Question 1

The nurse is teaching a mother how to administer nasal drops to her infant.What should be included in the teaching plan?

Accepted Answer

A) Over-the-counter nasal drops can be saved and used later. 
B) Nasal 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 nasal medications are well tolerated. 
A) Over-the-counter nasal drops can be saved and used later. 
B) Nasal 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 nasal medications are well tolerated.

Question 2

A patient is experiencing a systemic effect from eyedrops.Which assessment finding by the nurse is indicative of this?

Accepted Answer

A) Headache 
B) Reddened eyes 
C) Darkened conjunctiva 
D) Elevated pulse and blood pressure 
A) Headache 
B) Reddened eyes 
C) Darkened conjunctiva 
D) Elevated pulse and blood pressure

Question 3

The nurse is administering a buccal medication.Which instruction should be given to the patient?

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 4

The nurse is preparing a medication for a small child.The medication comes in pill or liquid form,but the liquid preparation has a bitter taste.Which action by the nurse is most appropriate?

Accepted Answer

A) Give the pill form. 
B) Mix the liquid with honey. 
C) Mix the liquid in milk. 
D) Mix the liquid in applesauce. 
A) Give the pill form. 
B) Mix the liquid with honey. 
C) Mix the liquid in milk. 
D) Mix the liquid in applesauce.

Question 5

The nurse is administering a beta-adrenergic medication via a small-volume nebulizer.Which assessment finding requires the nurse to withhold the medication immediately?

Accepted Answer

A) Episodes of coughing 
B) Rapid and shallow respirations 
C) Wheezing noted on auscultation of the lungs 
D) Irregular pulse with light-headedness 
A) Episodes of coughing 
B) Rapid and shallow respirations 
C) Wheezing noted on auscultation of the lungs 
D) Irregular pulse with light-headedness

Question 6

The nurse is preparing to administer a pediatric dose of liquid medication to an infant.Which action by the nurse is appropriate?

Accepted Answer

A) Empty the unit-dose container into a plastic cup. 
B) Gently shake the multi-dose bottle before pouring the medication. 
C) Draw the medication into a syringe with a needle. 
D) Use an oral syringe to measure liquid dosages greater than 25 mL. 
A) Empty the unit-dose container into a plastic cup. 
B) Gently shake the multi-dose bottle before pouring the medication. 
C) Draw the medication into a syringe with a needle. 
D) Use an oral syringe to measure liquid dosages greater than 25 mL.

Question 7

The patient has eyedrops ordered daily to both eyes.Which action by the nurse is appropriate when administering the medication?

Accepted Answer

A) Carefully place the drop on the cornea. 
B) Wipe the eye with a tissue after placing the eyedrop. 
C) Hold the eyedropper about 1 to 2 cm above the eye. 
D) Instruct the patient to squeeze the eye shut after instillation. 
A) Carefully place the drop on the cornea. 
B) Wipe the eye with a tissue after placing the eyedrop. 
C) Hold the eyedropper about 1 to 2 cm above the eye. 
D) Instruct the patient to squeeze the eye shut after instillation.

Question 8

The nurse is preparing to administer an eye ointment to the patient.Which action by the nurse is appropriate?

Accepted Answer

A) Clean away drainage or crusts by wiping from the outer to the inner canthus. 
B) Instruct the patient to keep the eye open for 2 minutes after instillation. 
C) Apply a thin ribbon evenly along the inner edge of the lower eyelid. 
D) Instruct the patient to avoid wiping the eye after instillation. 
A) Clean away drainage or crusts by wiping from the outer to the inner canthus. 
B) Instruct the patient to keep the eye open for 2 minutes after instillation. 
C) Apply a thin ribbon evenly along the inner edge of the lower eyelid. 
D) Instruct the patient to avoid wiping the eye after instillation.

Question 9

The nurse is preparing to administer medications to a patient with an enteral tube.The nurse can safely give the medications through which types of enteral tube? (Select all that apply. )

Accepted Answer

A) Nasogastric feeding tube 
B) Percutaneous endoscopic gastrostomy tube 
C) Jejunostomy tube 
D) Nasogastric decompression tube 
A) Nasogastric feeding tube 
B) Percutaneous endoscopic gastrostomy tube 
C) Jejunostomy tube 
D) Nasogastric decompression tube

Question 10

Several patients have been prescribed inhalation medications.The nurse is aware that a spacer will be beneficial for which patient?

Accepted Answer

A) A young child using a dry powder inhaler 
B) An elderly patient who uses a metered-dose inhaler 
C) A teenager who has just started using a nebulizer 
D) A young child who needs medication several times per day 
A) A young child using a dry powder inhaler 
B) An elderly patient who uses a metered-dose inhaler 
C) A teenager who has just started using a nebulizer 
D) A young child who needs medication several times per day

Question 11

The nurse is caring for four patients who require medications at 0900.Which action by the nurse adheres to the six rights of medication administration?

Accepted Answer

A) Prepare medications for all of the patients at once and keep the cups separate. 
B) Ask the supervisor to clarify an unclear medication order. 
C) Give the prescribed anticonvulsant between 0830 and 0930. 
D) Leave each patient's medications at the bedside and return within 30 minutes to make sure they have been taken. 
A) Prepare medications for all of the patients at once and keep the cups separate. 
B) Ask the supervisor to clarify an unclear medication order. 
C) Give the prescribed anticonvulsant between 0830 and 0930. 
D) Leave each patient's medications at the bedside and return within 30 minutes to make sure they have been taken.

Question 12

The nurse is preparing several topical medications for a patient.The nurse identifies which of the following as ways to administer a topical medication? (Select all that apply. )

Accepted Answer

A) Administering through an enteral tube placed in the jejunum 
B) Inhaling an aerosol spray into the lungs 
C) Spraying a mist into the nose 
D) Dissolving a medication under the tongue 
A) Administering through an enteral tube placed in the jejunum 
B) Inhaling an aerosol spray into the lungs 
C) Spraying a mist into the nose 
D) Dissolving a medication under the tongue

Question 13

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

Accepted Answer

A) Add the medications 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 medications 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 14

The nurse is preparing to administer a rectal suppository to an adult patient.Which action should be taken by the nurse?

Accepted Answer

A) Apply sterile gloves before handling the suppository. 
B) Apply extra lubricant to the suppository if there is active rectal bleeding. 
C) Insert the suppository past the internal sphincter,against the rectal wall,about 6 to 10 inches. 
D) Instruct the patient to remain lying flat or on the side for 5 minutes after insertion of the suppository. 
A) Apply sterile gloves before handling the suppository. 
B) Apply extra lubricant to the suppository if there is active rectal bleeding. 
C) Insert the suppository past the internal sphincter,against the rectal wall,about 6 to 10 inches. 
D) Instruct the patient to remain lying flat or on the side for 5 minutes after insertion of the suppository.

Question 15

The nurse is applying a new nitroglycerin transdermal patch.Which action by the nurse is appropriate?

Accepted Answer

A) Instructing the patient to wear the patch 24 hours a day every day 
B) Applying the new patch to the same site as the previous patch 
C) Cutting the patch in half when a change of dose is ordered 
D) Instructing the patient to avoid heat sources over the patch 
A) Instructing the patient to wear the patch 24 hours a day every day 
B) Applying the new patch to the same site as the previous patch 
C) Cutting the patch in half when a change of dose is ordered 
D) Instructing the patient to avoid heat sources over the patch

Question 16

The patient has a bronchodilator and an inhaled steroid scheduled for the same time.What teaching should the nurse provide to the patient about administering these medications?

Accepted Answer

A) Inhale the bronchodilator,wait 20 to 30 seconds,then inhale the steroid. 
B) Inhale the bronchodilator,wait 2 to 5 minutes,then inhale the steroid. 
C) Inhale the steroid,wait 20 to 30 seconds,then inhale the bronchodilator. 
D) Inhale the steroid,wait 2 to 5 minutes,then inhale the bronchodilator. 
A) Inhale the bronchodilator,wait 20 to 30 seconds,then inhale the steroid. 
B) Inhale the bronchodilator,wait 2 to 5 minutes,then inhale the steroid. 
C) Inhale the steroid,wait 20 to 30 seconds,then inhale the bronchodilator. 
D) Inhale the steroid,wait 2 to 5 minutes,then inhale the bronchodilator.

Question 17

The nurse is preparing to administer a medication.Which of the following is the most critical to assess before medication administration?

Accepted Answer

A) Diet history 
B) Allergy history 
C) Surgical history 
D) Drug tolerance 
A) Diet history 
B) Allergy history 
C) Surgical history 
D) Drug tolerance

Question 18

The nurse is preparing to administer a rectal suppository to a patient.The patient should be assisted to which position for insertion of the 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 19

A nurse is preparing to administer eardrops to an adult patient.Which action should be taken by the nurse?

Accepted Answer

A) Warm the medication to room temperature using warm water. 
B) Pull the pinna down and back to straighten the ear canal. 
C) Apply gentle pressure or massage to the pinna of the ear. 
D) Remove cerumen from the inner ear canal with a cotton-tipped applicator. 
A) Warm the medication to room temperature using warm water. 
B) Pull the pinna down and back to straighten the ear canal. 
C) Apply gentle pressure or massage to the pinna of the ear. 
D) Remove cerumen from the inner ear canal with a cotton-tipped applicator.

Exam 21: Administration of Nonparenteral Medications

The nurse is teaching a mother how to administer nasal drops to her infant.What should be included in the teaching plan?

A patient is experiencing a systemic effect from eyedrops.Which assessment finding by the nurse is indicative of this?

The nurse is administering a buccal medication.Which instruction should be given to the patient?

The nurse is preparing a medication for a small child.The medication comes in pill or liquid form,but the liquid preparation has a bitter taste.Which action by the nurse is most appropriate?

The nurse is administering a beta-adrenergic medication via a small-volume nebulizer.Which assessment finding requires the nurse to withhold the medication immediately?

The nurse is preparing to administer a pediatric dose of liquid medication to an infant.Which action by the nurse is appropriate?

The patient has eyedrops ordered daily to both eyes.Which action by the nurse is appropriate when administering the medication?

The nurse is preparing to administer an eye ointment to the patient.Which action by the nurse is appropriate?

The nurse is preparing to administer medications to a patient with an enteral tube.The nurse can safely give the medications through which types of enteral tube? (Select all that apply. )

Several patients have been prescribed inhalation medications.The nurse is aware that a spacer will be beneficial for which patient?

The nurse is caring for four patients who require medications at 0900.Which action by the nurse adheres to the six rights of medication administration?

The nurse is preparing several topical medications for a patient.The nurse identifies which of the following as ways to administer a topical medication? (Select all that apply. )

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

The nurse is preparing to administer a rectal suppository to an adult patient.Which action should be taken by the nurse?

The nurse is applying a new nitroglycerin transdermal patch.Which action by the nurse is appropriate?

The patient has a bronchodilator and an inhaled steroid scheduled for the same time.What teaching should the nurse provide to the patient about administering these medications?

The nurse is preparing to administer a medication.Which of the following is the most critical to assess before medication administration?

The nurse is preparing to administer a rectal suppository to a patient.The patient should be assisted to which position for insertion of the rectal suppository?

A nurse is preparing to administer eardrops to an adult patient.Which action should be taken by the nurse?

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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