Deck 11: Administration of Medication and Intravenous Therapy

Question 1

Which of the following systems is used most often to prescribe and administer medication?

A) Apothecary
B) Household
C) Metric
D) Avoirdupois

Answer 1

Metric

Question 2

Which of the following represents an equivalent value for a cubic centimeter?

A) 1 cc  1 drop
B) 1 cc  1 mg
C) 1 cc  1 unit
D) 1 cc  1 mL

Answer 2

1 cc  1 mL

Question 3

Which of the following is assigned by the pharmaceutical company that first develops a drug?

A) Chemical name
B) Official name
C) Generic name
D) Brand name

Answer 3

Generic name

Question 4

Which of the following must be included in a prescription for a controlled drug?

A) Schedule category of the drug
B) Lot number of the drug
C) Physician's DEA number
D) Patient's social security number

Question 5

The reason for enterically coating a tablet is to

A) Allow the medication to dissolve slowly
B) Reduce the incidence of side effects
C) Prevent the medication from being destroyed by intestinal enzymes
D) Prevent the medication from irritating the stomach lining

Question 6

Which of the following references could you use to look up the adverse reactions of Zithromax?

A) Physicians' Desk Reference
B) United States Pharmacopeia
C) National Formulary
D) The Farmer's Almanac

Question 7

Which of the following medications is administered through the sublingual route?

A) Penicillin
B) Nitroglycerin
C) Lisinopril
D) Heparin

Question 8

The inscription of a prescription consists of

A) Directions to the pharmacist
B) The symbol Rx
C) Information to be included on the medication label
D) The name of the drug and the dose

Question 9

Which of the following parts of a prescription indicates the information that is included on the label?

A) Superscription
B) Subscription
C) Signature
D) DEA number

Question 10

What is the name of a drug preparation that is applied externally to produce a feeling of heat or warmth?

A) Spirit
B) Ointment
C) Liniment
D) Tincture

Question 11

Which of the following is a unit of volume?

A) Inch
B) Grain
C) Centimeter
D) Liter

Question 12

Which of the following categories includes drugs that have a high potential for abuse and accepted medical use?

A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule IV

Question 13

A prescription for a schedule III drug expires

A) 7 days from the date of issue
B) 2 months from the date of issue
C) 6 months from the date of issue
D) 1 year from the date of issue

Question 14

All of the following are units of weight except

A) Gram
B) Milligram
C) Milliliter
D) Kilogram

Question 15

Which of the following is an example of administering medication?

A) The physician writes a prescription for a medication.
B) A medical assistant gives an IM injection to a patient.
C) A physician gives a patient drug samples to take at home.
D) A medical assistant performs a venipuncture.

Question 16

All of the following are examples of schedule II drugs except

A) Percodan
B) Demerol
C) Valium
D) Ritalin

Question 17

An EMR prescription program performs all of the following except

A) Checks for drug interactions with other medications being taken by the patient
B) Determines the number of prescription refills
C) Checks prescription against patient's drug allergies
D) Prints list of medications being taken by the patient

Question 18

The term parenteral refers to

A) Sites located outside the gastrointestinal tract
B) Intramuscular injection sites
C) Administration of medication PO
D) Topical administration of medication

Question 19

Which of the following should be recorded in a patient's medication record?

A) Prescription medications
B) Nonprescription medications
C) Vitamins
D) Herbal products
E) All of the above

Question 20

The study of drugs is known as

A) Pharmacy
B) Immunology
C) Pharmacology
D) Mycology

Question 21

What is the purpose of a safety-engineered syringe?

A) To reduce the discomfort experienced by the patient during the injection
B) To reduce the risk of a needlestick injury
C) To administer the medication in a shorter period of time
D) To prevent the administration of the wrong medication

Question 22

Which of the following guidelines should be followed when administering a medication?

A) Check that you have the correct medication.
B) Check the expiration date of the medication.
C) Identify the patient by full name and date of birth.
D) Check that the patient is not allergic to the medication.
E) All of the above

Question 23

Which of the following is used to administer an intradermal injection?

A) Hypodermic syringe
B) Insulin syringe
C) Tuberculin syringe
D) Tubex injector

Question 24

What is the name given to an adverse reaction that is harmless and often tolerated by the patient to obtain the therapeutic effect of the drug?

A) Idiosyncratic effect
B) Side effect
C) Contraindication
D) Warning

Question 25

What is the term for the slanted edge at the top of a needle?

A) Tip
B) Bevel
C) Gauge
D) Lumen

Question 26

Which of the following situations causes a drug to be absorbed at a slower rate?

A) Taking the medication prn
B) Taking the medication pc
C) Taking the medication hs
D) Taking the medication qd

Question 27

Which of the following techniques should not be performed when an ampule is used to administer medication?

A) Tap the stem of the ampule lightly before opening it
B) Cleanse the ampule with an alcohol wipe before opening it
C) Inject air into the ampule before removing the medication
D) Insert the needle below the fluid level to withdraw the medication

Question 28

Which of the following sites is commonly used to administer a subcutaneous injection?

A) Gluteus medius muscle
B) Upper lateral arm
C) Anterior forearm
D) Deltoid muscle

Question 29

The early symptoms of an anaphylactic reaction include

A) Sneezing, hives, erythema, angioedema, disorientation
B) Diplopia, diaphoresis, tachycardia, increased blood pressure
C) Dyspnea, decreased blood pressure, thready pulse
D) Abdominal cramping, nausea, vomiting, fever

Question 30

When withdrawing medication from a vial, the needle must be inserted below the fluid level to

A) Prevent altering the effectiveness of the medication
B) Prevent the entrance of air bubbles into the syringe
C) Prevent the entrance of air bubbles into the vial
D) Avoid dulling the point of the needle

Question 31

What is the maximal amount of medication that can be administered through the subcutaneous route?

A) 1 mL
B) 2 mL
C) 3 mL
D) 5 mL

Question 32

Which of the following needles has the largest lumen?

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

Question 33

When the same dose of a drug no longer produces the desired effect, it is said that the patient has developed

A) An idiosyncratic reaction
B) An allergic reaction
C) A drug interaction
D) Drug tolerance

Question 34

Which of the following is a function of the flange of a syringe?

A) Attaches the needle to the syringe
B) Helps in injecting the medication
C) Assists in penetrating body tissues
D) Measures the proper amount of medication

Question 35

A subcutaneous injection is given into what type of tissue?

A) Fat
B) Muscle
C) Connective tissue
D) Dermal tissue

Question 36

What may occur if an equal amount of air is not injected into a vial when withdrawing medication from the vial?

A) It may be difficult to remove the medication from the vial.
B) The medication may become contaminated.
C) Air bubbles may enter the syringe.
D) The vial may crack.

Question 37

What is the name given to a closed glass container with a rubber stopper that holds more than one dose of medication?

A) Ampule
B) Unit-dose cartridge
C) Multiple-dose vial
D) Single-dose vial

Question 38

The parenteral route of administering medications is used

A) To obtain a more rapid action
B) To reduce the occurrence of drug interactions
C) When the patient is allergic to the oral form of the drug
D) To reduce the occurrence of drug tolerance
E) All of the above

Question 39

Which of the following medications is administered through the subcutaneous route?

A) Depo-Provera injectable contraceptive
B) Penicillin
C) Insulin
D) Mantoux test
E) All of the above

Question 40

What is the usual treatment for an anaphylactic reaction?

A) Epinephrine injection
B) Oral administration of antihistamines
C) Steroid injection
D) Antibiotic injection

Question 41

Why should pressure not be applied to the injection site after administering an intradermal injection?

A) The medication is not intended to be absorbed into the tissues.
B) It causes patient discomfort.
C) The medication stains the skin.
D) It causes an allergic reaction to occur.
E) All of the above

Question 42

The Mantoux tuberculin test is performed using

A) A disposable plastic disc with four stainless-steel tines
B) Intradermal administration
C) Intramuscular administration
D) A reagent strip

Question 43

When administering an intradermal injection, the needle must be inserted with the bevel facing upward to

A) Prevent leakage of the medication onto the skin surface
B) Allow proper wheal formation
C) Avoid pressure on nerve endings
D) Prevent contamination of the medication
E) All of the above

Question 44

Which of the following methods of examination must be used when reading a tuberculin skin test?

A) Auscultation and palpation
B) Inspection and percussion
C) Inspection and palpation
D) Inspection only

Question 45

The Z-track method is used to administer medications that

A) Are poorly absorbed
B) Are irritating to subcutaneous tissue
C) Are likely to cause a drug interaction
D) Are thick and oily
E) All of the above

Question 46

Which of the following needle lengths is used to administer a subcutaneous injection?

A) 3/8 inch
B) 5/8 inch
C) 1 inch
D) 1 1/2 inches

Question 47

When administering an IM injection, the skin over the injection site must be held taut to

A) Prevent staining the patient's skin with the medication
B) Permit easier insertion of the needle
C) Prevent the needle from entering a blood vessel
D) Reduce the chance of infection

Question 48

What angle of needle insertion should be used to administer an IM injection?

A) 10 to 15 degrees
B) 45 degrees
C) 90 degrees
D) Parallel to the skin

Question 49

All of the following are reasons for charting the location of the injection except

A) To avoid injecting the medication into a major nerve or blood vessel
B) To avoid overuse of a site if the patient requires more than one injection
C) To locate the site if test results need to be read at a later date
D) To provide a reference point if a problem results at the injection site

Question 50

Intradermal injections are used to administer

A) Allergy injections
B) Pediatric immunizations
C) Insulin injections
D) Skin tests

Question 51

Which of the following helps to reduce the pain of an IM injection?

A) Telling the patient to breathe deeply
B) Inserting the needle quickly into the patient's skin
C) Holding the needle steady after inserting it
D) Withdrawing the needle at the same angle as that used for insertion
E) All of the above

Question 52

Which of the following is used to administer an intradermal injection?

A) 26 G, 3/8 inch
B) 23 G, 1/2 inch
C) 21 G, 1 inch
D) 24 G, 5/8 inch

Question 53

Why is the dorsogluteal site used to administer an intramuscular injection to an adult?

A) It causes less patient discomfort.
B) It is easily accessible.
C) It can absorb a large amount of medication.
D) The buttocks contain no major nerves or blood vessels.
E) All of the above

Question 54

The patient's forearm should be held taut while administering the Mantoux test to

A) Prevent the needle from entering a blood vessel
B) Prevent an allergic reaction from occurring
C) Reduce the incidence of a false-positive test result
D) Permit easier insertion of the needle
E) All of the above

Question 55

After administering a tuberculin skin test, it should be read within

A) 15 to 20 minutes
B) 12 to 24 hours
C) 36 to 48 hours
D) 48 to 72 hours

Question 56

Symptoms of active pulmonary tuberculosis include all of the following except

A) Fever
B) Chronic cough
C) Abdominal pain
D) Hemoptysis

Question 57

Which of the following needle lengths is used to administer an intramuscular injection into the dorsogluteal site on an average-size adult?

A) 3/8 inch
B) 5/8 inch
C) 1 inch
D) 1 1/2 inches

Question 58

A patient with a latent tuberculosis infection exhibits all of the following except

A) Cannot spread TB to others
B) Has a negative reaction to a TB test
C) Has no symptoms
D) Has a normal chest x-ray

Question 59

The vastus lateralis site is used most often to administer medication to

A) Adults
B) Infants and young children
C) Adolescents
D) Elderly patients

Question 60

The purpose of aspirating when administering an injection is to

A) Prevent air bubbles from entering the tissues
B) Ensure that the needle is not in a blood vessel
C) Reduce patient discomfort
D) Prevent tissue damage

Question 61

Patient preparation for allergy skin testing includes

A) Discontinuing antihistamines for 3 days before the test
B) Fasting for 12 hours before the test
C) Avoiding allergens for 12 hours before the test
D) Collecting a first-voided urine specimen on the morning of the test

Question 62

Which of the following blood vessels is used most often for administering IV therapy?

A) Subclavian vein
B) Peripheral veins of the arm and hand
C) Brachial artery
D) Peripheral veins of the leg and foot

Question 63

What is the term for an abnormal reaction to a substance that is normally harmless?

A) Asthma
B) Anaphylactic shock
C) Allergy
D) Idiosyncrasy

Question 64

Which of the following tests is used to identify allergens causing contact dermatitis?

A) Skin-prick test
B) Patch test
C) Intradermal test
D) Tine test

Question 65

What is IV therapy?

A) Administration of a liquid agent directly into a vein
B) Removal of a blood specimen from a vein for laboratory analysis
C) Administration of topical medication
D) Administration of medication through inhalation

Question 66

An allergy skin test that is positive results in

A) Localized itching, erythema, induration
B) Generalized edema
C) Wheezing, rash, watery eyes
D) Local vesiculation

Question 67

What does it mean if both tests in a two-step TB test are negative?

A) Further diagnostic procedures must be performed.
B) The patient is considered infected with tuberculosis.
C) It is considered a boosted reaction.
D) The patient is classified as noninfected.

Question 68

What is the name of the blood test for tuberculosis?

A) Mantoux test
B) Tine test
C) QuantiFERRON-TB Gold
D) BCG

Question 69

The maximal reaction to a skin-prick test occurs between

A) 5 and 10 minutes
B) 15 and 20 minutes
C) 1 and 2 hours
D) 48 and 72 hours

Question 70

What is the term for administration of fluids, medications, or nutrients through the IV route?

A) Transfusion
B) IV drip
C) Infusion
D) Chemotherapy

Question 71

What is done if a patient has a positive reaction to a Mantoux test?

A) The patient is placed on drugs to combat tuberculosis.
B) Further diagnostic procedures are performed.
C) The patient is referred to a pathologist.
D) The patient is given a series of immunizations.

Question 72

What is the abbreviation for one half?

A) cc
B) ss
C) gtt
D) SL

Question 73

Which of the following is an example of an allergen?

A) Peanuts
B) House dust
C) Insect stings
D) Ragweed
E) All of the above

Question 74

Erythema without induration occurring from a Mantoux test indicates

A) A negative reaction
B) A doubtful reaction
C) A positive reaction
D) An allergic reaction

Question 75

What is the abbreviation for at bedtime?

A) hs
B) PM
C) DAW
D) Aq

Question 76

What is the abbreviation for immediately?

A) ASA
B) STAT
C) NPO
D) Prn

Question 77

What is the abbreviation for three times per day?

A) q3h
B) qod
C) tid
D) bid

Question 78

What is the abbreviation for before meals?

A) ac
B) pc
C) hs
D) ad lib

Question 79

Induration measuring 5 mm resulting from a Mantoux test in an individual with no known risk factors indicates

A) A negative reaction
B) A doubtful reaction
C) A positive reaction
D) An invalid reaction

Question 80

What is the abbreviation for every day?

A) qid
B) qh
C) qs
D) qd