SL Mosby Quizzes (2)

Question 1

After administering medication intramuscularly, the nurse should:

a. ) massage the site to hasten absorption.
b. ) pull back on the Z-track to make sure that it is still functional.
c. ) Educate the patient regarding the medication, including indication and possible side effects.
d. ) Return to the room approximately 15 minutes later and evalutate discomfort at the site.

Answer 1

d.) Return to the room approximately 15 minutes later and evalutate discomfort at the site.

Question 2

For an average-size patient, an appropriate angle for injection of an IM medication is:

a. ) 15 degrees.
b. ) 45 degrees.
c. ) 60 degrees.
d. ) 90 degrees.

Answer 2

d.) 90 degrees.

Question 3

After a patient administers a vaginal suppository, the nurse explains to the patient that she may want to wear a perineal pad because:

a. ) The pad will collect excess medication drainage
b. ) The suppository is expelled after about an hour
c. ) The suppository produces additional thick, foul-smelling discharge
d. ) Vaginal instillations often lead to spotting

Answer 3

a.) The pad will collect excess medication drainage

Question 4

The nurse prepares to administer an intradermal injection for the administration of medication for:

a. ) allergy sensitivity.
b. ) anticoagulant therapy.
c. ) low-dos insulin requirements.
d. ) pain.

Answer 4

a.) allergy sensitivity.

Question 5

The patient is instructed by the nurse to correctly perform incentive spirometry by:

a. ) assuming a sitting position.
b. ) exhaling quickly.
c. ) holding breath for 15 seconds
d. ) inhaling quickly

Answer 5

a.) assuming a sitting position.

Question 6

A patient has a prescription for a medication that is administered via a metered- dose inhaler. To determine whether the patient requires a spacer for the inhaler, the nurse should assess the:

a. ) Ability of the patient to mix medications
b. ) Coordination of the patient
c. ) Dosage of medication
d. ) Schedule of medication

Answer 6

b.) Coordination of the patient

Question 7

Appropriate use of an MDI by a patient is evident when the patient:

a. ) Does not shake the canister
b. ) Holds the breath for 10 seconds after inhalation
c. ) Presses the canister before taking a breath
d. ) Takes another puff of medication quickly after the first dose

Answer 7

b.) Holds the breath for 10 seconds after inhalation

Question 8

The nurse is about to administer an IM injection into the ventrogluteal muscle. Which of the following landmarks should be used to locate the approprate position?

a. ) The acromion process and axilla.
b. ) The greater trochanter and the knee.
c. ) The iliac crest and the anterosuperior iliac spine.
d. ) The posterior superior iliac spine and the iliac crest.

Answer 8

c.) The iliac crest and the anterosuperior iliac spine.

Question 9

A patient has an infected left frontal sinus. To administer nose drops correctly, the patient should be in a supine position with the head:

a. ) Flat on a pillow and turned toward the left
b. ) Tilted back over a pillow and kept midline
c. ) Tilted back over a pillow and turned toward the left Tilted back
d. ) Tilted back over a pillow and turned toward the right

Answer 9

c.) Tilted back over a pillow and turned toward the left Tilted back

Question 10

When the medication prescribed is an inhaled corticosteroid, the patient should be instructed to:

a. ) Avoid use of a spacer device
b. ) Administer the inhaled corticosteroid before the bronchodilator
c. ) Rinse the mouth after inhalation
d. ) Use as needed for wheezing or shortness of breath

Answer 10

c.) Rinse the mouth after inhalation

Question 11

When giving a subcutaneous injection to an obese patient, the nurse should give the injection:

a. ) at a 45-degree angle.
b. ) at a 90-degree angle.
c. ) in the ventrogluteal area.
d. ) with a 0.5 inch needle.

Answer 11

b.) at a 90-degree angle.

Question 12

When administering an intradermal injection, the nusre should know it has been administered correctly when:

a. ) a small drop of blood appears at the injection site.
b. ) the skin appears smooth and dry at the injection site.
c. ) a blep appears at the injection site.
d. ) a small bruise appears at the injection site.

Answer 12

c.) a blep appears at the injection site.

Question 13

Which of the following observations of the patient’s return demonstration of incentive spirometry indicates the need for additional education? The patient:

a. ) creates a complete seal over the mouthpiece.
b. ) examines the sputum exudate.
c. ) holds his breath after maximum inhalation.
d. ) performs a series of short inspirations to maintain flow.

Answer 13

d.) performs a series of short inspirations to maintain flow.

Question 14

Before administering a vaginal foam, the nurse should:

a. ) Cleanse the labia three times with betadine solution
b. ) Determine if the patient is menstruating; if she is, the nurse should hold the medication
c. ) Instruct the patient to void
d. ) Place patient on bedpan with absorbent pad underneath

Answer 14

c.) Instruct the patient to void

Question 15

Intradermal injections are correctly administered when the nurse:

a. ) injects at a 45-degree angle to insure proper placement of the medication.
b. ) identifies the site at three finger widths below the antecubital space.
c. ) selcts a 22-gauge needle.
d. ) uses a 1-inch needle.

Answer 15

b.) identifies the site at three finger widths below the antecubital space.

Question 16

A patient with an infected left front sinus will be continuing medication instillation at home and is performing a return demonstration to the nurse. Which of the following observations indicates the need for additional education?

a. ) He blows his nose gently after instilling the medications.
b. ) He holds the dropper 1⁄2 inch above the nares.
c. ) He remains supine for 5 minutes after instillation.
d. ) He washes his hands before and after instillation.

Answer 16

a.) He blows his nose gently after instilling the medications.

Question 17

When injecting LMW heparin (Lovenox), the nurse should inject:

a. ) as close to the navel as possible.
b. ) in the upper arm.
c. ) two inches away from the umbilicus.
d. ) in the upper thigh.

Answer 17

c.) two inches away from the umbilicus.

Question 18

The nurse is about to administer an IM injection in the vastus lateralis muscle. The best position for the patient is the:

a. ) prone position.
b. ) side-lying position.
c. ) standing position.
d. ) supine position.

Answer 18

d.) supine position.

Question 19

When teaching a patient to administer a vaginal cream with an applicator, the nurse should instruct the patient to:

a. ) Insert the applicator approximately 1 to 2 cm
b. ) Insert the applicator approximately 5 to 7.5 cm
c. ) Lay in prone position
d. ) Lubricate the tip of applicator with petroleum jelly

Answer 19

b.) Insert the applicator approximately 5 to 7.5 cm

Question 20

The nurse is preparing to give an IM injection using the Z-track method. To do this, the nurse should:

a. ) not aspirate back on the syringe before injecting.
b. ) pull the skin tissue down or laterally 1 to 1.5 inches.
c. ) release the skin after the needle is inserted.
d. ) remove the needle immediately after injecting.

Answer 20

b.) pull the skin tissue down or laterally 1 to 1.5 inches.