Deck 10: Principles of Drug Administration

Question 1

A patient is to receive an intramuscular (IM)injection of penicillin in the ventrogluteal site.What is the proper angle for needle insertion in an adult who is not emaciated?

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

Answer 1

90 degrees

Question 2

How should the nurse administer medication through a nasogastric (NG)tube?

A)Administer the medication with a small medication syringe.
B)Apply gentle pressure on the syringe's piston to infuse the medication.
C)Flush the tubing with 30 mL of saline after the medication has been given.
D)Using the barrel of the syringe, allow the fluid to flow via gravity into the NG tube.

Answer 2

Using the barrel of the syringe, allow the fluid to flow via gravity into the NG tube.

Question 3

The nurse is administering insulin subcutaneously to a patient who is obese.Proper technique for this injection requires the nurse to do which?

A)Use the Z-track method
B)Insert the needle at a 5- to 15-degree angle until resistance is felt
C)Pinch the skin at the injection site and inject the needle below the skin fold
D)Spread the skin tightly over the injection site, insert the needle, then release the skin

Answer 3

Pinch the skin at the injection site and inject the needle below the skin fold

Question 4

The patient states that he prefers chewing rather than swallowing pills.The label on the container of one prescribed pill has the abbreviation "SR" after the name of the medication.Which instruction should be followed when giving this medication?

A)Break the tablet into halves or quarters.
B)Dissolve the tablet in a small amount of water before giving it.
C)Do not crush or break the tablet before administration.
D)Use a mortar and pestle to crush the tablet if crushing it is needed to ease administration.

Question 5

When the nurse is administering medication by intravenous (IV)bolus (push),which is the correct procedure?

A)Occluding the IV line by folding the tubing just above the injection port
B)Clamping the tubing just above the insertion site
C)Pinching the tubing just above the injection port
D)Pinching the tubing at least 5 cm above the injection port

Question 6

The nurse is preparing to administer IM immunization to a 2-month-old infant.Which site is acceptable for this injection?

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

Question 7

What is the proper technique for administering ear drops to a 2-year-old child?

A)Administering the drops without altering the ear canal direction.
B)Straightening the ear canal by pulling the lobe upward and back.
C)Straightening the ear canal by pulling the pinna down and back.
D)Straightening the ear canal by pulling the pinna upward and outward.

Question 8

The nurse is helping a patient to take his medications; however,the medication cup falls to the floor,spilling the contents.The appropriate action for the nurse to take is to

A)discard the medications and repeat the preparation.
B)document the client's refusal of the medications.
C)wait until the next dosage time, then give the medications.
D)retrieve the medications and administer them to avoid waste.

Question 9

To measure 4 mL of a liquid cough elixir properly for a child,what should the nurse do?

A)Use a teaspoon to measure and administer the elixir.
B)Hold the medication cup at eye level and fill it to the desired level.
C)Withdraw the elixir from the container with a syringe with a needle attached.
D)Withdraw the elixir from the container with a syringe without a needle attached.

Question 10

What important action should the nurse take after administering an IV push medication through an IV lock?

A)Flush the lock.
B)Regulate the IV flow.
C)Clamp the tubing for 10 minutes.
D)Hold the patient's arm up to improve blood flow.

Question 11

What is the proper syringe size for an intradermal (ID)injection?

A)3-mL syringe
B)1-mL tuberculin
C)2-mL tuberculin
D)2-mL syringe

Question 12

Which action is considered a standard precaution for medication administration?

A)Bending the syringe to prevent reuse
B)Recapping needles to prevent needlestick injury
C)Discarding all syringes and needles in a wastebasket
D)Discarding all syringes and needles in a puncture-resistant container

Question 13

A patient with asthma is to begin medication therapy with a metered-dose inhaler.What important reminder should the nurse include during teaching sessions with the patient?

A)Repeat subsequent puffs, if ordered, after 5 minutes.
B)Inhale slowly while pressing down to release the medication.
C)Inhale quickly while pressing down to release the medication.
D)Administer the inhaler while holding it 7.5 to 10 cm away from the mouth.

Question 14

What is the best action for the nurse to take to reduce systemic effects after administering eye drops?

A)Wiping off excess liquid immediately after instilling drops.
B)Having the patient close the eye tightly after instilling drops.
C)Having the patient close the eye, then moving the eye around to help distribute the medication.
D)Applying gentle pressure to the patient's nasolacrimal duct for 30 to 60 seconds after instilling drops.

Question 15

Which is the proper method of mixing IV solutions and medications?

A)Shaking the bag or bottle vigorously
B)Holding the bag or bottle and gently turning it end to end
C)Inverting the bag or bottle just once after injecting the medication
D)Allowing the IV solution to stand for 10 minutes to enhance even distribution of medication

Question 16

Before administering any medication,which action by the nurse is most important?

A)Verifying orders with another nurse
B)Documenting the medications given
C)Counting medications in the medication cart drawers
D)Checking the patient's identification and allergy bracelets

Question 17

Which technique should the nurse use to facilitate the administration of a rectal suppository?

A)Having the patient lie on the right side of the body, unless contraindicated
B)Having the patient hold the breath during insertion of the medication
C)Lubricating the suppository with a small amount of petroleum-based lubricant
D)Encouraging the patient to lie on the left side of the body for 15 to 20 minutes after insertion

Question 18

After administering an ID injection for a skin test,the nurse notices a small bleb at the injection site.What is the proper action for the nurse to take?

A)Apply heat
B)Massage the area
C)Report the bleb to the physician
D)Do nothing

Question 19

The patient is to receive a buccal medication.Which action is appropriate for the nurse to take?

A)Encourage the patient to swallow if necessary.
B)Administer water after the medication has been given.
C)Place the medication between the upper molar teeth and cheek.
D)Place the tablet under the client's tongue, and allow the tablet to dissolve completely.

Question 20

When should the nurse administer IM medication with the Z-track method?

A)When the medication is known to be irritating to tissues
B)When the patient is emaciated and has very little muscle mass
C)When the medication must be absorbed quickly into the tissues
D)When the patient is obese and has a deep fat layer below the muscle mass

Question 21

When preparing to administer nasal spray,what should the nurse tell the patient?

A)"You will need to blow your nose before I give you this medication."
B)"You will need to blow your nose after I give you this medication."
C)"When I give you this medication, you will need to hold your breath."
D)"You should sit up for 5 minutes after you receive the nasal spray."