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Medication Administration Practice Exam, Exams of Introduction to Public Administration

Chamberlain College of NursingIntroduction to Public Administration

A practice exam focused on medication administration. It covers a variety of topics related to safe and effective medication administration, including identifying appropriate medication dosages, administration routes, monitoring for adverse effects, and handling medication errors. The exam questions test the nurse's knowledge and decision-making skills in various medication administration scenarios. The document could be useful for nursing students or practicing nurses to review and test their understanding of medication administration principles and best practices.

Typology: Exams

2023/2024

Available from 08/23/2024

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FON Chapter 32 - Medication
Administration (Practice Exam) with
complete solutions
A nurse is teaching a patient about medications. Which statement from the patient
indicates teaching is effective?
A. "My parenteral medication must be taken with food."
B. "I will rotate the sites in my left leg when I give my insulin."
C. "Once I start feeling better, I will stop taking my antibiotic."
D. "If I am 30 minutes late taking my medication, I should skip that dose." - ANSWER-B.
"I will rotate the sites in my left leg when I give my insulin."
A nurse is preparing to administer an injection to a patient. Which statement made by
the patient is an indication for the nurse to use the Z-track method?
A. "I am allergic to many medications."
B. "I'm really afraid that a big needle will hurt."
C. "The last shot like that turned my skin colors."
D. "My legs are too obese for the needle to go through." - ANSWER-C. "The last shot
like that turned my skin colors."
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
A. Pull the auricle down and back to straighten the ear canal.
B. Pull the auricle upward and outward to straighten the ear canal.
C. Sit the child up for 2 to 3 minutes after instilling drops in ear canal.
D. Sit the child up to insert the cotton ball into the innermost ear canal. - ANSWER-A.
Pull the auricle down and back to straighten the ear canal.
A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse
obtain to administer the medication?
A. 3-mL syringe
B. U-100 syringe
C. Needleless syringe
D. Tuberculin syringe - ANSWER-D. Tuberculin syringe
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Download Medication Administration Practice Exam and more Exams Introduction to Public Administration in PDF only on Docsity!

FON Chapter 32 - Medication

Administration (Practice Exam) with

complete solutions

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective? A. "My parenteral medication must be taken with food." B. "I will rotate the sites in my left leg when I give my insulin." C. "Once I start feeling better, I will stop taking my antibiotic." D. "If I am 30 minutes late taking my medication, I should skip that dose." - ANSWER-B. "I will rotate the sites in my left leg when I give my insulin." A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method? A. "I am allergic to many medications." B. "I'm really afraid that a big needle will hurt." C. "The last shot like that turned my skin colors." D. "My legs are too obese for the needle to go through." - ANSWER-C. "The last shot like that turned my skin colors." A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take? A. Pull the auricle down and back to straighten the ear canal. B. Pull the auricle upward and outward to straighten the ear canal. C. Sit the child up for 2 to 3 minutes after instilling drops in ear canal. D. Sit the child up to insert the cotton ball into the innermost ear canal. - ANSWER-A. Pull the auricle down and back to straighten the ear canal. A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to administer the medication? A. 3-mL syringe B. U-100 syringe C. Needleless syringe D. Tuberculin syringe - ANSWER-D. Tuberculin syringe

A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer? A. 1/2 tablet B. 1 tablet C. 1 1/2 tablets D. 2 tablets - ANSWER-A. 1/2 tablet The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse to schedule a trough level? A. 0800 B. 0830 C. 0900 D. 0930 - ANSWER-B. 0830 A patient is receiving vancomycin. Which function is the priority for the nurses to assess? A. Vision B. Hearing C. Heart tones D. Bowel sounds - ANSWER-B. Hearing A health care provider orders lorazepam (Ativan) 1 mg orally 2 times a day. The dose available is 0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose? A. 1 B. 2 C. 3 D. 4 - ANSWER-B. 2 The nurse is preparing to administer an injection into the deltoid muscle of an adult patient. Which needle size and length will the nurse choose? A. 18 gauge × 1 1/2 inch B. 23 gauge × 1/2 inch C. 25 gauge × 1 inch D. 27 gauge × 5/8 inch - ANSWER-C. 25 gauge × 1 inch When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating? A. Prevent the patient from choking.

D. Flush tube with 10 to 15 mL of water, after all medications are administered. - ANSWER-C. Hold feeding for at least 30 minutes after medication administration. A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate? A. 7 year old with a bleeding disorder B. 21 year old with a sprained ankle C. 35 year old with a severe headache from hypertension D. 62 year old with a high fever from an infection - ANSWER-D. 62 year old with a high fever from an infection A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest? A. Acetaminophen 650 mg PO B. Hydromorphone 4 mg IV C. Ketorolac 8 mg IM D. Morphine 6 mg SQ - ANSWER-B. Hydromorphone 4 mg IV While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed? A. Stomach B. Mouth C. Small intestine D. Large intestine - ANSWER-A. Stomach The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring? A. Falls asleep during daily activities B. Presents with a pruritic rash C. Develops restlessness D. Experiences alertness - ANSWER-A. Falls asleep during daily activities An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do? A. Call the health care provider to clarify the order. B. Give the patient hydromorphone, as it was meant to be written. C. Administer the medication and monitor the patient frequently. D. Refuse to give the medication and notify the nurse supervisor. - ANSWER-A. Call the health care provider to clarify the order.

A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take? A. Encourage the patient to cough and deep-breathe. B. Suction the patient's respiratory secretions. C. Suggest voiding every 2 hours. D. Increase fluid intake. - ANSWER-A. Encourage the patient to cough and deep- breathe. A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do? A. Have another nurse witness the wasted medication. B. Return the wasted medication to the medication dispenser. C. Place the wasted portion of the medication in the sharps container. D. Exit the medication room to call the health care provider to request an order that matches the dosages. - ANSWER-A. Have another nurse witness the wasted medication. A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful? A. "I should let the medication dissolve completely." B. "I will place the medication in the same location." C. "I can only drink water, not juice, with this medication." D. "I better chew my medication first for faster distribution." - ANSWER-A. "I should let the medication dissolve completely." What is the nurse's priority action to protect a patient from medication error? A. Reading medication labels at least 3 times before administering B. Administering as many of the medications as possible at one time C. Asking anxious family members to leave the room before giving a medication D. Checking the patient's room number against the medication administration record - ANSWER-A. Reading medication labels at least 3 times before administering The nurse prepares a pain injection for a patient but had to check on another patient and asks a new nurse to give the medication. Which action by the new nurse is best? A. Do not give the medication. B. Administer the medication just this once. C. Give the medication for any pain score greater than 8. D. Avoid the issue and pretend to not hear the request. - ANSWER-A. Do not give the medication.

D. A 72 year old with left-sided hemiparesis using a dry powder inhaler - ANSWER-B. A 25 year old with limited coordination of the extremities The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority? A. Change the dose to one that is within range. B. Administer the medication because it is within the therapeutic range. C. Notify the health care provider that the prescribed dose is in the toxic range. D. Notify the health care provider that the prescribed dose is below the therapeutic range. - ANSWER-D. Notify the health care provider that the prescribed dose is below the therapeutic range. The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene? A. A nurse administers a vaccine without aspirating. B. A nurse gives an IV medication through a 22-gauge IV needle without blood return. C. A nurse draws up the NPH insulin first when mixing a short-acting and intermediate- acting insulin. D. A nurse calls the health care provider for a patient with nasogastric suction and orders for oral meds. - ANSWER-C. A nurse draws up the NPH insulin first when mixing a short-acting and intermediate-acting insulin. A nurse is caring for a patient who is receiving pain medication through a saline lock. After obtaining a good blood return when the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse's initial action? A. Do not administer the pain medication. B. Administer the pain medication slowly. C. Apply a warm compress to the site. D. Apply a cool compress to the site. - ANSWER-A. Do not administer the pain medication. The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that did not check the identification of the patient before administering medication. Which action should the nurse complete first? A. Return to the room to check and assess the patient. B. Administer the antidote to the patient immediately. C. Alert the charge nurse that a medication error has occurred. D. Complete proper documentation of the medication error in the patient's chart. - ANSWER-A. Return to the room to check and assess the patient.

The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error? A. Right medication B. Right patient C. Right dose D. Right route - ANSWER-B. Right patient A patient prefers not to take the daily allergy pill this morning because it causes drowsiness throughout the day. Which response by the nurse is best? A. "The physician ordered it; therefore, you must take your medication every morning at the same time whether you're drowsy or not." B. "Let's see if we can change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping." C. "You can skip this medication on days when you need to be awake and alert." D. "Try to get as much done as you can before you take your pill, so you can sleep in the afternoon." - ANSWER-B. "Let's see if we can change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping." A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step?

  1. Invert the vial.
  2. Fill the syringe with medication.
  3. Inject air into the airspace of the vial.
  4. Clean with alcohol swab and allow to dry.
  5. Pull back on the plunger the amount to be drawn up.
  6. Tap the side of the syringe barrel to remove air bubbles. A. 4, 1, 5, 3, 6, 2 B. 1, 4, 5, 3, 2, 6 C. 4, 5, 3, 1, 2, 6 D. 1, 4, 5, 3, 6, 2 - ANSWER-C. 4, 5, 3, 1, 2, 6 A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best? A. "Please hold your child's arms down, so I can give the full dose." B. "I will prepare the medication for you and observe if you would like to try to administer the medication." C. "Let's turn the lights off and give your child a moment to fall asleep before administering the medication."

A. At the patient's bedside B. Before going to the patient's room C. When checking the medication order D. When selecting medication from the unit-dose drawer - ANSWER-B. Before going to the patient's room A nurse is preparing to administer an antibiotic medication at 1000 to a patient but gets busy in another room. When should the nurse give the antibiotic medication? A. By 1030 B. By 1100 C. By 1130 D. By 1200 - ANSWER-A. By 1030 The nurse is administering medications to several patients. Which action should the nurse take? A. Advise a patient after a corticosteroid inhaler treatment to rinse mouth with water. B. Administer an intravenous medication through tubing that is infusing blood. C. Pinch up the deltoid muscle of an adult patient receiving a vaccination. D. Aspirate before administering a subcutaneous injection in the abdomen. - ANSWER- A. Advise a patient after a corticosteroid inhaler treatment to rinse mouth with water. A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.) A. Recap the needle after giving an injection. B. Remove needle and dispose in sharps box. C. Never force needles into the sharps disposal. D. Use clearly marked sharps disposal containers. E. Use needleless devices whenever possible. - ANSWER-C. Never force needles into the sharps disposal. D. Use clearly marked sharps disposal containers. E. Use needleless devices whenever possible. Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient's IV fluid? (Select all that apply.) A. Start another IV site. B. Administer slowly with the IV fluid. C. Do not give the medication and chart. D. Flush with 10 mL of sterile water before and after administration. t E. Flush with 10 mL of normal saline before and after administration. - ANSWER-A. Start another IV site. D. Flush with 10 mL of sterile water before and after administration. t

E. Flush with 10 mL of normal saline before and after administration.