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WorksheetsSTUDY GUIDE: TEST 5MED
Total questions: 82
Worksheet time: 1hrs 9mins
Identify the steps in nursing for medication errors. What should you ensure before administering medication?
Knowledge of medication to administer and why.
Administer medication without checking patient identity.
Ignore medication expiry date.
Rely solely on patient's memory for medication history.
Identify the steps in nursing for medication errors. What information should you obtain about the client before administering medication?
Allergies, ability to swallow, diet, contraindications, heart, liver, and kidney disorders; obtain vital signs and lab data; old meds if any indications are found.
Only the client's age and gender are necessary before administering medication.
Just check if the client is awake and alert before giving any medication.
No information is needed; administer medication as per the doctor's order without assessment.
Identify the steps in nursing for medication errors. What should you determine about the medication prescription before administration?
If the prescription is complete with client’s name, date, time, name of meds, dosage, route of administration, time & frequency, and signature of prescribing provider.
If the prescription is written in blue ink only.
If the prescription is verbally communicated by any staff member.
If the prescription includes only the medication name and dosage.
Identify the steps in nursing for medication errors. What should you do if the medication prescription is unclear or seems inappropriate for the client’s condition?
Question the doctor.
Administer the medication as prescribed without hesitation.
Ignore the prescription and proceed with your own judgment.
Wait for the next shift to handle the situation.
Which of the following medications should NOT be crushed?
Enteric-coated (EC) medications
Extended-release (ER, XR, SR, CR, LA) medications
Sublingual or buccal tablets
Capsules with beads or delayed-release formulations
All of the above
What is the purpose of enteric-coated (EC) medications?
Protects the stomach lining.
Increases absorption in the mouth.
Reduces medication potency.
Causes rapid release in the stomach.
What is the purpose of extended-release (ER, XR, SR, CR, LA) medications?
Designed for gradual release.
To increase the potency of the drug.
To reduce the side effects to zero.
To make the medication taste better.
What is the purpose of sublingual or buccal tablets?
Intended for rapid absorption under the tongue.
Used for slow release in the stomach.
Designed for topical application on the skin.
Meant to be dissolved in water before drinking.
When administering liquid medications to a client with an NG feeding tube with continuous enteral feedings, how should each medication be given?
Administer each medication separately.
Crush all medications together and mix with enteral feeding.
Mix all medications together and administer at once.
Add medications directly to the enteral feeding bag.
When administering liquid medications to a client with an NG feeding tube, how should the head of the bed be positioned?
Elevated at least 30-45° for 1-hour post-administration.
Flat for 30 minutes after administration.
Lowered below 15° during administration.
Turned to the side with no elevation.
How much water should be used to flush the tubing before and after each medication when administering through an NG tube?
15 to 30 mL of water.
5 to 10 mL of water.
50 to 60 mL of water.
100 mL of water.
Select the correct 3 Medication Safety Checks from the options below.
Right patient, right medication, right dose
Right time, right route, right documentation
Right patient, right doctor, right diagnosis
Right medication, right pharmacy, right insurance
Which of the following is a priority assessment before medication administration?
Allergies
Family history
Height
Vision
Fill in the blank: Before administering medication, it is important to assess vital signs such as _________.
BP, HR, RR, Temperature
Height, Weight, BMI, Vision
Blood sugar, Cholesterol, Uric acid, Calcium
ECG, EEG, MRI, CT scan
Which labs should be checked before medication administration?
Renal & liver function labs
Blood glucose
Hemoglobin
Platelets
It is important to assess for drug-drug and drug-food interactions before administering medication.
True
False
Fill in the blank: Before medication administration, assess for use of _______, tobacco, alcohol, or illicit drugs.
caffeine
sugar
vitamins
herbs
What should you do if a medication order seems incorrect?
Administer the medication anyway
STOP and clarify with the provider
Ask another nurse
Ignore the order
When administering ophthalmic (eye) medication, the client should:
Sit upright or lie supine and look at the ceiling
Stand and look down
Sit upright and look down
Lie prone and look at the wall
Fill in the blank: When administering eye drops, drop the medication into the conjunctival sac about _______ cm above the eye.
1 to 2 cm
3 to 4 cm
0.1 to 0.5 cm
5 to 6 cm
Eye drops should be placed directly on the cornea.
True
False
How long should you press on the nasolacrimal duct to prevent systemic absorption of eye drops?
10-20 sec
30-60 sec
2-3 min
5-10 sec
Which site offers the least potential of injury and is the preferred site for IM injections in adults?
Deltoid
Vastus lateralis
Ventrogluteal
Dorsogluteal
Fill in the blank: The preferred IM injection site for infants under 12 months is the ________.
Vastus lateralis
Deltoid
Gluteus maximus
Rectus femoris
The dorsogluteal site should be avoided for IM injections due to sciatic nerve injury risk.
True
False
What is a manifestation of infiltration as an IV complication?
Burning, red, tender vein
Cool skin, swelling, pale, taut or blanched
Pain, necrosis, swelling, blistering
Fever and chills
What is the nursing intervention for phlebitis?
Stop IV, elevate, warm compress 3 to 4 times, document
Stop IV, notify provider, antidote if needed prior
Apply ice pack
Massage the area
Fill in the blank: For extravasation, the nursing intervention is to stop IV, notify provider, and administer _______ if needed prior.
antidote
analgesic
antibiotic
antipyretic
What is the equivalent of 1 tsp in mL?
5 mL
10 mL
2 mL
15 mL
What is the equivalent of 1 tbsp in mL?
15 mL
5 mL
10 mL
20 mL
What is the equivalent of 1 oz in mL?
30 mL
10 mL
50 mL
100 mL
What is the equivalent of 1 cup in mL?
240 mL
100 mL
500 mL
350 mL
What is the equivalent of 1 mg in mcg?
1000 mcg
100 mcg
10 mcg
1 mcg
What is the equivalent of 1 g in mg?
1,000 mg
100 mg
10,000 mg
10 mg
The four main pharmacokinetics steps are:
Absorption, Distribution, Metabolism, Excretion
Ingestion, Digestion, Circulation, Elimination
Filtration, Reabsorption, Secretion, Excretion
Diffusion, Osmosis, Filtration, Active transport
Which organ is primarily responsible for drug metabolism?
Liver
Heart
Kidney
Lung
Which organ is primarily responsible for drug excretion?
Kidneys
Liver
Lungs
Skin
Which of the following is a contraindication for the use of acupuncture?
Bleeding disorders
Hypertension
Diabetes
Asthma
Two conditions that are contraindicated for the use of acupuncture are:
Bleeding disorders and severe infection
Hypertension and diabetes
Asthma and allergies
Migraine and insomnia
Which of the following are examples of topical medications?
Powders, sprays, creams, ointments, pastes, oil-and suspension-based lotion
Tablets and capsules
Inhalers
Drops and sprays
When applying topical medications, what should you use?
Bare hand
Gloves, tongue blades, or cotton-tipped applicator
Paper towel
None of the above
Do not apply topical medications with a ________.
bare hand
cotton swab
gloved hand
applicator stick
For skin applications, what should you do before applying topical medication?
Wash the skin with soap and water. Pat dry before application.
Apply the medication directly without cleaning the skin.
Use alcohol to scrub the skin vigorously before application.
Cover the area with a bandage before applying the medication.
Which technique should be used to apply topical medications to open wounds?
Clean technique
Use surgical asepsis
Use gloves only
No special technique needed
What should nurses compile during medication reconciliation when admitting an older adult client?
A list of each client’s current medications, including all prescription medications, over the counter, vitamins, and supplements with the correct dosage and frequency.
A list of only the client’s prescription medications, excluding over the counter drugs and supplements.
A summary of the client’s previous hospital admissions and discharge dates only.
A record of the client’s allergies and immunization history, but not current medications.
Which of the following is the most common route for enteral administration of medications?
Inhalation
Oral
Transdermal
Instillation
Fill in the blank: The sublingual route means placing the medication ________.
under the tongue
on top of the tongue
in the cheek pouch
under the arm
Fill in the blank: The buccal route means placing the medication ________.
between the cheek and the gum
under the tongue
in the ear canal
on the skin
A nurse is teaching a client who has a new prescription for a time-release medication. What instructions should the nurse include?
Swallow the time-release med whole.
Crush the time-release med before taking it.
Dissolve the time-release med in water.
Chew the time-release med thoroughly.
A nurse is teaching a client how to self-administer ear drops. Which of the following client statements indicates an understanding of the teaching?
I will gently apply pressure with my finger to the front part of my ear after putting in the drops.
I will insert the dropper deep into my ear canal to make sure the drops go in.
I will keep my head upright immediately after putting in the drops.
I will use cold ear drops straight from the refrigerator.
A nurse is teaching a newly licensed nurse who is caring for a client who is receiving enteral feedings, how to administer medications through a jejunostomy tube. Which of the following instructions should the nurse include?
Flush the tube before and after each medication.
Crush all medications and mix them together before administration.
Administer medications without stopping the enteral feeding.
Use cold water to flush the tube after medication administration.
A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take?
Select a site on the client’s abdomen.
Massage the site after injection.
Aspirate before injecting the medication.
Inject into the deltoid muscle.
Which of the following are included in a health history pre-assessment for medication therapy? Select all that apply.
All Medication and allergies
Health problems (reason seeking care)
Age
All meds currently taking
Any unexpected findings due to medication therapy
What are the steps for taking a telephone prescription order? Select all that apply.
If possible have a 2nd nurse listen
Clarify if unclear. (ensure correct spelling)
Ensure the provider signs the order within 24 hours.
Verify drug name, dose, route, and frequency.
Write down the order & read it back to the provider (clients name, name of med, the dosage, the time to give it, frequency and route.)
The nurse is reviewing the client’s medical administration record and notes a prescription for docusate 100 mg PO once every day. The nurse should identify this as which of the following types of prescription?
Routine
PRN
One-time
STAT
The nurse is preparing to administer a medication to the client. What actions should the nurse take?
Avoid distractions when preparing, prepare for one client at a time, check label and expiration date, measure dose accurately, follow the rights of medication, take the Mar to bedside, nurse should only give medication she prepared
Administer medication without checking the label, prepare medications for multiple clients at once, ignore expiration dates, and delegate preparation to another nurse
Prepare medication in a noisy environment, skip dose measurement, and do not verify the client's identity
Give medication prepared by another nurse, do not check the MAR, and ignore the rights of medication administration
The nurse administers the wrong medication to the client. Which of the following actions should the nurse take first?
Notify the provider
Check the clients’ vital signs
Complete an incident report
Administer the correct medication
The nurse is teaching the newly licensed nurse how to insert an IV catheter into the client. Which of the following statements by the newly licensed nurse indicates understanding of the procedure?
I will insert the needle into the client’s skin at an angle of 10 to 30 with the bevel up.
I will insert the needle at a 90 degree angle.
I will use the largest gauge needle available.
I will not use a tourniquet.
The nurse is teaching the newly licensed nurse strategies to reduce the risk for IV infections. What strategies should the nurse include?
Perform hand hygiene, change IV site every 72 hours, remove cath as soon as no clinically needed, use sterile needles or cath for insertion, avoid writing on iv bag with pens or markers, do not allow fluids to hang for more than 24 hours unless it’s a closed system, wipe all ports with alcohol.
Use non-sterile gloves for IV insertion and change IV site only when signs of infection appear.
Allow IV fluids to hang for up to 72 hours and use the same IV site for the duration of hospitalization.
Write patient information directly on the IV bag with a permanent marker and change IV tubing only when it becomes visibly soiled.
The nurse is assessing the client. Which of the following findings are manifestation of fluid overload?
Respiratory rate
Blood pressure
Heart rate
Temperature
The nurse is caring for the client who is receiving IV therapy. Which of the following actions should the nurse plan to take first?
Discontinue the infusion.
Notify the provider.
Decrease the IV rate.
Monitor intake and output.
A nurse is caring for a client who takes several medications. The client states, “I fast for several days each week to control my weight.” The nurse should instruct the client that fasting increases the risk for medication toxicity due to what physiological factor?
Decrease level of plasma albumin, decreases protein binding response of medication.
Increase in hepatic metabolism of medication.
Enhanced renal excretion of medication.
Increased gastrointestinal absorption of medication.
A nurse is teaching an older adult client about medication self-administration. Which of the following instructions should the nurse include?
Place pills in daily pill holders
Set up a daily calendar with medication reminders.
Ask a relative to assist as needed.
A nurse is teaching a class about medication interactions. The nurse should include that iron preparation should be administered with which of the following?
(a)
A nurse opens a unit-dose of prescribed medication prior to administering it to a client. The client refuses to take medication. Which of the following actions should the nurse take?
A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan to take?
A nurse is preparing to administer an otic medication to a client. Which of the following actions should the nurse take?
A nurse is teaching a class about converting household measurements into metric measurements. Which of the following information should the nurse include?
A nurse is teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?
(a)
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous feeding. Which of the following actions should the nurse take?
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?
A nurse is administering a powdered medication to a client. Which of the following actions should the nurse take?
A nurse is caring for a client who is prescribed buccal medication. Which of the following client statements indicates that the clients understand how to take this medication?
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client’s motivation to learn?
A nurse is performing an admission assessment for a client. Which of the following actions should the nurse take when recording the client’s medication?
A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the hand-off report?
Which of the following statements by an older adult client with heart failure who has a new prescription for hydrochlorothiazide indicates an understanding of safety considerations at home?
"I will get up slowly from bed to prevent dizziness."
"I will take my medication only when I feel short of breath."
"I can eat as much salt as I want since I am on medication."
"I do not need to monitor my weight daily."
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Apply a tourniquet above the insertion site.
Shave the area before insertion.
Insert the catheter at a 45-degree angle.
Use the dominant hand for insertion only.
A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?
Cream of wheat cereal
Scrambled eggs
Baked chicken
Steamed broccoli
A nurse is providing teaching to a client who has a new medication prescription. Which of the following is a manifestation of a mild allergic reaction?
Rash
Severe shortness of breath
Anaphylactic shock
Chest pain
The best action a nurse should take when preparing to administer a liquid medication via an NG tube is:
Check tube placement before administering the medication.
Crush the medication and mix it with water.
Administer the medication without flushing the tube.
Mix the medication with enteral feeding formula.
A nurse should compare the medication administration record and the medication label at which of the following times?
Before removing the medication from the storage area
After administering the medication to the client
When documenting the medication administration
After preparing the medication but before giving it to the client
