NURSING MEDICATIONS EXAM.
1. What is involved in the absorption, distribution, metabolism, and excretion of
medication?
Pharmacokinetics
2. What is the term used for the concentration of drug in the blood serum that produces the
desired effect without causing toxicity?
Therapeutic range
3. When administering heparin subcutaneously, the nurse should
Never aspirate
4. When instructing a client regarding sublingual application, the nurse should inform the
client that which of the following is contraindicated when administering the drug?
The client should avoid swallowing or chewing the medication. Eating or smoking during
administration is also contraindicated
5. Which of the following are recommended guidelines for the nurse who is administering a
piggyback intermittent intravenous infusion of medication?
Attach infusion tubing to the medication container by inserting the tubing spike into the
port with a firm push and twisting motion
6. Which of the following medication-administration systems protects the client by
identifying the rights of medication administration?
The Barcode Medication Administration system will warn of a potential error
7. Which of the following patients receives a drug that requires parenteral route?
Drugs administered by intravenous, injections, & syringe
8. Which one of the following medications would most likely be administered via a
transdermal patch?
Hormones, narcotic analgesics, cardiac medications, and nicotine
9. Which parenteral route of administration has the longest absorption time?
Intradermal injections administered into the dermis, just below the epidermis, this route
has the longest absorption time
10. You are preparing to administer a sublingual medication. Which of the following
instructions to the patient is correct?
Not to swallow while the pill dissolves
11. You are preparing to administer a transdermal medication. How should this be
accomplished?
Adsorbed through the skin
, 12. A nurse is administering medication to a patient with a gastrointestinal tube. Which of the
following is a recommended guideline for medication administration using this route? -
Medications should be crushed to a fine powder and mixed with 15 to 30 mL of water
before delivery through the tube. Use liquid medications when possible, because they are
readily absorbed and less likely to cause tube occlusions
13. A nurse is administering medications through an enteral tube to a client with swallowing
difficulties due to a cerebrovascular accident (CVA). Which of the following actions
should the nurse perform to prevent gastric reflux?
Help the client into a Fowler's position
14. A nurse is administering pain medication to an 80-year-old woman. What altered drug
response might be expected due to the patient's age?
Increased possibility of toxicity due to higher drug plasma concentrations & a decreased
number of protein-binding sites
15. A nurse is applying a vaginal cream to a patient with a vaginal infection. Which of the
following is a recommended guideline for this application?
Cleanse area at vaginal orifice with wash cloth and warm water
16. A nurse is assigned to a nursing unit where bar-coded identification systems are used for
medication distribution. Which of the following should the nurse do when administering
medication to clients wearing bar-coded identification bracelets?
• Scan the client's identification bracelet
• Tally the bar code with packaged medication
• Check for client confirmation by the system
17. A nurse is bunching the tissue of a client when administering a subcutaneous injection.
The nurse knows that which of the following is the reason for bunching when injecting
subcutaneously?
Nurses bunch tissue between the thumb and fingers before administering the injection to
avoid instilling medication within the muscle
18. A nurse is caring for a client in the nursing unit when the physician, during the rounds,
prescribes a medication for the client. What appropriate action should the nurse take to
ensure the accuracy of the verbal medication order?
Ask the physician for a written order. When obtaining phone orders, it is important to
repeat the dosages of medications and to spell medication names for confirmation of
accuracy
19. A nurse is caring for a client undergoing IV therapy. The nurse knows that intravenous
administration of medication is appropriate in which of the following situations?
When clients have disorders, such as severe burns, that affect the absorption and
metabolism of medications. IV therapy is also used in an emergency when a quick
response is needed
1. What is involved in the absorption, distribution, metabolism, and excretion of
medication?
Pharmacokinetics
2. What is the term used for the concentration of drug in the blood serum that produces the
desired effect without causing toxicity?
Therapeutic range
3. When administering heparin subcutaneously, the nurse should
Never aspirate
4. When instructing a client regarding sublingual application, the nurse should inform the
client that which of the following is contraindicated when administering the drug?
The client should avoid swallowing or chewing the medication. Eating or smoking during
administration is also contraindicated
5. Which of the following are recommended guidelines for the nurse who is administering a
piggyback intermittent intravenous infusion of medication?
Attach infusion tubing to the medication container by inserting the tubing spike into the
port with a firm push and twisting motion
6. Which of the following medication-administration systems protects the client by
identifying the rights of medication administration?
The Barcode Medication Administration system will warn of a potential error
7. Which of the following patients receives a drug that requires parenteral route?
Drugs administered by intravenous, injections, & syringe
8. Which one of the following medications would most likely be administered via a
transdermal patch?
Hormones, narcotic analgesics, cardiac medications, and nicotine
9. Which parenteral route of administration has the longest absorption time?
Intradermal injections administered into the dermis, just below the epidermis, this route
has the longest absorption time
10. You are preparing to administer a sublingual medication. Which of the following
instructions to the patient is correct?
Not to swallow while the pill dissolves
11. You are preparing to administer a transdermal medication. How should this be
accomplished?
Adsorbed through the skin
, 12. A nurse is administering medication to a patient with a gastrointestinal tube. Which of the
following is a recommended guideline for medication administration using this route? -
Medications should be crushed to a fine powder and mixed with 15 to 30 mL of water
before delivery through the tube. Use liquid medications when possible, because they are
readily absorbed and less likely to cause tube occlusions
13. A nurse is administering medications through an enteral tube to a client with swallowing
difficulties due to a cerebrovascular accident (CVA). Which of the following actions
should the nurse perform to prevent gastric reflux?
Help the client into a Fowler's position
14. A nurse is administering pain medication to an 80-year-old woman. What altered drug
response might be expected due to the patient's age?
Increased possibility of toxicity due to higher drug plasma concentrations & a decreased
number of protein-binding sites
15. A nurse is applying a vaginal cream to a patient with a vaginal infection. Which of the
following is a recommended guideline for this application?
Cleanse area at vaginal orifice with wash cloth and warm water
16. A nurse is assigned to a nursing unit where bar-coded identification systems are used for
medication distribution. Which of the following should the nurse do when administering
medication to clients wearing bar-coded identification bracelets?
• Scan the client's identification bracelet
• Tally the bar code with packaged medication
• Check for client confirmation by the system
17. A nurse is bunching the tissue of a client when administering a subcutaneous injection.
The nurse knows that which of the following is the reason for bunching when injecting
subcutaneously?
Nurses bunch tissue between the thumb and fingers before administering the injection to
avoid instilling medication within the muscle
18. A nurse is caring for a client in the nursing unit when the physician, during the rounds,
prescribes a medication for the client. What appropriate action should the nurse take to
ensure the accuracy of the verbal medication order?
Ask the physician for a written order. When obtaining phone orders, it is important to
repeat the dosages of medications and to spell medication names for confirmation of
accuracy
19. A nurse is caring for a client undergoing IV therapy. The nurse knows that intravenous
administration of medication is appropriate in which of the following situations?
When clients have disorders, such as severe burns, that affect the absorption and
metabolism of medications. IV therapy is also used in an emergency when a quick
response is needed
