Deck 38: Administering Medication

Question 1

Which of these rights are checked when with the patient prior to administering the medication?

A) Technique
B) Education
C) To refuse
D) Patient
E) All of the above

Answer 1

All of the above

Question 2

Tablet designed to pass through the acidic environment of the stomach and breaks down in the base environment of the intestines.

A) Capsule
B) Fast dissolving
C) Enteric coated
D) Buffered
E) Extended release

Answer 2

Enteric coated

Question 3

What is part of verifying the "Right Medication"?

A) Checking the name of the medication against the order
B) Checking the dose of the medication against the order
C) Checking the form of the medication against the order
D) All of the above
E) A and C

Answer 3

A and C

Question 4

What must be verified before giving the patient a medication?

A) Patient's full name
B) Patient's address
C) Patient's date of birth
D) A and C
E) A and B

Question 5

If the active medication dissolves in the liquid, the liquid is called a ________.

A) troche
B) fast dissolving
C) solution
D) suspension
E) buffered

Question 6

A notched tablet which can be split into half with a pill cutter.

A) Caplet
B) Scored tablet
C) Enteric coated tablet
D) Buffered tablet
E) Extended-release tablet

Question 7

What education must be provided prior to giving medications?

A) Name of the medication
B) Provider ordering the medication
C) Desired effects of the medication
D) Common side effects and verify patient's allergies
E) All of the above

Question 8

A solid medication containing the active medication and an antacid.

A) Effervescent
B) Fast dissolving
C) Pessary
D) Buffered
E) Troche

Question 9

When taking a sublingual or buccal medication, what would be an error in the administration technique?

A) Do not chew or shallow the medication.
B) Give water prior to taking the medication.
C) Do not give water immediately after taking the medication.
D) Always use the same cheek when taking buccal medications.
E) Place the sublingual medication under the tongue.

Question 10

What medication form if crushed, split, or chewed would put the patient at risk for an overdose?

A) Effervescent
B) Fast dissolving
C) Pessary
D) Extended release
E) Troche

Question 11

What must be charted in the health record when giving a VIS to a patient?

A) Edition date of the VIS
B) Date the VIS was provided and the date when the vaccine was administered
C) Office address and name and title of person who administered it
D) Vaccine manufacturer and lot number
E) All of the above

Question 12

Which of the following patients can receive a live virus vaccine today?

A) Sam had a live virus vaccine 20 days ago.
B) Melissa is two months pregnant.
C) Tom has leukemia and is undergoing chemotherapy.
D) Sue received immune globulin for hepatitis A yesterday in preparation for her overseas trip.
E) None of the above

Question 13

Which of these rights are checked when preparing the medication?

A) Patient
B) Dose
C) Route
D) All of the above
E) B and C

Question 14

A medication designed to breakdown over time.

A) Effervescent
B) Fast dissolving
C) Pessary
D) Extended release
E) Troche

Question 15

If the active medication does not dissolve, but rather floats in the liquid, it is called a _______.

A) troche
B) fast dissolving
C) solution
D) suspension
E) buffered

Question 16

When administering a transdermal patch, what is an error in the administration technique?

A) Write the date and time on the new patch.
B) Wear gloves when changing the patch on another person.
C) Remove the old patch 30 minutes after placing the new patch.
D) Place the patch in the same location each time.
E) C and D

Question 17

When do you check the medication label against the order?

A) Getting the medication from the storage
B) Before measuring the medication
C) Before you return the medication to the storage area
D) All of the above
E) A and C

Question 18

What is not correct about live virus vaccines?

A) The microorganism is alive but attenuated.
B) MMR and varicella are examples of live virus vaccines.
C) Toxoid vaccines are a type of live virus vaccines.
D) A and C
E) B and C

Question 19

What is true regarding the VIS?

A) Created by OSHA
B) Created to educate patients on the benefits and risks of vaccines
C) VIS must be given to patients for specific vaccines.
D) All of the above
E) B and C

Question 20

A medication form that is also called oral disintegrating tablet and is placed on the tongue or by the cheek to break down.

A) Effervescent
B) Fast dissolving
C) Pessary
D) Buccal
E) Troche

Question 21

What is correct regarding the Mantoux tuberculin skin test (TST)?

A) The wheal must be 4 to 6 cm or the test must be repeated.
B) Massage the area after giving the TST.
C) The patient must return between 48 to 72 hours for a reading.
D) The induration size is measured in centimeters.
E) All of the above

Question 22

When giving a PPD, what is an error in administration technique?

A) Bevel is facing upward.
B) Pull the skin taut at the injection site.
C) Use a 5 to 15 degree angle.
D) Use the forearm, keeping 1 inch away from the elbow.
E) B, C, and D

Question 23

When giving two intradermal injections on the same site, how far apart should the injections be?

A) Separate by at least 1/2 inch
B) Separate by at least 1 inch
C) Separate by at least 1 1/2 inches
D) Separate by at least 2 inches
E) Separate by at least 2 1/2 inches

Question 24

This is the hollow space inside the needle.

A) Gauge
B) Lumen
C) Hilt
D) Hub
E) Bevel

Question 25

What is not true regarding subcut injections?

A) The maximum volume for an adult is 1.5 mL.
B) Subcut sites include the deltoid, lower abdomen, and anterior thigh.
C) For children less than 1 year, use the anterior thigh.
D) Separate two injections in the same site by 1 inch.
E) Pinch up the tissue when given the injection.

Question 26

You are giving an IM injection to a patient and hit the bone. What do you do?

A) Pull the needle out and give it in another location.
B) Just give the medication.
C) Pull the needle out about 1/4 inch and give the medication.
D) Pull the needle out and discuss the situation with the provider.
E) Pull the needle out and document the patient should not receive IM injections.

Question 27

What information should the medical assistant give to a patient regarding inserting a suppository?

A) Supplies needed include the suppository, gloves, and water-soluble jelly (like K-Y Jelly)
B) Remove the wrapping from the suppository.
C) Lubricate the pointed part of the suppository.
D) With the person in a SIMS position, insert the pointed side first.
E) All of the above

Question 28

A medical assistant must apply a topical medication to a patient's skin. What is an error in administration technique?

A) Wear gloves.
B) Use a new sterile tongue blade or swab to remove the medication from the container.
C) Gently pat creams, lotions, and liniments into the skin.
D) For aerosol topical sprays, hold the bottle 3 to 6 inches from the skin and spray.
E) B and C

Question 29

What procedure requires a filter needle?

A) Mixing insulins
B) Mixing powder medications
C) Drawing up medication from a vial
D) Drawing up medication from an ampule
E) Using a prefilled syringe

Question 30

What is no longer a recommended IM injection site?

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

Question 31

Susan needs to prepare oral medications. What did she do wrong?

A) Labels the paper cup with "1 tab" and the plastic cup with "10 mL"
B) Pours the tablet from the bottle to the paper cup
C) Pours the liquid medication in the plastic cup while looking down on the cup
D) Palms the back of the bottle while pouring the liquid medication
E) All of the above

Question 32

What is an advantage of parenteral medication administration?

A) Useful when the patient has gastrointestinal distress.
B) The absorption rate is better than the oral route.
C) The medication starts working sooner than other routes.
D) All of the above

Question 33

What is incorrect about mixing insulin?

A) Roll regular insulin to mix before drawing up the amount needed.
B) When mixing two insulins, draw up the regular insulin first.
C) Rotate injection sites to prevent tissue damage.
D) Air needs to be added to both vials before any insulin is drawn up.
E) If air bubbles are in the syringe with the two insulins, the syringe must be discarded, and the insulin needs to be redrawn up.

Question 34

To withdraw fluid using suction.

A) Diluent
B) Reconstituted
C) Aspirate
D) Precipitate
E) Viscosity

Question 35

This part of the needle attaches or screws onto the syringe.

A) Lumen
B) Bevel
C) Hilt
D) Hub
E) Plunger

Question 36

Resistance to flow.

A) Diluent
B) Reconstituted
C) Aspirate
D) Precipitate
E) Viscosity

Question 37

You need to give an intradermal injection. What needle and syringe should you use?

A) 1 mL syringe; 1/8 inch, 28 gauge needle
B) 0.1 mL syringe; 1/2 inch, 26 gauge needle
C) 3 mL syringe; 1/4 inch, 22 gauge needle
D) 1 mL syringe; 5/8 inch, 27 gauge needle
E) 1 mL syringe; 1/4 inch, 23 gauge needle

Question 38

A medical assistant needs to give a medication via the nasal route. What is an error in administration technique or documentation?

A) Wear gloves.
B) Have patients blow their nose after receiving the medication.
C) The patient should sit in an upright position.
D) Have the patient sniff when the medication is given.
E) Chart the route as "intranasal" or "NAS."

Question 39

How long are multidose vials good for?

A) 30 days
B) Good until the manufacturer's expiration date
C) 7 days
D) 28 days or manufacturer's expiration date, whatever comes first
E) 1 day

Question 40

You need to give a 0.5 mL subcut injection on an adult using a 45-degree entry. What needle and syringe would be appropriate?

A) 3 mL syringe; 1/2 inch, 25 gauge needle
B) 3 mL syringe; 1 inch, 21 gauge needle
C) 3 mL syringe; 5/8 inch, 25 gauge needle
D) 1 mL syringe; 1/2 inch, 23 gauge needle
E) 1 mL syringe; 5/8 inch, 21 gauge needle

Question 41

What is true regarding the two-step TST testing?

A) If the initial TST test is positive, a second test will be given 1 to 3 weeks later.
B) Healthcare professionals need a two-step TST test yearly.
C) If the initial test is negative and the second is positive, the person had a false-negative reaction initially.
D) All of the above
E) B and C

Question 42

What is a sign or symptom of anaphylaxis?

A) Shortness of breath
B) Dyspnea and wheezing
C) Throat tightening and difficulty swallowing
D) Vomiting or diarrhea
E) All of the above

Question 43

What is true regarding patient preparations for allergy testing?

A) Stop long-acting antihistamines for 5 days before the testing.
B) Stop all OTC, cold, sleep, and allergy medication 3 days before testing.
C) Stop all allergy medications and specific reflux medications 3 days before testing.
D) All of the above
E) A and B

Question 44

Which of the following statements is not true regarding the deltoid site?

A) Used for small volume of aqueous medications
B) Used for vaccines in teens and adults
C) The top of the site is 1 to 2 inches below the acromion process.
D) The bottom of the site is 3 inches from the elbow.
E) Give the injection in the bulk of the deltoid muscle.

Question 45

What is the role of the medical assistant with IV therapy?

A) Schedule appointments for the patient.
B) Assist the nurse by communicating issues with the IV.
C) Start IVs and give IV medications and fluids.
D) All of the above
E) A and B

Question 46

What is true regarding blood tuberculin tests?

A) Preferred testing for patients who have had the BCG vaccine
B) T-Spot TB test is a two-step blood tuberculin test.
C) The error rate with the blood test is greater than the skin test.
D) A positive test indicates the person has latent TB infection.
E) All of the above

Question 47

What is a reason for a false-positive TST result?

A) Lung infection with a nontuberulous mycobacteria
B) Had a bacillus Calmette-Guérin (BCG) vaccine
C) Incorrect administration of the TST
D) Incorrect reading of the TST
E) All of the above

Question 48

What is an error in the air lock technique?

A) Can be used for all injection routes.
B) Add 0.5 to 0.7 mL of air into the syringe.
C) Add the air before measuring the correct amount of medication.
D) All of the above
E) B and C

Question 49

What is not a reason for false-negative TST result?

A) Exposed to TB infection 6 weeks ago
B) Had TB infection many, many years
C) Had an inactivated vaccine 2 weeks ago
D) Has a weakened immune system
E) Patient is less than 6 months old

Question 50

You need to give an aqueous medication IM in the vastus lateralis. What is the most appropriate needle to use for an adult?

A) 2 inch, 25 gauge
B) 5/8 inch, 23 gauge
C) 1 inch, 18 gauge
D) 1 1/2 inch, 23 gauge
E) 5/8 inch, 18 gauge