Question 1

A patient prefers not to take the daily allergy pill this morning because it causes drowsiness throughout the day. Which response by the nurse is best?

Accepted Answer

A)  "The physician ordered it; therefore, you must take your medication every morning at the same time whether you're drowsy or not." 
B)  "Let's see if we can change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping." 
C)  "You can skip this medication on days when you need to be awake and alert." 
D)  "Try to get as much done as you can before you take your pill, so you can sleep in the afternoon." 
A)  "The physician ordered it; therefore, you must take your medication every morning at the same time whether you're drowsy or not." 
B)  "Let's see if we can change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping." 
C)  "You can skip this medication on days when you need to be awake and alert." 
D)  "Try to get as much done as you can before you take your pill, so you can sleep in the afternoon."

Question 2

A patient is receiving vancomycin. Which function is the $\bold{priority}$ for the nurses to assess?

Accepted Answer

A)  Vision 
B)  Hearing 
C)  Heart tones 
D)  Bowel sounds 
A)  Vision 
B)  Hearing 
C)  Heart tones 
D)  Bowel sounds

Question 3

A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

Accepted Answer

A)  Health care provider 
B)  Pharmacist 
C)  Hospital 
D)  Nurse 
A)  Health care provider 
B)  Pharmacist 
C)  Hospital 
D)  Nurse

Question 4

A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which is the $\bold{most}$ important nursing action to ensure effective absorption?

Accepted Answer

A)  Thoroughly shake the medication before administering. 
B)  Position patient in the supine position for 30 minutes to 1 hour. 
C)  Hold feeding for at least 30 minutes after medication administration. 
D)  Flush tube with 10 to 15 mL of water, after all medications are administered. 
A)  Thoroughly shake the medication before administering. 
B)  Position patient in the supine position for 30 minutes to 1 hour. 
C)  Hold feeding for at least 30 minutes after medication administration. 
D)  Flush tube with 10 to 15 mL of water, after all medications are administered.

Question 5

The patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250 mg/5 mL. How many milliliters will the nurse administer for one dose? Record your answer using a whole number. ___ mL

Accepted Answer

10
The drug is dispensed at 25

Question 6

The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?

Accepted Answer

A)  A nurse administers a vaccine without aspirating. 
B)  A nurse gives an IV medication through a 22-gauge IV needle without blood return. 
C)  A nurse draws up the NPH insulin first when mixing a short-acting and intermediate-acting insulin. 
D)  A nurse calls the health care provider for a patient with nasogastric suction and orders for oral meds. 
A)  A nurse administers a vaccine without aspirating. 
B)  A nurse gives an IV medication through a 22-gauge IV needle without blood return. 
C)  A nurse draws up the NPH insulin first when mixing a short-acting and intermediate-acting insulin. 
D)  A nurse calls the health care provider for a patient with nasogastric suction and orders for oral meds.

Question 7

An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?

Accepted Answer

A)  Call the health care provider to clarify the order. 
B)  Give the patient hydromorphone, as it was meant to be written. 
C)  Administer the medication and monitor the patient frequently. 
D)  Refuse to give the medication and notify the nurse supervisor. 
A)  Call the health care provider to clarify the order. 
B)  Give the patient hydromorphone, as it was meant to be written. 
C)  Administer the medication and monitor the patient frequently. 
D)  Refuse to give the medication and notify the nurse supervisor.

Question 8

An older-adult patient needs an IM injection of antibiotic. Which site is best for the nurse to use?

Accepted Answer

A)  Deltoid 
B)  Dorsal gluteal 
C)  Ventrogluteal 
D)  Vastus lateralis 
A)  Deltoid 
B)  Dorsal gluteal 
C)  Ventrogluteal 
D)  Vastus lateralis

Question 9

A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful?

Accepted Answer

A)  "I should let the medication dissolve completely." 
B)  "I will place the medication in the same location." 
C)  "I can only drink water, not juice, with this medication." 
D)  "I better chew my medication first for faster distribution." 
A)  "I should let the medication dissolve completely." 
B)  "I will place the medication in the same location." 
C)  "I can only drink water, not juice, with this medication." 
D)  "I better chew my medication first for faster distribution."

Question 10

A patient who is being discharged today is going home with an inhaler. The patient is to administer 2 puffs of the inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately advise the patient to refill the medication?

Accepted Answer

A)  6 weeks from the start of using the inhaler 
B)  As soon as the patient leaves the hospital 
C)  When the inhaler is half empty. 
D)  50 days after discharge 
A)  6 weeks from the start of using the inhaler 
B)  As soon as the patient leaves the hospital 
C)  When the inhaler is half empty. 
D)  50 days after discharge

Question 11

A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?

Accepted Answer

A)  At the patient's bedside 
B)  Before going to the patient's room 
C)  When checking the medication order 
D)  When selecting medication from the unit-dose drawer 
A)  At the patient's bedside 
B)  Before going to the patient's room 
C)  When checking the medication order 
D)  When selecting medication from the unit-dose drawer

Question 12

A patient is at risk for aspiration. Which nursing action is most appropriate?

Accepted Answer

A)  Give the patient a straw to control the flow of liquids. 
B)  Have the patient self-administer the medication. 
C)  Thin out liquids so they are easier to swallow. 
D)  Turn the head toward the stronger side. 
A)  Give the patient a straw to control the flow of liquids. 
B)  Have the patient self-administer the medication. 
C)  Thin out liquids so they are easier to swallow. 
D)  Turn the head toward the stronger side.

Question 13

The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that did not check the identification of the patient before administering medication. Which action should the nurse complete first?

Accepted Answer

A)  Return to the room to check and assess the patient. 
B)  Administer the antidote to the patient immediately. 
C)  Alert the charge nurse that a medication error has occurred. 
D)  Complete proper documentation of the medication error in the patient's chart. 
A)  Return to the room to check and assess the patient. 
B)  Administer the antidote to the patient immediately. 
C)  Alert the charge nurse that a medication error has occurred. 
D)  Complete proper documentation of the medication error in the patient's chart.

Question 14

A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?

Accepted Answer

A)  1/2 tablet 
B)  1 tablet 
C)  1 1/2 tablets 
D)  2 tablets 
A)  1/2 tablet 
B)  1 tablet 
C)  1 1/2 tablets 
D)  2 tablets

Question 15

The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

Accepted Answer

A)  Falls asleep during daily activities 
B)  Presents with a pruritic rash 
C)  Develops restlessness 
D)  Experiences alertness 
A)  Falls asleep during daily activities 
B)  Presents with a pruritic rash 
C)  Develops restlessness 
D)  Experiences alertness

Question 16

A health care provider orders lorazepam (Ativan) 1 mg orally 2 times a day. The dose available is 0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
A)  1 
B)  2 
C)  3 
D)  4

Question 17

When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?

Accepted Answer

A)  Prevent the patient from choking. 
B)  Increase the force of the injection. 
C)  Ensure proper placement of the needle. 
D)  Reduce the discomfort of the injection. 
A)  Prevent the patient from choking. 
B)  Increase the force of the injection. 
C)  Ensure proper placement of the needle. 
D)  Reduce the discomfort of the injection.

Question 18

The nurse is preparing to administer an injection into the deltoid muscle of an adult patient. Which needle size and length will the nurse choose?

Accepted Answer

A)  18 gauge × 1 1/2 inch 
B)  23 gauge × 1/2 inch 
C)  25 gauge × 1 inch 
D)  27 gauge × 5/8 inch 
A)  18 gauge × 1 1/2 inch 
B)  23 gauge × 1/2 inch 
C)  25 gauge × 1 inch 
D)  27 gauge × 5/8 inch

Question 19

A patient refuses medication. Which is the nurse's first action?

Accepted Answer

A)  Educate the patient about the importance of the medication. 
B)  Discreetly hide the medication in the patient's favorite gelatin. 
C)  Agree with the patient's decision and document it in the chart. 
D)  Explore with the patient reasons for not wanting to take the medication. 
A)  Educate the patient about the importance of the medication. 
B)  Discreetly hide the medication in the patient's favorite gelatin. 
C)  Agree with the patient's decision and document it in the chart. 
D)  Explore with the patient reasons for not wanting to take the medication.

Question 20

The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will the supervising nurse stop immediately?

Accepted Answer

A)  Rolls insulin vial between hands 
B)  Administers a dose of correction insulin 
C)  Draws up glargine (Lantus) in a syringe by itself 
D)  Prepares NPH insulin to be given intravenously (IV) 
A)  Rolls insulin vial between hands 
B)  Administers a dose of correction insulin 
C)  Draws up glargine (Lantus) in a syringe by itself 
D)  Prepares NPH insulin to be given intravenously (IV)

Exam 32: Medication Administration

A patient prefers not to take the daily allergy pill this morning because it causes drowsiness throughout the day. Which response by the nurse is best?

A patient is receiving vancomycin. Which function is the priority\bold{priority}priority for the nurses to assess?

A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which is the most\bold{most}most important nursing action to ensure effective absorption?

The patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250 mg/5 mL. How many milliliters will the nurse administer for one dose? Record your answer using a whole number. ___ mL

The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?

An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?

An older-adult patient needs an IM injection of antibiotic. Which site is best for the nurse to use?

A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful?

A patient who is being discharged today is going home with an inhaler. The patient is to administer 2 puffs of the inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately advise the patient to refill the medication?

A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?

A patient is at risk for aspiration. Which nursing action is most appropriate?

The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that did not check the identification of the patient before administering medication. Which action should the nurse complete first?

A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?

The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

A health care provider orders lorazepam (Ativan) 1 mg orally 2 times a day. The dose available is 0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose?

When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?

The nurse is preparing to administer an injection into the deltoid muscle of an adult patient. Which needle size and length will the nurse choose?

A patient refuses medication. Which is the nurse's first action?

The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will the supervising nurse stop immediately?

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A patient is receiving vancomycin. Which function is the $\bold{priority}$ for the nurses to assess?

A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which is the $\bold{most}$ important nursing action to ensure effective absorption?