A nurse is using the Z-track technique to administer an injection to a client. Which injection route utilizes the Z-track technique?

a) Subcutaneous
b) Intramuscular
c) Intradermal
d) Intravenous

b) Intramuscular

Which of the following would be considered a “right” of drug administration. Select all that apply.

a) Right class
b) Right documentation
c) Right client
d) Right dose
e) Right drug

b) Right documentation
c) Right client
d) Right dose
e) Right drug
A nurse is reviewing information about a prescribed drug in a drug handbook in preparation for administration to a client. When reading about the drug, the nurse identifies which name as the generic name?
a) Polycillin-N
b) SK Ampicillin-N
c) Omnipen-N
d) Ampicillin sodium
d) Ampicillin sodium

A nurse is administering insulin to a diabetic patient. Which of the following are three recommended times to check the label before administration? Select all that apply.

a) When reaching for the container or unit dose package
b) When documenting administration of the medicine
c) After giving the unit dose medication to the patient
d) When replacing the container to the drawer or shelf
e) When comparing with the CMAR immediately after pouring from a multidose container
f) After retrieval from the drawer and compared with the CMAR

• When reaching for the container or unit dose package
• After retrieval from the drawer and compared with the CMAR
• When replacing the container to the drawer or shelf

What factor is used to calculate drug dosages for a child?

a) Ethnicity
b) Age
c) Body surface area (BSA)
d) Developmental level

c) Body surface area (BSA)

An adult with diabetes receives 20 units of insulin each morning and evening. How will the nurse teach the client to administer the insulin?

a) “Use a 5-mL syringe and give 0.40 mL.”
b) “Use an insulin syringe and give 20 units.”
c) “Use a tuberculin syringe and give 4/10 mL.”
d) “Use a 1-mL syringe and give 0.4 mL.”

b) “Use an insulin syringe and give 20 units.”

Which medications are dropped into the ear to treat ear infections or to soften and remove ear wax?

a) Parenteral
b) Otic
c) Nasal
d) Ophthalmic

b) Otic

A nurse is explaining to a client the correct method of using a metered-dose inhaler when self-administering a prescribed dose of medication. What is a feature of a metered-dose inhaler?

a) It has propellers that get activated during inhalation.
b) It suspends finely powdered medication.
c) It is a canister that contains pressurized medication.
d) It is a battery-operated device that spins.

c) It is a canister that contains pressurized medication.

Alex is a 15-year-old diagnosed with acute lymphocytic leukemia (ALL). The nurse draws his morning labs and notes a hematocrit of 28, WBC of 10, platelets 68. Which of the following would the nurse expect that a licensed practitioner would order?

a) Packed RBCs
b) White blood cells
c) Platelets
d) a & c

d) a & c

A nurse needs to administer an intradermal injection to a client. What is the most common site for administering an intradermal injection?

a) Chest
b) Forearm
c) Back
d) Stomach

b) Forearm

If the dosage is inappropriate for a client, who is responsible?

a) Physician
b) Nurse
c) Medical technician
d) Pharmacist

b) Nurse

A nurse is caring for a client undergoing IV therapy. The nurse knows that intravenous administration of medication is appropriate in which of the following situations?

a) When the client wants to avoid the discomfort of an intradermal injection
b) When the client has disorders that affect the absorption of medications
c) When the drug needs to be administered only once
d) When the drug needs to act on the client very slowly

b) When the client has disorders that affect the absorption of medications

A nurse preparing medication for a client is called away to an emergency. What should the nurse do?

a) Lock the medications in a cart and finish them upon return.
b) Have another nurse finish preparing and administering the medications.
c) Put the medications back in the containers.
d) Have another nurse guard the preparations.

a) Lock the medications in a cart and finish them upon return.

A nurse needs to administer a subcutaneous heparin injection to a client. Which injection site is most suitable for heparin?

a) Back
b) Forearm
c) Abdomen
d) Upper chest

c) Abdomen

When administering heparin subcutaneously, the nurse should:

a) aspirate before the injection.
b) never aspirate.
c) vigorously massage the site.
d) aspirate after the injection.

b) never aspirate.

A nurse is administering medication to a 78-year-old female client who experienced symptoms of stroke. When administering the medication prescribed for her, the nurse should be aware that this client has an increased possibility of drug toxicity due to which age-related factor?

a) increased kidney function, resulting in excessive filtration and excretion
b) decline in liver function and production of enzymes needed for drug metabolism
c) increased number of protein-binding sites
d) decreased adipose tissue and increased total body fluid in proportion to total body mass

b) decline in liver function and production of enzymes needed for drug metabolism

A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication?

a) Administer medication within 30 to 60 minutes of the scheduled time.
b) Review the client’s medication, allergy, and medical history.
c) Read and compare labels on the medication with the medical record.
d) Allow sufficient time to prepare the medication with minimal distraction.

b) Review the client’s medication, allergy, and medical history.

A severe allergic reaction from a medication requires:

a) Asprin
b) Atarax
c) Epinephrine
d) Dopamine

c) Epinephrine

A nurse is taking care of a 56-year-old man with end-stage liver disease. The nurse has a prescription to give 20 g of lactulose every 6 hours to treat the client’s hepatic encephalopathy. On hand, the nurse has containers of lactulose which have 30 g in 45 mL. How many milliliters is the nurse going to administer every 6 hours to the client?

a) 30 mL
b) 22.5 mL
c) 67.5 mL
d) 15 mL

a) 30 mL

A client with a complex cardiac history has been prescribed digoxin 0.0625 mg PO. The drug is available as 125 mcg tablets. How many of the tablets will the nurse administer?

a) 4
b) 1.5
c) 0.5
d) 2

c) 0.5

A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which describes the mechanism of a metered-dose inhaler?

a) a propeller-driven device that spins and suspends a finely powdered medication
b) a device that forces medication through a narrow channel with the help of inert gas
c) a device that forces liquid drug through a narrow channel using pressurized air
d) a canister containing medication that is released when the container is compressed

d) a canister containing medication that is released when the container is compressed

A nurse is caring for a client who has a PICC line. Which nursing action is recommended?

a) Keep external portion of catheter coiled on top of dressing.
b) Use clean technique when changing dressing.
c) Change catheter caps every 10 days or as per facility policy.
d) Flush using normal saline and/or heparin solution according to facility policy.

d) Flush using normal saline and/or heparin solution according to facility policy.

During a visit to the clinic, the physician prescribes an intramuscular injection of a medication for an 8-month old. When administering this medication to the infant, which of the following sites should the nurse rule out first?

a) Ventrogluteal
b) Dorsogluteal
c) Vastus lateralis
d) Deltoid

b) Dorsogluteal

To convert 0.8 grams to milligrams, the nurse should do which of the following?

a) Move the decimal point 2 places to the left.
b) Move the decimal point 3 places to the left.
c) Move the decimal point 3 places to the right.
d) Move the decimal point 2 places to the right.

c) Move the decimal point 3 places to the right.

A nurse has to administer a subcutaneous injection to a client. For which client can the nurse administer a subcutaneous injection at a 90-degree angle?

a) Children
b) Thin clients
c) Infants
d) Obese clients

d) Obese clients

A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection?

a) 0.05 mL
b) 3 mL
c) 1 mL
d) 0.01 mL

c) 1 mL

A nurse is administering medications through an enteral tube to a client with swallowing difficulties due to a cerebrovascular accident (CVA). Which action should the nurse perform to prevent gastric reflux?

a) Administer the medication over several minutes.
b) Add diluted medication to the syringe.
c) Check for drug allergies in the client’s history.
d) Help the client into a Fowler’s position.

d) Help the client into a Fowler’s position.

The nurse is preparing to administer a transdermal medication. How should this be accomplished?

a) The nurse should ask the client to swallow the medication.
b) The nurse should apply the medication directly to the skin.
c) The nurse should inject the medication into a body cavity.
d) The nurse should inject the medication just below the dermis of the skin.

b) The nurse should apply the medication directly to the skin.

When instructing a client regarding sublingual application, the nurse should inform the client that which action is contraindicated when administering the drug?

a) talking when taking the medication
b) taking the medication on an empty stomach
c) swallowing the medication
d) performing physical activities

c) swallowing the medication

Which “rights” are included in the “six rights for medication administration”? Select all that apply.

a) Right dose
b) Right diagnosis
c) Right time
d) Right medication
e) Right room
f) Right route

a) Right dose
c) Right time
d) Right medication
f) Right route

Which medication interaction illustrates a synergism?

a) A client was told not to take tretinoin topical if she is pregnant because it may be teratogenic.
b) A client is taking doxycycline, an antibiotic, for rosacea. She takes this with her morning vitamins, which includes calcium carbonate. She has not noticed a change in her symptoms.
c) A client is taking metoprolol for her blood pressure and metformin for her diabetes. Her provider has told her that these are safe to take together.
d) A client takes acetaminophen to help her sleep. She also takes an oxycodone for pain related to recent hip surgery, which makes her even more drowsy.

d) A client takes acetaminophen to help her sleep. She also takes an oxycodone for pain related to recent hip surgery, which makes her even more drowsy.

When educating an older adult client about the administration of medication during discharge, the nurse notes that the client is having difficulty comprehending the instruction. What intervention should the nurse follow in this case to ensure the client’s safety?

a) Ask a second nurse to repeat the instruction.
b) Involve a second responsible person in the instruction.
c) Write discharge instructions on the medication containers.
d) Ask the client’s physician to provide instruction.

b) Involve a second responsible person in the instruction.

A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client’s ear?

a) Place a cotton ball in the ear to absorb excess medication.
b) Briefly postpone the application in the second ear.
c) Ask the client to maintain the position for some time.
d) Instill the medication in the opposite ear if prescribed.

c) Ask the client to maintain the position for some time.

Which situation accurately describes a recommended guideline when administering oral medications to clients?

a) If a pill is dropped, it should be briefly immersed in saline to remove any dirt or germs.
b) Assume that the client is the authority on whether or not the medication was swallowed.
c) If a child refuses to take medication, the medication can be crushed and added to a small amount of food.
d) If a client vomits immediately after receiving oral medications, re-administer the medication.

c) If a child refuses to take medication, the medication can be crushed and added to a small amount of food.

When the client demonstrates a rash 30 minutes after taking a dose of penicillin, the nurse recognizes that the client is likely demonstrating which type of drug reaction?

a) Idiosyncratic
b) Anaphylaxis
c) Allergy
d) Antagonistic

c) Allergy

The nurse is caring for a client who has problems coordinating his breathing with the inhaler use. Therefore, the client is unable to receive the full dose. Which of the following would help maximize drug absorption in this client?

a) Metered-dose inhaler
b) Spacer
c) Nasal drops
d) Turbo-inhaler

b) Spacer

Which anatomic site is recommended for intramuscular injections for adults?

a) vastus lateralis
b) epidermis of inner forearm
c) subcutaneous fat
d) ventrogluteal muscles

d) ventrogluteal muscles

After teaching a group of nursing students about pharmacokinetics, the instructor determines that the education was successful when the students identify what process by which the medication is delivered to the target cells and tissues?

a) Absorption
b) Metabolism
c) Synergism
d) Distribution

d) Distribution

Which action describes buccal medication administration?

a) placing a medication through a nasogastric tube
b) placing a medication underneath the upper lip or in the side of the mouth
c) placing a medication under the tongue and allowing it to dissolve
d) placing a medication, which is designed to be absorbed through the skin for systemic effects, on the skin

b) placing a medication underneath the upper lip or in the side of the mouth

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The nurse receives report on 4 clients. Which client should the nurse see first? 1. Client admitted 12 hours ago with acute asthma exacerbation who needs a dose of IV methylprednisolone [21%] 2. Client admitted 2 days ago with congestive …

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