Mid Term Exams - NUR 101 - Medication Administration From Foundations II
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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.
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. 710Rate this question:
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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 downwardExplanation
p. 711Rate this question:
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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 doseExplanation
page 708Rate this question:
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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 sublingualExplanation
p. 712Rate this question:
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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. AmpuleExplanation
p.712Rate this question:
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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. VialExplanation
p. 712Rate this question:
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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. 713Rate this question:
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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 topExplanation
p. 713Rate this question:
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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 secondsExplanation
p. 713Rate this question:
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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 minutesExplanation
p. 713Rate this question:
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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 minutesExplanation
p. 713Rate this question:
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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 waterExplanation
p. 714. Do not follow with water. Water reduces absorption of medicationRate this question:
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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 tractsExplanation
p. 715Rate this question:
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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 barrelExplanation
p. 715Rate this question:
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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 mLExplanation
p. 715Rate this question:
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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 routeExplanation
page 712Rate this question:
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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. IntravenousExplanation
p. 712Rate this question:
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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 mLExplanation
p. 715Rate this question:
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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. MantouxExplanation
p. 715Rate this question:
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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 unitsExplanation
p. 715Rate this question:
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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 sizeExplanation
p. 716Rate this question:
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- 22.
Most frequently used syringe:
- A.
1 mL
- B.
3 mL
- C.
5 mL
- D.
Tuberculin
Correct Answer
B. 3 mLExplanation
p. 716Rate this question:
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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. IMExplanation
p. 716Rate this question:
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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 gaugeExplanation
p. 716Rate this question:
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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 InsytesExplanation
p. 718Rate this question:
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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 casesExplanation
p. 718Rate this question:
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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 IVExplanation
p. 718Rate this question:
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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 preparationRate this question:
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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. DeltoidExplanation
p. 721. Dorsogluteal is no longer recommended because of the possible injury of a sciatic nerve.Rate this question:
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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 muscleExplanation
p. 721Rate this question:
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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 lateralisExplanation
p. 721Rate this question:
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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 spineExplanation
p. 722. Use your right hand for a patient's left hip. Use your left hand for a patient's right hipRate this question:
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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.Rate this question:
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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 withdrawnExplanation
p. 724. Ventrogluteal and dorsogluteal are deep large muscles that are preferred sites for Z-track methodRate this question:
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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 injectionsExplanation
p. 724 - You do NOT NEED TO ASPIRATE from an intradermal injection because there are no blood vessels involved.Rate this question:
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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. UpExplanation
p. 727Rate this question:
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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 FragminExplanation
p. 727 and 724 - Insulin, heparin, Lovenox and Fragmin are administered through the subcutaneous route.Rate this question:
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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. DemerolExplanation
p. 730Rate this question:
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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 PiggybackExplanation
pages 728-729Rate this question:
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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 anxietyExplanation
pages 729-730Rate this question:
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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 timeExplanation
p. 731Rate this question:
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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 boxExplanation
P. 731Rate this question:
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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 sauceExplanation
p. 732Rate this question:
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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 injectionsExplanation
p. 734Rate this question:
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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 patientExplanation
p. 736, number 26Rate this question:
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