Question 1

The nurse has to administer an intradermal injection for skin testing for allergies. Which action is correct for intradermal injections?

Accepted Answer

A)  Insert the needle $1 / 4$ inch, almost parallel to the skin. 
B)  Hold the syringe in four fingers and thumb, with the bevel of the needle down. 
C)  Inject the solution so that it raises a small wheal, raised bump, or blister. 
D)  Massage the skin for 10 seconds after removal of the needle.

Question 2

A nurse was stuck with a used needle while dropping it into a full puncture-proof container. What would the nurse do first?

Accepted Answer

A)  Apply an acceptable antiseptic. 
B)  Follow protocol for accidental exposure to blood or body fluids. 
C)  Squeeze the area of contact. 
D)  Wash the area with soap and copious amounts of water.

Question 3

Select the example of a medication order that is written without termination.

Accepted Answer

A)  Mevacor (lovastatin) 10 mg, po, every 12 hours for 7 days 
B)  Motrin (ibuprofen) 400 mg, po, daily 
C)  Demerol (meperidine HCL) 50 mg, IM, prior to surgery 
D)  Lasix (furosemide) 40 mg, IV, stat

Question 4

Medication orders in an institution can be written by approved practitioners. Select all categories of personnel that can write medication orders.

Accepted Answer

A)  Physicians 
B)  Medical students 
C)  Registered nurses 
D)  Emergency medical technicians 
E)  Nurse practitioners

Question 5

A geriatric patient/client has to administer frequent eye drops in both eyes prior to cataract surgery. Which action is most important for the patient/client to consider when administering eye drops?

Accepted Answer

A)  The patient/client should gently draw the lower eyelid down to create a sac to instill the medication. 
B)  The medication should be inserted into the outer canthus of the eye. 
C)  The patient/client should look down when instilling the eye drops into his eye. 
D)  The medication should touch the eye membrane to ensure proper placement.

Question 6

The patient/client has a 1000 mL bag of NS running at 30 mL/hour. In how many hours would the nurse anticipate having to change the IV bag?

Accepted Answer

A)  16 
B)  24 
C)  72 
D)  96

Question 7

While administering the flu vaccine via the intramuscular route, the nurse sees a blood return in the syringe barrel after aspirating 0.1 mL. What is the nurse's next step?

Accepted Answer

A)  Inject the medication slowly. 
B)  Remove the needle quickly and reinsert in a new site. 
C)  Press down on the area with an alcohol pad. 
D)  Withdraw the needle and prepare another injection.

Question 8

The nurse is aware that some patients/clients have difficulty swallowing solid preparations of medications. Therefore, special considerations can be used. Choose the best approach to help a geriatric patient/client take a solid form of a medication.

Accepted Answer

A)  Open a sustained-release capsule and mix the contents with applesauce. 
B)  Crush a prolonged-release tablet into fine particles. 
C)  Crush an enteric-coated tablet and give with milk. 
D)  Break a scored tablet in half and give $1 / 2$ first and then $1 / 2$ about 1 minute later.

Question 9

A geriatric patient/client has had a cerebrovascular accident and has a feeding tube in place. Which statement is correct about the administration of drugs through a feeding tube?

Accepted Answer

A)  Dilute medications with normal saline at room temperature. 
B)  Elevate the head of the bed to 30 degrees prior to administering. 
C)  Check the position of the tube in the stomach by inserting 60 mL of air. 
D)  Flush the tube with 15 mL of warm water to ensure patency.

Question 10

The nurse had to prepare an injection of regular and NPH insulin. What is the correct sequence of steps for preparing the insulin injection?
1) Draw up into the syringe an amount of air equivalent to the amount of regular insulin and expel the air into the vial.
2) Draw up into the syringe an amount of air equivalent to the amount of NPH insulin and expel the air into the vial.
3) Draw up the ordered amount of regular insulin.
4) Draw up the ordered amount of NPH insulin.

Accepted Answer

A)  1, 2, 3, 4 
B)  1, 2, 4, 3 
C)  2, 1, 3, 4 
D)  2, 1, 4, 3

Exam 10: Administration Procedures