Question 1

When giving a tubal medication,the nurse should flush the tubing with ___ to ___ mL of water.

Accepted Answer

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

Question 2

When giving a subcutaneous injection to a very thin patient,the nurse will alter the injection technique by:
A) using a 23-gauge needle.
B) spreading the skin before injection.
C) pinching up the skin and inserting the needle at a 90-degree angle.
D) injecting the medicine quickly to reduce pain.

Accepted Answer

The subcutaneous technique changes when injecting a thin patient.The selection of needles is the same ( 11ea2024_9dcc_12da_a2dc_d967b1729d71_TB3264_11 inch needle of 27 or 28 gauge),the site selection is the same,but the technique changes to pinch up the skin and inject at a 90-degree angle.

Question 3

Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.The nurse should give:
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 4

The main organ that inactivates and metabolizes drugs is the:
A) spleen.
B) liver.
C) lungs.
D) pancreas.

Accepted Answer

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

Question 5

The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the new nurse time.The nurse coming on knew that she should:
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 6

When performing an intradermal injection,the nurse instills a small amount of substance into the dermis and the injection is not aspirated.One of the uses of this technique is screening for:
A) diabetes.
B) tuberculosis.
C) hepatitis.
D) meningitis.

Accepted Answer

With intradermal injections absorption is slow,which makes it the best route for tuberculosis screening.

Question 7

Tylenol gr V is ordered.The available tablet is 0.3g.The nurse should give:
A) 1 tablet.
B) 1.5 tablets.
C) 1/2 tablet.
D) 2 tablets.

Accepted Answer

Gram to grain,multiply by 15.(0.3 * 15 = 4.5 grains)

Question 8

Lanoxin 0.125 mg is to be given.The nurse converts the dose to how many grams?
A) 1.250
B) 1250
C) 0.000125
D) 0.00125

Accepted Answer

Small,arrow to big,move the decimal point three places in the direction the arrow points,move decimal three places to the left.

Question 9

When preparing to give an intramuscular injection into the gluteal site,the nurse uses landmarks to ensure safe placement of the medication.Those landmarks are:
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 10

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.This effect is called:
A) compatibility.
B) antagonistic.
C) synergism.
D) cooperation.

Accepted Answer

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

Question 11

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 12

A 150-pound man is to receive a medication based on mg/kg.He is to receive 1 mg/kg.The nurse should give:
A) 50 mg.
B) 68 mg.
C) 75 mg.
D) 80 mg.

Accepted Answer

Desired dosage over available dosage * the unit.Unit is what the available dosage is contained in.

Question 13

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 14

0.5 g of medication is ordered.The label reads 125 mg/mL.The nurse should give:
A) 1 mL.
B) 2 mL.
C) 3 mL.
D) 4 mL.

Accepted Answer

Desired dosage over available dosage * the unit.Unit is what the available dosage is contained in.

Question 15

When the patient complains about his IV lines and asks if he can have the medication by mouth,the nurse explains that the main problem related to the oral route is that:
A) it is 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 medications.
D) it leads to more errors because pills look alike.

Accepted Answer

Medications that enter the GI tract are absorbed more slowly than by any other route.

Question 16

The nurse administered a sedative to an older adult who was having difficulty sleeping.Later,the patient was walking the halls and becoming agitated.The nurse recognizes this behavior as a response to the drug called:
A) unexpected.
B) untoward.
C) idiosyncratic.
D) hypersensitive.

Accepted Answer

An unexpected response to a medication is termed idiosyncratic.

Question 17

When a patient comes into the emergency department with a narcotic overdose,the nurse anticipates that the patient will be treated with Narcan,which is a(n):
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 18

gr X is ordered.The tablet contains 300 mg.The nurse should give:
A) 1/2 tablet.
B) 1 tablet.
C) 1 1/2 tablets.
D) 2 tablets.

Accepted Answer

gr X * 60 mg.

Question 19

In some health care facilities,the LPN/LVN is allowed to take telephone orders from a physician.The nurse must be alert and careful when taking verbal orders.One precaution the nurse should take is to:
A) write quickly.
B) repeat the order to the physician.
C) have another nurse listen on an extension.
D) sign and initial the physician's name on the order.

Accepted Answer

The nurse should always repeat the order to the physician.

Question 20

Important considerations are to be followed when administering medications to prevent errors.Shortcuts should not be taken,and principles should be adhered to.One of these principles is:
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 shift.

Accepted Answer

Following the six rights ensures excellent drug administration practice.

Quiz 23: Mathematics Review and Medication Administration

When giving a tubal medication,the nurse should flush the tubing with _ to _ mL of water.

When giving a subcutaneous injection to a very thin patient,the nurse will alter the injection technique by:

Atropine 0.4 mg is to be given.Ampule is labeled gr 1/150/mL.The nurse should give:

The main organ that inactivates and metabolizes drugs is the:

The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the new nurse time.The nurse coming on knew that she should:

When performing an intradermal injection,the nurse instills a small amount of substance into the dermis and the injection is not aspirated.One of the uses of this technique is screening for:

Tylenol gr V is ordered.The available tablet is 0.3g.The nurse should give:

Lanoxin 0.125 mg is to be given.The nurse converts the dose to how many grams?

When preparing to give an intramuscular injection into the gluteal site,the nurse uses landmarks to ensure safe placement of the medication.Those landmarks are:

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.This effect is called:

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

A 150-pound man is to receive a medication based on mg/kg.He is to receive 1 mg/kg.The nurse should give:

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

0.5 g of medication is ordered.The label reads 125 mg/mL.The nurse should give:

When the patient complains about his IV lines and asks if he can have the medication by mouth,the nurse explains that the main problem related to the oral route is that:

The nurse administered a sedative to an older adult who was having difficulty sleeping.Later,the patient was walking the halls and becoming agitated.The nurse recognizes this behavior as a response to the drug called:

When a patient comes into the emergency department with a narcotic overdose,the nurse anticipates that the patient will be treated with Narcan,which is a(n) :

gr X is ordered.The tablet contains 300 mg.The nurse should give:

In some health care facilities,the LPN/LVN is allowed to take telephone orders from a physician.The nurse must be alert and careful when taking verbal orders.One precaution the nurse should take is to:

Important considerations are to be followed when administering medications to prevent errors.Shortcuts should not be taken,and principles should be adhered to.One of these principles is: