Question 1

The nurse needs to document a medication that has just been administered.Which technique should the nurse use to document medication administration?

Accepted Answer

A)   Document the medication immediately before administration.
B)   Record the time administered and the nurse's name immediately after administration.
C)   Record medication administration time, route, and dose at the end of the shift.
D)   Delegate recording administration time and the nurse's name in the medication administration record (MAR) . B

Question 2

The nurse administers a vaginal suppository.What information should the nurse include in patient teaching about postadministration care?

Accepted Answer

A)   Use a tampon to hold the suppository in place.
B)   Place a perineal pad in her underpants when getting up.
C)   Expect a moderate localized burning and itching.
D)   Remain in the semi-Fowler's position for 2 hours. B

Question 3

The nurse prepares to administer artificial tears to the patient's eyes twice daily.Which should the nurse implement when administering the patient's eyedrops?

Accepted Answer

A)   Dispense the eyedrops to the inner corner of each eye.
B)   Call the provider for clarification of this order.
C)   Check the patient identifiers before administration.
D)   Determine the patient's history of taking this medication. C

Question 4

A patient with chronic obstructive pulmonary disease uses a metered-dose inhaler (MDI).Which information does the nurse give the patient to ensure he receives the maximum benefit of the glucocorticoids administered by an MDI?

Accepted Answer

A)   Administer two puffs of medication in rapid succession.
B)   Maintain a firm seal with lips around the mouthpiece of the inhaler.
C)   Dispense the glucocorticoids 30 seconds after a bronchodilator.
D)   Instruct the patient to press the MDI after breathing in and out deeply.

Question 5

The nurse teaches the patient how to administer eye ointment.Instruction by the nurse has been correct if the patient demonstrates which technique?

Accepted Answer

A)   Moistens the finger with sterile saline
B)   Places a thin ribbon of ointment along the conjunctiva
C)   Rubs the medication briskly after application
D)   Looks downward before application of the ointment

Question 6

An alert and oriented patient is to receive oral medication.Which does the nurse implement to administer the prescribed medication?

Accepted Answer

A)   Evaluates the patient's ability to take the medications unassisted
B)   Leaves the medications on the breakfast tray for the patient to take later
C)   Asks the patient if she wants to hold the medications in her hand
D)   Holds the medicine cup to the patient's lips and tips it into the mouth

Question 7

The nurse is preparing medications for a patient who cannot swallow pills.Nursing care would be correct if the nurse determines which of the following medications cannot be crushed? (Select all that apply.)

Accepted Answer

A)   Capsule
B)   Scored tablet
C)   Enteric-coated tablet
D)   Buccal tablet

Question 8

The patient has a scored white tablet,a capsule,buccal medication,and an enteric-coated tablet.Which medication should the nurse administer last?

Accepted Answer

A)   The scored white tablet
B)   The capsule
C)   The buccal medication
D)   The enteric-coated tablet

Question 9

A patient is to receive three medications via an enteral feeding tube.What action by the nurse best contributes to maintaining the patency of the tube?

Accepted Answer

A)   Pouring the medications slowly into the tube
B)   Checking the gastric residual volume before feeding
C)   Elevating the head of the bed at least 45 degrees
D)   Flushing the tube between medications and after the last one

Question 10

3. The instillation of ophthalmic beta blockers can cause _______ and _____________ because of their rapid absorption.

Accepted Answer

The answer of 3. The instillation of ophthalmic beta blockers...

Question 11

The nurse needs to administer enteric-coated aspirin (Ecotrin)to the patient.The available aspirin is in a stock container on the unit because the pharmacy does not carry enteric-coated aspirin.Which is the best nursing approach for this situation?

Accepted Answer

A)   Pour tablets from stock without touching them.
B)   Withhold the medication and notify the healthcare provider.
C)   Crush the tablets and mix the powder in pudding.
D)   Pour aspirin tablets from a stock supply.

Question 12

A patient's family member tells the nurse that she is afraid of hurting the patient when giving the eardrops since she hasn't seen it done.Which action should the nurse take first?

Accepted Answer

A)   Observe caregiver administration of eardrops.
B)   Provide a demonstration of eardrop instillation.
C)   State that eardrop instillations do not injure ears.
D)   Agree that instillation of eardrops is challenging.

Question 13

The nurse is helping a dyspneic older adult with severe arthritis of the hands and feet to use a nebulizer for respiratory medications.Nursing care would be correct if the nurse takes which action during the medication administration?

Accepted Answer

A)   Instructs the patient to hold the mouthpiece with the hands
B)   Uses a mask to deliver the ordered medication
C)   Places the patient in a supine position for the treatment
D)   Has the patient drink some fluid before the treatment

Question 14

The nurse prepares medication for a patient 1 hour after admission.What information about the patient is the nurse's priority assessment before the initial administration of medication?

Accepted Answer

A)   The diet history
B)   Any drug tolerance
C)   Any allergy history
D)   The surgical history

Question 15

The nurse needs to administer a rectal suppository to a patient to treat constipation.Which action may the nurse delegate to the nursing assistive personnel (NAP)?

Accepted Answer

A)   Inserting the suppository into patient's rectum
B)   Notifying the patient's healthcare provider of the suppository results
C)   Documenting the administration of a suppository after insertion
D)   Informing the nurse of the bowel movement

Question 16

The nurse approaches a group of patients,one of whom is to receive a dose of medication.Which is the best method for the nurse to identify the patient needing the medication?

Accepted Answer

A)   Question the entire group by calling for the specific patient.
B)   Request that the other patients identify the patient.
C)   Ask the patients who is scheduled to receive medications now.
D)   Compare the patients' identification bracelets with the specific medication administration record (MAR)  and ask the patient to state his name.

Question 17

The nurse prepares to administer acetaminophen (Tylenol)650 mg rectally.Which does the nurse implement to administer the suppository properly?

Accepted Answer

A)   Assists the patient to right lateral position and flexes the left leg
B)   Performs a preadministration digital rectal examination
C)   Washes hands and applies sterile gloves before the procedure
D)   Inserts the suppository 10 cm (4 inches)  into the patient's rectum

Question 18

The nurse is preparing a liquid medication.Which technique should the nurse use to ensure an accurate dose?

Accepted Answer

A)   Place the medicine cup on the counter while standing over the cup to pour.
B)   Use a syringe to transfer the medication into the medicine cup.
C)   Pour the medication with the label on the bottle facing away from the nurse's hand.
D)   Pour the dose so the scale is even with the fluid level at the base of the meniscus.

Question 19

2. When applying transdermal patches,the nurse must _____ the application site to reduce the incidence of a localized skin reaction.

Accepted Answer

The answer of 2. When applying transdermal patches,the nurse must...

Question 20

The nurse is preparing to administer eardrops to a 5-year-old child.Nursing care is appropriate if which technique is used by the nurse?

Accepted Answer

A)   Warm the eardrops in a microwave oven on low.
B)   Pull the auricle upward and outward.
C)   Apply eardrops to a cotton ball and insert them in the affected ear.
D)   Instruct the child to lie with the affected ear on a warm compress.

Exam 22: Administration of Nonparenteral Medications