Medication Administration Exam 2 Prep
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- 1.When are parenteral medications administered by injection?
- A.
When the medication must be absorbed as slowly and completely as possible.
- B.
When the medication must be absorbed as rapidly and completely as possible.
- C.
When patient is unable to take medication by mouth.
- D.
Both A & C
- E.
Both B & C
- 2.Pay special attention to these (select all that apply) while administering parenteral medications:
- A.
It is an invasive procedure
- B.
Skin is first line of defense
- C.
Remember aseptic technique
- D.
Only administer 1/2 of medication at first
- E.
Make sure you're at the proper site of injection
- 3.With parenteral administration, these things may occur:
- A.
Allergic reaction
- B.
Patient won't be harmed with the wrong medication
- C.
Infection
- D.
Trauma at site of needle puncture
- E.
It is irretrievable
- 4.The parts of a syringe include the barrel, the [Blank], and the tip.
- 5.Syringes come in many sizes. Anywhere from 1ml to ____ ml(s).
- A.
45
- B.
50
- C.
55
- D.
60
- 6.Insulin syringes hold 1ml/cc.
- A.
True
- B.
False
- 7.Bevels are always ____!
- A.
Pointing up
- B.
Pointing down
- C.
Pointing towards you
- D.
Pointed towards your ear
- 8.The 3 parts of a needle include: hub, ____, and bevel.
- 9.Angle for IM shots are [Blank] degrees.
- 10.Angle for SQ shots are [Blank] degrees.
- 11.Angle for IV shots are [Blank] degrees.
- 12.Angle for TB shots are [Blank] degrees.
- 13.The higher the gauge number, the [Blank] the needle.
- 14.Consider these factors when medications are given (check all that apply).
- A.
Onset
- B.
Dosage
- C.
Cost
- 15.Parenteral administration is considered any route other than the enteral or gastrointestinal tract.
- A.
True
- B.
False
- 16.Lipohypertrophy is the build up of subcutaneous fat at the site of insulin injection and slows the rate of absorption of medication.
- A.
True
- B.
False
- 17.Lipoatrophy is the breakdown of subcutaneous fat at the site of insulin injection and slows the rate of absorption of medication.
- A.
True
- B.
False
- 18.Check all that apply to the characteristic features of a needle.
- A.
The slant of the shaft
- B.
The length of the needle
- C.
All needles are universal for both adults and infants/small children
- 19.How long until you need to throw away an insulin-Flex Pen?
- A.
Once a year
- B.
2 weeks
- C.
Twice a year
- D.
28 days
- 20.NPH stands for neutral protamine hagedorn.
- A.
True
- B.
False
- 21.Select the correct answer pertaining to the maximum volume per shot you can administer to adults, small children/older infants, and small infants.
- A.
Adults: 4 ml, small children: 2ml, infants: 1ml
- B.
Adults: 3ml, small children: 2 ml, infants: 0.5ml
- C.
Adults: 3ml, small children: 1ml, infants: 0.5ml
- D.
None of the above
- 22.Hypoglycemia is defined as a blood sugar > 80 mg/dl.
- A.
True
- B.
False
- 23.When using a sliding scale for insulin...
- A.
Amount of insulin units are usually small and rapid/short acting
- B.
Amount of insulin units are usually large and rapid/short acting
- C.
Amount of insulin units are usually large and long acting
- D.
Amount of insulin units are usually large and rapid/short acting
- 24.Duration is defined as how long a medication is in your system once administered.
- A.
True
- B.
False
- 25.The different types of actions are rapid, short, intermediate, and mixture.
- A.
True
- B.
False
- 26.Which of these are considered insulins?
- A.
Regular
- B.
Neutral Protamine Hagedorn
- C.
Lantus
- D.
Humalog
- 27.Protamine is added to slow the duration of insulin. Protamine is also why the insulin may be cloudy.
- A.
True
- B.
False
- 28.Can regular insulin be given intravenously?
- A.
Yes, but only regular insulin can be given intravenously.
- B.
Yes, all insulin can be given intravenously.
- C.
Absolutely not, insulin is not administered intravenously.
- D.
Only certain kinds of insulin may be given intravenously.
- 29.Can insulin be given orally?
- A.
Yes, but it can also be given per injection.
- B.
No, because the enzymes in the GI tract would destroy it.
- C.
No, because it would taste disgusting to the patient.
- D.
Yes, solely because there is no harm in giving it orally.
- 30.Select all that apply to the "three P's".
- A.
Polyatigue
- B.
Polyuria
- C.
Polyphagia
- D.
Polydipsia
- E.
Polyfakia
- 31.When choosing a syringe and needle, consider these:
- A.
Route
- B.
Size of patient
- C.
Condition of patient
- D.
When patients last bowel movement was
- E.
Amount of adipose tissue the patient has
- F.
Volume of medication being administered
- G.
Degree of calibration
- H.
Type of medication and its viscosity
- 32.When mixing insulin, always go from cloudy to clear.
- A.
True
- B.
False
- 33.NPh is...
- A.
Long acting
- B.
Fast acting
- C.
Short acting
- 34.Regular insulin is...
- A.
Fast acting
- B.
Short acting
- C.
Long acting
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