D)  Provides comfort to the patient

Question 17

Which action will the nurse perform when doing a wet to dry dressing every 4 hours on a patient with a deep wound?

Accepted Answer

A)  Pack the wound tightly with gauze. 
B)  Saturate the dressing with as much liquid as possible. 
C)  Use Montgomery tapes or a binder to secure the dressing. 
D)  Apply the new moist dressing over the existing one. 
A)  Pack the wound tightly with gauze. 
B)  Saturate the dressing with as much liquid as possible. 
C)  Use Montgomery tapes or a binder to secure the dressing. 
D)  Apply the new moist dressing over the existing one.

Question 18

Which dressings would be appropriate to use for treating wounds with exudates?(Select all that apply.)

Accepted Answer

A)  AlgiDERM 
B)  Telfa 
C)  Kaltostat 
D)  Sorbsan 
E)  OpSite 
A)  AlgiDERM 
B)  Telfa 
C)  Kaltostat 
D)  Sorbsan 
E)  OpSite

Question 19

What is the appropriate nursing action when administering a vaginal suppository?

Accepted Answer

A)  Ask the patient to urinate prior to insertion. 
B)  Assist the patient to a side-lying position. 
C)  Keep suppository refrigerated prior to insertion. 
D)  Insert the suppository 1 inch into the vagina. 
A)  Ask the patient to urinate prior to insertion. 
B)  Assist the patient to a side-lying position. 
C)  Keep suppository refrigerated prior to insertion. 
D)  Insert the suppository 1 inch into the vagina.

Question 20

Where will the nurse administer a medication that was ordered to be given sublingually?

Accepted Answer

A)  Between the molar teeth and cheek 
B)  Below the skin surface 
C)  Under the tongue 
D)  Into the conjunctival sac 
A)  Between the molar teeth and cheek 
B)  Below the skin surface 
C)  Under the tongue 
D)  Into the conjunctival sac

Exam 7: Percutaneous Administration

Which action(s)will the nurse perform when preparing to administer a topical medication?(Select all that apply.)

Where does the nurse correctly administer ophthalmic medication?

Why are sublingual and buccal medications rapidly absorbed?

Which is an accurate nursing action when treating a patient's rash with a lotion?

Which order(s)would be examples of percutaneous medication administration?(Select all that apply.)

The nurse is instructing a patient to use a corticosteroid inhaler.Which statement by the patient indicates the need for further teaching?

Which medications must be sterile?

The nurse is preparing an otic solution.When instructing the patient in regard to area of administration,the nurse will explain that the solution will be placed

Which effect would be important for the nurse to address when teaching a patient about the overuse of nose drops?

Which nursing assessment accurately describes the results of an intradermal skin test?

A patient has an infected wound with large amounts of drainage.Which type of dressing would the nurse use?

The nurse is teaching a patient about nitroglycerin ointment.Which is an advantage of this form of the medication?

Place the following steps for administration of nose drops in the correct order.(Enter your answer with a comma and space between each lettered option as follows: A,B,C,D,E.)

A 2-year-old child is hospitalized with the diagnosis of tonsillitis and bilateral otitis media.The nurse is preparing to administer eardrops.When instilling the eardrops,the nurse will pull the earlobe

When applying nitroglycerin topically,which nursing intervention is correct?

What is the rationale for the nurse applying gentle pressure to the inner corner of the eyelid after instilling eyedrops?

Which action will the nurse perform when doing a wet to dry dressing every 4 hours on a patient with a deep wound?

Which dressings would be appropriate to use for treating wounds with exudates?(Select all that apply.)

What is the appropriate nursing action when administering a vaginal suppository?

Where will the nurse administer a medication that was ordered to be given sublingually?

Drug Definitions, Standards, and Information Sources

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