Exam 1 NUR 210
Chapter 10: Drug Administration (unit 1 | 9-12 questions)
1. The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication. The parent
asks why the medication can’t be given in a bottle of formula to make it taste better. How will the nurse
respond?
a. “Adding a medication to the formula will cause the formula to curdle.”
b. “Formula and medications can form toxic compounds if mixed together.”
c. “The infant may not always take the entire bottle of formula.”
d. “This may cause the infant to refuse formula in the future.”
2. A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to
swallow. How will the nurse respond to the patient?
a. “Crushing the medication can possibly lead to administration of a toxic medication dose.”
b. “Crushing the medication is safe and can prevent gagging on pills.”
c. “The tablet may be crushed if a small amount of pudding is used.”
d. “The tablet may be dissolved in liquid but not crushed and put in food.”
3. A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the
tablet because of its size. The nurse will perform which action?
a. Contact the provider to discuss an alternate form of the medication.
b. Crush the tablet and put it in applesauce to help the patient swallow it.
c. Cut the tablet in half so the patient can take it more easily.
d. Dissolve the tablet in liquid.
4. The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the
patient indicates understanding of the teaching?
a. “I may put the tablet in food if I don’t like the taste.”
b. “I may take a sip of water after placing the tablet in my mouth.”
c. “I will place the tablet between my cheek and gum.”
d. “I will place the tablet under my tongue and let it absorb.”
5. The nurse is teaching a nursing student about giving liquid medications. Which statement by the student
indicates understanding of the teaching?
a. “A suspension is a mixture in which drug particles are dissolved in solution.”
b. “I will line up the bottom of the medication curve with the line on the syringe.”
c. “I will need to shake an elixir before measuring the dose.”
d. “I will never need to refrigerate liquids once they are reconstituted.”
1
,6. A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the
nurse respond?
a. “The patch can always be cut when dosage adjustments are needed.”
b. “Drug levels fluctuate less with the patch.”
c. “There are fewer systemic side effects with transdermal patches.”
d. “There is less risk of toxicity when using a patch.”
7. When administering topical medications, which is an important nursing action?
a. Applying the medication liberally.
b. Cleaning skin with alcohol before applying.
c. Using sterile technique.
d. Wearing gloves.
8. A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer.
The patient asks why the spacer is necessary. The nurse will explain that the spacer
a. allows a larger dose to be given safely.
b. is used to enhance the delivery of medications when using a metered-dose inhaler.
c. minimizes adverse effects of the steroid.
d. prevents contamination of the metered-dose inhaler.
9. The nurse is teaching a parent to administer medications using a child’s gastrostomy tube. The parent asks
why it is necessary to give water after each medication. The nurse explains that the water is given for which
purpose?
a. To decrease gastrointestinal upset
b. To dilute the medication and enhance absorption
c. To ensure that all medication is flushed into the stomach
d. To improve overall hydration
10. The nurse is preparing to administer a rectal suppository antipyretic medication. Which action by the nurse
is correct?
a. Allowing the suppository to soften at room temperature before inserting
b. Avoid explaining the administration procedures to the patient so they don’t decline the medication
c. Having the patient remain flat or on one side for at least 30 minutes after insertion
d. Using an oil-based lubricant such as petrolatum gel (Vaseline) to lubricate the medication
11. The nurse is performing tuberculin testing on a patient. Which action by the nurse is correct?
a. Insert the needle, bevel up, at a 45-degree angle.
b. Massage the area gently after the injection.
c. Measure the diameter of the area of erythema when reading the result.
d. Use a 25-gauge, 1/4" needle.
2
, 12. The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site
selection for this injection, what will the nurse ask the child’s parent?
a. “How long has your child been walking?”
b. “How much does your child weigh?”
c. “Is your child afraid to look at needles?”
d. “Is your child right- or left-handed?”
13. The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is
receiving iron dextran. Which statement by the student indicates understanding of the teaching?
a. “This is used when administering IM injections to help minimize local skin irritation.”
b. “This technique allows slower, more sustained absorption.”
c. “You may use the deltoid site when using this method.”
d. “I should use a 27-gauge needle to minimize discomfort with this method.”
14. The nurse is preparing to start an IV line in a preschool-age child. After applying a mixture of local
anesthetics, what will the nurse do to prepare the child?
a. Describe what the IV line will feel like and how long it will be in place.
b. Explain the purpose of the procedure.
c. Give the child equipment to handle and practice on a doll.
d. Reassure the child that the pain will only last a few minutes.
Chapter 01: The Nursing Process and Patient-Centered Care (unit 1 | 9-12 questions)
1. All of the following would be considered subjective data, EXCEPT:
A. Patient-reported health history
B. Patient-reported signs and symptoms of their illness
C. Financial barriers reported by the patient’s caregiver
D. Vital signs obtained from the medical record
2. The nurse is using data collected to define a set of interventions to achieve the most desirable outcomes. Which of
the following steps is the nurse applying?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Generate solutions (planning)
D. Take action (nursing interventions)
3
, 3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia.
The parents tell the nurse that they can’t keep track of everything that has to be done to care for their child. The
nurse reviews medications, diet, and symptom management with the parents and draws up a daily checklist for the
family to use. These activities are completed in which step of the nursing process?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Generate solutions(planning)
D. Take action(nursing intervention)
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug allergies, serum
creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective of which of the following?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Take action (nursing interventions)
D. Generate solutions (planning)
5. Which of the following would be correctly categorized as objective data?
A. A list of herbal supplements regularly used provided by the patient.
B. Lab values associated with the drugs the patient is taking.
C. The ages and relationship of all household members to the patient.
D. Usual dietary patterns and food intake.
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not have an
established routine. The patient will be sent home with three new medications to be taken at different times of the
day. The nurse develops a daily medication chart and enlists a family member to put the patient’s pills in a pill
organizer. This is an example of which element of the nursing process?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Generate solutions (planning)
D. Take action (nursing interventions)
4
Chapter 10: Drug Administration (unit 1 | 9-12 questions)
1. The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication. The parent
asks why the medication can’t be given in a bottle of formula to make it taste better. How will the nurse
respond?
a. “Adding a medication to the formula will cause the formula to curdle.”
b. “Formula and medications can form toxic compounds if mixed together.”
c. “The infant may not always take the entire bottle of formula.”
d. “This may cause the infant to refuse formula in the future.”
2. A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to
swallow. How will the nurse respond to the patient?
a. “Crushing the medication can possibly lead to administration of a toxic medication dose.”
b. “Crushing the medication is safe and can prevent gagging on pills.”
c. “The tablet may be crushed if a small amount of pudding is used.”
d. “The tablet may be dissolved in liquid but not crushed and put in food.”
3. A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the
tablet because of its size. The nurse will perform which action?
a. Contact the provider to discuss an alternate form of the medication.
b. Crush the tablet and put it in applesauce to help the patient swallow it.
c. Cut the tablet in half so the patient can take it more easily.
d. Dissolve the tablet in liquid.
4. The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the
patient indicates understanding of the teaching?
a. “I may put the tablet in food if I don’t like the taste.”
b. “I may take a sip of water after placing the tablet in my mouth.”
c. “I will place the tablet between my cheek and gum.”
d. “I will place the tablet under my tongue and let it absorb.”
5. The nurse is teaching a nursing student about giving liquid medications. Which statement by the student
indicates understanding of the teaching?
a. “A suspension is a mixture in which drug particles are dissolved in solution.”
b. “I will line up the bottom of the medication curve with the line on the syringe.”
c. “I will need to shake an elixir before measuring the dose.”
d. “I will never need to refrigerate liquids once they are reconstituted.”
1
,6. A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the
nurse respond?
a. “The patch can always be cut when dosage adjustments are needed.”
b. “Drug levels fluctuate less with the patch.”
c. “There are fewer systemic side effects with transdermal patches.”
d. “There is less risk of toxicity when using a patch.”
7. When administering topical medications, which is an important nursing action?
a. Applying the medication liberally.
b. Cleaning skin with alcohol before applying.
c. Using sterile technique.
d. Wearing gloves.
8. A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer.
The patient asks why the spacer is necessary. The nurse will explain that the spacer
a. allows a larger dose to be given safely.
b. is used to enhance the delivery of medications when using a metered-dose inhaler.
c. minimizes adverse effects of the steroid.
d. prevents contamination of the metered-dose inhaler.
9. The nurse is teaching a parent to administer medications using a child’s gastrostomy tube. The parent asks
why it is necessary to give water after each medication. The nurse explains that the water is given for which
purpose?
a. To decrease gastrointestinal upset
b. To dilute the medication and enhance absorption
c. To ensure that all medication is flushed into the stomach
d. To improve overall hydration
10. The nurse is preparing to administer a rectal suppository antipyretic medication. Which action by the nurse
is correct?
a. Allowing the suppository to soften at room temperature before inserting
b. Avoid explaining the administration procedures to the patient so they don’t decline the medication
c. Having the patient remain flat or on one side for at least 30 minutes after insertion
d. Using an oil-based lubricant such as petrolatum gel (Vaseline) to lubricate the medication
11. The nurse is performing tuberculin testing on a patient. Which action by the nurse is correct?
a. Insert the needle, bevel up, at a 45-degree angle.
b. Massage the area gently after the injection.
c. Measure the diameter of the area of erythema when reading the result.
d. Use a 25-gauge, 1/4" needle.
2
, 12. The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site
selection for this injection, what will the nurse ask the child’s parent?
a. “How long has your child been walking?”
b. “How much does your child weigh?”
c. “Is your child afraid to look at needles?”
d. “Is your child right- or left-handed?”
13. The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is
receiving iron dextran. Which statement by the student indicates understanding of the teaching?
a. “This is used when administering IM injections to help minimize local skin irritation.”
b. “This technique allows slower, more sustained absorption.”
c. “You may use the deltoid site when using this method.”
d. “I should use a 27-gauge needle to minimize discomfort with this method.”
14. The nurse is preparing to start an IV line in a preschool-age child. After applying a mixture of local
anesthetics, what will the nurse do to prepare the child?
a. Describe what the IV line will feel like and how long it will be in place.
b. Explain the purpose of the procedure.
c. Give the child equipment to handle and practice on a doll.
d. Reassure the child that the pain will only last a few minutes.
Chapter 01: The Nursing Process and Patient-Centered Care (unit 1 | 9-12 questions)
1. All of the following would be considered subjective data, EXCEPT:
A. Patient-reported health history
B. Patient-reported signs and symptoms of their illness
C. Financial barriers reported by the patient’s caregiver
D. Vital signs obtained from the medical record
2. The nurse is using data collected to define a set of interventions to achieve the most desirable outcomes. Which of
the following steps is the nurse applying?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Generate solutions (planning)
D. Take action (nursing interventions)
3
, 3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia.
The parents tell the nurse that they can’t keep track of everything that has to be done to care for their child. The
nurse reviews medications, diet, and symptom management with the parents and draws up a daily checklist for the
family to use. These activities are completed in which step of the nursing process?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Generate solutions(planning)
D. Take action(nursing intervention)
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug allergies, serum
creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective of which of the following?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Take action (nursing interventions)
D. Generate solutions (planning)
5. Which of the following would be correctly categorized as objective data?
A. A list of herbal supplements regularly used provided by the patient.
B. Lab values associated with the drugs the patient is taking.
C. The ages and relationship of all household members to the patient.
D. Usual dietary patterns and food intake.
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not have an
established routine. The patient will be sent home with three new medications to be taken at different times of the
day. The nurse develops a daily medication chart and enlists a family member to put the patient’s pills in a pill
organizer. This is an example of which element of the nursing process?
A. Recognizing cues (assessment)
B. Analyze cues & prioritize hypothesis (analysis)
C. Generate solutions (planning)
D. Take action (nursing interventions)
4
