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

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


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.

    Correct Answer(s)
    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
    D. Tell patient to remain in same position for 5 to 10 minutes to allow medication to drain into ear by gravity.
    Explanation
    p. 710

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  • 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

    Correct Answer
    C. Head backward and downward
    Explanation
    p. 711

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  • 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.

    Correct Answer
    A. MDI delivers a measured dose
    Explanation
    page 708

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  • 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

    Correct Answer
    B. A drug that is administered Buccal can also be administered sublingual
    Explanation
    p. 712

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  • 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

    Correct Answer
    B. Ampule
    Explanation
    p.712

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  • 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

    Correct Answer
    A. Vial
    Explanation
    p. 712

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  • 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.

    Correct Answer
    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.
    Explanation
    p. 713

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  • 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

    Correct Answer
    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
    Explanation
    p. 713

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  • 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

    Correct Answer
    D. Breath in slowly for 2 to 3 seconds, and hold breath for 10 seconds
    Explanation
    p. 713

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  • 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

    Correct Answer
    C. 2 to 5 minutes
    Explanation
    p. 713

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  • 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

    Correct Answer
    A. 5 to 10 minutes
    Explanation
    p. 713

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  • 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

    Correct Answer
    B. Gives the patient a glass of water
    Explanation
    p. 714. Do not follow with water. Water reduces absorption of medication

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  • 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

    Correct Answer(s)
    A. Dysphagia
    B. Urgent need to provide absorption
    C. Urgent need for immediate onset
    D. Some medications are altered by the GI tracts
    Explanation
    p. 715

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  • 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

    Correct Answer
    B. Outside of a barrel
    Explanation
    p. 715

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  • 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

    Correct Answer(s)
    A. 1 mL
    B. 3 mL
    C. 5 mL
    Explanation
    p. 715

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  • 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

    Correct Answer(s)
    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
    D. It is acceptable to squeeze liquid out of a capsule if ordered by sublingual route
    Explanation
    page 712

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  • 17. 

    Which of the following are considered Parenteral Routes? Select all that apply.

    • A.

      Epidural

    • B.

      Intramuscular

    • C.

      Subcutaneous

    • D.

      Intradermal

    • E.

      Intravenous

    Correct Answer(s)
    A. Epidural
    B. Intramuscular
    C. Subcutaneous
    D. Intradermal
    E. Intravenous
    Explanation
    p. 712

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  • 18. 

    Total volume of a tuberculin syringe 

    • A.

      0.5 mL

    • B.

      1 mL

    • C.

      1.5 mL

    • D.

      2 mL

    Correct Answer
    B. 1 mL
    Explanation
    p. 715

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  • 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

    Correct Answer(s)
    A. Small doses of epinephrine
    B. Subcutaneous medication
    D. Intradermal skin test
    E. Mantoux
    Explanation
    p. 715

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  • 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

    Correct Answer
    B. It is calibrated in units
    Explanation
    p. 715

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  • 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

    Correct Answer(s)
    A. U100 syringe holds 100 units of insulin per 1 mL
    C. U50 syringe holds 50 units of insulin per 0.5 mL
    D. U30 syringe in 0.3 mL size
    Explanation
    p. 716

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  • 22. 

    Most frequently used syringe:

    • A.

      1 mL

    • B.

      3 mL

    • C.

      5 mL

    • D.

      Tuberculin

    Correct Answer
    B. 3 mL
    Explanation
    p. 716

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  • 23. 

    3 mL syringe is used for what kind of injections?

    • A.

      SubQ

    • B.

      IM

    • C.

      ID

    • D.

      IV

    Correct Answer
    B. IM
    Explanation
    p. 716

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  • 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

    Correct Answer(s)
    A. Diameter of the lumen determines the gauge
    B. The smaller the gauge, the larger the diameter
    D. The thicker the medication, the smaller the gauge
    Explanation
    p. 716

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  • 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

    Correct Answer(s)
    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
    Explanation
    p. 718

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  • 26. 

    When is an over-the-needle catheter used? Select all that apply. 

    • A.

      Emergency situations and surgery

    • B.

      Immunization and preventive innoculation

    • C.

      TPN and thick IV infusion

    • D.

      Blood and blood products transfusion

    • E.

      Intensive care cases

    Correct Answer(s)
    A. Emergency situations and surgery
    C. TPN and thick IV infusion
    D. Blood and blood products transfusion
    E. Intensive care cases
    Explanation
    p. 718

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  • 27. 

    The difference between an Angiocath, a stylet and an Intracath 

    • A.

      Angiocaths and Intracaths are used for the same purpose. A stylet is made of plastic

    • B.

      Angiocaths are longer than Intracaths while a Stylet is used to guide a catheter.

    • C.

      Angiocath is a plastic catheter over a stainless needle. A stylet is a bevel-tipped metal guide used to pierce skin and vein. Intracaths are longer than angiocaths and are used for long term IV

    • D.

      Angiocaths, stylets and intracaths are used for IV and SubQ

    Correct Answer
    C. Angiocath is a plastic catheter over a stainless needle. A stylet is a bevel-tipped metal guide used to pierce skin and vein. Intracaths are longer than angiocaths and are used for long term IV
    Explanation
    p. 718

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  • 28. 

    Which of the following statements regarding insulin reconstitution is true? Select all that apply.    

    • A.

      Always shake an insulin

    • B.

      Roll long and intermediate acting insulin between palms

    • C.

      DO not mix long acting insulin glargine (Lantus) with regular insulin (Lantus is acidic and will affect action of regular insulin)

    • D.

      Administer mixtures of insulin within 15 minutes of preparation

    Correct Answer(s)
    B. Roll long and intermediate acting insulin between palms
    C. DO not mix long acting insulin glargine (Lantus) with regular insulin (Lantus is acidic and will affect action of regular insulin)
    Explanation
    p. 720 . Do not shake any insulin. It causes air bubbles. Administer mixtures of insulin within 5 minutes of preparation

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  • 29. 

    Which of the following are the most commonly and recommended sites for intramuscular injections? Select all that apply:

    • A.

      Ventrogluteal

    • B.

      Vastus lateralis

    • C.

      Dorsogluteal

    • D.

      Deltoid

    Correct Answer(s)
    A. Ventrogluteal
    B. Vastus lateralis
    D. Deltoid
    Explanation
    p. 721. Dorsogluteal is no longer recommended because of the possible injury of a sciatic nerve.

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  • 30. 

    In general, Hepatitis B vaccine is administered where?

    • A.

      Dorsogluteal

    • B.

      Ventrogluteal

    • C.

      Vastus lateralis

    • D.

      Deltoid muscle

    Correct Answer
    D. Deltoid muscle
    Explanation
    p. 721

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  • 31. 

    Preferred site for children younger than 3 years of age because it is free of nerves and blood vessels.

    • A.

      Rectus femoris

    • B.

      Deltoid

    • C.

      Vastus lateralis

    • D.

      Intramuscular

    Correct Answer
    C. Vastus lateralis
    Explanation
    p. 721

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  • 32. 

    Which of the following statements are true regarding the ventrogluteal site? Select all that apply:

    • A.

      Use your right hand for the patient's right hip, and the left hand for patient's left hip.

    • B.

      Point your thumb toward the patient's groin, point your index finger toward the anterior superior iliac spine, and extend your middle finger back along the iliac crest toward the buttock as far as possible

    • C.

      Injection site is the center of the triangle formed by index and middle finger

    • D.

      Palpate the greater trochanter at the head of the femur and the anterior superior iliac spine

    Correct Answer(s)
    B. Point your thumb toward the patient's groin, point your index finger toward the anterior superior iliac spine, and extend your middle finger back along the iliac crest toward the buttock as far as possible
    C. Injection site is the center of the triangle formed by index and middle finger
    D. Palpate the greater trochanter at the head of the femur and the anterior superior iliac spine
    Explanation
    p. 722. Use your right hand for a patient's left hip. Use your left hand for a patient's right hip

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  • 33. 

    Which of the following is true about Deltoid Site. Select all that apply:

    • A.

      Injection site is about 1 to 2 inches below the acromion process

    • B.

      Position patient sitting or lying down, exposing upper arm and shoulder.

    • C.

      Use in infants or children who are underweight

    • D.

      Inject no more than 1 mL into the muscle

    • E.

      Landmarks are the acromion process of the scapula and the axillary fold.

    Correct Answer(s)
    A. Injection site is about 1 to 2 inches below the acromion process
    B. Position patient sitting or lying down, exposing upper arm and shoulder.
    D. Inject no more than 1 mL into the muscle
    E. Landmarks are the acromion process of the scapula and the axillary fold.
    Explanation
    p. 722, 723. Avoid using in infants or children who are underweight because of insufficient tissue in the deltoid area.

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  • 34. 

    Which of the following statements about the Z-track method is true? Select all that apply:

    • A.

      Used to avoid or minimize tissue irritation

    • B.

      IM is the preferred site

    • C.

      Ventrogluteal or dorsogluteal should be avoided

    • D.

      Does not allow staining or tracking of medication into tissue as needle is withdrawn

    Correct Answer(s)
    A. Used to avoid or minimize tissue irritation
    B. IM is the preferred site
    D. Does not allow staining or tracking of medication into tissue as needle is withdrawn
    Explanation
    p. 724. Ventrogluteal and dorsogluteal are deep large muscles that are preferred sites for Z-track method

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  • 35. 

    Which of the following statements are true about Intradermal Injections? Select all that apply:

    • A.

      When performing an intradermal injection, you have to aspirate to avoid injury

    • B.

      Small volumes such as 0.1 mL are injected to form a small bubble-like wheal just under the skin

    • C.

      Absorption in this location is slow which makes intradermal ideal for allergy sensitivity tests

    • D.

      Use a tuberculin syringe to give intradermal because it holds only a maximum of 1 mL

    • E.

      Use the upper chest, the inner aspect of the lower arm or the scapular area for ID injections

    Correct Answer(s)
    B. Small volumes such as 0.1 mL are injected to form a small bubble-like wheal just under the skin
    C. Absorption in this location is slow which makes intradermal ideal for allergy sensitivity tests
    D. Use a tuberculin syringe to give intradermal because it holds only a maximum of 1 mL
    E. Use the upper chest, the inner aspect of the lower arm or the scapular area for ID injections
    Explanation
    p. 724 - You do NOT NEED TO ASPIRATE from an intradermal injection because there are no blood vessels involved.

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  • 36. 

    When administering an intradermal injection, where should the bevel face?

    • A.

      Up

    • B.

      Down

    • C.

      Left

    • D.

      Right

    Correct Answer
    A. Up
    Explanation
    p. 727

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  • 37. 

    When using an intravenous route, which of the following does not apply?

    • A.

      Fluids and Electrolytes

    • B.

      TPN and medication

    • C.

      Blood and blood products

    • D.

      Chemotherapy and PCA

    • E.

      Insulin, heparin, Lovenox and Fragmin

    Correct Answer
    E. Insulin, heparin, Lovenox and Fragmin
    Explanation
    p. 727 and 724 - Insulin, heparin, Lovenox and Fragmin are administered through the subcutaneous route.

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  • 38. 

    Which of the following drugs are not recommended via PCA because it has neurotoxic potential

    • A.

      Fentanyl

    • B.

      Dilaudid

    • C.

      Buprenex

    • D.

      Demerol

    Correct Answer
    D. Demerol
    Explanation
    p. 730

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  • 39. 

    What is the difference between INTERMITTENT VENOUS ACCESS DEVICE and INTERMITTENT INFUSION? 

    • A.

      Intermittent Venous Access Device is the same as Heparin Lock and Intermittent Infusion is the same as Piggyback

    • B.

      Intermittent Venous Access Device is same as Piggyback. Intermittent Infusion is the same as Saline Lock

    • C.

      The former and the latter are the same

    • D.

      The former and the latter are both subcutaneous

    Correct Answer
    A. Intermittent Venous Access Device is the same as Heparin Lock and Intermittent Infusion is the same as Piggyback
    Explanation
    pages 728-729

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  • 40. 

    Benefits of a Patient-controlled Analgesia. Select all that apply 

    • A.

      Provides more pain relief with less medication

    • B.

      Patient is more in control and decreases anxiety

    • C.

      Patient can have as much medication as needed

    • D.

      Patient can have medication as often as needed

    Correct Answer(s)
    A. Provides more pain relief with less medication
    B. Patient is more in control and decreases anxiety
    Explanation
    pages 729-730

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  • 41. 

    What does an infusion pump do?

    • A.

      Designed to deliver a measured amount of fluid over a period of time

    • B.

      Designed to deliver any amount of fluid within a period of time

    • C.

      Designed to deliver fluids at any time

    • D.

      Designed to deliver any medication within a specified period of time

    Correct Answer
    A. Designed to deliver a measured amount of fluid over a period of time
    Explanation
    p. 731

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  • 42. 

    Where do you find the DRIP FACTOR? 

    • A.

      IV tubing box

    • B.

      IV line

    • C.

      IV catheter

    • D.

      IV needle

    Correct Answer
    A. IV tubing box
    Explanation
    P. 731

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  • 43. 

    You are about to administer Tylenol to an 85-year old patient. Which of the following are appropriate before, during and after the administration? Select all that apply

    • A.

      Sip water before attempting to swallow medication

    • B.

      Crush medication if needed and mix with apple sauce

    • C.

      Tell the patient to chew the tablet before swallowing

    • D.

      Mix the tablet with alcohol to stimulate a pleasant taste

    Correct Answer(s)
    A. Sip water before attempting to swallow medication
    B. Crush medication if needed and mix with apple sauce
    Explanation
    p. 732

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  • 44. 

    The use of PCA and PCE reduces the use of what kind of injections?

    • A.

      Intramuscular injections

    • B.

      Subcutaneous injections

    • C.

      Intradermal injections

    • D.

      Intravenous injections

    Correct Answer
    A. Intramuscular injections
    Explanation
    p. 734

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  • 45. 

    Right after administering 100 mg of medication to a patient, you realized that the MAR only requested 10 mg. What do you have to do next?

    • A.

      Check the patient

    • B.

      Complete an incident report

    • C.

      Call the supervisor

    • D.

      Call the physician

    Correct Answer
    A. Check the patient
    Explanation
    p. 736, number 26

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