Question 1

While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?

Accepted Answer

A)  Stomach 
B)  Mouth 
C)  Small intestine 
D)  Large intestine 
A)  Stomach 
B)  Mouth 
C)  Small intestine 
D)  Large intestine

Question 2

A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?

Accepted Answer

A)  7 year old with a bleeding disorder 
B)  21 year old with a sprained ankle 
C)  35 year old with a severe headache from hypertension 
D)  62 year old with a high fever from an infection 
A)  7 year old with a bleeding disorder 
B)  21 year old with a sprained ankle 
C)  35 year old with a severe headache from hypertension 
D)  62 year old with a high fever from an infection

Question 3

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

Accepted Answer

A)  "My parenteral medication must be taken with food." 
B)  "I will rotate the sites in my left leg when I give my insulin." 
C)  "Once I start feeling better, I will stop taking my antibiotic." 
D)  "If I am 30 minutes late taking my medication, I should skip that dose." 
A)  "My parenteral medication must be taken with food." 
B)  "I will rotate the sites in my left leg when I give my insulin." 
C)  "Once I start feeling better, I will stop taking my antibiotic." 
D)  "If I am 30 minutes late taking my medication, I should skip that dose."

Question 4

The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse to schedule a trough level?

Accepted Answer

A)  0800 
B)  0830 
C)  0900 
D)  0930 
A)  0800 
B)  0830 
C)  0900 
D)  0930

Question 5

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)

Accepted Answer

A)  Recap the needle after giving an injection. 
B)  Remove needle and dispose in sharps box. 
C)  Never force needles into the sharps disposal. 
D)  Use clearly marked sharps disposal containers. 
E)  Use needleless devices whenever possible. 
A)  Recap the needle after giving an injection. 
B)  Remove needle and dispose in sharps box. 
C)  Never force needles into the sharps disposal. 
D)  Use clearly marked sharps disposal containers. 
E)  Use needleless devices whenever possible.

Question 6

Which patient using an inhaler would benefit $\bold{most}$ from using a spacer?

Accepted Answer

A)  A 15 year old with a repaired cleft palate who is alert 
B)  A 25 year old with limited coordination of the extremities 
C)  A 50 year old with hearing impairment who uses a hearing aid 
D)  A 72 year old with left-sided hemiparesis using a dry powder inhaler 
A)  A 15 year old with a repaired cleft palate who is alert 
B)  A 25 year old with limited coordination of the extremities 
C)  A 50 year old with hearing impairment who uses a hearing aid 
D)  A 72 year old with left-sided hemiparesis using a dry powder inhaler

Question 7

A nurse is administering oral medications to patients. Which action will the nurse take?

Accepted Answer

A)  Remove the medication from the wrapper, and place it in a cup labeled with the patient's information. 
B)  Place all of the patient's medications in the same cup, except medications with assessments. 
C)  Crush enteric-coated medication, and place it in a medication cup with water. 
D)  Measure liquid medication by bringing liquid medication cup to eye level. 
A)  Remove the medication from the wrapper, and place it in a cup labeled with the patient's information. 
B)  Place all of the patient's medications in the same cup, except medications with assessments. 
C)  Crush enteric-coated medication, and place it in a medication cup with water. 
D)  Measure liquid medication by bringing liquid medication cup to eye level.

Question 8

A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest?

Accepted Answer

A)  Acetaminophen 650 mg PO 
B)  Hydromorphone 4 mg IV 
C)  Ketorolac 8 mg IM 
D)  Morphine 6 mg SQ 
A)  Acetaminophen 650 mg PO 
B)  Hydromorphone 4 mg IV 
C)  Ketorolac 8 mg IM 
D)  Morphine 6 mg SQ

Question 9

The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority?

Accepted Answer

A)  Change the dose to one that is within range. 
B)  Administer the medication because it is within the therapeutic range. 
C)  Notify the health care provider that the prescribed dose is in the toxic range. 
D)  Notify the health care provider that the prescribed dose is below the therapeutic range. 
A)  Change the dose to one that is within range. 
B)  Administer the medication because it is within the therapeutic range. 
C)  Notify the health care provider that the prescribed dose is in the toxic range. 
D)  Notify the health care provider that the prescribed dose is below the therapeutic range.

Question 10

The nurse is administering medications to several patients. Which action should the nurse take?

Accepted Answer

A)  Advise a patient after a corticosteroid inhaler treatment to rinse mouth with water. 
B)  Administer an intravenous medication through tubing that is infusing blood. 
C)  Pinch up the deltoid muscle of an adult patient receiving a vaccination. 
D)  Aspirate before administering a subcutaneous injection in the abdomen. 
A)  Advise a patient after a corticosteroid inhaler treatment to rinse mouth with water. 
B)  Administer an intravenous medication through tubing that is infusing blood. 
C)  Pinch up the deltoid muscle of an adult patient receiving a vaccination. 
D)  Aspirate before administering a subcutaneous injection in the abdomen.

Exam 32: Medication Administration

While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?

A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse to schedule a trough level?

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)

Which patient using an inhaler would benefit most\bold{most}most from using a spacer?

A nurse is administering oral medications to patients. Which action will the nurse take?

A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest?

The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority?

The nurse is administering medications to several patients. Which action should the nurse take?

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Which patient using an inhaler would benefit $\bold{most}$ from using a spacer?