Question 1

Which of the following is the most effective way in the acute care environment to determine the patient's identity before administering medications?

Accepted Answer

A)  Ask the patient's name. 
B)  Check the name on the chart. 
C)  Ask the other caregivers. 
D)  Check the patient's name band. 
A)  Ask the patient's name. 
B)  Check the name on the chart. 
C)  Ask the other caregivers. 
D)  Check the patient's name band. D

Question 2

Which of the following is a priority for the nurse in the administration of oral medications and prevention of aspiration?

Accepted Answer

A)  Checking for a gag reflex 
B)  Allowing the patient to self-administer 
C)  Assessing the ability to cough 
D)  Using straws and extra water for administration 
A)  Checking for a gag reflex 
B)  Allowing the patient to self-administer 
C)  Assessing the ability to cough 
D)  Using straws and extra water for administration A

Question 3

The nurse is administering a metered-dose inhaler to a patient using a spacer.The nurse instructs the patient to exhale completely and then depresses the medication chamber.How long does the nurse instruct the patient to inhale deeply and slowly through the mouth before holding the breath for 10 seconds?

Accepted Answer

A)  3 to 5 seconds 
B)  10 to 15 seconds 
C)  15 to 20 seconds 
D)  25 to 30 seconds 
A)  3 to 5 seconds 
B)  10 to 15 seconds 
C)  15 to 20 seconds 
D)  25 to 30 seconds A

Question 4

The nurse is documenting administration of a medication that is given at 10:00 A.m., 2:00 p.m., and 6:00 p.m. Which of the following medications is the nurse documenting?

Accepted Answer

A)  Morphine sulphate, 10 mg q4h prn 
B)  Propranolol (Inderal), 10 mg orally BID 
C)  Diazepam, 5 mg orally TID 
D)  Cephalexin (Keflex), 500 mg orally q8h 
A)  Morphine sulphate, 10 mg q4h prn 
B)  Propranolol (Inderal), 10 mg orally BID 
C)  Diazepam, 5 mg orally TID 
D)  Cephalexin (Keflex), 500 mg orally q8h

Question 5

The nurse is teaching the patient how to prepare 10 units of short-acting (regular)insulin and 5 units of intermediate-acting NPH insulin for injection.Which of the following instructions does the nurse give the patient?

Accepted Answer

A)  Inject air into the short-acting (regular) insulin, then into the intermediate-acting NPH insulin. 
B)  Withdraw the short-acting (regular) insulin first. 
C)  Inject air into and withdraw the intermediate-acting NPH immediately. 
D)  Inject air into both vials, and withdraw the short-acting (regular) insulin first. 
A)  Inject air into the short-acting (regular) insulin, then into the intermediate-acting NPH insulin. 
B)  Withdraw the short-acting (regular) insulin first. 
C)  Inject air into and withdraw the intermediate-acting NPH immediately. 
D)  Inject air into both vials, and withdraw the short-acting (regular) insulin first.

Question 6

A medication is prescribed for the patient and is to be administered by IV bolus injection.Which of the following is a priority for the nurse before administering the medication via this route?

Accepted Answer

A)  Set the rate of the IV infusion. 
B)  Check the patient's mental alertness. 
C)  Confirm placement of the IV line. 
D)  Determine the amount of IV fluid to be administered. 
A)  Set the rate of the IV infusion. 
B)  Check the patient's mental alertness. 
C)  Confirm placement of the IV line. 
D)  Determine the amount of IV fluid to be administered.

Question 7

After the nurse has administered ear drops to the patient's left ear,how should the nurse position the patient?

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 8

The patient receiving an intravenous (IV)infusion of morphine sulphate begins to experience respiratory depression and decreased urine output.How is this effect described?

Accepted Answer

A)  Therapeutic 
B)  Toxic 
C)  Idiosyncratic 
D)  Allergic 
A)  Therapeutic 
B)  Toxic 
C)  Idiosyncratic 
D)  Allergic

Question 9

On which of the following are calculations most precisely based to determine proper drug dosages for children?

Accepted Answer

A)  The child's weight 
B)  The child's height 
C)  The child's age 
D)  The child's body surface area 
A)  The child's weight 
B)  The child's height 
C)  The child's age 
D)  The child's body surface area

Question 10

The nurse is working on the pediatric unit.In preparing to give medications to a preschool-age child,which of the following is an appropriate interaction by the nurse?

Accepted Answer

A)  "Do you want to take your medication now?" 
B)  "Would you like the medication with water or juice?" 
C)  "Let me explain about the injection that you will be getting." 
D)  "If you don't take the medication now, you will not get better." 
A)  "Do you want to take your medication now?" 
B)  "Would you like the medication with water or juice?" 
C)  "Let me explain about the injection that you will be getting." 
D)  "If you don't take the medication now, you will not get better."

Question 11

The nurse administers the IM medication of iron by the Z-track method.Why was this method used?

Accepted Answer

A)  To provide faster absorption of the medication 
B)  To reduce discomfort from the needle 
C)  To provide a more even absorption of the drug 
D)  To prevent the drug from irritating sensitive tissue 
A)  To provide faster absorption of the medication 
B)  To reduce discomfort from the needle 
C)  To provide a more even absorption of the drug 
D)  To prevent the drug from irritating sensitive tissue

Question 12

Which of the following actions must the nurse take in preparing two different medications from two vials?

Accepted Answer

A)  Inject fluid from one vial into the other. 
B)  Uncap the syringe, and wipe the needle with an alcohol preparation before inserting into either vial. 
C)  Discard the medication from vial number two if medication from vial number one is pushed into it. 
D)  Insert air into the first vial, but not the second vial. 
A)  Inject fluid from one vial into the other. 
B)  Uncap the syringe, and wipe the needle with an alcohol preparation before inserting into either vial. 
C)  Discard the medication from vial number two if medication from vial number one is pushed into it. 
D)  Insert air into the first vial, but not the second vial.

Question 13

The patient is nauseated,has been vomiting for several hours,and needs to receive an antiemetic medication.The nurse recognizes that which of the following statements is true about this medication?

Accepted Answer

A)  An enteric-coated medication should be given. 
B)  Medication will not be absorbed as easily because of the nausea. 
C)  A parenteral route is the route of choice. 
D)  A rectal suppository must be administered. 
A)  An enteric-coated medication should be given. 
B)  Medication will not be absorbed as easily because of the nausea. 
C)  A parenteral route is the route of choice. 
D)  A rectal suppository must be administered.

Question 14

The physician orders 0.125 mg digoxin orally.The medication is available in 0.25 mg.Which of the following is the correct dose to administer to the patient?

Accepted Answer

A)  One-half tablet 
B)  One tablet 
C)  Two tablets 
D)  Four tablets 
A)  One-half tablet 
B)  One tablet 
C)  Two tablets 
D)  Four tablets

Question 15

For which of the following purposes does the nurse prepare to administer an intradermal injection for the administration of medication?

Accepted Answer

A)  Immunization 
B)  Allergy testing 
C)  Anticoagulant therapy 
D)  Low-dose insulin requirements 
A)  Immunization 
B)  Allergy testing 
C)  Anticoagulant therapy 
D)  Low-dose insulin requirements

Question 16

A patient on the medical unit receives regular insulin at 7:00 a.m.The nurse is alert to a possible hypoglycemic reaction by which time?

Accepted Answer

A)  7:30 a.m. 
B)  9:00 a.m. 
C)  4:00 p.m. 
D)  8:00 p.m. 
A)  7:30 a.m. 
B)  9:00 a.m. 
C)  4:00 p.m. 
D)  8:00 p.m.

Question 17

The patient has a prescription for a medication that is administered via an inhaler.Which of the following will allow the nurse to determine whether the patient requires a spacer for the inhaler?

Accepted Answer

A)  The dosage of medication required 
B)  The coordination of the patient 
C)  The schedule of administration 
D)  The use of a dry powder inhaler 
A)  The dosage of medication required 
B)  The coordination of the patient 
C)  The schedule of administration 
D)  The use of a dry powder inhaler

Question 18

The nurse knows that which of the following medications absorb most quickly?

Accepted Answer

A)  Tablets 
B)  Capsules 
C)  Suspensions 
D)  Medications with a base pH 
A)  Tablets 
B)  Capsules 
C)  Suspensions 
D)  Medications with a base pH

Question 19

The patient is to receive a Mantoux test for tuberculosis.This test is administered via an intradermal injection.The nurse recognizes that which angle of injection is used for an intradermal injection?

Accepted Answer

A)  15 degrees 
B)  30 degrees 
C)  45 degrees 
D)  90 degrees 
A)  15 degrees 
B)  30 degrees 
C)  45 degrees 
D)  90 degrees

Question 20

The physician has ordered 6 mg morphine sulphate every three to four hours prn for a patient's postoperative pain.The unit dose in the medication dispenser has 15 mg in 1 mL.How much solution should the nurse give?

Accepted Answer

A)  1.5 mL 
B)  1.3 mL 
C)  0.4 mL 
D)  1.25 mL 
A)  1.5 mL 
B)  1.3 mL 
C)  0.4 mL 
D)  1.25 mL

Exam 33: Medication Administration

Which of the following is the most effective way in the acute care environment to determine the patient's identity before administering medications?

Which of the following is a priority for the nurse in the administration of oral medications and prevention of aspiration?

The nurse is documenting administration of a medication that is given at 10:00 A.m., 2:00 p.m., and 6:00 p.m. Which of the following medications is the nurse documenting?

The nurse is teaching the patient how to prepare 10 units of short-acting (regular)insulin and 5 units of intermediate-acting NPH insulin for injection.Which of the following instructions does the nurse give the patient?

A medication is prescribed for the patient and is to be administered by IV bolus injection.Which of the following is a priority for the nurse before administering the medication via this route?

After the nurse has administered ear drops to the patient's left ear,how should the nurse position the patient?

The patient receiving an intravenous (IV)infusion of morphine sulphate begins to experience respiratory depression and decreased urine output.How is this effect described?

On which of the following are calculations most precisely based to determine proper drug dosages for children?

The nurse is working on the pediatric unit.In preparing to give medications to a preschool-age child,which of the following is an appropriate interaction by the nurse?

The nurse administers the IM medication of iron by the Z-track method.Why was this method used?

Which of the following actions must the nurse take in preparing two different medications from two vials?

The patient is nauseated,has been vomiting for several hours,and needs to receive an antiemetic medication.The nurse recognizes that which of the following statements is true about this medication?

The physician orders 0.125 mg digoxin orally.The medication is available in 0.25 mg.Which of the following is the correct dose to administer to the patient?

For which of the following purposes does the nurse prepare to administer an intradermal injection for the administration of medication?

A patient on the medical unit receives regular insulin at 7:00 a.m.The nurse is alert to a possible hypoglycemic reaction by which time?

The patient has a prescription for a medication that is administered via an inhaler.Which of the following will allow the nurse to determine whether the patient requires a spacer for the inhaler?

The nurse knows that which of the following medications absorb most quickly?

The patient is to receive a Mantoux test for tuberculosis.This test is administered via an intradermal injection.The nurse recognizes that which angle of injection is used for an intradermal injection?

The physician has ordered 6 mg morphine sulphate every three to four hours prn for a patient's postoperative pain.The unit dose in the medication dispenser has 15 mg in 1 mL.How much solution should the nurse give?

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