Font size
WorksheetsLPN Med Administration
Total questions: 144
Worksheet time: 5hrs 57mins
You are giving a patient contrast for an MRI, what broad category of reason for med admin does this fall under?
To Diagnose
To Cure
To Treat
To Give Relief
To Prevent a Disease
You are giving a patient vancomycin for their toe infection, what broad category of reason for med admin does this fall under?
To Diagnose
To Cure
To Treat
To Give Relief
To Prevent a Disease
TRUE/FALSE: Curing and treatment are not the same thing.
True
False
You are giving a patient tramadol for their back pain, what broad category of reason for med admin does this fall under?
To Diagnose
To Cure
To Treat
To Give Relief
To Prevent a Disease
Which is not a source of medication?
Animals
Vegetables and Plants
Minerals
Synthetics
Bodies of Water
When talking about the classification of a Target Organ System, the organ system that precedes the word 'drug' identifies....
The body system that will be effected
The body system that the breakdown of the medication occurs in
The body system that the med was taken in through
What does an antipyretic do?
Lowers blood pressure
Lower fever
Helps you poop
Helps with GI upset
What does an antihypertensive do?
Lowers fever
Pain relief
Lowers blood pressure
Gets rid of excess fluid
What does an antibiotic do?
Gets rid of excess fluid
Helps with GI upset
Helps with microbial issues
Lowers blood pressure
What does a laxative do?
Helps you poop
Pain relief
Helps with acid reflux
Lowers fever
What does an analgesic do?
Helps with microbial issues
Pain relief
Gets rid of excess fluid
Helps with GI upset
What does a diuretic do?
Lowers fever
Helps you poop
Gets rid of excess fluid
Helps with sour stomach
What does an antacid do?
Pain relief
Lowers blood pressure
Helps with GI upset, sour stomach, acid reflux
Gets rid of excess fluid
What kind of classification system describes "a broad category of medications that describes what effect they have on the body"?
Pharmacological class
Prescription class
Therapeutic class
Prescription class
When a pharmacological class is grouped by similar indications, what does that mean?
They work the same way
Same type of reason why they shouldn't be taken
They interact similar to other drugs
We give them to patients for the same thing
They have similar side effects
When a pharmacological class is grouped by similar contraindications, what does that mean?
They have similar side effects
We give them to patients for the same thing
They work the same way
They have the same type of reason why they shouldn't be taken
They interact similar to other drugs
TRUE/FALSE: We have to memorize every single chemical name of a drug.
True
False
True/False: The generic name of a drug needs to be capitalized.
True
False
What type drug name matches the definition "drug name that is registered and restricted to the manufacturer"?
Trade name
Chemical name
Generic name
Official name
TRUE/FALSE: Drugs create new responses in the body.
True
False
What meds do not go through absorption?
IV meds
PO meds
Liquid meds
Percutaneous meds
SELECT ALL THAT APPLY: Which of the following affects the rate of absorption of meds?
Route
Presence of food
Lipid soluability
LOC
Blood flow
Which med absorbs the fastest?
Liquid
Tablet
Capsule
IV
Where are acidic drugs absorbed?
Esophagus
Stomach
Small intestine
Large intestine
A full stomach does what to absorption time?
Increases
Decreases
Does not alter it
Multiplies it
SELECT ALL THAT APPLY: Which of the following relationships between GI motility and absorption rate are true?
Increase GI motility, increased absorption
Increased GI motility, decreased absorption
Decreased GI motility, decreased absorption
Decreased GI motility, increased absorption
First pass applies to which drugs?
Drugs taken PO
Drugs taken IV
Drugs taken percutaneously
Drugs taken via injection
Which organ metabolizes the drug in first pass?
Stomach
Small intestine
Kidneys
Liver
In protein binding, which protein do drugs bind to?
Gluten
Albumin
Fibrin
Leucine
When drugs are bound to albumin they are...
Active
Inactive
If we have decreased protein levels, what effect can that lead to?
Increased risk for toxicity
Decreased risk of toxicity
Increase of tolerance
Decrease of tolerance
Which type of drug has a longer duration of action?
Highly bound protein drugs
Loosely bound protein drugs
Highly bound cholesterol drugs
Loosely bound cholesterol drugs
Which drugs can pass through the blood brain barrier?
The strongest
Drugs with a highly bound protein
Drugs that are taken PO
Lipid soluable drugs
What is the primary site of drug metabolization?
Kidneys
Small intestine
Liver
Stomach
If you have a patient with liver failure, they have....
An increased metabolism so they will have an increased drug effect
An increased metabolism so they will have a decreased drug effect
A decreased metabolism so they will have an increased drug effect
A decreased metabolism so they will have a decreased drug effect
What is the primary organ of drug excretion?
Kidneys
Liver
Large intestine
Small intestine
What does increased BUN/creatinine mean?
Decreased kidney function
Increased kidney function
Decreased liver function
Increased liver function
After __ many half-lives, the med is effectively out of the body.
3
4
5
6
7
How does renal failure affect half-lives?
Makes the half-life shorter
Doesn't affect it
Triples the half life
Makes the half life longer
What is a good comparison for how drugs should fit into receptors?
Like a bee in a hive
Like a key in a lock
Like a person in a doorway
Like water in a jar
Where are most receptors found?
Loose in the bloodstream
Inside of cells
Outside of cells
If we have a decreased number of receptors, what does that do?
Increases the drug effect
Decreases the drug effect
No change in drug effect
TRUE/FALSE: Some drugs only produce 1 effect in the body.
True
False
Your patient is prescribed two drugs that have an additive effect, what does this do to the effect of the medication?
Interferes with the action of one drug
Makes them chemically incompatible
Doubles the effect
More than doubles the effect
Your patient is prescribed two drugs that have a synergistic effect, what does this do to the effect of the medication?
Interferes with the action of one drug
Makes them chemically incompatible
Doubles the effect
More than doubles the effect
Your patient is prescribed two drugs that have an antagonistic effect, what does this do to the effect of the medication?
Interferes with the action of one drug
Makes them chemically incompatible
Doubles the effect
More than doubles the effect
TRUE/FALSE: For a patient to be allergic to a med, they must be sensitized to it first to exhibit an allergic reaction.
True
False
What type of antibodies are created with an allergic reaction?
IgM
IgA
IgD
IgG
IgE
Your patient in room 314 has an allergic reaction to morphine, under which circumstances can they be given this drug?
When the patient gives informed consent
When the patient needs it to save their life
Only twice more after it was put in their chart
Never again!
If a patient is tolerant of a drug, they need to be given ____ for it to have an effect on them.
More
Less
The same amount
None
If you believe your patient is having a toxic reaction to a drug, what is the first step?
Immediately take them off the drug
Calling the provider
Calling the charge nurse
Take a set of vitals
What is the absolute safest category of drug for a pregnant person to have?
Category A
Category B
Category C
Category D
Category X
Which drug category falls under this definition: "No studies that show any risk to fetus/baby"
Category A
Category B
Category C
Category D
Category X
Which drug category falls under this definition: "Animal studies show no risk but no adequate studies of pregnant women exist."
Category A
Category B
Category C
Category D
Category X
Which drug category falls under this definition: "Animal studies show adverse effect, but human studies show no risk in all three trimesters"?
Category A
Category B
Category C
Category D
Category X
Which drug category falls under this definition: "Animal studies show adverse effects and no human studies are done"?
Category A
Category B
Category C
Category D
Category X
Which drug category falls under this definition: "not enough human or animal studies are done"?
Category A
Category B
Category C
Category D
Category X
Which drug category falls under this definition: "benefits of the drug outweigh the risks to the fetus"?
Category A
Category B
Category C
Category D
Category X
Which drug category falls under this definition: "The fetal risk is high, cannot be prescribed to pregnant woman or woman who can become pregnant"?
Category A
Category B
Category C
Category D
Category X
What is the purpose of a lozenge?
To administer meds over a long period of time
To coat the mouth and the back of throat
To be dissolved in the small intestine
To dry out the mouth and esophagus
TRUE/FALSE: If you tablet does not have grooves, it is ok to cut it.
True
False
Where does an enteric coated pill dissolve in?
Esophagus
Stomach
Intestines
Mouth
TRUE/FALSE: It is ok to have your patient chew an extended release tablet if they cannot swallow it at once.
True
False
What should you do to a suspension medication before giving it to a patient?
Shake it
Add an emulsifier
Dilute it in water
Pull up into a syringe
What type of medication do you have to add an emulsifier to?
Syrup
Solution
Emulsion
Suspension
You are giving a lidocaine patch to your patient in room 407. When getting ready to apply the patch to their left arm, you notice they have one on the right arm. What should be your proper method of action?
Keep applying the patch, as long as they aren't stacked on top of each other its ok
Ask the patient why they want a second patch, is the first one not working?
Remove the first patch and apply the one you have
Leave the first patch on, unless it turns black its still got meds in it
When was the Comprehensive Drug Abuse Prevention and Control Act formed?
1970
1790
1906
1946
What drug schedule describes "high abuse potential, not acceptable for medical use, cannot do medical testing"?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule do heroin, marijuana and LSD fall under?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule describes "abuse potential with a severe dependence liability"?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule do amphetamines, demerol, methadone and percodan fall under?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule describes "less abuse potential, moderate dependence liability"?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule do tylenol with codeine and lortab fall under?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule describes "less abuse potential, limited dependence liability"?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule do phenobarbital, propoxyphene, valium and tramadol fall under?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule describes "limited abuse potential, primarily small amount of narcotics"?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What drug schedule do lomotil and antitussives with codeine fall under?
Schedule I
Schedule II
Schedule III
Schedule IV
Schedule V
What properly describes the term "double-locked"?
Two locks right beside each other
Two different types of locks (i.e. a badge scan and a password)
A locked container in a locked room with limited access
A locked unit within a locked building
SELECT ALL THAT APPLY: How can the narcotic control system be opened?
Narcotic keys
A retinal scan
Secure password
By banging repeatedly on the door
When should you reassess pain and VS in a patient you gave a narcotic to?
5 minutes
30 minutes
1 hour
6 hours
Your coworker tells you they need to "waste" what does this mean?
They need to poop
All of the patient's trash needs to be emptied
Discard a portion of narcotics
They need an alcoholic drink
What is the first step if any discrepancies exist between the narcotic inventory sheet and the counted inventory?
Check to see if anyone failed to chart on the inventory sheet
Check the MARs
Call pharmacy and nursing service
Check every nurses' pockets for meds
What is the second step if any discrepancies exist between the narcotic inventory sheet and the counted inventory?
Check to see if anyone failed to chart on the inventory sheet
Check the MARs
Call pharmacy and nursing service
Check every nurses' pockets for meds
What is the third step if any discrepancies exist between the narcotic inventory sheet and the counted inventory?
Check to see if anyone failed to chart on the inventory sheet
Check the MARs
Call pharmacy and nursing service
Check every nurses' pockets for meds
The doctor ordered Cardizem 60mg. The label reads Cardizem 30mg per tablet. How many tablets will you administer?
(a)
The doctor orders Codeine gr 1/2. The label reads codeine 30 mg per tablet. How many tablets would you administer?
(a)
The prescriber ordered Dalgan 10mg IM. The label reads Dalgan 5mg/ml. How many milliliters will you administer?
(a)
SELECT ALL THAT APPLY: What reasons would a PO med be contraindicated?
NPO
Vomiting
Sleeping
Dysphagia
Gastric suctioning
What is the safest route to give meds?
Oral
Sublingual
Topical
Parenteral
TRUE/FALSE: You can swallow a sublingual med after keeping it in the mouth for a minute.
True
False
SELECT ALL THAT APPLY: What are some advantages of sublingual meds?
Rapidly absorbed into the bloodstream
Tastes better than regular oral meds
Bypasses the liver
Releases meds at a slow, steady rate
Which route is where medication is held against the cheek until dissolved?
Oral
Buccal
Sublingual
Rectal
SELECT ALL THAT APPLY: When is it appropriate to place a medication rectally?
When the patient is NPO
When the patient is nauseous or vomiting
When the med is PO but the patient is wanting it rectally
When the drug has an objectionable taste or odor
SELECT ALL THAT APPLY: What are some advantages to parenteral meds?
Absorbed quicker than oral meds
Safest route
Gastric disturbances don't affect the med
Almost completely absorbed
Client can be unconcious
TRUE/FALSE: When giving a topical med, the nurse always needs to wear gloves.
True
False
What is a washing out of a body cavity with a stream of fluid?
Irritation
Installation
Intrathecal
Irrigation
What kind of medication system fits the description of "a wide variety of stocked supply of medications on the floor for several clients"?
Stock Supply System
Unit Dose System
Controlled Dispensing System
Prescription
What medication distribution system is best described as a system of organization with a single dose of a medication in one package with a label?
Stock Supply System
Unit Dose System
Controlled Dispensing System
Prescription
What medication distribution system operates via a computer where each nurse has a verified access code?
Stock Supply System
Unit Dose System
Controlled Dispensing System
Prescription
You are given a stat order for a med, when do you give the medication?
Immediately
At a specific time
At a specific interval time until it is canceled
According to nurse's judgement
You are given a single order for a med, when do you give the medication?
Immediately
Once, at a specific time
At a specific interval time until it is canceled
According to nurse's judgement
You are given a routine order for a med, when do you give the medication?
Immediately
At a specific time
At a specific interval time until it is canceled
According to nurse's judgement
You are given a prn order for a med, when do you give the medication?
Immediately
At a specific time
At a specific interval time until it is canceled
According to nurse's judgement
SELECT ALL THAT APPLY: What needs to be included on a prescription?
Client's full name
Frequency of dose
Name of the drug
Best liquid to take it with
Route of administration
Which prescription is written out correctly?
For: Mr. Patient Name 01/03/2022
Warfarin 5mg tablets
Take 1 tablet by mouth each day
-Signed by Dr
For: Mr. Patient Name
Warfarin 5mg tablets
Take 1 tablet by mouth each day
-Signed by Dr
For: Mr. Patient Name 01/03/2022
Warfarin 5mg tablets
Take by mouth each day
-Signed by Dr
Warfarin 5mg tablets
Take 1 tablet by mouth each day
For: Mr. Patient Name 01/03/2022
Warfarin tablets
Take 1 tablet by mouth each day
-Signed by Dr
In Missouri, how long do providers have to physically sign a telephone order?
12 hours
24 hours
36 hours
48 hours
Name the five medications rights.
(Correct answer is listed alphabetically)
(a)
SELECT ALL THAT APPLY: When are the three times you should check the name of the medication?
When reaching for the package or container
Comparing the the MAR
Before giving the medication to the patient
When walking in the hall toward the patient room
After throwing the package in the trash
TRUE/FALSE: If you take a pill out of a container and your patient refuses, you can put the med back if the patient didn't touch it.
True
False
When measuring a liquid medication, where do you measure from?
The top
The meniscus
About the middle
Wherever
Which of these statements by the nurse asks for proper identification from the patient?
"Can you tell me your name and date of birth?"
"You are Mr. Edwards born on August 12th, 1982 yes?"
"What's your room number and name?"
"Tell me your age and address please."
Using standard policy, how long of a window do you have to give medications both ways?
15 minutes
30 minutes
45 minutes
1 hour
TRUE/FALSE: you can touch the medicine with your hands if you just washed them.
True
False
Where is an appropriate place to dump unwanted medications?
A sealed bin provided by the facility
The trash can
A toilet
A sink
Why do infants need a smaller dose of medication?
Underdeveloped brain
Underdeveloped liver/kidneys
Underdeveloped heart
Underdeveloped lungs
TRUE/FALSE: It's ok to give a child a secret med in an essential food as long as they don't find out.
True
False
Elderly patients are at a higher risk for what when it relates to meds?
Toxicity
Tolerance
Allergic reactions
Unexpected side effects
Your patient is having an allergic reaction and has raised irregularly shaped skin eruptions, what are they experiencing?
Hives
Rash
Pruritus
Rhinitis
Your patient is having an allergic reaction and has small raised vesicles that are red and cover a large majority of their body, what are they experiencing?
Hives
Rash
Pruritus
Rhinitis
Your patient is having an allergic reaction and has severe itching, what are they experiencing?
Hives
Rash
Pruritus
Rhinitis
Your patient is having an allergic reaction and has a runny nose, what are they experiencing?
Hives
Rash
Pruritus
Rhinitis
SELECT ALL THAT APPLY: What are symptoms of anaphylactic shock?
Bronchospasms
Edema of the pharynx
Severe wheeing
Hypotension
Tachycardia
What is the best med to give to a patient experiencing anaphylactic shock?
Antihistamine
Epinephrine
Bronchodilator
Beta-blocker
If you are giving a liquid medication that is less than a teaspoon, what is the best equipment for it?
Souffle cup
Medicine cup
Oral syringe
Nipples
TRUE/FALSE: Best practice is to place the cup upside down on the countertop when it comes to the bottle of a liquid med.
True
False
When holding a bottle with liquid medicine, what is the best way to orient the bottle when pouring the medication out?
Label facing palm
Label facing north
Label facing the ground
Label facing thumb
Best place to hold the medicine cup when pouring a liquid med is....
At eye level
At nose level
On the table
At any level
When giving an oral med with food (i.e. applesauce) the best ratio of tablet/capsule per scoop is what?
1 tablet:1 scoop
1 tablet:2 scoops
2 tablets:1 scoop
3 tablets:2 scoops
What should you do if a patient's med falls on the floor?
Pick it back up and give it to them
Discard the med
Wipe it off with a tissue and give to patient
Toss in the trash
A good tip for giving a foul-tasting med is to have your patient...
Take a deep breath out while swallowing the med
Suck on ice cubes before taking med
Swallow it down with some soda
Just take it to the best of their ability
SELECT ALL THAT APPLY: What do you need to write on a transdermal patch?
Date/time
Initials
Location
If it is water resistant
TRUE/FALSE: You can place nitroglycerine ointment on an area with hair?
True
False
Which action by the nurse tells you they need reeducation when placing nitroglycerine ointment?
The nurse makes sure to lay the paper print side down when applying ointment
The nurse removes the old paper and cleanses the area
The nurse places the ointment on a lower extremity
The nurse wears gloves during this procedure
What positioning statement is incorrect for a patient receiving an ophthalmic drop?
Head is tilted back
Face toward the ceiling
Client has paper tissue in hand
Client is in the prone position
If we need to clean the eye before applying an ophthalmic drop, what is the correct method?
Inner canthus to outer canthus
Outer canthus to inner canthus
Inner canthus only
Outer canthus only
If we need to apply an ophthalmic ointment, what is the correct method?
Inner canthus to outer canthus
Outer canthus to inner canthus
Inner canthus only
Outer canthus only
How long should the nasolacrimal duct be held for ocular liquid medications?
5 seconds
15 seconds
30 seconds
1 minute
When straightening the ear canal for an otic medication, what is the correct method for anyone 3 years and older?
Pull the pinna down and back
Pull the pinna upward and back
Pull the pinna down and forward
Pull the pinna upward and forward
To warm an otic medication, how do you proceed?
Put it in a warmer for 30 minutes
Hold in your hands for a minute
Put it in the microwave for 5 seconds
Breath on it for a minute
For a nose installation med, it is appropriate to have your patient do what beforehand?
Blow their nose
Pick their boogers
Forcefully sneeze
Nothing
If your patient is taking two different MDI medications, how long do you have to wait between the administration?
1 minute
2 minutes
3 minutes
5 minutes
What should you place under a patient for a vaginal medication?
Bedpan
Bed pad
Bedpan and bed pad
Blanket
How deep do you insert a suppository for a pediatric patient?
1 in
2 in
3 in
4 in
How deep do you insert a suppository for an adult patient?
1 in
2 in
3 in
4 in
