Funds Success Med Adm

Question 1

The instructions with a medication states to use the Z-track method. What should the nurse do that is specific to this procedure?

1. pinch the site throughout the procedure
2. massage the site after the needle is removed
3. remove the needle immediately after the medication is injected
4. change the needle after the medication is drawn into the syringe

Answer 1

*4

Question 2

A nurse instructs a patient to close the eyes after the administration of eye drops. What rationale for this instruction should the nurse explain to the patient?

1. limits corneal irritation
2. squeezes excess medication from the eyes
3. disperses the medication over the eyeball
4. prevents medication from entering the lacrimal duct

Answer 2

*3

Question 3

Which route is unrelated to the parenteral administration of medications?

1. buccal
2. z-track
3. intracenous
4. intradermal

Answer 3

*1

Question 4

How often should “docusate sodium (Colace) 100 mg b.i.d.” to be given?

1. three times a day
2. two times a day
3. every other day
4. at bedtime

Answer 4

*2

Question 5

Which intervention is uniquely related to the administration of an intradermal injection?

1. using the air bubble technique
2. pinching the skin during needle insertion
3. inserting the the needle with the bevel upward
4. massaging the area after the fluid is instilled

Answer 5

*3

Question 6

A nurse is preparing to reconstitute a medication in a multiple- dose vial. What is the most essential step in the prep of this medication?

1. instilling an accurate amount of diluent into the vial
2. using a filtered needle when drawing up the medication from the vial
3. instilling air into the vial before withdrawing the reconstituted solution
4. wiping the rubber seal of the vial with alcohol before and after each needle insertion

Answer 6

*1

Question 7

Which characteristic is associated with a subcutaneous injection of 5000 units of heparin?

1. 3- ml syringe
2. 22 gauge needle
3. 1.5 inch needle length
4. 90 degree angle of insertion

Answer 7

*4

Question 8

A nurse is assessing a patient for the appropriateness of administering a medication via the oral route. What clinical manifestation indicates that the nurse should ask the practitioner for a change in route?

1. nausea
2. unconsciousness
3. gastric suctioning
4. difficulty swallowing

Answer 8

*2

Question 9

A home care nurse observes the spouse of a patient inserting a rectal suppository. What behavior indicates that the nurse must provide teaching about suppository administration?

1. lubricates the tip of the suppository
2. inserts the suppository while wearing a glove
3. inserts the suppository while the patient bears down
4. place the suppository a finger length into the rectum

Answer 9

*4

Question 10

A practitioner prescribes nose drops to be administered twice a day. What should the nurse do when instilling nose drops?

1. place the patient in the supine position with the head tilted backward
2. pinch the nares of the nose together briefly after the drops are instilled
3. instruct the patient to blow the nose 5 mins after the drops are instilled
4. insert the drop applicator 1/8 inch into the nose toward the base of the nasal cavity

Answer 10

*1

Question 11

When the nurse brings pills to a patient, the pt is unable to hold the paper cup with the medications. What should the nurse do?

1. crush the pills and mix it with applesauce
2. have the practitioner prescribe the liquid form of the drug.
3. use the paper cup to introduce the pills into the patients mouth
4. put the pills into the patients hand and have the patient self- administer the pills

Answer 11

*3

Question 12

A nurse teaches a patient how to self- administer a corticosteroid via a metered- dose inhaler with an extender. Which behavior indicates to the nurse that the patient understands the teaching?

1. rinses the mouth with water after the treatment
2. rolls the canister between the hands slowly before using the inhaler
3. positions the mouthpiece directly in front of the mouth while inhaling
4. assumes the semi- fowlers position with the head supported on a pillow

Answer 12

*1

Question 13

What route in inappropriate for a topical medication?

1. intradermal
2. bladder
3. rectum
4. vagina

Answer 13

*1

Question 14

A nurse holds a bottle with the label next to the palm of the hand when pouring a liquid medication. What is the rationale for this action?

1. conceal the label from the curiosity of others
2. prevent soiling of the label by spilled liquid
3. ensure the accuracy of the measurement of the dose
4. guarantee the label is read before pouring the liquid

Answer 14

*2

Question 15

A practitioner prescribes a medicated powder to be applied to a patient’s skin. What is the most essential for the nurse to do when applying the medicated powder?

1. apply a thin layer in the direction of the hair growth
2. protect the patients face with a towel
3. dressing area with dry sterile gauze
4. ensure that the skin surface is dry

Answer 15

*4

Question 16

A nurse must administer a medication in the ear of an adult. What should the nurse do to limit patient discomfort when administering ear drops?

1. warm solution to body temperature
2. place the patient in a comfortable position
3. pull the pinna of the ear upward and backward
4. instill fluid into the center of the auditory canal

Answer 16

*1

Question 17

A nurse instructs a patient to inhale deeply and hold each breath for a second when using hand-held nebulizer. the patient asks, “Why do I have to hold my breath?” The nurse responds, “This technique will:

1. prolong treatment
2. limit hyperventilation
3. disperse the medication
4. prevent bronchial spasms

Answer 17

*3

Question 18

Which abbreviation indicates that the practitioner wants a medication administered before meals?

1. pc
2. qh
3. po
4. ac

Answer 18

*4

Question 19

Where is medication absorbed when the nurse administers a suppository?

1. ear
2. nose
3. mouth
4. rectum

Answer 19

*4

Question 20

A home care nurse is helping a patient with short term memory loss how to remember to take multiple drugs throughout the day. What should the nurse do when teaching this patient?

1. suggest that patient wear a watch with an alarm
2. ask a family member to call the patient with the medications are to be taken
3. design a chart of the medications the patient take each day during the week
4. instructed patient to put medication in a weekly organizational pill container

Answer 20

*4

Question 21

A nurse is to administer an eye irrigation to a patient’s right eye. What should the nurse do?

1. direct the flow of the solution from the inner to the outer canthus
2. irrigate with an asepto syringe several inches from the eye
3. Don sterile gloves before beginning the procedure
4. position the patient in a right lateral position

Answer 21

*1

Question 22

A nurse must reconstitute a powdered medication. What should the nurse do?

1. keep the needle below the initial fluid level as the rest of the fluid is injected
2. instill the solvent that is consistent with the manufacturer’s directions
3. score of the neck of the ampule before breaking it
4. shake the vile to dissolve the powder

Answer 22

*2

Question 23

A nurse is preparing to administer a tablet to a patient. When should the nurse remove the medication from the unit dose package?

1. outside the door to the patient’s room
2. at the patience bedside
3. in the medication room
4. at the medication cart

Answer 23

*2

Question 24

Which nursing action is most appropriate when administering an analgesic?

1 reasses drug effectiveness every 8 hours

2. follow the prescription exactly for the first 24 hours
3. ask the practitioner to include a medication prescription for breakthrough pain
4. seek a new prescription after two doses that do not achieve a tolerable level of relief

Answer 24

*4

Question 25

The practitioner prescribes a troche. The nurse should administer it by placing it in the pt’s:

1. ear
2. eye
3. mouth
4. rectum

Answer 25

*3

Question 26

A pt has a prescription for 2 puffs of a bronchodilator via a metered-dose inhaler. What should the nurse teach the pt to do when self-administering the medication?

1. start breathing in while compressing the canister
2. hold the inspired breath for several seconds
3. deliver 2 puffs with each inspiration
4. inhaled slowly for 8 to 10 seconds

Answer 26

*1

Question 27

A nurse teaches a pt about taking a sublingual nitroglycerin tablet. The nurse evaluates that the pt understands the teaching when the pt states, “I should place it:

1. on my skin
2. inside my cheek
3. under my tongue
4. in my eye on the lower lid

Answer 27

*3

Question 28

A practitioner prescribes a rectal suppository for an adult pt. What should the nurse do when administering the rectal suppository?

1. lubricate the medication before insertion
2. warm the medication to body temperature
3. insert the medication just inside the rectum’s external sphincter
4. place the pt in the prone position to administer the medication

Answer 28

*1

Question 29

What should a nurse use when placing a cream into a pt’s vaginal canal?

1. a finger
2. a gauze pad
3. an applicator
4. an irrigation kit

Answer 29

*3

Question 30

A practitioner prescribes a medication that must be administered transdermally. The nurse determines that a drug administered transdermally is:

1. inhaled into the respiratory tract
2. dissolved under the tongue
3. absorbed through the skin
4. inserted into the rectum

Answer 30

*3

Question 31

A nurse is interviewing a newly admitted client in the process of completing a nursing admission history and physical. What information should be included in a medication reconciliation. (select all that apply)

1. vitamins
2. drug allergies
3. food supplements
4. over the counter herbs
5. prescribed medications

Answer 31

*1, 3, 4, 5,