Question 1

What important action should the nurse take after administering an IV push medication through an IV lock?

Accepted Answer

A) Flush the lock. 
B) Regulate the IV flow. 
C) Clamp the tubing for 10 minutes. 
D) Hold the patient's arm up to improve blood flow. 
A) Flush the lock. 
B) Regulate the IV flow. 
C) Clamp the tubing for 10 minutes. 
D) Hold the patient's arm up to improve blood flow. A

Question 2

A patient is to receive an intramuscular (IM)injection of penicillin in the ventrogluteal site.What is the proper angle for needle insertion in an adult who is not emaciated?

Accepted Answer

A) 15 degrees 
B) 45 degrees 
C) 60 degrees 
D) 90 degrees 
A) 15 degrees 
B) 45 degrees 
C) 60 degrees 
D) 90 degrees D

Question 3

Before administering any medication,which action by the nurse is most important?

Accepted Answer

A) Verifying orders with another nurse 
B) Documenting the medications given 
C) Counting medications in the medication cart drawers 
D) Checking the patient's identification and allergy bracelets 
A) Verifying orders with another nurse 
B) Documenting the medications given 
C) Counting medications in the medication cart drawers 
D) Checking the patient's identification and allergy bracelets D

Question 4

When preparing to administer nasal spray,what should the nurse tell the patient?

Accepted Answer

A) "You will need to blow your nose before I give you this medication." 
B) "You will need to blow your nose after I give you this medication." 
C) "When I give you this medication, you will need to hold your breath." 
D) "You should sit up for 5 minutes after you receive the nasal spray." 
A) "You will need to blow your nose before I give you this medication." 
B) "You will need to blow your nose after I give you this medication." 
C) "When I give you this medication, you will need to hold your breath." 
D) "You should sit up for 5 minutes after you receive the nasal spray."

Question 5

The nurse is preparing to administer IM immunization to a 2-month-old infant.Which site is acceptable for this injection?

Accepted Answer

A) Deltoid 
B) Dorsogluteal 
C) Ventrogluteal 
D) Vastus lateralis 
A) Deltoid 
B) Dorsogluteal 
C) Ventrogluteal 
D) Vastus lateralis

Question 6

A patient with asthma is to begin medication therapy with a metered-dose inhaler.What important reminder should the nurse include during teaching sessions with the patient?

Accepted Answer

A) Repeat subsequent puffs, if ordered, after 5 minutes. 
B) Inhale slowly while pressing down to release the medication. 
C) Inhale quickly while pressing down to release the medication. 
D) Administer the inhaler while holding it 7.5 to 10 cm away from the mouth. 
A) Repeat subsequent puffs, if ordered, after 5 minutes. 
B) Inhale slowly while pressing down to release the medication. 
C) Inhale quickly while pressing down to release the medication. 
D) Administer the inhaler while holding it 7.5 to 10 cm away from the mouth.

Question 7

What is the proper syringe size for an intradermal (ID)injection?

Accepted Answer

A) 3-mL syringe 
B) 1-mL tuberculin 
C) 2-mL tuberculin 
D) 2-mL syringe 
A) 3-mL syringe 
B) 1-mL tuberculin 
C) 2-mL tuberculin 
D) 2-mL syringe

Question 8

The nurse is administering insulin subcutaneously to a patient who is obese.Proper technique for this injection requires the nurse to do which?

Accepted Answer

A) Use the Z-track method 
B) Insert the needle at a 5- to 15-degree angle until resistance is felt 
C) Pinch the skin at the injection site and inject the needle below the skin fold 
D) Spread the skin tightly over the injection site, insert the needle, then release the skin 
A) Use the Z-track method 
B) Insert the needle at a 5- to 15-degree angle until resistance is felt 
C) Pinch the skin at the injection site and inject the needle below the skin fold 
D) Spread the skin tightly over the injection site, insert the needle, then release the skin

Question 9

The patient states that he prefers chewing rather than swallowing pills.The label on the container of one prescribed pill has the abbreviation "SR" after the name of the medication.Which instruction should be followed when giving this medication?

Accepted Answer

A) Break the tablet into halves or quarters. 
B) Dissolve the tablet in a small amount of water before giving it. 
C) Do not crush or break the tablet before administration. 
D) Use a mortar and pestle to crush the tablet if crushing it is needed to ease administration. 
A) Break the tablet into halves or quarters. 
B) Dissolve the tablet in a small amount of water before giving it. 
C) Do not crush or break the tablet before administration. 
D) Use a mortar and pestle to crush the tablet if crushing it is needed to ease administration.

Question 10

What is the proper technique for administering ear drops to a 2-year-old child?

Accepted Answer

A) Administering the drops without altering the ear canal direction. 
B) Straightening the ear canal by pulling the lobe upward and back. 
C) Straightening the ear canal by pulling the pinna down and back. 
D) Straightening the ear canal by pulling the pinna upward and outward. 
A) Administering the drops without altering the ear canal direction. 
B) Straightening the ear canal by pulling the lobe upward and back. 
C) Straightening the ear canal by pulling the pinna down and back. 
D) Straightening the ear canal by pulling the pinna upward and outward.

Question 11

Which action is considered a standard precaution for medication administration?

Accepted Answer

A) Bending the syringe to prevent reuse 
B) Recapping needles to prevent needlestick injury 
C) Discarding all syringes and needles in a wastebasket 
D) Discarding all syringes and needles in a puncture-resistant container 
A) Bending the syringe to prevent reuse 
B) Recapping needles to prevent needlestick injury 
C) Discarding all syringes and needles in a wastebasket 
D) Discarding all syringes and needles in a puncture-resistant container

Question 12

Which technique should the nurse use to facilitate the administration of a rectal suppository?

Accepted Answer

A) Having the patient lie on the right side of the body, unless contraindicated 
B) Having the patient hold the breath during insertion of the medication 
C) Lubricating the suppository with a small amount of petroleum-based lubricant 
D) Encouraging the patient to lie on the left side of the body for 15 to 20 minutes after insertion 
A) Having the patient lie on the right side of the body, unless contraindicated 
B) Having the patient hold the breath during insertion of the medication 
C) Lubricating the suppository with a small amount of petroleum-based lubricant 
D) Encouraging the patient to lie on the left side of the body for 15 to 20 minutes after insertion

Question 13

When the nurse is administering medication by intravenous (IV)bolus (push),which is the correct procedure?

Accepted Answer

A) Occluding the IV line by folding the tubing just above the injection port 
B) Clamping the tubing just above the insertion site 
C) Pinching the tubing just above the injection port 
D) Pinching the tubing at least 5 cm above the injection port 
A) Occluding the IV line by folding the tubing just above the injection port 
B) Clamping the tubing just above the insertion site 
C) Pinching the tubing just above the injection port 
D) Pinching the tubing at least 5 cm above the injection port

Question 14

The nurse is helping a patient to take his medications; however,the medication cup falls to the floor,spilling the contents.The appropriate action for the nurse to take is to

Accepted Answer

A) discard the medications and repeat the preparation. 
B) document the client's refusal of the medications. 
C) wait until the next dosage time, then give the medications. 
D) retrieve the medications and administer them to avoid waste. 
A) discard the medications and repeat the preparation. 
B) document the client's refusal of the medications. 
C) wait until the next dosage time, then give the medications. 
D) retrieve the medications and administer them to avoid waste.

Question 15

Which is the proper method of mixing IV solutions and medications?

Accepted Answer

A) Shaking the bag or bottle vigorously 
B) Holding the bag or bottle and gently turning it end to end 
C) Inverting the bag or bottle just once after injecting the medication 
D) Allowing the IV solution to stand for 10 minutes to enhance even distribution of medication 
A) Shaking the bag or bottle vigorously 
B) Holding the bag or bottle and gently turning it end to end 
C) Inverting the bag or bottle just once after injecting the medication 
D) Allowing the IV solution to stand for 10 minutes to enhance even distribution of medication

Question 16

To measure 4 mL of a liquid cough elixir properly for a child,what should the nurse do?

Accepted Answer

A) Use a teaspoon to measure and administer the elixir. 
B) Hold the medication cup at eye level and fill it to the desired level. 
C) Withdraw the elixir from the container with a syringe with a needle attached. 
D) Withdraw the elixir from the container with a syringe without a needle attached. 
A) Use a teaspoon to measure and administer the elixir. 
B) Hold the medication cup at eye level and fill it to the desired level. 
C) Withdraw the elixir from the container with a syringe with a needle attached. 
D) Withdraw the elixir from the container with a syringe without a needle attached.

Question 17

The patient is to receive a buccal medication.Which action is appropriate for the nurse to take?

Accepted Answer

A) Encourage the patient to swallow if necessary. 
B) Administer water after the medication has been given. 
C) Place the medication between the upper molar teeth and cheek. 
D) Place the tablet under the client's tongue, and allow the tablet to dissolve completely. 
A) Encourage the patient to swallow if necessary. 
B) Administer water after the medication has been given. 
C) Place the medication between the upper molar teeth and cheek. 
D) Place the tablet under the client's tongue, and allow the tablet to dissolve completely.

Question 18

How should the nurse administer medication through a nasogastric (NG)tube?

Accepted Answer

A) Administer the medication with a small medication syringe. 
B) Apply gentle pressure on the syringe's piston to infuse the medication. 
C) Flush the tubing with 30 mL of saline after the medication has been given. 
D) Using the barrel of the syringe, allow the fluid to flow via gravity into the NG tube. 
A) Administer the medication with a small medication syringe. 
B) Apply gentle pressure on the syringe's piston to infuse the medication. 
C) Flush the tubing with 30 mL of saline after the medication has been given. 
D) Using the barrel of the syringe, allow the fluid to flow via gravity into the NG tube.

Question 19

What is the best action for the nurse to take to reduce systemic effects after administering eye drops?

Accepted Answer

A) Wiping off excess liquid immediately after instilling drops. 
B) Having the patient close the eye tightly after instilling drops. 
C) Having the patient close the eye, then moving the eye around to help distribute the medication. 
D) Applying gentle pressure to the patient's nasolacrimal duct for 30 to 60 seconds after instilling drops. 
A) Wiping off excess liquid immediately after instilling drops. 
B) Having the patient close the eye tightly after instilling drops. 
C) Having the patient close the eye, then moving the eye around to help distribute the medication. 
D) Applying gentle pressure to the patient's nasolacrimal duct for 30 to 60 seconds after instilling drops.

Question 20

After administering an ID injection for a skin test,the nurse notices a small bleb at the injection site.What is the proper action for the nurse to take?

Accepted Answer

A) Apply heat 
B) Massage the area 
C) Report the bleb to the physician 
D) Do nothing 
A) Apply heat 
B) Massage the area 
C) Report the bleb to the physician 
D) Do nothing

Exam 10: Principles of Drug Administration

What important action should the nurse take after administering an IV push medication through an IV lock?

A patient is to receive an intramuscular (IM)injection of penicillin in the ventrogluteal site.What is the proper angle for needle insertion in an adult who is not emaciated?

Before administering any medication,which action by the nurse is most important?

When preparing to administer nasal spray,what should the nurse tell the patient?

The nurse is preparing to administer IM immunization to a 2-month-old infant.Which site is acceptable for this injection?

A patient with asthma is to begin medication therapy with a metered-dose inhaler.What important reminder should the nurse include during teaching sessions with the patient?

What is the proper syringe size for an intradermal (ID)injection?

The nurse is administering insulin subcutaneously to a patient who is obese.Proper technique for this injection requires the nurse to do which?

The patient states that he prefers chewing rather than swallowing pills.The label on the container of one prescribed pill has the abbreviation "SR" after the name of the medication.Which instruction should be followed when giving this medication?

What is the proper technique for administering ear drops to a 2-year-old child?

Which action is considered a standard precaution for medication administration?

Which technique should the nurse use to facilitate the administration of a rectal suppository?

When the nurse is administering medication by intravenous (IV)bolus (push),which is the correct procedure?

The nurse is helping a patient to take his medications; however,the medication cup falls to the floor,spilling the contents.The appropriate action for the nurse to take is to

Which is the proper method of mixing IV solutions and medications?

To measure 4 mL of a liquid cough elixir properly for a child,what should the nurse do?

The patient is to receive a buccal medication.Which action is appropriate for the nurse to take?

How should the nurse administer medication through a nasogastric (NG)tube?

What is the best action for the nurse to take to reduce systemic effects after administering eye drops?

After administering an ID injection for a skin test,the nurse notices a small bleb at the injection site.What is the proper action for the nurse to take?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

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