Deck 11: Administering Medications

Question 1

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

Answer 1

transdermal

Question 2

Insulin syringes are calibrated in

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

Answer 2

units.

Question 3

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 the measuring device.
C) palm the label of the medication.
D) A and C

Answer 3

palm the label of the medication.

Question 4

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 5

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 6

The angled tip of a needle is called the

A) lumen.
B) shaft.
C) bevel.
D) flange.

Question 7

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 test was done properly.
C) a second PPD dose helps trigger the immune response.

Question 8

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 9

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

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

Question 10

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 11

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 12

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

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

Question 13

The _________ is the sharpened end of the needle.

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

Question 14

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 15

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 16

Always check for ________ before administering any medication.

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

Question 17

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

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

Question 18

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 19

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 20

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 21

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 22

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 23

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 24

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 25

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 26

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 27

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 28

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 29

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

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

Question 30

Signs of an anaphylactic reaction include all of the following except

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

Question 31

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

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

Question 32

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 33

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 34

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 35

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

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

Question 36

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 37

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 38

A correctly administered intradermal injection produces a

A) wheal.
B) wheel.
C) wen.
D) None of the above

Question 39

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 40

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

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

Question 41

What is the CDC recommended discard date after a multidose vial has been punctured with a needle?

A) Immediately
B) 10 days
C) Within 28 days
D) After expiration date

Question 42

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

Question 43

Which of the following liquid oral dosage forms is a mixture of oil and water that improves the taste of otherwise distasteful products?

A) Syrup
B) Emulsion
C) Gel
D) Magma

Question 44

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

Question 45

Which of the following gauged needles are commonly used for subcutaneous injections?

A) 25 and 26
B) 27 and 28
C) 31
D) 14 and 18

Question 46

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

Question 47

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

Question 48

Which of the following is the first step of safety in drug administration?

A) A verbal order
B) A clearly written order
C) Asking for clarification
D) Looking up the drug in a pharmacology reference

Question 49

Which of the following is not considered part of the first step in holistic medication treatment?

A) Details about the patient's health history
B) Current and past use of both prescription and OTC drugs and herbal supplements
C) Any negative responses to medications
D) Familial history of any medication

Question 50

What is the preferred site for an IM injection on an infant or child?

A) Vastus lateralis
B) Deltoid
C) Ventrogluteal
D) Gluteus medius

Question 51

Each time a drug is dispensed,the label must be checked three times to confirm which of the following?

A) The right drug
B) Route of administration
C) Dose and strength
D) All of the above

Question 52

Which of the following patient populations needs to be monitored every office visit for an accurate weight measurement?

A) Pregnant women
B) Lactating mothers
C) Pediatric
D) Geriatric

Question 53

Which of the following mixtures should be used with caution in patients with diabetes or a history of alcohol abuse?

A) Elixirs
B) Tinctures
C) Extracts
D) Fluid extracts

Question 54

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

Question 55

Which of the following drug categories requires documentation of the lot number and manufacturer?

A) Vaccines
B) Parenteral mediations
C) Oral medications
D) Liquid medications

Question 56

What is the recommended amount of time a patient must be followed with close observation following an injection of penicillin?

A) 2 to 3 minutes
B) 5 to 15 minutes
C) 20 to 30 minutes
D) 40 to 60 minutes

Question 57

Sciatic nerve injury is common in which of the following IM sites?

A) Vastus lateralis
B) Deltoid
C) Ventrogluteal
D) Gluteus medius
E) All of the above

Question 58

Which of the following cases is considered a positive PPD test result with induration 5 mm or larger?

A) Individuals infected with HIV
B) Anyone in close contact with a patient newly diagnosed with TB
C) Patients who have undergone recent organ transplant
D) Person exposed to or infected with the TB bacillus in the past
E) All of the above

Question 59

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

Question 60

Which of the following are semisolid medications containing bases such as petrolatum and lanolin?

A) Liniments
B) Ointments
C) Lotions
D) Sprays

Question 61

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

Question 62

Dorothy is responsible for making sure patients understand their drug therapy before they leave Dr.Thau's office.Discuss at least five factors she should include when delivering patient education.

Question 63

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

Question 64

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

Question 65

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

Question 66

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

Question 67

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

Question 68

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

Question 69

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

Question 70

Repeated injections of minute amounts of allergens to desensitize a patient to allergic reactions is called __________.

Question 71

__________ is an enlarged,hardened reaction produced by the Mantoux test.

Question 72

In an infant,the safest site for an intramuscular injection is the __________.

Question 73

The result of a Mantoux test is assessed within 48 to 72 hours after administration.

Question 74

ID injections are given at a 15-degree angle.

Question 75

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

Question 76

Samantha Baxter has been prescribed progesterone transdermal patches for menopausal symptoms.Explain in detail the patient education Mrs.Baxter should receive so that she can administer her medication correctly.

Question 77

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

Question 78

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

Question 79

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