Medication Administration

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Question 1
Free
Multiple Choice

Which medication has the highest potential for abuse?

Choose correct answer/s
A

Methylphenidate (Ritalin) - schedule II

B

Alprazolam (Xanax) - schedule IV

C

Acetaminophen & codeine (Tylenol #3) - schedule III

D

Diphenoxylate & atropine (Lomotil) - schedule V

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Question 2
Free
Multiple Choice

The nurse is caring for a patient who will give himself medication injections at home after discharge. How can the nurse best determine that the patient understands the technique and can administer the injections correctly?

Choose correct answer/s
A

Provide written instructions about how to administer the injections.

B

Watch the patient give himself an injection.

C

Call the patient the next day to ask if he is having difficulty with the injections.

D

Ask the patient if he understands how to administer the injections.

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Question 3
Free
Multiple Choice

The nurse is caring for a patient who is in agonizing pain. All of the following options are listed on the patient's medication order sheet to relive pain. Which will provide the most rapid pain relief for the patient?

Choose correct answer/s
A

Morphine 10 mg PO

B

Dilaudid 1 mg IV push

C

Demerol 75 mg IM

D

Duragesic 50 mcg transdermal patch

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Question 4
Free
Multiple Choice

The nurse administers a medication to a patient. Shortly afterward, the patient develops an itchy rash all of his body and reports feeling very unwell. What is the priority action of the nurse?

Choose correct answer/s
A

Leave the patient to notify the physician and the pharmacist.

B

Determine if the patient is having any difficulty breathing.

C

Document the reaction in the patient's chart.

D

Obtain an order for hydrocortisone cream to relieve the itching.

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Question 5
Free
Multiple Choice

Which of the following medication orders is to be administered PRN?

Choose correct answer/s
A

Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep

B

Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days

C

Humulin R 10 units subcutaneously before each meal and at bedtime

D

Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery

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Question 6
Multiple Choice

After administering an antibiotic to the patient, the patient complains of feeling very ill. The nurse notes that the patient is scratching and has hives. The patient soon starts having difficulty breathing and his blood pressure drops. What is the nurse's assessment of the situation?

Choose correct answer/s
A
The patient is having a mild allergic reaction and an antihistamine will make the patient feel better.
B
The patient is having an anaphylactic reaction and epinephrine should be administered right away.
C
The patient's infection is worsening and progressing to septic shock so blood cultures should be drawn.
D
The patient has developed toxic shock syndrome and the antibiotic orders must be changed right away.
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Question 7
Multiple Choice

The nurse makes a medication error. Which action will the nurse take first?

Choose correct answer/s
A
Prepare an incident report so that the facility can determine the cause of the error.
B
Explain to the patient that a medication error has occurred, and notify the nurse manager.
C
Assess the patient for any adverse reactions and notify the prescriber.
D
Document the medication given, how the patient responded, and the corrective actions taken.
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Question 8
Multiple Choice

The nurse prepares to administer the following medication to the patient. Which instruction will the nurse be sure to give before the patient takes the medication? image

Choose correct answer/s
A
"Be sure to swallow the pill whole."
B
"Crush the medication and place the powder in applesauce."
C
"Place the pill under your tongue."
D
"Let the pill slowly dissolve in your mouth."
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Question 9
Multiple Choice

The nurse begins a shift on a busy medical-surgical unit. The nurse will be caring for multiple patients. Which patient will the nurse assess first?

Choose correct answer/s
A
A patient who would like some acetaminophen (Tylenol) for a mild headache
B
A patient who has a question about her daily medications
C
A patient who needs discharge teaching about an antibiotic
D
A patient who just received nitroglycerin for chest pain
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Question 10
Multiple Choice

The nurse carefully reviews the patient's medication list. Which observation about the list indicates the highest risk for serious drug-drug interactions?

Choose correct answer/s
A
The patient has been taking the same medications for a long time.
B
The patient is taking a large number of medications.
C
Most of the drugs on the list are prescribed at high doses.
D
The patient takes oral, injected, and inhaled medications.
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Question 11
Multiple Choice

The nurse is caring for a patient who is taking many prescription medications for various health problems. Which direction from the nurse will help the patient avoid dangerous drug interactions?

Choose correct answer/s
A
Only take over-the-counter medications.
B
Have all of the prescriptions filled at the same pharmacy.
C
Avoid taking generic preparations of prescribed medications.
D
Only take the medications that the patient feels are necessary.
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Question 12
Multiple Choice

During discharge teaching, the nurse is to give the patient a signed, dated, and timed prescription from the physician for medications to be taken at home. Which prescription drug order needs to be corrected before it is given to the patient?

Choose correct answer/s
A
Warfarin (Coumadin) 5 mg PO daily before dinner
B
Methotrexate (Trexall) 8 tablets PO once weekly on Saturdays
C
Levothyroxine (Synthroid) 137 mcg PO daily before breakfast
D
Zolpidem (Ambien) 5 mg PO at bedtime as needed for sleep
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Question 13
Multiple Choice

The nurse administers a medication to the patient. Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?

Choose correct answer/s
A
Hair loss and sweaty skin
B
Nausea and constipation
C
Heartburn and nasty taste in the mouth
D
Itchy rash and difficulty breathing
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Question 14
Multiple Choice

The nurse suspects that the patient is experiencing a drug toxicity rather than a side effect. Which question will the nurse ask to help confirm this suspicion?

Choose correct answer/s
A
"When did you take your last dose of the medication?"
B
"Have you been taking extra doses of the medication?"
C
"Are you taking any other medications?"
D
"Have you ever taken this medication in the past? "
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Question 15
Multiple Choice

The nurse is caring for a patient who is receiving vancomycin (Vancocin) to treat a severe infection. The next vancomycin dose is due to be administered at 10:00 A.M. What time will the nurse draw the vancomycin serum trough level?

Choose correct answer/s
A
7:30 A.M.
B
9:30 A.M.
C
11:30 A.M.
D
1:30 P.M.
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Question 16
Multiple Choice

When administering phenytoin (Dilantin) through the patient's IV line, the nurse carefully flushes the IV with normal saline before and afterward to avoid crystal formation of the medication that occurs when it mixes with dextrose in water (D?W) solution. Which type of drug interaction is the nurse being careful to avoid?

Choose correct answer/s
A
Antagonism
B
Potentiation
C
Synergism
D
Incompatibility
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Question 17
Multiple Choice

The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?

Choose correct answer/s
A
9 A.M., 1 P.M., 5 P.M. and 10 P.M.
B
9 A.M. and 9 P.M.
C
9 A.M., 1 P.M. and 5 P.M.
D
Nightly before the patient goes to sleep
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Question 18
Multiple Choice

The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?

Choose correct answer/s
A
Crush the medication and administer it to the patient mixed with applesauce.
B
Administer the medication to the patient with a small sip of water.
C
Contact the patient's physician to clarify the order.
D
Administer the equivalent medication dose through the patient's IV.
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Question 19
Multiple Choice

The nurse is to administer 1 mL of prochlorperazine (Compazine) 10 mg IM to an adult patient. Which syringe will the nurse select to administer the medication?

Choose correct answer/s
A
1 mL tuberculin syringe with 27 gauge, image inch needle
B
3 mL syringe with 23 gauge, image inch needle
C
1 mL syringe with 27 gauge, image inch needle
D
3 mL syringe with 18 gauge, 1 inch needle
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Question 20
Multiple Choice

The nurse is to administer 15 mg of morphine liquid to the patient. How much morphine liquid will the nurse draw up to administer to the patient? image

Choose correct answer/s
A
0.5 mL
B
0.75 mL
C
1.3 mL
D
1.5 mL
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