Question 1

The nurse administers a medication to the patient.Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?

Accepted Answer

A)  Alopecia and diaphoresis 
B)  Nausea and constipation 
C)  Heartburn and flatulence 
D)  Itchy rash and difficulty breathing 
A)  Alopecia and diaphoresis 
B)  Nausea and constipation 
C)  Heartburn and flatulence 
D)  Itchy rash and difficulty breathing D

Question 2

The nurse is to administer heparin 5000 units to an adult patient with a BMI of 15.1.Which is the appropriate technique for the injection?

Accepted Answer

A)  Pinch the skin tissue and inject at a 90-degree angle. 
B)  Spread the skin tissue and inject at a 45-degree angle. 
C)  Pinch the skin tissue and inject at a 45-degree angle. 
D)  Spread the skin tissue and inject at a 90-degree angle. 
A)  Pinch the skin tissue and inject at a 90-degree angle. 
B)  Spread the skin tissue and inject at a 45-degree angle. 
C)  Pinch the skin tissue and inject at a 45-degree angle. 
D)  Spread the skin tissue and inject at a 90-degree angle. C

Question 3

Which assessment finding indicates that the patient is at risk from polypharmacy?

Accepted Answer

A)  The patient takes three different medications to treat hypertension. 
B)  The patient's daughter administers the patient's eyedrops every evening. 
C)  The patient uses four different pharmacies to fill his 16 prescriptions. 
D)  The patient has weekly laboratory tests for warfarin dosing. 
E)  The patient is allergic to strawberries,latex,and penicillin antibiotics. 
A)  The patient takes three different medications to treat hypertension. 
B)  The patient's daughter administers the patient's eyedrops every evening. 
C)  The patient uses four different pharmacies to fill his 16 prescriptions. 
D)  The patient has weekly laboratory tests for warfarin dosing. 
E)  The patient is allergic to strawberries,latex,and penicillin antibiotics. A,C

Question 4

The nurse administers enteric-coated aspirin to the patient.Where will this medication be absorbed into the body?

Accepted Answer

A)  In the stomach 
B)  Through the skin 
C)  In the small intestine 
D)  Through the oral mucosa 
A)  In the stomach 
B)  Through the skin 
C)  In the small intestine 
D)  Through the oral mucosa

Question 5

Order: Potassium chloride solution 9 mL PO daily

Potassium chloride
Oral solution 
USP 10%
20 mEq per 15 mL

How many mEq of medication will be administered? _____ mEq

Accepted Answer

12 mEq
9 m

Question 6

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication.The patient soon starts having difficulty breathing and his blood pressure drops.What is the correct analysis of the patient's condition?

Accepted Answer

A)  The patient is having a mild reaction that can be treated easily with an antihistamine. 
B)  The patient is experiencing a moderate allergic reaction and should improve shortly. 
C)  These symptoms are probably due to food poisoning because very few patients have true allergic responses. 
D)  The patient is having an anaphylactic reaction and emergency interventions should be started. 
A)  The patient is having a mild reaction that can be treated easily with an antihistamine. 
B)  The patient is experiencing a moderate allergic reaction and should improve shortly. 
C)  These symptoms are probably due to food poisoning because very few patients have true allergic responses. 
D)  The patient is having an anaphylactic reaction and emergency interventions should be started.

Question 7

The patient's respirations dropped from 14 breaths/minute to 8 breaths/minute after receiving a large dose of morphine.Which term accurately describes the patient's reaction to the morphine?

Accepted Answer

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

Question 8

The nurse suspects that the patient is experiencing a drug toxicity rather than a side effect.Which question will the nurse ask to help confirm this suspicion?

Accepted Answer

A)  "Are you taking any other medications?" 
B)  "Have you ever taken this medication in the past?" 
C)  "When did you take your last dose of the medication?" 
D)  "Have you been taking extra doses of the medication?" 
A)  "Are you taking any other medications?" 
B)  "Have you ever taken this medication in the past?" 
C)  "When did you take your last dose of the medication?" 
D)  "Have you been taking extra doses of the medication?"

Question 9

Which medication order is written correctly?

Accepted Answer

A)  Zolpidem 10 mg PO Q HS prn insomnia 
B)  Vitamin E 1000 IU PO QD with food 
C)  Conjugated estrogens 300 µg daily 
D)  Phenytoin 200 mg PO daily × 4 days 
A)  Zolpidem 10 mg PO Q HS prn insomnia 
B)  Vitamin E 1000 IU PO QD with food 
C)  Conjugated estrogens 300 µg daily 
D)  Phenytoin 200 mg PO daily × 4 days

Question 10

A patient is to receive insulin aspart and insulin detemir.How will the nurse draw up the insulins for administration?

Accepted Answer

A)  Mix the detemir and aspart in the same syringe,drawing up the aspart first. 
B)  Mix the detemir and aspart in the same syringe,drawing up the detemir first. 
C)  Administer the two insulins using different syringes and different sites of the body. 
D)  Roll the bottles between the palms of the hands before drawing up the insulins. 
A)  Mix the detemir and aspart in the same syringe,drawing up the aspart first. 
B)  Mix the detemir and aspart in the same syringe,drawing up the detemir first. 
C)  Administer the two insulins using different syringes and different sites of the body. 
D)  Roll the bottles between the palms of the hands before drawing up the insulins.

Question 11

The patient is admitted to the cardiac unit.Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered.This is an example of which type of order?

Accepted Answer

A)  prn 
B)  Standing 
C)  One-time 
D)  STAT 
A)  prn 
B)  Standing 
C)  One-time 
D)  STAT

Question 12

Which medication order is written appropriately?

Accepted Answer

A)  Morphine 2.5 mg PO 
B)  Methotrexate 15.0 mg PO 
C)  Meropenem 1.0 g IV 
D)  Metformin .5 g PO 
A)  Morphine 2.5 mg PO 
B)  Methotrexate 15.0 mg PO 
C)  Meropenem 1.0 g IV 
D)  Metformin .5 g PO

Question 13

The nurse is to administer 10 mg/kg of acetaminophen to a patient who weighs 70 pounds (32 kg).
Acetaminophen elixir
160mg per 5 mL
How many mL of medication will be given to the patient for each dose?

Accepted Answer

A)  5 mL 
B)  10 mL 
C)  15 mL 
D)  20 mL 
A)  5 mL 
B)  10 mL 
C)  15 mL 
D)  20 mL

Question 14

Which of the following orders are for topical medications?

Accepted Answer

A)  Methotrexate 20 mg subcutaneously once weekly on Wednesdays 
B)  Latanoprost 0.005% one drop in left eye daily at bedtime 
C)  Acetaminophen 650 mg suppository Q 4 hours prn mild pain 
D)  Ofloxacin otic solution 0.3% instill drops into right ear daily 
E)  Calcitonin nasal spray one spray daily into alternating nostrils 
A)  Methotrexate 20 mg subcutaneously once weekly on Wednesdays 
B)  Latanoprost 0.005% one drop in left eye daily at bedtime 
C)  Acetaminophen 650 mg suppository Q 4 hours prn mild pain 
D)  Ofloxacin otic solution 0.3% instill drops into right ear daily 
E)  Calcitonin nasal spray one spray daily into alternating nostrils

Question 15

Which medication may be injected into the deltoid?

Accepted Answer

A)  Lorazepam 2 mg in 2-mL saline IM 
B)  Insulin aspart 2 units subcut AC meals 
C)  Lidocaine 2 mg of 2% solution ID 
D)  Cyanocobalamin (vitamin B12)500 mcg in 0.5 mL IM 
A)  Lorazepam 2 mg in 2-mL saline IM 
B)  Insulin aspart 2 units subcut AC meals 
C)  Lidocaine 2 mg of 2% solution ID 
D)  Cyanocobalamin (vitamin B12)500 mcg in 0.5 mL IM

Question 16

The nurse draws up a medication from a glass ampule before injection.Which technique is correct?

Accepted Answer

A)  The nurse wipes the top of the ampule with an isopropyl alcohol swab after removing the metal cap. 
B)  The nurse attaches a new needle to the syringe before administration as the needle was dulled by the rubber stopper. 
C)  The nurse injects air into the ampule before withdrawing the medication in order to avoid creating a vacuum. 
D)  The nurse draws up the medication from the ampule using a filter needle and attaches an injection needle before administration. 
A)  The nurse wipes the top of the ampule with an isopropyl alcohol swab after removing the metal cap. 
B)  The nurse attaches a new needle to the syringe before administration as the needle was dulled by the rubber stopper. 
C)  The nurse injects air into the ampule before withdrawing the medication in order to avoid creating a vacuum. 
D)  The nurse draws up the medication from the ampule using a filter needle and attaches an injection needle before administration.

Question 17

Which medication may be administered using a 3-mL syringe with a 23- gauze,   -inch needle?

Accepted Answer

A)  Methotrexate 20 mg subcut 
B)  Lorazepam 2 mg IM 
C)  Lidocaine 2 mg of 2% solution ID 
D)  Enoxaparin 30 mg subcut 
A)  Methotrexate 20 mg subcut 
B)  Lorazepam 2 mg IM 
C)  Lidocaine 2 mg of 2% solution ID 
D)  Enoxaparin 30 mg subcut

Question 18

Which medication is to be administered immediately to the patient?

Accepted Answer

A)  Acetaminophen 325 mg PO prn 
B)  Insulin aspart 12 units subQ AC 
C)  Metronidazole 500 mg PO BID 
D)  Nitroglycerin 0.4 mg sublingual STAT 
A)  Acetaminophen 325 mg PO prn 
B)  Insulin aspart 12 units subQ AC 
C)  Metronidazole 500 mg PO BID 
D)  Nitroglycerin 0.4 mg sublingual STAT

Question 19

The nurse is to administer 250 mg of amoxicillin PO every 6 hours. 
Amoxicillin for oral suspension USP
125 mg per 5 mL 
How many mL of medication will be given to the patient for each dose?

Accepted Answer

A)  5 mL 
B)  10 mL 
C)  15 mL 
D)  20 mL 
A)  5 mL 
B)  10 mL 
C)  15 mL 
D)  20 mL

Question 20

Which statement is correct about patient tolerance to medications?

Accepted Answer

A)  Tolerance only develops when the patients do not take the medication as it is prescribed. 
B)  The patient will continually require higher doses of the drug for the same effect to be achieved. 
C)  The patient will require a stable dose of the medication until the drug is discontinued. 
D)  Tolerance occurs when the liver or kidneys are no longer able to metabolize the drug. 
A)  Tolerance only develops when the patients do not take the medication as it is prescribed. 
B)  The patient will continually require higher doses of the drug for the same effect to be achieved. 
C)  The patient will require a stable dose of the medication until the drug is discontinued. 
D)  Tolerance occurs when the liver or kidneys are no longer able to metabolize the drug.

Exam 17: Administering Medications

The nurse administers a medication to the patient.Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?

The nurse is to administer heparin 5000 units to an adult patient with a BMI of 15.1.Which is the appropriate technique for the injection?

Which assessment finding indicates that the patient is at risk from polypharmacy?

The nurse administers enteric-coated aspirin to the patient.Where will this medication be absorbed into the body?

Order: Potassium chloride solution 9 mL PO daily Potassium chloride Oral solution USP 10% 20 mEq per 15 mL How many mEq of medication will be administered? _____ mEq

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication.The patient soon starts having difficulty breathing and his blood pressure drops.What is the correct analysis of the patient's condition?

The patient's respirations dropped from 14 breaths/minute to 8 breaths/minute after receiving a large dose of morphine.Which term accurately describes the patient's reaction to the morphine?

The nurse suspects that the patient is experiencing a drug toxicity rather than a side effect.Which question will the nurse ask to help confirm this suspicion?

Which medication order is written correctly?

A patient is to receive insulin aspart and insulin detemir.How will the nurse draw up the insulins for administration?

The patient is admitted to the cardiac unit.Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered.This is an example of which type of order?

Which medication order is written appropriately?

The nurse is to administer 10 mg/kg of acetaminophen to a patient who weighs 70 pounds (32 kg). Acetaminophen elixir 160mg per 5 mL How many mL of medication will be given to the patient for each dose?

Which of the following orders are for topical medications?

Which medication may be injected into the deltoid?

The nurse draws up a medication from a glass ampule before injection.Which technique is correct?

Which medication may be administered using a 3-mL syringe with a 23- gauze, -inch needle?

Which medication is to be administered immediately to the patient?

The nurse is to administer 250 mg of amoxicillin PO every 6 hours. Amoxicillin for oral suspension USP 125 mg per 5 mL How many mL of medication will be given to the patient for each dose?

Which statement is correct about patient tolerance to medications?

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