Deck 53: Medication Administration

Question 1

Which of the following is a small bottle with a rubber diaphragm that can be punctured by a needle?

A) Vial
B) AutoInjector
C) Ampule
D) Cartridge
E) Capsule

Answer 1

Vial

Question 2

Which of the following would you tell the patient when teaching how to take a drug sublingually?

A) Drink water to wash the drug into the GI tract
B) Chew the drug immediately after administration
C) Do not eat until after the drug has dissolved
D) You can smoke immediately after placing the drug in the mouth
E) Place the drug between the cheek and the gum

Answer 2

Do not eat until after the drug has dissolved

Question 3

Which of the following is included when administering a liquid drug?

A) Hold the medicine at eye level, with the palm over the label, and pour the correct amount of the drug
B) Hold the bottle on the side opposite the label when you pour
C) Hold the poured drug at eye level and check the dose
D) Pour any excess drug in the medicine cup back into the bottle
E) Use the top portion of the meniscus to measure the drug correctly

Answer 3

Hold the medicine at eye level, with the palm over the label, and pour the correct amount of the drug

Question 4

Which drug is used to treat to an anaphylactic reaction to a medication?

A) Heparin
B) Insulin
C) Nitroglycerin
D) Benadryl
E) Epinephrine

Question 5

Which method of parenteral drug administration calls for pulling the skin and subcutaneous tissue to the side before inserting the needle at the site?

A) Subcutaneous
B) Z-track
C) Intradermal
D) Intravenous
E) Transdermal

Question 6

Which of the following is a small glass or plastic container that is sealed to keep its contents sterile?

A) Cartridge
B) Ampule
C) Vial
D) AutoInjector
E) Capsule

Question 7

The physician has determined that Juanita has a bacterial pneumonia and has asked you to administer Bicillin C-R intramuscularly. Juanita is 34 years old and weighs 145 pounds. The appropriate needle length for this injection is

A) 3/8 inch.
B) 1/4 to 1/2 inch.
C) 5/8 inch.
D) 3/4 inch.
E) 1 - 1 1/2 inches.

Question 8

Drugs that are absorbed in the sublingual area are ____.

A) rubbed on the skin
B) instilled through a small urinary catheter
C) inserted rectally
D) placed under the tongue
E) swallowed

Question 9

Which of the following is included when administering a drug according to the "rights" of drug administration?

A) Read the drug label on the container three times
B) Give all drugs on an empty stomach
C) Document the administration of the drug immediately before you give it
D) Give the drug using the route that you believe is best
E) Give all medications at the beginning of your shift to be sure you do not forget

Question 10

Which of the following are common sites for intradermal injections?

A) Ventrogluteal and dorsogluteal muscles
B) Deltoid muscles and vastus lateralis
C) Forearm and back
D) Outer sides of the upper arms and thighs
E) Abdomen

Question 11

In which method of parenteral drug administration is the drug injected within the upper layers of the skin?

A) Intramuscular
B) Intravenous
C) Intradermal
D) Subcutaneous
E) Transdermal

Question 12

Which of the following is included when administering a capsule orally?

A) Give all oral drugs on an empty stomach
B) Open the drug container and place the cap face-down on the counter
C) Tap the correct number of capsules into the cap of the container
D) Pick up any excess capsules or tablets that may come out and put them back in the bottle
E) Leave the drug container open until after the medication has been administered

Question 13

Which of these needles is smallest?

A) 25-gauge
B) 22-gauge
C) 20-gauge
D) 18-gauge
E) 16-gauge

Question 14

Which drug is administered in syringes calibrated in units, commonly 50 U or 100 U, that have permanently attached needles and no dead space?

A) Imferon
B) Insulin
C) Heparin
D) Penicillin
E) Vitamin B₁₂

Question 15

A drug that is administered intramuscularly is ____.

A) injected within a muscle
B) inserted into the rectum
C) instilled through a urinary catheter
D) inhaled through the nose
E) injected into a vein

Question 16

Which of the following is a general rule for drug administration?

A) Administer a drug that another medical assistant has prepared
B) Calculate the dose and have it double-checked if unsure of your answer
C) Rely on the patient allergies documented in the chart
D) Return a pill to its original container if the patient refuses to take it
E) Check the medication twice before giving it to the patient

Question 17

A drug that is administered subcutaneously is ____.

A) placed between the cheek and gum
B) rubbed into the skin
C) injected into the skin
D) inhaled through the nose
E) applied in the patient's eye or ear

Question 18

In which of the following methods of medication administration are drugs placed in the mouth but do not continue along the GI tract?

A) Parenteral
B) Buccal
C) Topical
D) Oral
E) Transdermal

Question 19

In which method of parenteral drug administration is the drug injected directly into the vein?

A) Intradermal
B) Intramuscular
C) Intravenous
D) Subcutaneous
E) Transdermal

Question 20

Intradermal injections are used for which of the following?

A) Insulin
B) Allergy or TB test
C) Heparin
D) Penicillin
E) Vitamin B₁₂

Question 21

Of all the drug administration methods, which one is the most rapid-acting and produces the most immediate effect?

A) Oral
B) Topical
C) Subcutaneous
D) Intravenous
E) Rectal

Question 22

Which of the following would you include when giving a subcutaneous injection?

A) Stretch the skin taut over the injection site
B) Hold the needle and syringe at a 90º angle to the skin
C) Insert the needle very slowly
D) Clean the injection site with hydrogen peroxide
E) After placing the needle, inject the drug quickly

Question 23

A drug that is given intravenously is ____.

A) injected into muscle
B) injected or infused into a vein
C) injected into the upper layers of the patient's skin
D) injected into the subcutaneous layer of the skin
E) injected into the mucous membranes

Question 24

Which drug interaction occurs when a patient takes both acetaminophen and codeine?

A) The effect of both drugs is increased, causing a beneficial effect.
B) The effect of both drugs is decreased, or one drug cancels out the other.
C) The effect of both drugs is increased, causing a toxic effect.
D) The effect of the acetaminophen is decreased by the codeine.
E) The effect of the codeine is decreased by the acetaminophen.

Question 25

Which of the following patients would require special consideration related to drug administration?

A) A 20-year-old patient who is receiving medication for a cold
B) A mother being started on hypertensive medication who is switching her infant to formula
C) A 75-year-old gentleman with early Alzheimer's
D) An Asian patient with excellent ability to read and understand English
E) A 46-year-old patient being started on hormone replacement therapy

Question 26

Ms. Anderson was giving medications on the unit. Just as she was taking a medication out of the patient's cassette, she was interrupted by another patient asking about an appointment. While having the discussion, she opened the medication container and poured the dose and gave it to the intended patient. When she returned to the cassette, she realized she gave the wrong medication. What did she neglect to do?

A) She neglected to properly identify the patient.
B) She neglected to perform the three checks of medication administration.
C) She neglected to properly document the medication.
D) She neglected to ensure the dose was correct.
E) She neglected to check the administration route.

Question 27

Which method of drug administration requires passing a urinary catheter into the bladder to instill a drug?

A) Parenteral
B) Urethral
C) Vaginal
D) Intravenous
E) Rectal

Question 28

What is the correct procedure for administering a medication?

A) Call the patient's name and check the dose ordered with the dose being given
B) Ask the patient to tell you her name and check the label three times
C) Ask the patient to tell you her name and double-check the administration route
D) If ordered tablets are not available, then give the equivalent in liquid form
E) Allow the patient to leave immediately after receiving an allergy shot

Question 29

What should the medical assistant tell the patient about interactions?

A) All drug-drug interactions are toxic.
B) Drug-food interactions are almost never serious.
C) Taking multiple drugs at the same time reduces the chance of interactions.
D) Drug-food interactions are beneficial.
E) Drug-drug interactions can lead to adverse reactions.

Question 30

When should a patient's medication list be updated?

A) Once a year
B) Every 6 months
C) Every 3 months
D) At every office visit
E) When the patient indicates that she is taking a new medication

Question 31

You have been asked to administer a liquid antibiotic to Carrie, a 3-year-old child. You measure the medication using a calibrated dropper and place it to the side of Carrie's tongue, making sure she swallows it. Two minutes later, Carrie vomits, and you can see the medication in the vomit. What should you do?

A) Re-administer the entire dose after Carrie becomes calm
B) Prepare an injectable form of the medication and inject it
C) Inform the physician that another route of administration is needed
D) Do not readminister the drug; doing so could cause an overdose
E) Document that the medication was given as ordered

Question 32

A healthcare provider has a responsibility to tell a patient the reason for taking the medication, the effect of the medication, and the side effects of the medication. Which right is this?

A) Right documentation
B) Right to know
C) Right drug
D) Right patient
E) Right route

Question 33

Which of the following is correct about medication documentation?

A) Document the administration of a medication after the patient leaves the office
B) Document only the drug name and time administered
C) Document all medication administrations at the end of the day
D) Document immediately after administering the medication to the patient
E) Document immediately before administering the medication to the patient

Question 34

When charting medication administration, which of the following is correct?

A) All chart entries must be factual, accurate, complete, current, organized, and confidential
B) Document your opinion of the patient's reaction to taking a medication
C) Skip a line after the last entry
D) Use your own shorthand to document
E) If you make a mistake, erase and correct the entry immediately

Question 35

Which of the following is included when reconstituting and drawing a drug for injection?

A) Snap the ampule neck toward you
B) Shake the vial vigorously unless the label indicates that it should not be shaken
C) Puncture the diaphragm of the vial of diluent with the needle and inject the air into the vial
D) Use tap water as the diluent
E) Wipe the rubber diaphragm with a 10% bleach solution

Question 36

Drugs administered via the intravenous route are absorbed within ____.

A) 3 to 5 minutes
B) 7 to 10 seconds
C) 15 to 30 seconds
D) 20 minutes
E) 3 hours

Question 37

Which of the following drugs is given by Z-track?

A) Imferon
B) Heparin
C) Insulin
D) Penicillin
E) Ampicillin

Question 38

Which of the following would you include when administering a vaginal suppository?

A) Assist the patient to assume the semi-Fowler's position
B) Instruct the patient to drink 2 to 3 glasses of water before the procedure
C) Avoid lubricating the suppository
D) Insert the applicator 2 inches into the vagina and angled toward the sacrum
E) Cleanse the perineum with alcohol.

Question 39

The physician ordered a series of Imferon shots for Gina, a patient who has iron-deficient anemia. Gina is in the office for her second shot. She tells you she dreads getting the shot because the first one not only hurt, but also caused significant skin irritation. Which of the following would be the best response?

A) Tell Gina to tense her muscles while you give the shot to avoid pain
B) Ask Gina if she wants to refuse the shot
C) Ask the physician if another drug can be substituted
D) Administer the Imferon orally
E) Use the Z-track method of injection to reduce subcutaneous irritation

Question 40

Which of the following would you include when administering a retention enema?

A) Have the patient lie on the right side and bend the left knee
B) Insert the tube into the rectum about 1¹/₂ inches
C) Administer all of the solution quickly
D) Cover and apply pressure to the anus for 20 seconds to stifle the patient's urge to defecate
E) Allow the patient to expel the solution after 20 seconds

Question 41

You have prepared Mrs. White's vitamin B₁₂ shot, performing the "triple check," and are about to administer it when an emergency occurs in the next patient exam room and you are called to assist. You place the prepared injection in a drawer and lock it, then leave the room. When you return, Mrs. White is still waiting patiently. What should you do next?

A) Apologize for the delay and administer the injection you have prepared
B) Check the order and the injection again, and then administer the injection
C) Thank Mrs. White for waiting and proceed from the point at which you left off
D) Offer to change Mrs. White's appointment, since so much time has been lost
E) Discard the prepared injection and start over

Question 42

In most cases, a(n) ________ drug must be administered by a physician or nurse because the medication is administered directly into the bloodstream and can produce an almost immediate effect.

Question 43

When using the ________ method for injecting an intramuscular drug, the skin and subcutaneous tissue are pulled to the side before inserting the needle at the site.

Question 44

Which of the following is not one of the "Triple Checks" you make when administering a medication?

A) When you take the medication from the storage container
B) When you prepare the medication
C) Before you close the storage container
D) Just before you administer the medication to the patient
E) Immediately after administering the medication to the patient

Question 45

Which of the following might result in a drug interaction that can cause a dangerous hypertensive crisis, possibly leading to stroke or death?

A) MAO inhibitor and aged cheese
B) Grapefruit juice and Nifedipine
C) Acetaminophen and codeine
D) Valium and alcohol
E) Inderal and Proventil

Question 46

You are providing patient education on a medication for an 11-year-old boy. You should direct your teaching to ____.

A) the boy
B) the parents
C) the boy, parents, and siblings
D) the boy and his siblings
E) the boy and his parents

Question 47

The liquid form of vaginal medication is administered by performing a(n) ________ or vaginal irrigation.

Question 48

IV medications are mixed and dissolved in a solution and given by IV ________, or slow drip, into a vein.

Question 49

In addition to verifying that the right patient is receiving the right dose of the right drug, you must also be sure the medication is given through the right ________ of administration.

Question 50

Which of the following methods could you use to ensure that a child swallows a liquid medication?

A) Pat the child firmly on the back
B) Gently rub the child's throat
C) Gently hold the child's mouth closed
D) Ask the child to cough
E) Tell a joke so the child will laugh

Question 51

The ________ area of the mouth is between the cheek and gum.

Question 52

A(n) ________ is a liquid used to dissolve and dilute a drug.

Question 53

Which of the following is not a condition that would eliminate a site from consideration for injection?

A) Birthmark
B) Tattoo
C) Hair
D) Redness
E) Scar

Question 54

An injection administered into the upper layer of skin at an angle almost parallel to the skin is a(n) ________ injection.

Question 55

A(n) ________, or salve, is an example of a topical medication that is rubbed into the skin.

Question 56

A(n) ________ medication is placed under the tongue, where it is absorbed through tissue that is rich in capillaries.

Question 57

The topical application of a medication administered via a patch uses a(n) ________ system.

Question 58

A(n) ________ injection is given into the patient's muscle and allows administration of a larger amount of drug in an adult.

Question 59

A(n) ________ is a homogeneous mixture of a solid, liquid, or gaseous substance in a liquid.

Question 60

Which of the following actions can help reduce a child's anxiety when you give the child an injection?

A) Ask the child's permission before giving the injection
B) Allow the patient to see and touch the syringe before giving the injection
C) Give the injection slowly
D) Distract the child by talking to her while you give the injection
E) Avoid the use of topical anesthetics; these can increase anxiety

Question 61

Before administering a vaccine, you must ask the patient to sign a(n) ________ that provides general information about the vaccine and lists possible side effects.

Question 62

Pediatric patients require special consideration because their small size increases the risk of ________ and toxicity.

Question 63

Most charting in a physician's office is documented on a(n) ________ or on a medication administration record (MAR).

Question 64

A patient has the right to ________ a medication or vaccine that he or she does not want to take. If this occurs, you should notify the physician and document this in the medical record.

Question 65

When an antibiotic is needed locally in the urinary bladder, the ________ route of administration is used.

Question 66

Enemas and suppositories can be used to administer medications via the ________ route; this route is often used to administer drugs to treat constipation, nausea, and vomiting.

Question 67

An unintended ________ between two prescription drugs or between prescription and OTC drugs or herbal remedies may cause serious effects.

Question 68

For patients who have asthma, a physician may order a nasal or oral ________ to deliver medication in aerosol form.

Question 69

Patients should be educated about their medications. This is the right to ________.

Question 70

Teach patients to be careful taking OTC medications such as acetaminophen to avoid an overdose. An overdose of acetaminophen can cause severe damage to the patient's ________.

Question 71

A tablet that has been ________ can be broken along an indented line on the tablet.

Question 72

When charting, you should avoid using words that can be interpreted to reflect your own ________.

Question 73

A(n) ________ application is the direct application of a drug on the skin.

Question 74

Some drugs are excreted in breast milk, which can be dangerous to the infant because infants have ________ body systems and cannot metabolize and excrete drugs that are safe for the mother.

Question 75

A medication given as a capsule via the _______ route may take as little as 20 minutes or as long as 3 hours to be absorbed.