Deck 11: Medication Administration

Question 1

Which medication order is correctly written?

A) Morphine, 2 to 4 mg prn pain
B) Ibuprofen, 400 mg prn every 6 hours
C) Albuterol inhaler, every 4 hours
D) Insulin glargine, 10 unit subcutaneously, every morning before breakfast

Answer 1

Insulin glargine, 10 unit subcutaneously, every morning before breakfast

Question 2

When administering high-risk medications, what step does the nurse take in addition to performing the three safety checks for the basic five rights of medication administration?

A) Double scans the medication.
B) Has a second nurse verify the dose.
C) Has a second nurse witness administration.
D) Reviews the order with the pharmacist.

Answer 2

Has a second nurse verify the dose.

Question 3

The nurse has administered ibuprofen, 800 mg orally to a client reporting a headache. When does the nurse return to reassess the client's pain?

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

Answer 3

60 minutes

Question 4

A new nurse is preparing to administer medications to a client who has difficulty swallowing. Which action by the nurse indicates a need to review safety guidelines?

A) Asks the pharmacist which medications can be in liquid form
B) Opens an enteric medication and puts the contents in pudding
C) Requests the provider specify that medications can be crushed
D) Cuts scored medications in half to make it easier to swallowed

Question 5

A student is administering oral medications. What action by the student requires the faculty to intervene?

A) Leaves the medications on the table for the client to take when ready
B) Uses a syringe marked for oral medications to dispense liquids
C) Tells the client the name and purpose of each medication
D) Gives the client one medication at a time and remains until all medications are taken

Question 6

A nurse is administering medications to a client through an enteral feeding tube. Which action by the nurse demonstrates good knowledge of this process?

A) Crushes all pills together at one time before dissolving
B) Flushes the enteral tube after medications have been given
C) Adds the medication to the client's tube feeding bag
D) Flushes the tube before and after each medication is given

Question 7

A client is receiving medications through a feeding tube and through an IV line. What action by the nurse is most important for ensuring client safety?

A) Use an oral-tipped or EN-fit syringe for enteral tube medications.
B) Label the IV tubing close to the patient and close to the IV pump.
C) Only use liquid medications that can be added to the tube feeding.
D) Prepare and give all enteral tube medications then IV medications.

Question 8

A nurse is administering medications through a nasogastric tube. What action by the nurse is most important for client safety?

A) Turn the tube feeding off prior to administering the medications.
B) Ensure correct tube placement using facility policy.
C) Disconnect the suction 30 minutes prior to giving medications.
D) Perform the five rights of medication administration at the three safety checkpoints.

Question 9

After giving the client a sublingual medication, which instruction does the nurse provide?

A) Rinse your mouth out with water after taking the medication.
B) Do not eat or drink anything for the next 30 minutes.
C) After 5 minutes, you can swallow whatever is left in your mouth.
D) Do not chew this medication, let it dissolve completely.

Question 10

For which client is nasal medication administration contraindicated?

A) Under 10
B) Smoker
C) Bleeding disorder
D) Sinus surgery

Question 11

A client is prescribed a steroid administered through a pressurized metered-dose inhaler (pMDI). What instruction does the nurse give this client?

A) Rinse your mouth out after use.
B) Store the pMDI in the refrigerator.
C) Never use a spacer with the pMDI.
D) Inhale very rapidly to disperse the medicine.

Question 12

During administration of a nebulized medication via face mask, which assessment by the nurse is most important?

A) Verifying that the nebulizer produces a continuous mist
B) Ensuring the face mask fits snugly on the client's face
C) Performing the five rights and three safety checks
D) Positioning the client in a semi-Fowler's position

Question 13

A student has obtained a suppository for a client, but needs to attend to something else. The student places the suppository in a pocket on the uniform. The faculty instructs the student to remove the suppository. What rationale does the faculty provide?

A) "You may forget the suppository is in your pocket."
B) "Your pocket is unsanitary and can contaminate the suppository."
C) "You shouldn't carry medications around with you."
D) "Your body heat can melt the suppository making it hard to insert."

Question 14

A client needs to have both eye ointment and eye drops instilled. Which action by the nurse demonstrated good technique with ocular medication administration?

A) Avoids agitating the liquid medication by shaking it
B) Tapes the client's eye shut after administering the drops
C) Instills the drops first, then instills the ointment
D) Squeezes the ointment out from outer to inner canthus

Question 15

A nurse is administering ear drops to a client. Which action by the nurse demonstrates correct technique?

A) Pulls the pinna up and back on an adult
B) Pulls the pinna down and forward on a child
C) Avoids shaking the medication before use
D) Instructs the client to lie still for 20 minutes

Question 16

When drawing up medication from an ampule, what action by the nurse demonstrates a need to review the procedure?

A) Draws the medication up with a filter needle
B) Uses a gauze pad to break the ampule neck
C) Disposes the filter needle in the trashcan
D) Ensures there is no glass in the syringe

Question 17

A nurse is reconstituting a medication for injection. What action demonstrates the need for further review of this technique?

A) Chooses a new vial of sterile water for the diluent
B) Adds the correct amount of diluent to the medication
C) Rolls the vial with added diluent to dissolve the contents
D) Cleans the stopper again before drawing up the diluted medication

Question 18

The nurse administering medications understands that which are included in the basic five rights of medication administration? (Select all that apply.)

A) Client
B) Dose
C) Medication
D) Time
E) Route

Question 19

Prior to administering medications, which does the nurse assess for client safety? (Select all that apply.)

A) Allergies
B) Lab data
C) Vital signs
D) Condition requiring the medication
E) Knowledge

Question 20

The nurse administering medications understands the three safety checkpoints as being which of the following? (Select all that apply.)

A) When accessing the medication
B) When reviewing the chart
C) When preparing the medication
D) When documenting the medication
E) When administering the medication

Question 21

A client's medication comes in a multidose vial (MDV). What actions by the nurse are most appropriate? (Select all that apply.)

A) Discard the MDV after 28 days.
B) Reserve MDVs for one client.
C) Keep all MDVs in the refrigerator.
D) Use a different needle each time the MDV is accessed.
E) Scrub the top of the MDV each time it is used.

Question 22

What actions does the nurse take when administering subcutaneous (SC) injections? (Select all that apply.)

A) Chooses a 26 to 28 gauge needle
B) Inserts the needle at a 45 to 90 degree angle
C) Assesses the vastus lateralis site
D) Administers the medication with the Z-track method
E) Uses a needle 3/8 to 1 inch long