Lung surfactant is instilled through the catheter inserted into the newborn’s endotracheal tube. (Select all that apply. Explain the rationale for intradermal injections. Draw medication from ampule quickly; do not allow it to stand open. What safety precautions should the nurse take? She discovers several fentanyl (Duragesic) pain patches on the patient's body. The NCLEX Medication Administration practice exam offers many benefits and is extremely valuable in terms of evaluating a participant’s level of knowledge. Allergic reactions are unpredictable responses to a medication. Adverse effects are unintended, undesirable, and often unpredictable severe responses to medication. a. Well-developed adults: 2 to 5 mL into a larger muscle, Deep site away from nerves and blood vessels, For adults and children, muscle is thick and well developed, Easily accessible but muscle not well developed. Identify the three types of oral routes. The nurse applies gentle pressure to the lacrimal duct and asks the patient to close the eyes gently. A health care provider has ordered Astramorph (morphine sulfate), (a narcotic opioid), and Vistaril (hydroxyzine), an antianxiety medication, to be administered together to produce pain relief for a patient. 9. Which statement if made by the patient indicates further instruction is needed? By which route would you most likely expect this response? ), The nurse is administering eye medication. 13. When renal function declines, a patient is at risk for medication toxicity. The nurse finished administering medications at 1030 when the nurse realized that she gave a patient all of his medications at 1000, including some medications that should have been administered at 1200 and some at 1400. A small (50- to 150-mL) container that attaches below the primary infusion bag, A battery-operated machine that allows medications to be given in very small amounts of fluid (5-60 mL). Also explore over 14 similar quizzes in this category. Be sure to grab a pen and paper to write down your answers. Side effects are predictable and often unavoidable secondary effects a medication predictably will cause. A nurse manager is reviewing with the nurse measures used to prevent medication errors. A nurse accidently gives a patient the medications that were ordered for the patient's roommate. Try this amazing Medication Administration: Multiple Choice Questions quiz which has been attempted 23568 times by avid quiz takers. The biological half-life is the time it takes for excretion processes to lower the serum medication concentration by half. Dose ordered/Dose on hand × Amount on hand = Amount to administer. When giving oral medications, which of the following considerations are needed? Identify the process for medication reconciliation. Most Read; What are the 8 routes of drug administration? List the five advantages of using intermittent venous access devices. 50. List four principles for administering eye instillations. When patients need to take several medications to treat their illnesses, take two or more medications from the same chemical class, use two or more medications with the same or similar actions or mix nutritional supplements or herbal products with medications, polypharmacy happens. Answer: 1. Identify the benefit of the inhalation route. Critical thinking involves observation, identifying the problem, applying knowledge and evaluating based on the criteria established. a. Which of the following is not a parenteral route of administration? The most commonly used system for billing and record keeping is the: A) Unit dose system: B) Self-administered medication system: C) Automated medication-dispensing system: D) Administration for an entire patient team: Ans: C. Feedback: How many mL should the nurse prepare to feed the infant each time? The following medications are to be administered. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. The patient: When should the patient depress the canister when using an MDI? Indicate the maximum volume of medication for an IM injection in each of the following groups. The nurse finished administering medications to a patient when she realized she gave the medications to the wrong patient. Practice Questions - Medication Administration study guide by holly_elizabeth47 includes 21 questions covering vocabulary, terms and more. It is the most dangerous method because there is no time to correct errors. The nurse is to administer a tablet from a stock bottle. What should the nurse do to maximize the effectiveness of medicated lotions and/or ointment? a. Which eight (8) of the following are factors that place this patient at an increased risk for experiencing an adverse drug reaction? Medication Administration & Nursing Chapter Exam Instructions. And hopefully, after reading through this information, you will be able to ace your final exam. 2. List the three principles to follow when mixing medications from two vials. List the six rights of medication administration. List the four major sites for parenteral injections. A small (25- to 250-mL) IV bag connected to short tubing lines that connects to the upper Y port of a primary infusion line. The nurse should administer ______ mL. Briefly summarize The Patient Care Partnership related to medication administration. Learn vocabulary, terms, and more with flashcards, games, and other study tools. (Select all that apply.). Use the one most familiar to you. The NCLEX is examining your ability to think critically. Medication Administration Questions and Answers (Q&A) Follow . Text Mode – Text version of the exam 1. What are some points you should include in the teaching plan? Child's dose = Surface of child/1.7 m2 × Normal adult dose. Somatropin (Humatrope) is being given to a female patient with turner syndrome.Which of the following findings is associated with this medication?. Briefly summarize the roles of the following in relation to the regulation of medications. Welcome to your NCLEX reviewer for drug calculations! 12. 83. 37. Which of the 6 rights of medication administration did the nurse violate? A patient has been taking Vancomycin HCl (vancomycin) for an infection. B. The nurse is going to prepare a liquid medication for a patient. The most common form of nasal instillation is: 63. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of medication administration in order to: A solution is a given mass of solid substance dissolved in a known volume of fluid or a given volume of liquid dissolved in a known volume of another fluid. ), Which of the following are contraindications to oral medication administration? 38. Fortunately, Mrs. Start's order stated she could receive pain medication every 4 hours, and 5 hours had elapsed since her last dose. Briefly summarize the roles of the following in relation to the regulation of medications. Which action by the nurse fails to take possible cultural differences into consideration? For specific medication questions, an “open book test” with your agency’s drug information resource should be considered. More Medication Administration Quizzes. Take The Medication Administration Quiz Questions! Using the body surface area formula, what dose of drug X should a child who weighs 12 kg (body surface area = 0.54 m2) receive if the normal adult dose of drug X is 300 mg? Flashcards. The patient states that she quit taking her blood pressure medication because it made her "too weak and tired." The recording of medication includes: 58. The nurse discards the gloves and performs hand hygiene, and documents the procedure. 40. In this nursing test bank, practice dosage calculation problems to measure your competence in nursing math. What is the maximum amount of water-soluble medication given by the subcutaneous route? ), How far should the nurse insert a rectal suppository in an adult? A patient is being admitted to the hospital to receive intravenous (IV) antibiotics. Options B, C, and D are not the routes of administration for this medication. 67. His blood pressure is 92/56 with a heart rate of 102. Which of the following is true regarding the medication routes? How many tablets should the nurse administer? 62. Identify factors that can influence the patient's compliance with the medication regimen. For which patient would a transdermal patch be the preferred type of medication administration? Identify the three types of measurements used in medication therapy. Vaginal medications are available as: Exerting local effects (promoting defecation) or systemic effects (reducing nausea). 27. All questions are shown, but the results will only be given after you’ve finished the quiz. What actions by the nurse, if any, were incorrect? The nurse should administer ______ mL. How should the nurse get the tablet from the bottle into the cup. The label reads 250 mg per 5 mL. A single or one-time dose is given only once at a specified time. Drugs administered through sublingual are faster than regular oral administration because there are so many blood vessels under the tongue. a. 2. Could you bring me some crackers?" A nurse is administering daily medications when a patient states, "I never took a little yellow pill before." The study of how drugs enter the body, reach their sites of action, are metabolized, and exit from the body is called: Answer: 3. a. Match. Take a quick interactive quiz on the concepts in Principles of Medication Administration or print the worksheet to practice offline. 52. After the nurse assessed Mrs. Start and reported the incident to the health care provider, the nurse reviewed the patients' eMAR and determined that both Mrs. Star and Mrs. Start had orders for the same prn pain medication. What is the angle of insertion for an intramuscular (IM) injection? What is the best action the nurse should take? Medication Administration practice exam Due No due date Points 67; Questions 67; Time Limit None Allowed Attempts 10 Take the Quiz. The dose on hand is 10 mg/ mL. Mrs. Star in room 129-1 requests a prn pain medication. What steps did the patient eliminate or require further teaching? Which situations may be contraindications for the oral route of medication administration? 85. D - The abbreviation for two times a day is bid. Since neither patient was harmed by the error, why should the nurse complete an incident report? Explain to the health care provider that the order needs to be given to a registered nurse. Now is used when a patient needs a medication quickly but not right away; the nurse has up to 90 minutes to administer. The nurse selects a medication according to the eMAR for the correct name, dosage, and route. She is placed on a new medication to lower her cholesterol as well as a low-fat diet. The mother of a 10-year-old child calls the doctor's office stating that she just administered ear drops to her child and the child is crying, stating that the ear hurts worse than it did before the ear drops were applied. 47. The nurse administers the medication orally because it is a pill, and then returns to the eMAR and documents the medication administration. Below is a Nur 101 medication administration test designed to help you prepare for the midterms From Foundations of Nursing by Christensen and Kockrow, Chapter 23, pages 681-736. Text Mode: All questions and answers are given on a single page for reading and answering at your own pace. a. 90. Which of the following statements indicate a correct understanding of steps used to prevent medication errors? The patient complains of burning after the administration of a nonparenteral medication. When checking to see that you have the right patient for medication administration, you should ask the patient whether he is “Mr. The nurse responds most appropriately by saying: A. Identify the common medication errors that can cause patient harm. a. Otic Medicationsuch as cerumenolytic. Start studying Medication administration safety practice questions. Therapeutic effects are the expected or predictable physiological response to a medication. As a nurse, you must be able to accurately and precisely calculate medication dosages to provide safe and effective nursing care. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Currently, the Food and Drug Administration ensures that all medications undergo vigorous testing before they are sold. List the advantages of using volume-controlled infusions. Options A, B, and D are part of postpartum assessment but does not specifically relate to the administration of the medication. (Select all that apply.). Any medication related activity requested by the physician. Method #1 Use drop factor constant Identify five methods for applying medications to mucous membranes. The nurse tells the patient to take a few slow, deep breaths, and the nurse inserts the blunt end into the patient's rectum until it is unable to be seen. Answers, along with explanations, follow the questions. Give it a try! You discard the gloves and perform hand hygiene. 22. (Select all that apply.). Answer: A. Intratracheal. What steps, if any, are missing and/or did the nurse perform incorrectly? Identify the precautions to take when administering any oral preparation to prevent aspiration. (Select all that apply. What is a volume-control administration set? Gravity. The health care provider has ordered Prinicpen (ampicillin) 0.5 g PO, q8h. Medication Administration practice questions. a. Anaphylactic reactions are allergic reactions that are life threatening and characterized by sudden constriction of bronchiolar muscles, edema of the pharynx and larynx, and severe wheezing and shortness of breath. Determine the patient's ability to swallow and cough and check for gag reflex. Identify two goals for safe and effective medication administration. Created by. The nurse is going to administer eye ointment in the newborn's eyes. The patient shakes the canister again and repeats the procedure in approximately 10 seconds. What can the nurse do to help the patient relax the anal sphincter before administering a rectal suppository? Answer: 2. Answer B. 61. What should the nurse do first? To help you prepare for the MACE exam, this chapter reviews key issues related to your roles and responsibilities as a member of the healthcare team and the importance of establishing a caring and ethical relationship with clients. The nurse is caring for a 76-year-old patient being treated for depression, elevated cholesterol levels, and renal failure. Which patient receives medication the most often? A patient states that she has difficulty swallowing pills and asks the nurse to crush them. 56. PLAY. Identify the primary organ for drug excretion, and explain what happens if this organ's function declines. If you work in CCU/ICU, please answer the following questions. a. The patient who: A patient has an order to receive nystatin oral suspension PC. Directly applying a liquid or ointment. (Select all that apply.). a. What is the nurse's best action? Quizlet flashcards, … The nurse is preparing an insulin injection in which both regular and NPH will be mixed. Avoid instilling any eye medication directly onto the cornea. a. A long-term care facility sponsors a discussion group on the administration of medications. Medication Administration Questions & Answers. Document where the medication was placed in the MAR. 48. Right now my stomach feels a little upset. Identify the areas the nurse needs to assess to determine the need for and potential response to medication therapy. IV Rate Calculations Each method below gives the same result. In this study guide, you will get access to some of the best practice questions that will help you learn everything you need to know about the topic of Pharmacology. 3. If the order is given verbally to the nurse by the provider, it is a verbal order. What is the purpose of massaging the tragus of the ear after ear drop instillation? A chemical name provides an exact description of the medication's composition and molecular structure. a. Ampule: Contain single doses of medications in a liquid. 6. ... c. Medication administration means giving medications to residents/patients. The kidneys are the primary organ for drug excretion. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Do not contaminate one medication with another. Where should you apply the fentanyl (Duragesic) patch to treat the patient's pain? Medications such as mydriatic-cycloplegic and anticholinergic medications, stating, `` the medication placed! Active or inactive form that is given only once click 'Next ' to see you. What type of medication administration when the combined effect of the people by ensuring that medications safe... 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Suitable length and gauge has several fractured bones and has cuts and scratches across chest... Glaucoma, impacted cerumen, and other study tools version of the rich vascular alveolar capillary network present the. Happens to a registered nurse discards the gloves and measure the antianginal ointment onto dosage paper according to following! Nonparenteral route the breath for approximately 10 seconds please answer the following patients is at risk experiencing! Disadvantages of IV bolus medications are available as: Exerting local effects ( nausea.