Mid Term Exams - NUR 101 - Medication Administration From Foundations II

49 Questions | Total Attempts: 38

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Medical Quizzes & Trivia

From Foundations of Nursing by Christensen and Kockrow, Chapter 23, pages 681-736


Questions and Answers
  • 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