WorksheetsAdministration Abbreviations
Total questions: 30
Worksheet time: 15mins
Which abbreviation indicates a medication should be given intradermally?
PO
IV
IM
ID
A prescription reads PO. What is the correct route of administration?
Into the skin
By mouth, orally
Into a muscle
Into a vein
Which abbreviation correctly matches rectal administration?
PO
PR
IM
ID
A provider orders an antibiotic q4h. How often should it be administered?
Twice a day
Four times per day
Every morning
Every 4 hours
You have a PRN pain medication. When should you give it?
At nighttime
Whenever necessary
Before meals
Immediately
A patient with nausea is prescribed ondansetron ac. When should it be taken?
Before meals
After meals
Every morning
With meals
Which medication form is specifically designed for transdermal delivery through the skin over time?
Creams spread over affected areas
Ointments applied to intact skin surfaces
Patches placed on the skin surface
Lotions rubbed onto localized skin
A patient needs rapid systemic effect without swallowing. Which route best matches this need for a tablet?
Topical applied to forearm
Buccal placed in cheek pouch
Oral swallowed with water
Vaginal inserted with applicator
Which pairing correctly matches the medication form with its primary route of administration?
Suppositories — nasal administration
Aerosols — rectal administration
Elixirs — oral administration
Drops — subcutaneous administration
A provider orders a powdered antibiotic that must be mixed before injection. Which product description should the nurse select from the pharmacy label?
Powders for reconstitution for IV, IM, subcut, ID
Suspensions labeled for oral administration
Topical powders for application to skin
Dry powder for inhalation via breath-actuated device
Which injection route is CCMA permitted to administer in clinical practice?
Intra-arterial route within arteries
Intrathecal route into subarachnoid space
Intrapleural route into pleural cavity
Intramuscular route into deltoid muscle
What needle angle is appropriate for a subcutaneous injection using standard technique?
90 degrees into muscle tissue
60 degrees into dermis layer
45 degrees into subcutaneous tissue
10 to 15 degrees into epidermis
Where are common anatomical sites for intradermal injections?
Peritoneal cavity in abdomen
Upper chest, forearms, upper back
Deltoid, vastus lateralis, ventrogluteal
Major veins of arms and hands
A patient requires medication into bone marrow. Which parenteral route is indicated and is it permitted for CCMA?
Intramuscular route and CCMA: Yes
Intraosseous route and CCMA: No
Intravenous route and CCMA: Yes
Intra-articular route and CCMA: Yes
Which combination correctly pairs route with location for intramuscular injections?
Upper outer arm, upper back under shoulder
Epidural space along the spine
Deltoid, vastus lateralis, ventrogluteal muscles
Subarachnoid space within the brain
Which statement best distinguishes buccal from sublingual medication placement?
Buccal under tongue; sublingual against the cheek
Buccal is against the cheek; sublingual under tongue
Buccal placed on gums; sublingual between teeth
Buccal swallowed into stomach; sublingual chewed
A CCMA is preparing to give nitroglycerin as a rapidly absorbed enteral dose. Which route should be used to maximize mucosal absorption and avoid swallowing?
Sublingual tablet under the tongue
Oral syrup mixed with food
Oral capsule swallowed with water
Buccal tablet chewed and swallowed
Which list correctly identifies common oral formulations that may be swallowed for enteral administration?
Suspensions, rectal suppositories, sprays
Elixirs, inhalers, ophthalmic drops
Lozenges, ointments, transdermal patches
Tablets, capsules, syrups, solutions
Which route delivers medication to the eye using drops or ointment?
Otic administration to the ear canal
Nasal administration to the nose
Ophthalmic administration to the eye
Respiratory administration to the airways
A patch applied to intact skin for systemic effect best illustrates which route?
Transdermal delivery through the skin
Rectal administration using suppositories
Topical application for local effect
Otic delivery using ear drops
Which formulation is most appropriate for the urethral route listed?
Aerosols for inhalation therapy
Solutions for urethral instillation
Gels for nasal application
Tablets for vaginal placement
Which abbreviation on a prescription indicates the patient should receive the exact brand specified by the prescriber?
rf: allow multiple refills
OTC: obtain over-the-counter product
DAW: dispense as written only
gen: substitute any generic version
A chart note reads "NPO until 0800." What does NPO mean in patient care?
Nothing by mouth for a period
No known allergies to medications
Nausea and vomiting present
Nebulizer ordered immediately
A patient with asthma is instructed to use an MDI twice daily. Which device is being referenced?
Metered-dose inhaler for lungs
Verbal order from provider
Mineral oil oral laxative
Nebulizer for continuous mist
Which stage of pharmacokinetics describes how a medication enters the bloodstream from its site of administration?
Distribution throughout body tissues
Absorption into the circulation
Metabolism by hepatic enzymes
Excretion via renal pathways
What physiological feature can limit a drug’s movement into the central nervous system during distribution?
Enterohepatic recirculation
Hepatic first-pass metabolism
Glomerular filtration rate
Blood-brain barrier integrity
A medication is converted by liver enzymes and later removed in urine. Which ADME sequence best matches these events?
Metabolism then excretion
Excretion then metabolism
Distribution then absorption
Absorption then distribution
Which organ is the primary site where medications are converted into inactive metabolites before elimination?
Skin releases drugs through sweat
Lungs exhale volatile medications
Liver performs most drug metabolism
Kidneys filter and secrete metabolites
A patient has reduced kidney function. Which elimination route is most likely decreased, potentially increasing drug levels?
Urine formation and excretion
Bile flowing into the intestine
Saliva secretion into the mouth
Exhaled air through the lungs
A medication is metabolized in the liver and its metabolites are secreted into bile. What is the most likely final route out of the body?
Released in sweat from skin
Eliminated as stool via intestines
Reabsorbed and stored in tissues
Excreted as urine by kidneys
