Question 1

The nurse is planning to administer a tuberculin test with a 27-gauge,1-cm (³/8-inch)needle.The nurse should insert the needle at which angle?

Accepted Answer

A) 15 degrees. 
B) 45 degrees. 
C) 90 degrees. 
D) 180 degrees. 
A) 15 degrees. 
B) 45 degrees. 
C) 90 degrees. 
D) 180 degrees.

Question 2

A nurse is attempting to administer medication to a child,but the child refuses to take the medication.The nurse asks for the parent's cooperation by saying which of the following?

Accepted Answer

A) "Please hold your child's arms down at her sides,so I can get the full dose of medication into her mouth." 
B) "I will prepare the medication for you and observe if you would like to try to administer the medication." 
C) "Let's turn the lights off and give the child a moment to fall asleep before administering the medication." 
D) "Since your child loves applesauce,let's add the medication to it,so your child doesn't resist." 
A) "Please hold your child's arms down at her sides,so I can get the full dose of medication into her mouth." 
B) "I will prepare the medication for you and observe if you would like to try to administer the medication." 
C) "Let's turn the lights off and give the child a moment to fall asleep before administering the medication." 
D) "Since your child loves applesauce,let's add the medication to it,so your child doesn't resist."

Question 3

Why does a subcutaneous injection take longer to absorb than IV injection?

Accepted Answer

A) Fewer blood vessels are found under the subcutaneous level. 
B) Adipose tissue takes longer to metabolize medication. 
C) Connective tissue holds medication in place longer. 
D) Some medication leaks out after instillation. 
A) Fewer blood vessels are found under the subcutaneous level. 
B) Adipose tissue takes longer to metabolize medication. 
C) Connective tissue holds medication in place longer. 
D) Some medication leaks out after instillation.

Question 4

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

Accepted Answer

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

Question 5

The nurse realizes which patient is at greatest risk for an unintended synergistic effect?

Accepted Answer

A) A 72-year-old who is seeing four different specialists. 
B) A 4-year-old who has mistakenly taken the entire packet of his mother's birth control pills. 
C) A 50-year-old who was prescribed a second blood pressure medication. 
D) A 35-year-old drug addict who has ingested "meth" mixed with several household chemicals. 
A) A 72-year-old who is seeing four different specialists. 
B) A 4-year-old who has mistakenly taken the entire packet of his mother's birth control pills. 
C) A 50-year-old who was prescribed a second blood pressure medication. 
D) A 35-year-old drug addict who has ingested "meth" mixed with several household chemicals.

Question 6

An order is written for phenytoin (Dilantin),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 prescriber meant to write for hydromorphone (Dilaudid).What should the nurse do?

Accepted Answer

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

Question 7

The physician orders that a 2-year-old have ear irrigation performed daily.How does the nurse correctly perform the procedure?

Accepted Answer

A) Pulling the auricle down and back to straighten the ear canal. 
B) Pulling the auricle upward and outward to straighten the ear canal. 
C) Instilling the irrigation solution by holding the syringe just inside the ear canal. 
D) Holding the fluid in the canal for 2 to 3 minutes with a cotton swab. 
A) Pulling the auricle down and back to straighten the ear canal. 
B) Pulling the auricle upward and outward to straighten the ear canal. 
C) Instilling the irrigation solution by holding the syringe just inside the ear canal. 
D) Holding the fluid in the canal for 2 to 3 minutes with a cotton swab.

Question 8

A physician orders 1000 mL of normal saline to be infused at a rate of 50 mL/hr.The nurse plans on hanging a new bag at what time?

Accepted Answer

A) 2 hours. 
B) 5 hours. 
C) 10 hours. 
D) 20 hours. 
A) 2 hours. 
B) 5 hours. 
C) 10 hours. 
D) 20 hours.

Question 9

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

Accepted Answer

A) Hold the patient's cup for him so he can concentrate on taking pills. 
B) Thin out liquids so they are easier to swallow. 
C) Give the patient a straw to control the flow of liquids. 
D) Have the patient self-administer the medication. 
A) Hold the patient's cup for him so he can concentrate on taking pills. 
B) Thin out liquids so they are easier to swallow. 
C) Give the patient a straw to control the flow of liquids. 
D) Have the patient self-administer the medication.

Question 10

A provider has ordered a STAT medication to be administered.The nurse knows that the best route of administration is

Accepted Answer

A) IV. 
B) IM. 
C) SQ. 
D) PO. 
A) IV. 
B) IM. 
C) SQ. 
D) PO.

Question 11

A patient states that she would prefer not to take her daily allergy pill this morning because it makes her too drowsy throughout the day.How may the nurse respond therapeutically?

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 change the time you take your pill to 9 p.m. ,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 change the time you take your pill to 9 p.m. ,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 12

A patient who is receiving IV fluids notifies the nurse that his arm feels tight.Upon assessment,the nurse notes that the arm is swollen and cool to the touch.What should the nurse's first action be?

Accepted Answer

A) Discontinue the IV site,and apply a warm compress. 
B) Attach a syringe,and pull back on the plunger to aspirate the IV fluid. 
C) Start a new IV site distal from the site. 
D) Stop the IV fluids,and notify the physician immediately. 
A) Discontinue the IV site,and apply a warm compress. 
B) Attach a syringe,and pull back on the plunger to aspirate the IV fluid. 
C) Start a new IV site distal from the site. 
D) Stop the IV fluids,and notify the physician immediately.

Question 13

The patient is to receive phenytoin (Dilantin)at 0900 hours.The nurse knows that the ideal time to measure the trough level is when?

Accepted Answer

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

Question 14

A nurse knows that patient education has been effective when the patient makes which statement?

Accepted Answer

A) "I must take my parenteral medication with food." 
B) "If I am 30 minutes late taking my medication,I should skip that dose." 
C) "I will rotate the location where I give myself injections." 
D) "Once I start feeling better,I will stop taking my medication." 
A) "I must take my parenteral medication with food." 
B) "If I am 30 minutes late taking my medication,I should skip that dose." 
C) "I will rotate the location where I give myself injections." 
D) "Once I start feeling better,I will stop taking my medication."

Question 15

Which of the following demonstrates proper oral medication administration?

Accepted Answer

A) Removing the medication from the wrapper and placing it in a cup labelled with the patient's information. 
B) Using the edge of the medicine cup to fill with 0.5 mL of liquid medication. 
C) Placing all of the patient's medications in the same cup,except medications with assessments. 
D) Combining liquid medications from 2 single dose cups into 1 medicine cup. 
A) Removing the medication from the wrapper and placing it in a cup labelled with the patient's information. 
B) Using the edge of the medicine cup to fill with 0.5 mL of liquid medication. 
C) Placing all of the patient's medications in the same cup,except medications with assessments. 
D) Combining liquid medications from 2 single dose cups into 1 medicine cup.

Question 16

The nurse is giving an intramuscular (IM)injection.The nurse notices blood return in the syringe.What should the nurse do?

Accepted Answer

A) Administer the injection at a slower rate. 
B) Withdraw the needle and prepare the injection again. 
C) Pull the needle back slightly and inject the medication. 
D) Give the injection and hold pressure over the site for 3 minutes. 
A) Administer the injection at a slower rate. 
B) Withdraw the needle and prepare the injection again. 
C) Pull the needle back slightly and inject the medication. 
D) Give the injection and hold pressure over the site for 3 minutes.

Question 17

The nurse is administering an IV medication that is to be infused over 10 minutes.Which method should the nurse choose to efficiently administer the medication?

Accepted Answer

A) Place the medication in a large-volume catheter-tipped syringe. 
B) Mix the medication into the patient's maintenance fluids. 
C) Attach separate tubing and set the medication syringe in a mini-infusion pump. 
D) Stand at the patient's bedside and carefully watch the clock while pushing the medication. 
A) Place the medication in a large-volume catheter-tipped syringe. 
B) Mix the medication into the patient's maintenance fluids. 
C) Attach separate tubing and set the medication syringe in a mini-infusion pump. 
D) Stand at the patient's bedside and carefully watch the clock while pushing the medication.

Question 18

A 64-year-old quadriplegic patient needs an IM injection of antibiotic.What is the best site for the administration?

Accepted Answer

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

Question 19

What is the nurse's priority action to protect a patient from medication error?

Accepted Answer

A) Requesting that the prescriber write out an order,rather than giving a verbal order. 
B) Asking anxious family members to leave the room before a medication is administered. 
C) Checking the patient's room number against the medication administration record. 
D) Administering as many of the medications as possible at one time. 
A) Requesting that the prescriber write out an order,rather than giving a verbal order. 
B) Asking anxious family members to leave the room before a medication is administered. 
C) Checking the patient's room number against the medication administration record. 
D) Administering as many of the medications as possible at one time.

Exam 34: Medication Administration

The nurse is planning to administer a tuberculin test with a 27-gauge,1-cm (³/8-inch)needle.The nurse should insert the needle at which angle?

A nurse is attempting to administer medication to a child,but the child refuses to take the medication.The nurse asks for the parent's cooperation by saying which of the following?

Why does a subcutaneous injection take longer to absorb than IV injection?

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

The nurse realizes which patient is at greatest risk for an unintended synergistic effect?

An order is written for phenytoin (Dilantin),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 prescriber meant to write for hydromorphone (Dilaudid).What should the nurse do?

The physician orders that a 2-year-old have ear irrigation performed daily.How does the nurse correctly perform the procedure?

A physician orders 1000 mL of normal saline to be infused at a rate of 50 mL/hr.The nurse plans on hanging a new bag at what time?

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

A provider has ordered a STAT medication to be administered.The nurse knows that the best route of administration is

A patient states that she would prefer not to take her daily allergy pill this morning because it makes her too drowsy throughout the day.How may the nurse respond therapeutically?

A patient who is receiving IV fluids notifies the nurse that his arm feels tight.Upon assessment,the nurse notes that the arm is swollen and cool to the touch.What should the nurse's first action be?

The patient is to receive phenytoin (Dilantin)at 0900 hours.The nurse knows that the ideal time to measure the trough level is when?

A nurse knows that patient education has been effective when the patient makes which statement?

Which of the following demonstrates proper oral medication administration?

The nurse is giving an intramuscular (IM)injection.The nurse notices blood return in the syringe.What should the nurse do?

The nurse is administering an IV medication that is to be infused over 10 minutes.Which method should the nurse choose to efficiently administer the medication?

A 64-year-old quadriplegic patient needs an IM injection of antibiotic.What is the best site for the administration?

What is the nurse's priority action to protect a patient from medication error?

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The nurse is planning to administer a tuberculin test with a 27-gauge,1-cm (³/₈-inch)needle.The nurse should insert the needle at which angle?