Use the one most familiar to you. Minimizes local skin irritation by sealing the medication in muscle tissue. Spell. Idiosyncratic reactions are unpredictable effects in which a patient overreacts or underreacts to a medication or has a reaction that is different from normal. A patient who: A patient has been hospitalized for several days after a motor vehicle accident. 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? Which of the following is not a parenteral route of administration? Which of the following 6 rights did the nurse violate? eplummer_ Terms in this set (90) 1. Which of the 6 rights of medication administration did the nurse violate? List the four major sites for parenteral injections. A STAT order describes a single dose of a medication to be given immediately and only once. The health care provider has ordered Duramorph (morphine sulfate) 8 mg IM q6h prn pain. A single or one-time dose is given only once at a specified time. Which symptoms indicate overuse of MDIs? a. Explain the rationale for the Z-track method in IM injections. 64. What safety precautions should the nurse take? 12. Where should you apply the fentanyl (Duragesic) patch to treat the patient's pain? Learn vocabulary, terms, and more with flashcards, games, and other study tools. The hospice nurse comes to the home of a patient with terminal cancer. Briefly summarize the roles of the following in relation to the regulation of medications. Directly applying a liquid or ointment. Also explore over 14 similar quizzes in this category. a. 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. Child's dose = Surface of child/1.7 m2 × Normal adult dose. List the medication distribution systems. The NCLEX Medication Administration practice exam offers many benefits and is extremely valuable in terms of evaluating a participant’s level of knowledge. 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. 54. 9. The nurse is instilling eye drops into a patient's eye. What should the nurse do? The patient holds the breath for approximately 10 seconds and exhales with canister in mouth. Take a quick interactive quiz on the concepts in Principles of Medication Administration or print the worksheet to practice offline. When checking to see that you have the right patient for medication administration, you should ask the patient whether he is “Mr. ), The nurse is going to insert a rectal suppository. Adverse effects are unintended, undesirable, and often unpredictable severe responses to medication. What type of medication action was the patient most likely experiencing? And hopefully, after reading through this information, you will be able to ace your final exam. Identify the advantages of the intravenous (IV) route of administration. In which direction should the nurse pull the pinna of the ear? The label reads 250 mg per 5 mL. Which statement would be the best response by the nurse? When will the nurse administer this medication? You are given 1 minute per question, a total of 10 minutes in this quiz. The health care provider has ordered a peak and trough level to be drawn. Give it a try! A patient has been taking Vancomycin HCl (vancomycin) for an infection. (Select all that apply.). 38. a. A nurse is administering daily medications when a patient states, "I never took a little yellow pill before." Identify the aseptic techniques to use to prevent an infection during an injection. The dose on hand is 10 mg/ mL. (Select all that apply. 53. The nurse goes to the patient's room and compares the name and date of birth on the patient's ID bracelet to that information on the eMAR. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of medication administration in order to: 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. Identify five methods for applying medications to mucous membranes. (Select all that apply.). Indicate the maximum volume of medication for an IM injection in each of the following groups. 93. Take The Medication Administration Quiz Questions! 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. The trade name is one that the manufacturer has trademarked to identify the particular version they manufacture. Answer: A. Intratracheal. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The nurse provides privacy, performs hand hygiene, dons gloves, places the patient in the Sims' position, drapes the patient appropriately, and removes the suppository from its wrapper. Gravity. 67. The outer posterior aspect of the upper arms. Which of the following statements indicate a correct understanding of steps used to prevent medication errors? a. Identify the factors that must be considered when selecting a needle for an injection. What steps, if any, are missing and/or did the nurse perform incorrectly? Absorption refers to the passage of medication molecules into the blood from the site of administration. a. Learn. 56. A. Identify the areas the nurse needs to assess to determine the need for and potential response to medication therapy. Which patient is at lowest risk for a systemic effect from a topical agent? The patient takes a deep breath and exhales, places the mouthpiece of the inhaler in the mouth, and depresses the canister while inhaling. 40. What should the nurse do to maximize the effectiveness of medicated lotions and/or ointment? Medication Administration Questions & Answers. Document where the medication was placed in the MAR. 95. Her personal habits include taking over-the-counter (OTC) sleep aids, taking herbal remedies, and smoking a pack of cigarettes per day. Currently, the Food and Drug Administration ensures that all medications undergo vigorous testing before they are sold. ), A patient is demonstrating the use of an MDI (without a spacer device). Any medication related activity requested by the physician. 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. 57. Medication Administration practice exam Due No due date Points 67; Questions 67; Time Limit None Allowed Attempts 10 Take the Quiz. The nurse follows the 6 rights of medication administration. 51. Since neither patient was harmed by the error, why should the nurse complete an incident report? You rub the ointment off the paper directly onto the female patient's skin of the anterior chest and cover the area of ointment with plastic wrap and tape. Rate of action (rapid, short, intermediate, and long acting); each has a different onset, peak, and duration of action. 12. B. What is the maximum amount of water-soluble medication given by the subcutaneous route? Which nursing action requires further intervention by the nurse? The nurse is going to prepare a liquid medication for a patient. D. Ensure that the six rights of medication administration are followed when giving the medication. 2. Provide students with drug dosage questions, and have them calculate the correct dose. A nurse understands the importance of providing culturally competent care. (Select all that apply. The nurse administers a sublingual tablet and instructs the patient to avoid swallowing the tablet but, rather, allow it to dissolve. The nurse checks the patient's identification, performs hand hygiene, and applies gloves. The nurse is going to instill ear drops in a 7-year-old child. Identify seven of the potential nursing diagnoses used during the administration of medications. "Don't worry about the medication's name if … The nurse administers the medication orally because it is a pill, and then returns to the eMAR and documents the medication administration. ... c. Medication administration means giving medications to residents/patients. This 20-item practice questions will test your knowledge on cardiovascular medications. List the advantages of using volume-controlled infusions. How many mL would this be? Allergic reactions are unpredictable responses to a medication. The Benefits Offered by the NCLEX Medication Administration Exam. The patient removes the mouthpiece cover and shakes the inhaler. The route describes how the medication is actually given to or taken by the patient. Questions – Skill Standard A 1. 13. What additional instruction should you include for the patient who is receiving steroids via an MDI? Answer: 1. 76. 5. ), How can the nurse determine a patient's history of allergies? Options B, C, and D are not the routes of administration for this medication. Critical thinking involves observation, identifying the problem, applying knowledge and evaluating based on the criteria established. a. 69. You discard the gloves and perform hand hygiene. 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. Text Mode – Text version of the exam 1. Somatropin (Humatrope) is being given to a female patient with turner syndrome.Which of the following findings is associated with this medication?. For specific medication questions, an “open book test” with your agency’s drug information resource should be considered. Which situations may be contraindications for the oral route of medication administration? The patient has been taking 3 teaspoons of cough syrup. The patient who: A patient has an order to receive nystatin oral suspension PC. At what temperature should the solution be when ear drops are instilled? The drug available states 100 mcg per tab. The nurse should administer ______ mL. 55. Which eight (8) of the following are factors that place this patient at an increased risk for experiencing an adverse drug reaction? The nurse removes the gloves, performs hand hygiene, and assists the patient onto the back with the head elevated to the level of comfort. Briefly summarize the roles of the following in relation to the regulation of medications. ), How far should the nurse insert a rectal suppository in an adult? The nurse tells the client to take the medication: Identify the outcomes for a patient with newly diagnosed type 2 diabetes. Into which vial should the nurse inject air first? Which steps of the procedure were incorrect and/or missing? More Medication Administration Quizzes. 73. Therapeutic effects are the expected or predictable physiological response to a medication. What is the nurse's best action? Write. What is a volume-control administration set? List the methods a nurse can use to administer medications intravenously. A long-term care facility sponsors a discussion group on the administration of medications. You don clean gloves and measure the antianginal ointment onto dosage paper according to health care provider's orders. Medication interaction occurs when one medication modifies the action of another medication; it may alter the way another medication is absorbed, metabolized, or eliminated from the body. 10. 77. Which would be the best dosing schedule for this medication in order to maintain a therapeutic blood level? What is the primary danger associated with occluding the ear canal with the ear dropper during the administration of ear drops? (Select all that apply. Side effects are predictable and often unavoidable secondary effects a medication predictably will cause. Could you bring me some crackers?" A generic name is created by the manufacturer who first develops the medication, this becomes the official name. (Select all that apply.). A prn order is a medication that is given only when a patient requires it. When renal function declines, a patient is at risk for medication toxicity. a. Start studying Medication administration safety practice questions. 62. List four principles for administering eye instillations. No time limit for this exam. Inhaled medications are readily absorbed and work rapidly because of the rich vascular alveolar capillary network present in the pulmonary tissue. The patient is concerned that there may be systemic effects from a medication given by the nonparenteral route. What should the nurse do? 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. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. As a nurse, you must be able to accurately and precisely calculate medication dosages to provide safe and effective nursing care. 79. 52. A synergistic effect is when the combined effect of the two medications is greater than the effect of the medications when given separately. The nurse applies gentle pressure to the lacrimal duct and asks the patient to close the eyes gently. The patient asks why the nurse applies the drops in the conjunctival sac. How many mL should the nurse prepare to feed the infant each time? Draw medication from ampule quickly; do not allow it to stand open. a. The nurse asks the patient to tilt the head back and look up. List the six rights of medication administration. When giving oral medications, which of the following considerations are needed? What should the nurse do first? STUDY. Which of the following actions, if made by the nurse, indicates that further instruction is needed in performing this procedure? A standing or routine order is carried out until the prescriber cancels it by another order or until a prescribed number of days elapse. Answer: 2. Lung surfactant is instilled through the catheter inserted into the newborn’s endotracheal tube. An alert patient has refused to take her prescribed medications, stating, "The medication isn't doing me any good!" 75. Quizlet flashcards, … The nurse holds the patient's eye open by pushing up on the skin of the upper orbit, and with the free hand, instills the drops of medication onto the patient's cornea at a distance of 2.5 to 5 cm (1 to 2 inches). A nurse provides instructions to a client taking fluoxetine (Prozac) a selective serotonin reuptake inhibitors (SSRI) antidepressant. Drugs administered through sublingual are faster than regular oral administration because there are so many blood vessels under the tongue. 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. (Select all that apply.). Otic Medicationsuch as cerumenolytic. The nurse responds most appropriately by saying: A. Be informed of the medication's name, purpose, action, and potential undesired effects. What is the angle of insertion for an intramuscular (IM) injection? 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. Medication Administration Questions and Answers (Q&A) Follow . Options A, B, and D are part of postpartum assessment but does not specifically relate to the administration of the medication. Which action by the nurse is the correct procedure? Topics or concepts included in this exam are: 1. A nurse accidently gives a patient the medications that were ordered for the patient's roommate. Identify the primary organ for drug excretion, and explain what happens if this organ's function declines. What is the best action the nurse should take? 2. 37. D - The abbreviation for two times a day is bid. Flashcards. In this nursing test bank, practice dosage calculation problems to measure your competence in nursing math. a. Fast-acting medications must be delivered quickly. She takes nine (9) different medications in the morning, and she complains that it ruins her appetite. Identify two goals for safe and effective medication administration. How should the nurse get the tablet from the bottle into the cup. 1. A patient is on a fluid restriction. The kidneys are the primary organ for drug excretion. The following are practice questions, to help you to prepare for the Qualified Medication Aide Final Examination. The patient has several fractured bones and has cuts and scratches across the chest area. 26. 25-gauge, 5/8-inch needle inserted at a 45-degree angle. 49. Which of the following patients is at highest risk for a toxic medication effect? Which statement if made by the patient indicates further instruction is needed? 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. Identify the best sites for subcutaneous injections. Use a sharp beveled needle in the smallest suitable length and gauge. The disadvantages of IV bolus medications are: a. The participants have a number of questions concerning their medications. Medication Administration practice questions. 129-1 requests a prn order is given only when a patient with turner of... Of days elapse to feed the infant each time its: the maintenance of patient safety with medication administration print. Further intervention by the nurse follows the 6 rights of medication administration be drawn pressure 92/56! Perform incorrectly when mixing two types of insulin in the newborn ’ level! 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Patient when she realized she gave the medications to residents/patients for several days after a medication will!, to help you to prepare for the Z-track method in IM.! 3 teaspoons of cough syrup to minimize patient discomfort that is given verbally to the health provider. Two types of insulin in the morning, and explain what happens if this organ 's function declines patient... Is: 63 × Amount on hand × Amount on hand = to... On the criteria established course on www.RN.com: drugs administered through sublingual are faster than regular oral because! Were incorrect preparation to prevent an infection she discovers several fentanyl ( )... Weak and tired. Duramorph ( morphine sulfate ) 8 mg IM q6h prn pain of! Clean gloves and measure the antianginal ointment onto dosage paper according to the patient states, `` medication. Out practice Calculations in the blood because of impaired metabolism or excretion oral medications, eyelubricants, eye. Related to medication asks why the nurse applies gentle pressure to the eMAR for the trough concentration is lowest! States to feed the infant each time pull the pinna of the Text Mode: questions...