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Medication Administration

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Question 1
Free
Multiple Choice

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

Choose correct answer/s
A

"My parenteral medication must be taken with food."

B

"I will rotate the sites in my left leg when I give my insulin."

C

"Once I start feeling better, I will stop taking my antibiotic."

D

"If I am 30 minutes late taking my medication, I should skip that dose."

Check answer
Question 2
Free
Multiple Choice

A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method?

Choose correct answer/s
A

"I am allergic to many medications."

B

"I'm really afraid that a big needle will hurt."

C

"The last shot like that turned my skin colors."

D

"My legs are too obese for the needle to go through."

Check answer
Question 3
Free
Multiple Choice

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

Choose correct answer/s
A

Pull the auricle down and back to straighten the ear canal.

B

Pull the auricle upward and outward to straighten the ear canal.

C

Sit the child up for 2 to 3 minutes after instilling drops in ear canal.

D

Sit the child up to insert the cotton ball into the innermost ear canal.

Check answer
Question 4
Free
Multiple Choice

A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to administer the medication?

Choose correct answer/s
A

3-mL syringe

B

U-100 syringe

C

Needleless syringe

D

Tuberculin syringe

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Question 5
Free
Multiple Choice

A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?

Choose correct answer/s
A

1/2 tablet

B

1 tablet

C

1 1/2 tablets

D

2 tablets

Check answer
Question 6
Multiple Choice

The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse to schedule a trough level?

Choose correct answer/s
A
0800
B
0830
C
0900
D
0930
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Question 7
Multiple Choice

A patient is receiving vancomycin. Which function is the priority for the nurses to assess?

Choose correct answer/s
A
Vision
B
Hearing
C
Heart tones
D
Bowel sounds
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Question 8
Multiple Choice

A health care provider orders lorazepam (Ativan) 1 mg orally 2 times a day. The dose available is 0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose?

Choose correct answer/s
A
1
B
2
C
3
D
4
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Question 9
Multiple Choice

The nurse is preparing to administer an injection into the deltoid muscle of an adult patient. Which needle size and length will the nurse choose?

Choose correct answer/s
A
18 gauge * 1 1/2 inch
B
23 gauge * 1/2 inch
C
25 gauge * 1 inch
D
27 gauge * 5/8 inch
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Question 10
Multiple Choice

When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?

Choose correct answer/s
A
Prevent the patient from choking.
B
Increase the force of the injection.
C
Ensure proper placement of the needle.
D
Reduce the discomfort of the injection.
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Question 11
Multiple Choice

The nurse is giving an IM injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Choose correct answer/s
A
Administer the injection at a slower rate.
B
Withdraw the needle and prepare the injection again.
C
Pull the needle back slightly and inject the medication.
D
Give the injection and hold pressure over the site for 3 minutes.
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Question 12
Multiple Choice

The nurse is planning to administer a tuberculin test with a 27-gauge, 5/8-inch needle. At which angle will the nurse insert the needle?

Choose correct answer/s
A
15 degree
B
30 degree
C
45 degree
D
90 degree
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Question 13
Multiple Choice

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's action?

Choose correct answer/s
A
Reduced glomerular filtration
B
Reduced esophageal stricture
C
Increased gastric motility
D
Increased liver mass
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Question 14
Multiple Choice

A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

Choose correct answer/s
A
Health care provider
B
Pharmacist
C
Hospital
D
Nurse
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Question 15
Multiple Choice

A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which is the most important nursing action to ensure effective absorption?

Choose correct answer/s
A
Thoroughly shake the medication before administering.
B
Position patient in the supine position for 30 minutes to 1 hour.
C
Hold feeding for at least 30 minutes after medication administration.
D
Flush tube with 10 to 15 mL of water, after all medications are administered.
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Question 16
Multiple Choice

A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?

Choose correct answer/s
A
7 year old with a bleeding disorder
B
21 year old with a sprained ankle
C
35 year old with a severe headache from hypertension
D
62 year old with a high fever from an infection
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Question 17
Multiple Choice

A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest?

Choose correct answer/s
A
Acetaminophen 650 mg PO
B
Hydromorphone 4 mg IV
C
Ketorolac 8 mg IM
D
Morphine 6 mg SQ
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Question 18
Multiple Choice

While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?

Choose correct answer/s
A
Stomach
B
Mouth
C
Small intestine
D
Large intestine
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Question 19
Multiple Choice

The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

Choose correct answer/s
A
Falls asleep during daily activities
B
Presents with a pruritic rash
C
Develops restlessness
D
Experiences alertness
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Question 20
Multiple Choice

An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?

Choose correct answer/s
A
Call the health care provider to clarify the order.
B
Give the patient hydromorphone, as it was meant to be written.
C
Administer the medication and monitor the patient frequently.
D
Refuse to give the medication and notify the nurse supervisor.
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