Title: Exam - Medication Administration
Course: PRN 0930 Practical Nursing I > Section: Medication Administration Part 2

Q: The following information is included in a physician’s order:

Jane Doe

September 23

Amoxicillin 250 mg PO every 6 hours for 10 days

Dr. John Smith

The essential component missing is the _____________.
A: Time

Q: Using the illustration below, select the proper angle for the nurse to use in administering a subcutaneous injection for the average adult.
A: B

Q: Important considerations are to be followed when administering medications to prevent errors. Shortcuts should not be taken, and principles should be adhered to. One of these principles is:
- placing an unlabeled syringe on the medication cart.
- following the six rights of medication administration.
- leaving a medication with the patient only when family is there.
- always charting medications before the end of shift.
A: following the six rights of medication administration.

Q: In some health care facilities, the LPN/LVN is allowed to take telephone orders from a physician. The nurse must be alert and careful when taking verbal orders. One precaution the nurse should take is to:
- write quickly.
- repeat the order to the physician.
- have another nurse listen on an extension.
- sign and initial the physician s name on the order.
A: repeat the order to the physician.

Q: Percutaneous medications are available in which forms:
- Powders, tablets, and liquids
- Liquids, suppositories and creams
- Ointments, drops and sprays
- Transdermal patches only
A: Ointments, drops and sprays

Q: The main organ that inactivates and metabolizes drugs is the:
- spleen.
- liver.
- lungs.
- pancreas.
A: liver.

Q: The nurse administered a sedative to an older adult who was having difficulty sleeping. Later, the patient was walking the halls and becoming agitated. The nurse recognizes this behavior as a response to the drug called:
- unexpected.
- untoward.
- idiosyncratic.
- hypersensitive.
A: idiosyncratic.

Q: The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug. This effect is called:
- compatibility.
- antagonistic.
- synergism.
- cooperation.
A: synergism.

Q: The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the new nurse time. The nurse coming on knew that she should:
- give the medications when ordered.
- recheck the medications.
- never give medications another person has prepared.
- identify each medication as it is given.
A: never give medications another person has prepared.

Q: The practical nurse will administer a medication an IM injection on an adult and needs to gather the correct needle and syringe. In the drawer are the following needles. Which one should the practical nurse choose?
- 18 gauge, 1 ½ inch
- 20 gauge, 1 ½ inch
- 23 gauge, 1 inch
- 25 gauge, 5/8 inch
A: 20 gauge, 1 ½ inch

Q: The preferred injection site on an infant or small child is:
- Deltoid muscle
- Ventrogluteal muscle
- Vastus lateralis muscle
- Rectus femoris muscle
A: Vastus lateralis muscle

Q: To help relax the anal sphincter during the insertion of a suppository, the nurse should ask the patient to ____________.
- Cough
- Hold their breath
- Inhale
- exhale
A: exhale

Q: What is the reason for administering medication with the Z track method?
- Less irritation and staining
- Can use a smaller muscle site
- Can use less medication
- Can give the medication faster.
A: Less irritation and staining

Q: What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? Select all that apply.
- Independently waste the drug in a secure place.
- Record in the narcotic log that the drug was wasted.
- Chart in the patient s record the reason the medication was refused.
- Get any staff member to sign the narcotic log as witness to the drug being wasted.
- Confirm the count is correct on the narcotic log.
A: Record in the narcotic log that the drug was wasted.; Chart in the patient s record the reason the medication was refused.; Confirm the count is correct on the narcotic log.

Q: When a patient comes into the emergency department with a narcotic overdose, the nurse anticipates that the patient will be treated with Narcan, which is a(n):
- enhancer.
- substitute.
- control.
- antagonist.
A: antagonist.

Q: When giving a subcutaneous injection to a very thin patient, the nurse will alter the injection technique by:
- using a 23-gauge needle.
- spreading the skin before injection.
- pinching up the skin and inserting the needle at a 90-degree angle.
- injecting the medicine quickly to reduce pain.
A: pinching up the skin and inserting the needle at a 90-degree angle.

Q: When giving a tubal medication, the nurse should flush the tubing with ___ to ___ mL of water.
- 10 to 30 ml
- 30 to 50 ml
- 50 to 60 ml
- 60 to 70 ml.
A: 30 to 50 ml

Q: When performing an intradermal injection, the nurse instills a small amount of substance into the dermis and the injection is not aspirated. One of the uses of this technique is screening for:
- Diabetes
- Tuberculosis
- Hepatitis
- Meningitis
A: Tuberculosis

Q: When preparing to give an intramuscular injection into the ventrogluteal site, the nurse uses landmarks to ensure safe placement of the medication. Those landmarks are:
- The tip of the coccyx and the greater trochanter.
- Between the center of the gluteus and the iliac spine.
- The anterior iliac spine, the iliac crest and the greater trochanter.
- On an imaginary line between the center of the gluteus and the greater trochanter.
A: The anterior iliac spine, the iliac crest and the greater trochanter.

Q: When the patient complains about his IV lines and asks if he can have the medication by mouth, the nurse explains that the main problem related to the oral route is that:
- it is difficult for many patients to swallow.
- medication by mouth is absorbed more slowly than by any other route.
- it takes more time for the nurse to prepare and administer medications.
- it leads to more errors because pills look alike.
A: medication by mouth is absorbed more slowly than by any other route.