Deck 35: Administering Medications

Question 1

If the medical assistant finds a container of medication without a label, the appropriate action is to discard the medication.

Answer 1

True

Question 2

A person who administers a medication that someone else has dispensed to a patient is legally responsible for any drug errors.

Answer 2

True

Question 3

During an insulin injection, the medical assistant must remember to aspirate.

Answer 3

False

Question 4

If a medication container has a damaged label, the label should be fixed in the office before a medication error occurs.

Question 5

The result of a Mantoux test is assessed within 36 to 48 hours after administration.

Question 6

The site of a Z-track injection should be massaged carefully after the injection to prevent skin irritation.

Question 7

IV fluid overload is especially dangerous for patients with CHF.

Question 8

ID injections are given at a 15-degree angle.

Question 9

It is important to remember to massage the injection site carefully after administering insulin.

Question 10

If you accidentally aspirate blood into the syringe when administering an IM injection, you should quickly administer the medication.

Question 11

Localized irritation at the site of an IV catheter may be caused by the type of medication administered.

Question 12

Ringer's lactate solutions are hypotonic IV fluids that provide needed electrolytes to dehydrated patients.

Question 13

Thrombophlebitis is a possible complication of IV infiltration.

Question 14

An IM injection given at the dorsogluteal site is administered into the gluteus maximus muscle.

Question 15

The hub is the sharpest part of the needle.

Question 16

The abbreviation for "stat" is prn.

Question 17

The most common IM site for an adult patient is the deltoid.

Question 18

Isotonic IV solutions are used to treat hypertension.

Question 19

The abbreviation for "every other day" is qid.

Question 20

The route of administration for an allergy skin test injection is the subcutaneous route.

Question 21

Which of the following is not a medication error?

A)Giving an unordered medication
B)Giving the wrong drug to a patient
C)Failing to give a drug at the prescribed time
D)Failing to give a drug when you know it is contraindicated

Question 22

The _________ is the sharpened end of the needle.

A)hub
B)point
C)bevel
D)lumen

Question 23

When giving an adult subcutaneous injection, you should not inject more than _____ cc into subcutaneous tissue.

A)3
B)2
C)1
D)1.5

Question 24

When a liquid oral medication is poured, it is important to:

A)hold the measuring device at eye level
B)allow the bottle to come in contact with measuring device
C)palm the label of the medication
D)A and C

Question 25

The _________ and _________ of the medication ordered determines the size of the syringe-needle unit selected.

A)color; odor
B)color; amount
C)amount; viscosity
D)viscosity; odor

Question 26

To be maintained at the proper therapeutic blood level, a medication must be given:

A)by the right route
B)at the right time
C)in the right dose
D)in the right place

Question 27

Insulin syringes are calibrated in:

A)minims
B)units
C)cubic centimeters
D)milliliters

Question 28

To correctly read the amount of a liquid medication poured into a measuring device, read at the _________ of the meniscus.

A)top
B)level
C)lowest level
D)middle

Question 29

Nasal medications usually are administered by:

A)instillation
B)spray
C)irrigation
D)A and B

Question 30

Which of the following is not a true statement about safe drug storage?

A)Certain medications must be refrigerated.
B)Controlled substances are stored along with other drugs.
C)Emergency supplies must be readily available.
D)All poisonous substances should be labeled in red.

Question 31

With a(n) ___________ system, a small adhesive patch or disk is applied to the body near the treatment site.

A)intradermal
B)subcutaneous
C)dermal
D)transdermal

Question 32

Healthcare facilities may require new employees to have a two-step TB test because:

A)OSHA requires it
B)the facility wants to make sure the first Mantoux rest was done properly
C)a second PPD dose helps trigger the immune response

Question 33

Always check for _____ before administering any medication.

A)antibodies
B)allergies
C)antigens
D)anergies

Question 34

When a medication is administered in a physician's office, the best method of identifying the patient is to:

A)check the patient's identification bracelet
B)call the patient by name
C)ask the patient to state his or her name
D)B and C

Question 35

Patients with diabetes usually must administer two different insulins at the same time.Which insulin would be drawn up into the syringe unit first?

A)Lispro
B)NPH

Question 36

Individuals who prepare and administer medications are expected to be:

A)licensed
B)registered or certified
C)authorized by a physician to do so
D)all of the above

Question 37

When a medication error occurs, you should first:

A)get excited
B)recognize that an error has been made
C)seek out your supervisor to assist you with the patient
D)seek out the physician to report the error

Question 38

The shaft of the needle attaches to the hub at the:

A)lumen
B)shaft
C)hilt
D)flange

Question 39

Essential medication guidelines include all of the following except:

A)working in a dimly lit area
B)always checking for allergies
C)following the "seven rights"
D)becoming completely familiar with each drug

Question 40

Rectal medications usually are administered by instillation or:

A)irrigation
B)insertion
C)application
D)spray

Question 41

A syringe marked with U 100 is used for which of the following purposes?

A)Allergy testing
B)Chemotherapy
C)Insulin injection
D)Tuberculin testing
E)Vitamin B12 injection

Question 42

Body areas to avoid when choosing the site for an injection include:

A)healthy muscle tissue
B)scar tissue
C)moles, birthmarks, warts, tumors, lumps, and bones
D)B and C

Question 43

While cleaning out the drug cupboard, Dorothy discovers two medication containers with tablets inside but without identifying drug labels.What should she do?

A)Notify the physician.
B)Ask a co-worker what the medication is so she can create a new label.
C)Discard the medication.
D)Leave the containers in the cupboard.

Question 44

When reading a syringe, the medical assistant reads the calibrated scale that directly lines up with the:

A)lower edge of the black rubber tip of the plunger
B)smaller scale on the plunger
C)curved upper edge of the black rubber tip of the plunger
D)larger scale on the plunger

Question 45

The _________ of a needle is determined by the diameter of its lumen.

A)gauge
B)shaft
C)hub
D)bevel

Question 46

Physicians registered to dispense controlled drugs are required by law to maintain an inventory of the drugs.The inventory must be maintained for how many years after the date of registration?

A)1
B)2
C)6
D)7
E)10

Question 47

When administering insulin, you should:

A)not massage the injection site
B)use any subcutaneous area for the injection
C)not rotate the site of injection
D)use a 30-degree angle

Question 48

A correctly administered intradermal injection produces a:

A)wheal
B)wheel
C)wen
D)none of the above

Question 49

When administering a subcutaneous and/or intramuscular injection, you would gently pull back on the plunger to:

A)reduce discomfort to the patient
B)make sure the needle is not in a blood vessel
C)make sure you are in the right site
D)make sure you have the right medicine

Question 50

The _________ is the traditional site for most (adult) deep intramuscular injections.

A)ventrogluteal site
B)deltoid muscle
C)dorsogluteal site
D)vastus lateralis

Question 51

Dorothy is ordered to administer an IM medication; this requires what route of administration?

A)Inhalation
B)sl
C)Buccal
D)Parenteral

Question 52

The abbreviation for "at bedtime" is:

A)ac
B)pm
C)od
D)hs
E)qm

Question 53

Which of the following is a parenteral method of drug administration?

A)Buccal
B)Inhalation
C)Intradermal
D)Oral
E)Sublingual

Question 54

While giving an intramuscular injection, the medical assistant inadvertently aspirates blood into the syringe.Which of the following is the most appropriate next step?

A)Change the needle angle.
B)Continue the injection.
C)Continue to aspirate.
D)Insert the needle deeper.
E)Withdraw the needle completely.

Question 55

Which of the following needle gauges is most appropriate for intramuscular administration of a very viscous medication?

A)16
B)18
C)21
D)23
E)27

Question 56

Dorothy is responsible for assisting Dr.Thau with pediatric allergy testing.What route of administration will be used?

A)Intradermal
B)Subcutaneous
C)Vastus lateralis
D)Intramuscular

Question 57

The body areas used for an intradermal injection are the:

A)upper and lower back
B)anterior forearm and upper back
C)posterior forearm and upper back
D)thigh and/or the middle of the back

Question 58

When an injection is administered into the deltoid muscle, care must be taken to avoid the:

A)sciatic nerve
B)brachial and axillary nerves
C)acromion and the humerus
D)B and C

Question 59

Used needles and syringes should be discarded in:

A)the trash can
B)a rigid, puncture-proof container
C)a sharps container
D)B and C

Question 60

The ___________ is the preferred site for intramuscular injections in infants and children.

A)ventrogluteal site
B)deltoid muscle
C)dorsogluteal site
D)vastus lateralis

Question 61

Antibiotics typically are prescribed initially in a(n) __________ dose to reach therapeutic blood levels as quickly as possible.

Question 62

Subcutaneous injections are administered just under the dermal layers into fatty, or __________, tissue.

Question 63

Dorothy is asked to administer a medication by subcutaneous injection.Which needle gauge should she use?

A)20
B)25
C)18
D)27

Question 64

Signs of an anaphylactic reaction include all of the following except:

A)hypertension
B)vasodilation
C)bronchoconstriction
D)diarrhea

Question 65

The __________ of a medication is its thickness and its ability to move easily from a vial to an injection unit.

Question 66

A patient is prescribed an intramuscular injection of procaine penicillin.Which needle gauge should Dorothy use to give the injection?

A)27
B)21
C)24
D)26

Question 67

At the dorsogluteal intramuscular site, the injection is administered into the __________ muscle.

Question 68

A powdered drug that is combined with water before administration is called a(n):

A)solution
B)emulsion
C)magma
D)fluid extract

Question 69

A syringe that is prefilled with medication uses what type of system for injection?

A)Insulin
B)Cartridge
C)Tuberculin
D)Hypodermic

Question 70

A(n) __________ is a bottle of medication with a rubber stopper that contains enough medication for more than one injection.

Question 71

Which of the following methods of parenteral administration should be used for medications that may irritate or stain surrounding tissues?

A)Intradermal
B)Z-track
C)Transdermal
D)Ventrogluteal

Question 72

Why was Dorothy taught to aspirate before injecting most medications?

A)To prevent a clot from forming at the site
B)To make sure all the medication is evacuated from the syringe
C)To prevent injury to surrounding tissue
D)To make sure the needle is not in a blood vessel

Question 73

Dr.Thau writes an order for a Mantoux test.Which needle gauge should Dorothy use for this test?

A)20 to 23
B)25 or 26
C)18 to 20
D)27 or 28

Question 74

After administering the Mantoux test, Dorothy should do which of the following?

A)Lightly massage the administration site.
B)Bandage the administration site immediately.
C)Place a cotton ball over the site to prevent bleeding.
D)Leave the injection site uncovered.

Question 75

A tablet may be given a(n) __________ coating so that the medicine is absorbed in the small intestine.

Question 76

Dorothy is asked to administer Humalog to a 13-year-old patient.Which type of syringe must she use?

A)TB
B)3 cc
C)unit
D)1 cc

Question 77

Intramuscular injections for infants should be given below the greater trochanter of the femur but within the upper __________ of the vastus lateralis muscle.

Question 78

A tablet can be cut in half only if the manufacturer has prepackaged it as a(n) __________ tablet.

Question 79

A patient is having an anaphylactic reaction to a medication.Dr.Thau wants to administer corrective drugs by the route that ensures the most rapid effect.Which route would she choose?

A)IM
B)SC
C)IV
D)sl

Question 80

At the dorsogluteal intramuscular site, a primary concern is to avoid injecting the medication into the __________ nerve.