Question 1

Most drugs are metabolized in which body area?

Accepted Answer

A) Kidney 
B) Plasma 
C) Liver 
D) Intestinal mucosa 
A) Kidney 
B) Plasma 
C) Liver 
D) Intestinal mucosa C

Question 2

Complete the statements below by filling in the blank with the correct answer.
A)Subcutaneous injections are administered at a _____________ angle.
B)Intramuscular injections are administered at a _____________ angle.
C)Air is not injected into insulin solution to prevent _____________ in the solution.
D)Insulin bottles are turned top to bottom several times to bring the solution into _____________.
E)When two types of insulin are being administered,the intermediate- acting insulin is drawn into the syringe _____________ the short or rapid acting insulin.

Accepted Answer

A)45°
B)90°
C)Bubbles
D)Suspension
E)After

Question 3

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
-Vistaril is an irritating medication that should be administered using the Z-track method.Which one of the following statements is most correct regarding the Z-track?

Accepted Answer

A) All of the air is expressed from the needle and syringe before administration. 
B) It is necessary to massage the skin following each injection. 
C) Aspiration to check for needle placement is not necessary. 
D) It is important to wait 10 seconds after injecting medication before removing needle. 
A) All of the air is expressed from the needle and syringe before administration. 
B) It is necessary to massage the skin following each injection. 
C) Aspiration to check for needle placement is not necessary. 
D) It is important to wait 10 seconds after injecting medication before removing needle. D

Question 4

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
-Janice has an order for a medication if she becomes nauseated.The medication is to be given using the intramuscular route.Which one of the following needles should be used?

Accepted Answer

A) 22 gauge,1 1/2inch. 
B) 20 gauge,1 inch. 
C) 18 gauge,1 inch. 
D) 23 gauge,1 inch. 
A) 22 gauge,1 1/2inch. 
B) 20 gauge,1 inch. 
C) 18 gauge,1 inch. 
D) 23 gauge,1 inch.

Question 5

Match between columns
                        Premises: Inhibits growth of microorganisms
Mimics the actions of parasympathetic system
Promotes bowel elimination
Reduces or prevents the infectious process
Mimics the action of sympathetic system
Prevents nausea and vomiting
Relieves symptoms of allergic reaction

Accepted Answer

The Answer of Antihistamine and Adrenergic and Antimicrobial and Cathartic is...

Question 6

Match between columns
                        Premises: Ear drops are instilled into an adult's ear by lifting the pinna up and backward.

Vasodilator topical medications are placed on a pre-measured paper before being applied to the skin.

Eye ointments are applied under the upper eyelids.

When applying antibacterial cream to an open skinlesion,sterile gloves or sterile tongue blades are used.

Eye drops are placed on the cornea for increased absorption.

Rectal suppositories are inserted into the rectum and positioned at the anal sphincter.

Accepted Answer

The Answer of True and False is...

Question 7

Your client is to receive 2000 units of Heparin intravenously.The vial contains Heparin 5000 U/mL.How many mL will you give?

Accepted Answer

The answer of Your client is to receive 2000 units...

Question 8

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
-Which site is preferred for administering intramuscular injections?

Accepted Answer

A) Vastus lateralis. 
B) Gluteus maximus. 
C) Deltoid. 
D) Ventrogluteal. 
A) Vastus lateralis. 
B) Gluteus maximus. 
C) Deltoid. 
D) Ventrogluteal.

Question 9

If the nurse questions the appropriateness of a medication or an order on the MAR,the nurse should

Accepted Answer

A) Check the previous MAR. 
B) Check the doctor's order. 
C) Consult with the previous shift nurse. 
D) Ask the pharmacy to validate the MAR. 
A) Check the previous MAR. 
B) Check the doctor's order. 
C) Consult with the previous shift nurse. 
D) Ask the pharmacy to validate the MAR.

Question 10

Transdermal medication administration may be less effective in

Accepted Answer

A) elderly clients. 
B) thin clients. 
C) obese clients. 
D) darkly pigmented clients. 
A) elderly clients. 
B) thin clients. 
C) obese clients. 
D) darkly pigmented clients.

Question 11

Which of the following statements is true concerning the Z-track method for medication administration?

Accepted Answer

A) It is not necessary to aspirate before injecting the medication. 
B) The skin is pulled laterally away from the injection site. 
C) Medication is injected slowly and needle removed immediately. 
D) Massage is used following injection to assist with absorption. 
A) It is not necessary to aspirate before injecting the medication. 
B) The skin is pulled laterally away from the injection site. 
C) Medication is injected slowly and needle removed immediately. 
D) Massage is used following injection to assist with absorption.

Question 12

Match between columns
                        Premises: 11ec79ca_7cf1_d167_8eee_6f273d413f10_TB5874_11
gtt
b.i.d.
IM
p.c.
a.c.
os
aa
npo
q.i.d.

Accepted Answer

The Answer of drop and intramuscular and of each and is...

Question 13

The most direct,reliable,and rapid route of drug absorption is

Accepted Answer

A) Oral. 
B) Sublingual. 
C) Inhalation. 
D) Intravenous. 
A) Oral. 
B) Sublingual. 
C) Inhalation. 
D) Intravenous.

Question 14

There are four biologic processes of drug utilization.The process in which the drug binds with plasma protein is

Accepted Answer

A) Absorption. 
B) Distribution. 
C) Metabolism. 
D) Excretion. 
A) Absorption. 
B) Distribution. 
C) Metabolism. 
D) Excretion.

Question 15

Calculate the following drug dosage:If you give a client one half of a gr.   
tablet,how many grains of medication will the client receive?

Accepted Answer

The answer of Calculate the following drug dosage:If you give...

Question 16

There are seven parts of a drug order.Which three parts are missing from the list below?
a.Name of client
b.Name of drug
c.Dose
d.Signature of individual ordering drug
e.______________
f.______________
g.______________

Accepted Answer

e.Date drug ordered

Question 17

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route
-Subcutaneous anticoagulent medications should be injected in which area?

Accepted Answer

A) Abdomen. 
B) Buttocks. 
C) Arm. 
D) Lateral thigh. 
A) Abdomen. 
B) Buttocks. 
C) Arm. 
D) Lateral thigh.

Question 18

It is very important to monitor for potential drug overdose in the elderly even if the dosage is within normal range because the elderly have

Accepted Answer

A) A slower rate of drug absorption. 
B) More intracellular fluid than younger adults. 
C) A lower percentage of fat than younger adults. 
D) A decreased serum albumin level. 
A) A slower rate of drug absorption. 
B) More intracellular fluid than younger adults. 
C) A lower percentage of fat than younger adults. 
D) A decreased serum albumin level.

Question 19

You have been exposed to blood or body fluid through an accidental needle stick.Your first action is to

Accepted Answer

A) Complete an unusual occurrence form and notify the charge nurse. 
B) Cover the site with a sterile dressing and see a physician immediately. 
C) Immediately cleanse the site with Betadine for 10 minutes. 
D) Express blood from the site and scrub with soap and water. 
A) Complete an unusual occurrence form and notify the charge nurse. 
B) Cover the site with a sterile dressing and see a physician immediately. 
C) Immediately cleanse the site with Betadine for 10 minutes. 
D) Express blood from the site and scrub with soap and water.

Question 20

Complete the following equivalents by filling in the blanks.
a.__________ drops = 1 mL
b.__________ drops = 1 minim
c.__________ fluid drams = 1 fluid ounce
d.__________ fluid ounces = 1 cup
e.__________ mL = 1 pint
f.__________ gram = 1000 mg
g.__________ liter = 1000 mL

Accepted Answer

a.15
b.1
c

Exam 18: Medication Administration

Most drugs are metabolized in which body area?

Your client is to receive 2000 units of Heparin intravenously.The vial contains Heparin 5000 U/mL.How many mL will you give?

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route -Which site is preferred for administering intramuscular injections?

If the nurse questions the appropriateness of a medication or an order on the MAR,the nurse should

Transdermal medication administration may be less effective in

Which of the following statements is true concerning the Z-track method for medication administration?

The most direct,reliable,and rapid route of drug absorption is

There are four biologic processes of drug utilization.The process in which the drug binds with plasma protein is

Calculate the following drug dosage:If you give a client one half of a gr. tablet,how many grains of medication will the client receive?

There are seven parts of a drug order.Which three parts are missing from the list below? a.Name of client b.Name of drug c.Dose d.Signature of individual ordering drug e.______________ f.______________ g.______________

Clinical Situation: Janice is a 40-year-old obese client who has just returned from surgery following gastric bypass surgery. She has several medications ordered using the parenteral route -Subcutaneous anticoagulent medications should be injected in which area?

It is very important to monitor for potential drug overdose in the elderly even if the dosage is within normal range because the elderly have

You have been exposed to blood or body fluid through an accidental needle stick.Your first action is to

Complete the following equivalents by filling in the blanks. a.__________ drops = 1 mL b.__________ drops = 1 minim c.__________ fluid drams = 1 fluid ounce d.__________ fluid ounces = 1 cup e.__________ mL = 1 pint f.__________ gram = 1000 mg g.__________ liter = 1000 mL

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

Physical Assessment

Body Mechanics and Positioning

Exercise and Ambulation

Infection Control

Disaster Preparedness Bioterrorism

Pain Management

Alternative Therapies and Stress Management

Nutritional Management and Ng Intubation

Specimen Collection

Diagnostic Procedures

Urinary Elimination

Bowel Elimination

Heat and Cold Therapies

Wound Care and Dressings

Perioperative Care

Orthopedic Interventions

Intravenous Therapy

Central Vascular Access

Respiratory Care

Circulatory Maintenance

Neurological Management - New

Advanced Nursing Skills

End of Life Care

Filters

There are seven parts of a drug order.Which three parts are missing from the list below? a.Name of client b.Name of drug c.Dose d.Signature of individual ordering drug e. f. g.__

Complete the following equivalents by filling in the blanks. a. drops = 1 mL b. drops = 1 minim c. fluid drams = 1 fluid ounce d. fluid ounces = 1 cup e. mL = 1 pint f. gram = 1000 mg g.__ liter = 1000 mL