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

49 Questions | By Arnoldjr2 | Last updated: Mar 16, 2022 | Total Attempts: 76

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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