Question 1

When giving a subcutaneous injection to a very thin patient,how does the nurse alter the injection technique?
A)Using a 23-gauge needle
B)Spreading the skin before injection
C)Pinching up the skin and inserting the needle at a 45-degree angle
D)Injecting the medicine quickly to reduce pain

Accepted Answer

For a very thin patient, pinching up the skin and inserting the needle at a 45-degree angle helps ensure the medication is administered into the subcutaneous tissue rather than deeper structures. This technique is adjusted to prevent injecting into muscle, which requires a different angle and can alter the absorption of the medication.

Question 2

What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply.)
A)Independently waste the drug in a secure place.
B)Record in the narcotic log that the drug was wasted.
C)Chart in the patient's record the reason the medication was refused.
D)Get any staff member to sign the narcotic log as witness to the drug being wasted.
E)Confirm the count is correct on the narcotic log.

Accepted Answer

When a controlled substance is wasted,the actual wasting must be witnessed by a licensed person,the narcotic log must be signed by both the nurse wasting the drug and the witness,and the narcotic count is confirmed by both people.

Question 3

The nurse administered a sedative to an older adult who was having difficulty sleeping.Later,the patient was walking the halls and becoming agitated.What is this drug response known as?
A)Expected
B)Untoward
C)Idiosyncratic
D)Hypersensitive

Accepted Answer

An unexpected response to a medication is termed idiosyncratic.

Question 4

The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the oncoming nurse time.What would be the correct action of the oncoming nurse?
A)Give the medications when ordered.
B)Recheck the medications.
C)Never give medications another person has prepared.
D)Identify each medication as it is given.

Accepted Answer

The nurse should never give a medication that has been prepared by another person.

Question 5

The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15.The nurse should set the drop control to deliver 3 gtts/_____.

Accepted Answer

The answer of The order is for 100 mL to...

Question 6

To help relax the anal sphincter during the insertion of a suppository,the nurse should ask the patient to ____________.

Accepted Answer

The answer of To help relax the anal sphincter during...

Question 7

When giving a tubal medication,the nurse should flush the tubing with 30 to 50 _______ of water.

Accepted Answer

The answer of When giving a tubal medication,the nurse should...

Question 8

When the patient complains about his IV lines and asks if he can have the medication by mouth,what is the most appropriate response by the nurse?
A)"Pills are difficult for many patients to swallow."
B)"Medication by mouth is absorbed more slowly than by any other route."
C)"It takes more time for the nurse to prepare and administer oral medications."
D)"It leads to more errors to give pills,because the pills all look alike."

Accepted Answer

Medications that enter the GI tract are absorbed more slowly than by any other route.It is not known whether or not this particular patient has difficulty swallowing.The decision to give IV medications does not depend on the time of administration.It is not true that all pills look alike.

Question 9

What screening test is accomplished by performing an intradermal injection?
A)Diabetes
B)Tuberculosis
C)Hepatitis
D)Meningitis

Accepted Answer

Intradermal injection absorption is slow,which makes it the best route for tuberculosis screening.

Question 10

Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.What dose should the nurse administer?
A)1.5 mL
B)0.25 mL
C)0.5 mL
D)1 mL

Accepted Answer

To convert mg to gr,divide by 60.

Question 11

The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug.What is the correct term for this effect?
A)Compatibility
B)Antagonism
C)Synergism
D)Cooperation

Accepted Answer

When one drug increases the action of another drug,it is called synergism.

Question 12

When a patient comes into the emergency department with a narcotic overdose,the nurse anticipates that the patient will be treated with Narcan.What drug classification is Narcan?
A)Enhancer
B)Substitute
C)Control
D)Antagonist

Accepted Answer

An antagonist is a drug that will block the action of another drug,such as Narcan with Demerol.

Question 13

What landmarks are used for the administration of an intramuscular injection into the gluteal site?
A)The tip of the coccyx and the greater trochanter
B)Between the center of the gluteus and the iliac spine
C)Between the posterior iliac crest and the greater trochanter
D)On an imaginary line between the center of the gluteus and the greater trochanter

Accepted Answer

The gluteal site is marked by the greater trochanter and the posterior iliac crest.

Question 14

In some health care facilities,the LPN/LVN is allowed to take telephone orders from a health care provider.What is one precaution the nurse must take when receiving a verbal order?
A)Write quickly.
B)Repeat the order to the health care provider.
C)Have another nurse listen on an extension.
D)Sign and initial the health care provider's name on the order.

Accepted Answer

The nurse should always repeat the order to the health care provider.The nurse should write slowly to avoid making a mistake.It is not necessary to have another nurse listen to the verbal order.The nurse should not sign the health care provider's name to the order.

Question 15

The following information is included in a health care provider's order:
Jane Doe
September 23
Amoxicillin 250 mg PO every 6 hours for 10 days
Dr.John Smith
The essential component missing is the _____________.

Accepted Answer

The answer of The following information is included in a...

Question 16

A 150-lb man is to receive a medication based on milligrams/kilograms.He is to receive 1 mg/kg.What dosage should the nurse administer?
A)50 mg
B)68 mg
C)75 mg
D)80 mg

Accepted Answer

Desired dose over available dose F1F1F1S1F1F1F10 the unit.Unit is what the available dose is contained in.

Question 17

What is the main organ that inactivates and metabolizes drugs?
A)Spleen
B)Liver
C)Lungs
D)Pancreas

Accepted Answer

The liver is the main organ that inactivates and metabolizes drugs.

Question 18

What important principle should be taken to prevent medication errors?
A)Placing an unlabeled syringe on the medication cart
B)Following the six rights of medication administration
C)Leaving a medication with the patient only when family is there
D)Always charting medications before the end of the shift

Accepted Answer

Following the six rights ensures excellent drug administration practice.Unlabeled syringes should never be left on a medication cart.Medications should never be left in a patient's room.Medications should be charted immediately after they are administered.

Quiz 17: Dosage Calculation and Medication Administration

When giving a subcutaneous injection to a very thin patient,how does the nurse alter the injection technique?

What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply.)

The nurse administered a sedative to an older adult who was having difficulty sleeping.Later,the patient was walking the halls and becoming agitated.What is this drug response known as?

The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the oncoming nurse time.What would be the correct action of the oncoming nurse?

The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15.The nurse should set the drop control to deliver 3 gtts/_____.

To help relax the anal sphincter during the insertion of a suppository,the nurse should ask the patient to ____________.

When giving a tubal medication,the nurse should flush the tubing with 30 to 50 _______ of water.

When the patient complains about his IV lines and asks if he can have the medication by mouth,what is the most appropriate response by the nurse?

What screening test is accomplished by performing an intradermal injection?

Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.What dose should the nurse administer?

The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug.What is the correct term for this effect?

When a patient comes into the emergency department with a narcotic overdose,the nurse anticipates that the patient will be treated with Narcan.What drug classification is Narcan?

What landmarks are used for the administration of an intramuscular injection into the gluteal site?

In some health care facilities,the LPN/LVN is allowed to take telephone orders from a health care provider.What is one precaution the nurse must take when receiving a verbal order?

The following information is included in a health care provider's order: Jane Doe September 23 Amoxicillin 250 mg PO every 6 hours for 10 days Dr.John Smith The essential component missing is the _____________.

A 150-lb man is to receive a medication based on milligrams/kilograms.He is to receive 1 mg/kg.What dosage should the nurse administer?

What is the main organ that inactivates and metabolizes drugs?

What important principle should be taken to prevent medication errors?