Mid Term Exams - NUR 101 - Medication Administration From Foundations II
From Foundations of Nursing by Christensen and Kockrow, Chapter 23, pages 681-736
- 1.Proper ways of instilling ear drops. Select all that apply
- A.
For adults and children older than 3 years of age, pull earlobe upward and back
- B.
For children younger than 3 years of age, turn head with affected side up, pull earlobe downward and back
- C.
Irrigating an ear is an independent nursing intervention. No need for an order
- D.
Tell patient to remain in same position for 5 to 10 minutes to allow medication to drain into ear by gravity.
- 2.What is a common position of a patient when administering nasal medication?
- A.
Head forward and upward
- B.
Head forward and downward
- C.
Head backward and downward
- D.
Head backward and upward
- 3.The main difference between a Metered Dose Inhaler and a regular nasal spray.
- A.
MDI delivers a measured dose
- B.
Nasal Sprays are accurate
- C.
Both MDI and Nasal Sprays are percutaneous forms of medication
- D.
MDI and Nasal sprays are exactly the same.
- 4.Which statement is not true regarding buccal administration?
- A.
Achieved by placing a tablet between the cheek and the teeth
- B.
A drug that is administered Buccal can also be administered sublingual
- C.
Tablets are the most common form of buccal administration
- D.
Rapid onset of drug's active ingredient is due to absorption into the capillaries of the mucous membranes of the cheek
- 5.Glass container that are opened by snapping off the top part. Intended for unit-dose use.
- A.
Vial
- B.
Ampule
- C.
Canister
- D.
Capsule
- 6.Glass containers sealed with a metal cap with a rubber diaphragm in the middle of the cap. This rubber diaphragm permits a needle to enter the vial for either unit-dose or multi-dose use.
- A.
Vial
- B.
Ampule
- C.
Canister
- D.
Capsule
- 7.What is the proper position of an inhaler without an aero chamber (a spacer)?
- A.
Have patient open lips and place inhaler 1 to 2 inches from mouth with opening towards back of pharynx. Lips will not touch inhaler.
- B.
Have patient open lips and place inhaler 1/2 to 1 inch from mouth with opening towards back of pharynx. Lips will not touch inhaler.
- C.
Have patient open lips and place inhaler 1 to 2 inches away from the mouth with opening toward back of pharynx. Lips will not touch inhaler.
- D.
Have patient exhale, then grasp mouthpiece with teeth and lips while holding inhaler with thumb at mouthpiece and fingers at the top.
- 8.What is the proper position of an inhaler with an aero chamber (spacer) device.
- A.
Have patient exhale fully, then grasp mouthpiece with teeth and lips while holding inhaler with thumb at the mouthpiece and fingers at the top
- B.
Have patient inhale fully, then grasp mouthpiece with teeth and lips while holding inhaler with thumb at the mouthpiece and fingers at top
- C.
Have patient open lips and place inhaler 1/2 to 1 inch from mouth
- D.
Have patient open mouth and position inhaler 1 to 2 inches away from the mouth
- 9.What is the proper breathing instruction for using an inhaler.
- A.
Breath in slowly for 3 to 5 seconds and hold breath for 20 seconds
- B.
Breath in quickly for 5 to 6 seconds and hold breath for 30 seconds
- C.
Breath in quickly for 3 to 4 seconds, and hold breath for 1 minute.
- D.
Breath in slowly for 2 to 3 seconds, and hold breath for 10 seconds
- 10.When using an inhaler, what is the waiting period between puffs?
- A.
2 to 5 hours
- B.
2 to 5 seconds
- C.
2 to 5 minutes
- D.
10 to 15 minutes
- 11.If more than one type of inhaled medication is prescribed, what is the waiting period between inhalation?
- A.
5 to 10 minutes
- B.
5 to 10 seconds
- C.
15 to 20 minutes
- D.
15 to 20 seconds
- 12.When administering a sublingual medication, a nurse needs more training when he/she does what?
- A.
Places the medication under the patient's tongue
- B.
Gives the patient a glass of water
- C.
Uses 3 identitifiers
- D.
Applies six rights
- 13.Reasons for using the Parenteral route of medical administration. Select all that apply:
- A.
Dysphagia
- B.
Urgent need to provide absorption
- C.
Urgent need for immediate onset
- D.
Some medications are altered by the GI tracts
- E.
Patient dislikes oral medication
- 14.Which part of a syringe is non-sterile?
- A.
Plunger inside the barrel
- B.
Outside of a barrel
- C.
Point of a needle
- D.
Rubber Stopper
- 15.What are the sizes of the most commonly used syringe? Select all that apply
- A.
1 mL
- B.
3 mL
- C.
5 mL
- D.
10 mL
- 16.Which of the following statements are true regarding Sublingual Administration? Select all that apply:
- A.
Achieved by placing medication beneath the tongue until it is dissolved
- B.
They bypass the liver which reduces time it takes to produce a drug's desired effect
- C.
While tablet is being dissolved in the mouth, it is acceptable for the patient to drink a glass of water.
- D.
It is acceptable to squeeze liquid out of a capsule if ordered by sublingual route
- 17.Which of the following are considered Parenteral Routes? Select all that apply.
- A.
Epidural
- B.
Intramuscular
- C.
Subcutaneous
- D.
Intradermal
- E.
Intravenous
- 18.Total volume of a tuberculin syringe
- A.
0.5 mL
- B.
1 mL
- C.
1.5 mL
- D.
2 mL
- 19.When do you use a tuberculin syringe? Select all that apply:
- A.
Small doses of epinephrine
- B.
Subcutaneous medication
- C.
Electrolytes
- D.
Intradermal skin test
- E.
Mantoux
- 20.Main reason why insulin syringe is only used for insulin
- A.
It has the smallest needle
- B.
It is calibrated in units
- C.
It is the most effective syringe
- D.
It was designed for insulin
- 21.Which of the following is a correct measurement of an insulin syringe? Select all that apply
- A.
U100 syringe holds 100 units of insulin per 1 mL
- B.
U100 syringe holds 100 units of insulin per 10 mL
- C.
U50 syringe holds 50 units of insulin per 0.5 mL
- D.
U30 syringe in 0.3 mL size
- 22.Most frequently used syringe:
- A.
1 mL
- B.
3 mL
- C.
5 mL
- D.
Tuberculin
- 23.3 mL syringe is used for what kind of injections?
- A.
SubQ
- B.
IM
- C.
ID
- D.
IV
- 24.Which of the following statements are true regarding the relationship of a needle's diameter and the gauge. Select all that apply
- A.
Diameter of the lumen determines the gauge
- B.
The smaller the gauge, the larger the diameter
- C.
A 29-30 gauge needle has a large diameter
- D.
The thicker the medication, the smaller the gauge
- 25.Which of the following statements about intravenous needles are true? Select all that apply.
- A.
Butterfly and over-the-needle catheter are the two types of IV needles
- B.
Butterfly needle (scalp or winged needle) is useful for short term IV fluids
- C.
Over the counter needles are called Angiocaths, Jelcos, Abbocaths, or Insytes
- D.
The catheter should not be used for long term IV because it is flexible
- E.
It is possible to use Angiocaths for an indefinite period of time
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