Question 1

Hospital guidelines provide an automatic stop time for some drug classifications. Select the drug classification that would most likely have a 10-day automatic stop time.

Accepted Answer

A)   Narcotic
B)   Anticoagulant
C)   Antibiotic
D)   Antihypertensive C

Question 2

Select all correct statements about the administration of oral medications.

Accepted Answer

A)   Check expiration dates on all labels.
B)   Check patients/clients for allergies to drugs.
C)   Be aware that some drugs are best taken on an empty stomach.
D)   When a patient/client is NPO, he or she cannot receive any drugs.
E)   Use one primary method of verifying the identity of the patient/client. A, B, C

Question 3

The nurse had to administer 2.25 mL of an intramuscular medication to an adult patient/client. According to the medication administration record, the previous injection was administered in the right dorsogluteal site. In which site should the nurse administer this intramuscular injection?

Accepted Answer

A)   Deltoid
B)   Lower abdomen
C)   Left ventrogluteal site
D)   Thigh C

Question 4

A nursing faculty member is reviewing general standards, precautions, and safeguards used to administer medications to nursing students. Which statement is correct and should be included in the presentation she is preparing?

Accepted Answer

A)   Bend the needle off a syringe after using it to administer an injection to a patient/client.
B)   Gowns must be worn to administer medications to mucous membranes.
C)   Wear gloves for any direct contact with a patient/client's blood, body fluids, or secretions.
D)   A mask is required when administering oral medications with patients/clients on any isolation procedure.

Question 5

A 2-year-old patient/client has to have ear drops administered. What is the correct procedure for the nurse to administer the ear drops?

Accepted Answer

A)   Straighten the ear canal by pulling the pinna up and back.
B)   Straighten the ear canal by pulling the pinna down and back.
C)   The patient/client should rest on the affected side for 10 to 15 minutes.
D)   The patient/client should rest on the unaffected side for 5 to 10 minutes.

Question 6

There are four common sites for intramuscular injections for adults: dorsogluteal, ventrogluteal, the vastus lateralis and the deltoid muscles. Select the landmarks to use to correctly identify the exact site for the dorsogluteal site.

Accepted Answer

A)   The crest of the posterior ileum as the superior boundary and the inferior gluteal fold as the lower boundary.
B)   The greater trochanter, the anterior superior iliac spine and the iliac crest
C)   One hand's width below the greater trochanter and one hand's width above the knee.
D)   The lower edge of the acromion process and the axilla are boundaries.

Question 7

A physician ordered a medication to be given four times a day. The dosage administration schedule was 10:00 am, 2:00 pm, 6:00 pm, and 10:00 pm. The nurse recorded the drug's administration, in military time, on the medication administration record (MAR). Select the correct sequence of drug administration using military time.

Accepted Answer

A)   1000, 1200, 1500, 2000
B)   1000, 1300, 1600, 2100
C)   1000, 1500, 1900, 2300
D)   1000, 1400, 1800, 2200

Question 8

Which statement is true about Z-track technique for intramuscular injections?

Accepted Answer

A)   The ventrogluteal site is used to prevent medication from seeping into the needle tract and onto the skin.
B)   Inject the needle at a 90-degree angle. After giving the injection, count to 10 prior to removal of the needle.
C)   After preparing the medication, use the same needle to prevent leakage along the tract of the injection.
D)   Add 0.1 mL of air to the syringe to seal off the medication and prevent it from leaking onto the skin.

Question 9

Choose the most widely used system of medication administration.

Accepted Answer

A)   Mobile cart
B)   Scanner device
C)   Tickets
D)   Unit-dose packaging

Question 10

The nurse has to administer a bitter-tasting oral medication to a 5-year-old patient/client. What is the best strategy to administer this drug to the child?

Accepted Answer

A)   Before administering the medication, offer a popsicle.
B)   Administer the medication in a cup of milk.
C)   Have the child keep his nostrils open and drink the medication through a straw.
D)   Use a specially manufactured medication nipple or pacifier.

Question 11

When administering medications by the oral route a number of safeguards are required. Select all that apply:

Accepted Answer

A)   Break unscored tablets by placing the tablet in a paper towel and, using your thumb and index finger, break the tablet.
B)   Crush enteric-coated tablets to facilitate rapid absorption.
C)   Shake liquid medications thoroughly before pouring.
D)   Pour liquids at eye level, using a medicine cup.
E)   Lozenges should dissolve slowly in the mouth.

Question 12

The nurse has to give an intramuscular injection to an adult. What is the correct gauge needle that should be used?

Accepted Answer

A)   21
B)   23
C)   25
D)   28

Question 13

Select the type of medication order that is labeled as a "single-dose" order.

Accepted Answer

A)   Synthroid 0.05 mg, po, daily.
B)   Morphine sulfate, 3 mg, q4h, prn for chest pain.
C)   Zithromax ("Z-Pak") , 6,250 mg tablets; take 2 tablets on the first day and then one tablet daily for the next four days.
D)   Valium 5 mg, po, daily prior to a bone biopsy.

Question 14

The most common syringe used for injections is a standard 3-mL size, marked in milliliters to the nearest tenth. Select the standard gauge of the injection needle for the 3-mL syringe.

Accepted Answer

A)   25 -28
B)   25-26
C)   20-28
D)   20-23

Question 15

When administering injections, which general safeguards in administering medications must be followed? Select all that apply.

Accepted Answer

A)   Wash hands.
B)   Wear gloves.
C)   Recap needle after use.
D)   Disposal of used sharps in a puncture-proof container.
E)   Wear protective eyewear.

Question 16

There are six standard rights that a nurse must adhere to before administering medications. Select all that apply. The right to the:

Accepted Answer

A)   Right medication
B)   Right assessment
C)   Right drug preparation
D)   Right documentation
E)   Right time

Question 17

What type of precaution must the nurse use to break a scored tablet?

Accepted Answer

A)   Clean technique
B)   Respiratory technique
C)   Strict asepsis
D)   Standard asepsis

Question 18

A 6-month-old infant is to receive 0.5 mL of a preoperative injection, intramuscularly, prior to going to surgery to have tubes inserted in the ears. What site should the nurse select to administer the medication?

Accepted Answer

A)   Deltoid
B)   Dorsogluteal
C)   Ventrogluteal
D)   Vastus lateralis

Question 19

A patient/client refused to take an ordered stool softener. What is the correct procedure to document the refused medication?

Accepted Answer

A)   Circle the time and document a reason the medication was not given.
B)   Circle the time and initial and document a reason the medication was refused.
C)   Draw a line through the time and document a reason the medication was not given.
D)   Draw a line through the time and initial and document a reason the medication was refused.

Question 20

Select the correct sequence of steps for the administration of oral medications.
1) Administer oral tablets first.
2) Administer oral capsules second.
3) Administer oral liquid medications first.
4) Administer oral liquid medications second.

Accepted Answer

A)   1, 4
B)   2, 3
C)   It does not matter what order the medications are administered.
D)   Capsules have to be administered first, then tablets and oral liquid medications._

Exam 10: Administration Procedures