Question 1

Which of the following is true about MDIs? (Select all that apply.)

Accepted Answer

A)  Inhaled medications can open narrowed bronchioles. 
B)  Inhaled medications can liquefy thick mucous secretions. 
C)  The use of spacer devices requires good coordination. 
D)  Inhaled medications are local only and produce no systemic effects. 
A)  Inhaled medications can open narrowed bronchioles. 
B)  Inhaled medications can liquefy thick mucous secretions. 
C)  The use of spacer devices requires good coordination. 
D)  Inhaled medications are local only and produce no systemic effects.

Question 2

The patient is ordered to have eye drops administered daily to both eyes.On/in which part of the eye should eye drops be instilled?

Accepted Answer

A)  Cornea 
B)  Outer canthus 
C)  Lower conjunctival sac 
D)  Opening of the lacrimal duct 
A)  Cornea 
B)  Outer canthus 
C)  Lower conjunctival sac 
D)  Opening of the lacrimal duct

Question 3

Medications used by patients to treat eye problems are known as ______________ medications.

Accepted Answer

ophthalmic
Common eye (ophthal

Question 4

The nurse is teaching a mother how to administer nasal medications to her infant child.Which of the following is true?

Accepted Answer

A)  Over-the-counter nasal sprays should be saved in case they are needed later. 
B)  Nasal spray decongestants are safe and have no serious side effects. 
C)  Infants should receive nose drops 20 to 30 minutes before feedings. 
D)  Infants are mouth breathers, so nose drops can be given anytime. 
A)  Over-the-counter nasal sprays should be saved in case they are needed later. 
B)  Nasal spray decongestants are safe and have no serious side effects. 
C)  Infants should receive nose drops 20 to 30 minutes before feedings. 
D)  Infants are mouth breathers, so nose drops can be given anytime.

Question 5

An expected response from a vaginal instillation is evident when:

Accepted Answer

A)  Local pruritus is evident 
B)  The vaginal walls are bright pink or red in color 
C)  White curd-like patches appear on the vaginal walls 
D)  A small amount of discharge that is the same color as the medication is noted 
A)  Local pruritus is evident 
B)  The vaginal walls are bright pink or red in color 
C)  White curd-like patches appear on the vaginal walls 
D)  A small amount of discharge that is the same color as the medication is noted

Question 6

After ear drops are administered to the left ear,the patient should be positioned:

Accepted Answer

A)  Prone 
B)  Upright 
C)  Right lateral 
D)  Dorsal recumbent with hyperextension of the neck 
A)  Prone 
B)  Upright 
C)  Right lateral 
D)  Dorsal recumbent with hyperextension of the neck

Question 7

The nurse is preparing to administer a pediatric dose of liquid medication to an infant.What should the nurse do to ensure an accurate dose of the medication?

Accepted Answer

A)  Empty the unit dose container into a plastic cup 
B)  Hold the medication cup steady on the counter when pouring 
C)  Draw the medication up in an oral syringe 
D)  Draw the medication up in a calibrated hypodermic syringe 
A)  Empty the unit dose container into a plastic cup 
B)  Hold the medication cup steady on the counter when pouring 
C)  Draw the medication up in an oral syringe 
D)  Draw the medication up in a calibrated hypodermic syringe

Question 8

Evaluation of the appropriate use of an MDI by a patient is evident when the patient:

Accepted Answer

A)  Does not shake the canister 
B)  Presses the canister before taking a breath 
C)  Holds the breath for 10 seconds after inhalation 
D)  Takes another puff of medication quickly after the first dose 
A)  Does not shake the canister 
B)  Presses the canister before taking a breath 
C)  Holds the breath for 10 seconds after inhalation 
D)  Takes another puff of medication quickly after the first dose

Question 9

What should the nurse instruct her patient to do when she or he is administering a buccal medication?

Accepted Answer

A)  Hold the medication under the tongue. 
B)  Swallow the medication after 30 seconds. 
C)  Chew the medication before swallowing. 
D)  Hold the medication against the cheek membranes. 
A)  Hold the medication under the tongue. 
B)  Swallow the medication after 30 seconds. 
C)  Chew the medication before swallowing. 
D)  Hold the medication against the cheek membranes.

Question 10

What should the nurse do first when preparing to administer ear drops to an adult patient?

Accepted Answer

A)  Warm the medication 
B)  Pull the pinna down and back 
C)  Massage the pinna of the ear 
D)  Remove cerumen from the inner ear canal 
A)  Warm the medication 
B)  Pull the pinna down and back 
C)  Massage the pinna of the ear 
D)  Remove cerumen from the inner ear canal

Question 11

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

Accepted Answer

A)  Add the medication 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 medication 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 12

When preparing to administer medication via an NG tube,the nurse aspirates a large volume of residual.What should the nurse do first?

Accepted Answer

A)  Wait 1 hour and medicate the patient 
B)  Administer the medication with more fluid 
C)  Return the aspirate and withhold the medication 
D)  Attach the NG tube to suction to remove additional volume 
A)  Wait 1 hour and medicate the patient 
B)  Administer the medication with more fluid 
C)  Return the aspirate and withhold the medication 
D)  Attach the NG tube to suction to remove additional volume

Question 13

A patient has a prescription for a medication that is administered via an inhaler.To determine whether the patient requires a spacer for the inhaler,the nurse will determine the:

Accepted Answer

A)  Dosage of medication required 
B)  Coordination of the patient 
C)  Schedule of administration 
D)  Use of a dry powder inhaler (DPI) 
A)  Dosage of medication required 
B)  Coordination of the patient 
C)  Schedule of administration 
D)  Use of a dry powder inhaler (DPI)

Question 14

For the patient who cannot sit upright,the next best position to prevent aspiration during medication administration is:

Accepted Answer

A)  Prone 
B)  Supine 
C)  Side-lying 
D)  Dorsal recumbent 
A)  Prone 
B)  Supine 
C)  Side-lying 
D)  Dorsal recumbent

Question 15

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

Accepted Answer

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

Question 16

Which of the following is the correct procedure for insertion of a rectal suppository?

Accepted Answer

A)  Wearing sterile gloves 
B)  Inserting the suppository 6 to 10 inches 
C)  Positioning the patient on the right side 
D)  Instructing the patient to remain lying flat for 5 minutes 
A)  Wearing sterile gloves 
B)  Inserting the suppository 6 to 10 inches 
C)  Positioning the patient on the right side 
D)  Instructing the patient to remain lying flat for 5 minutes

Question 17

Handheld devices that disperse medications through an aerosol spray or mist to penetrate lung airways are known as ___________.

Accepted Answer

metered-dose inhalers (MDIs)
M

Question 18

When administering an eye medication,the nurse should:

Accepted Answer

A)  Clean away crusts from the outer to inner canthus 
B)  Place eye drops directly onto the sclera 
C)  Apply ointment along the inner edge of the lower eyelid 
D)  Rub the eye gently in a circular motion after giving eye drops 
A)  Clean away crusts from the outer to inner canthus 
B)  Place eye drops directly onto the sclera 
C)  Apply ointment along the inner edge of the lower eyelid 
D)  Rub the eye gently in a circular motion after giving eye drops

Question 19

Which is the optimum position in which to place the patient for insertion of a 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 20

A nurse determines that administration of a small-volume nebulizer or inhaler is withheld immediately if the patient experiences:

Accepted Answer

A)  Coughing 
B)  Dysrhythmias 
C)  An inability to self-administer the medication 
D)  An excessive need for a greater frequency than every 4 hours 
A)  Coughing 
B)  Dysrhythmias 
C)  An inability to self-administer the medication 
D)  An excessive need for a greater frequency than every 4 hours

Exam 21: Oral and Topical Medications

Which of the following is true about MDIs? (Select all that apply.)

The patient is ordered to have eye drops administered daily to both eyes.On/in which part of the eye should eye drops be instilled?

Medications used by patients to treat eye problems are known as ______________ medications.

The nurse is teaching a mother how to administer nasal medications to her infant child.Which of the following is true?

An expected response from a vaginal instillation is evident when:

After ear drops are administered to the left ear,the patient should be positioned:

The nurse is preparing to administer a pediatric dose of liquid medication to an infant.What should the nurse do to ensure an accurate dose of the medication?

Evaluation of the appropriate use of an MDI by a patient is evident when the patient:

What should the nurse instruct her patient to do when she or he is administering a buccal medication?

What should the nurse do first when preparing to administer ear drops to an adult patient?

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

When preparing to administer medication via an NG tube,the nurse aspirates a large volume of residual.What should the nurse do first?

A patient has a prescription for a medication that is administered via an inhaler.To determine whether the patient requires a spacer for the inhaler,the nurse will determine the:

For the patient who cannot sit upright,the next best position to prevent aspiration during medication administration is:

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

Which of the following is the correct procedure for insertion of a rectal suppository?

Handheld devices that disperse medications through an aerosol spray or mist to penetrate lung airways are known as ___________.

When administering an eye medication,the nurse should:

Which is the optimum position in which to place the patient for insertion of a rectal suppository?

A nurse determines that administration of a small-volume nebulizer or inhaler is withheld immediately if the patient experiences:

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Reporting and Recording

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bedmaking

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

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