Question 1

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. D

Question 2

The patient is unable to sit upright for medication administration.The nurse should assist the patient to which position to decrease the risk for aspiration?

Accepted Answer

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

Question 3

The nurse is teaching a patient with asthma about using a metered-dose inhaler to administer albuterol.Which statements should the nurse include in the teaching plan?

Accepted Answer

A) This medication can produce systemic effects such as tachycardia and tremors. 
B) After inhaling the medication,hold your breath for about 10 seconds. 
C) After inhaling the medication and holding your breath,exhale slowly through an open mouth. 
D) After the last dose,do not rinse your mouth or drink any water for at least 1 hour. 
A) This medication can produce systemic effects such as tachycardia and tremors. 
B) After inhaling the medication,hold your breath for about 10 seconds. 
C) After inhaling the medication and holding your breath,exhale slowly through an open mouth. 
D) After the last dose,do not rinse your mouth or drink any water for at least 1 hour. A,B

Question 4

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?

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 5

The nurse is preparing to administer aspirin to a patient via an enteral feeding tube.Which form is appropriate for the nurse to administer?

Accepted Answer

A) Crushed chewable aspirin 
B) Liquid aspirin 
C) Enteric-coated aspirin 
D) Sustained-release aspirin capsule 
A) Crushed chewable aspirin 
B) Liquid aspirin 
C) Enteric-coated aspirin 
D) Sustained-release aspirin capsule

Question 6

The patient is to receive three different medications via a nasogastric tube.What is the total amount of water the nurse should prepare to administer?

Accepted Answer

A) 30 mL of water 
B) 60 mL of water 
C) 90 mL of water 
D) 250 mL of water 
A) 30 mL of water 
B) 60 mL of water 
C) 90 mL of water 
D) 250 mL of water

Question 7

Medications in the form of drops or ointments will have the word ________________ on the container to identify them as eye medications.

Accepted Answer

The answer of Medications in the form of drops or...

Question 8

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 9

The nurse is teaching a patient how to use a topical medication.Which statement indicates an understanding of the procedure?

Accepted Answer

A) "If the patch starts to come off,I can secure it with tape." 
B) "If the patch falls off,I will put a new one on in the same place." 
C) "If my skin is irritated,I will cleanse it using water only." 
D) "I can dispose of used materials in the household trash as usual." 
A) "If the patch starts to come off,I can secure it with tape." 
B) "If the patch falls off,I will put a new one on in the same place." 
C) "If my skin is irritated,I will cleanse it using water only." 
D) "I can dispose of used materials in the household trash as usual."

Question 10

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 11

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 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?

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 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 14

The nurse is teaching a patient how to use a metered-dose inhaler without a spacer.Which action by the patient demonstrates correct use of the device?

Accepted Answer

A) Being careful not to shake the canister 
B) Positioning the mouthpiece in front of the mouth while not touching the lips 
C) Depressing the canister fully,waiting 3 to 5 seconds,then inhaling slowly and deeply 
D) Taking another puff of the medication within 10 seconds 
A) Being careful not to shake the canister 
B) Positioning the mouthpiece in front of the mouth while not touching the lips 
C) Depressing the canister fully,waiting 3 to 5 seconds,then inhaling slowly and deeply 
D) Taking another puff of the medication within 10 seconds

Question 15

The nurse is preparing to give sublingual nitroglycerin to a patient complaining of chest pain.The nurse instructs the patient not to swallow the medication.Why is this instruction important?

Accepted Answer

A) The effects of the medication will be nullified if swallowed. 
B) Sublingual drugs begin to dissolve when placed on the tongue. 
C) The medication needs to be held against the cheek membranes until dissolved. 
D) The patient may aspirate on the water used for these medications. 
A) The effects of the medication will be nullified if swallowed. 
B) Sublingual drugs begin to dissolve when placed on the tongue. 
C) The medication needs to be held against the cheek membranes until dissolved. 
D) The patient may aspirate on the water used for these medications.

Question 16

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 17

The nurse is preparing to administer a medication via a jejunostomy tube to a patient who is receiving continuous tube feedings.The medication needs to be given on an empty stomach and comes only in tablet form.What action should the nurse take first?

Accepted Answer

A) Add the medications directly to the tube feeding. 
B) Flush the tubing before the medication is given. 
C) Stop the feeding 30 minutes before medication administration. 
D) Dissolve the medication in cold water. 
A) Add the medications directly to the tube feeding. 
B) Flush the tubing before the medication is given. 
C) Stop the feeding 30 minutes before medication administration. 
D) Dissolve the medication in cold water.

Question 18

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 19

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 20

The easiest and most desirable way to administer medications is via the _________ route.

Accepted Answer

The answer of The easiest and most desirable way to...

Exam 21: Administration of Nonparenteral Medications

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

The patient is unable to sit upright for medication administration.The nurse should assist the patient to which position to decrease the risk for aspiration?

The nurse is teaching a patient with asthma about using a metered-dose inhaler to administer albuterol.Which statements should the nurse include in the teaching plan?

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?

The nurse is preparing to administer aspirin to a patient via an enteral feeding tube.Which form is appropriate for the nurse to administer?

The patient is to receive three different medications via a nasogastric tube.What is the total amount of water the nurse should prepare to administer?

Medications in the form of drops or ointments will have the word ________________ on the container to identify them as eye medications.

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

The nurse is teaching a patient how to use a topical medication.Which statement indicates an understanding of the procedure?

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

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 several topical medications for a patient.The nurse identifies which of the following as ways to administer a topical medication?

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

The nurse is teaching a patient how to use a metered-dose inhaler without a spacer.Which action by the patient demonstrates correct use of the device?

The nurse is preparing to give sublingual nitroglycerin to a patient complaining of chest pain.The nurse instructs the patient not to swallow the medication.Why is this instruction important?

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 medication via a jejunostomy tube to a patient who is receiving continuous tube feedings.The medication needs to be given on an empty stomach and comes only in tablet form.What action should the nurse take first?

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

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

The easiest and most desirable way to administer medications is via the _________ route.

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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