NUR 115: Safety/Med Admin Quiz 3 Questions
With Complete Solutions
1. A nurse is preparing to help a patient administer
a mucolytic agent using a pressurized metered-
dose inhaler (pMDI). What will the nurse do first in
order to evaluate the medication's effectiveness?
A. Assess the patient's respiratory status before
administration.
B. Warn against overuse of the inhaler.
C. Discuss the side effects of the particular drug.
D. Verify the patient's identification according to
agency policy. Correct Answers A. Assess the
patient's respiratory status before administration.
Rationale: Assessing the patient's respiratory
status before administration will provide a baseline
against which the respiratory status can be
compared after administration. Warning against
overuse of the inhaler, discussing the side effects
of the particular drug, and verifying the patient's
identification are appropriate; doing so will not help
the nurse evaluate the drug's effectiveness.
1. A nurse is preparing to withdraw medication
from an open multi-dose vial. After confirming that
the vial contains the appropriate medication and
checking the expiration date, what would the nurse
do next?
A. Apply clean gloves.
B. Vigorously shake the vial.
,C. Wipe the rubber seal of the vial with an alcohol
swab.
D. Introduce air equal to the amount of medication
needed. Correct Answers C. Wipe the rubber seal
of the vial with an alcohol swab.
Rationale: The rubber seal of a multi-dose vial must
be cleansed with alcohol before use. Wearing
gloves is not necessary when preparing medication
from a vial. Shaking a vial of medication is not an
appropriate technique. Air is introduced into the
syringe later in the procedure.
1. How can the nurse best ensure the patient's
safety when preparing insulin for administration?
A. Obtain the patient's current blood glucose level.
B. Clean the injection site with an antibacterial
swab.
C. Apply clean gloves.
D. Wipe the rubber seal of the vial with alcohol.
Correct Answers A. Obtain the patient's current
blood glucose level.
Rationale: Obtaining the patient's current blood
glucose level before administering insulin will best
ensure the patient's safety. Cleaning the injection
site, although appropriate, is not the most critical
action for patient safety. Use of clean gloves is not
required when preparing insulin for administration.
Wiping the seal of the vial is appropriate, but it is
not the most critical action to ensure patient
safety.
,1. How might the nurse safely administer an
extended-release capsule to a patient with
dysphagia?
A. Encourage the patient to drink plenty of water
when swallowing the capsule.
B. Open the capsule, and place the contents into
90 mL (3 fl. oz.) of juice.
C. Place the capsule in a spoonful of the patient's
applesauce.
D. Save the capsule to be administered last.
Correct Answers C. Place the capsule in a spoonful
of the patient's applesauce.
Rationale: Placing the capsule in a spoonful of the
patient's applesauce helps lubricate the capsule,
thereby facilitating the patient's ability to swallow
it. Although giving the pill whole and encouraging
the patient to drink plenty of water when
swallowing it is one way to administer the capsule,
it is not the safest way. Opening an extended-
release capsule is not safe. Changing the sequence
in which the medication is administered will not
make it safer for the patient to swallow.
1. The nurse is preparing to apply a topical oil-
based medication to a patient's forearms. What
should the nurse do to minimize the risk of
contamination during the application?
A. Encourage the patient to self-apply the
medication.
, B. Wear treatment gloves during the entire
application process.
C. Change gloves between prepping the skin and
applying the medication.
D. Perform effective hand hygiene before and after
applying the medication. Correct Answers C.
Change gloves between prepping the skin and
applying the medication.
Rationale: Changing gloves minimizes the risk of
cross-contamination between the two processes of
prepping and application. Encouraging the patient
to self-apply the medication will not necessarily
minimize contamination. Wearing treatment gloves
throughout the application process will not
necessarily minimize contamination. Although
performing proper hand hygiene is appropriate, it
is not the best way to minimize contamination
during the application.
1. The nurse is preparing to help a patient use a
dry powder inhaler. What will the nurse do first in
order to evaluate the medication's effectiveness?
A. Assess the patient's respiratory status.
B. Warn the patient against overuse of the inhaler.
C. Discuss the side effects of the particular drug.
D. Verify the patient's identity according to agency
policy. Correct Answers A. Assess the patient's
respiratory status.
Rationale: Assessing the patient's respiratory
status provides a baseline against which
With Complete Solutions
1. A nurse is preparing to help a patient administer
a mucolytic agent using a pressurized metered-
dose inhaler (pMDI). What will the nurse do first in
order to evaluate the medication's effectiveness?
A. Assess the patient's respiratory status before
administration.
B. Warn against overuse of the inhaler.
C. Discuss the side effects of the particular drug.
D. Verify the patient's identification according to
agency policy. Correct Answers A. Assess the
patient's respiratory status before administration.
Rationale: Assessing the patient's respiratory
status before administration will provide a baseline
against which the respiratory status can be
compared after administration. Warning against
overuse of the inhaler, discussing the side effects
of the particular drug, and verifying the patient's
identification are appropriate; doing so will not help
the nurse evaluate the drug's effectiveness.
1. A nurse is preparing to withdraw medication
from an open multi-dose vial. After confirming that
the vial contains the appropriate medication and
checking the expiration date, what would the nurse
do next?
A. Apply clean gloves.
B. Vigorously shake the vial.
,C. Wipe the rubber seal of the vial with an alcohol
swab.
D. Introduce air equal to the amount of medication
needed. Correct Answers C. Wipe the rubber seal
of the vial with an alcohol swab.
Rationale: The rubber seal of a multi-dose vial must
be cleansed with alcohol before use. Wearing
gloves is not necessary when preparing medication
from a vial. Shaking a vial of medication is not an
appropriate technique. Air is introduced into the
syringe later in the procedure.
1. How can the nurse best ensure the patient's
safety when preparing insulin for administration?
A. Obtain the patient's current blood glucose level.
B. Clean the injection site with an antibacterial
swab.
C. Apply clean gloves.
D. Wipe the rubber seal of the vial with alcohol.
Correct Answers A. Obtain the patient's current
blood glucose level.
Rationale: Obtaining the patient's current blood
glucose level before administering insulin will best
ensure the patient's safety. Cleaning the injection
site, although appropriate, is not the most critical
action for patient safety. Use of clean gloves is not
required when preparing insulin for administration.
Wiping the seal of the vial is appropriate, but it is
not the most critical action to ensure patient
safety.
,1. How might the nurse safely administer an
extended-release capsule to a patient with
dysphagia?
A. Encourage the patient to drink plenty of water
when swallowing the capsule.
B. Open the capsule, and place the contents into
90 mL (3 fl. oz.) of juice.
C. Place the capsule in a spoonful of the patient's
applesauce.
D. Save the capsule to be administered last.
Correct Answers C. Place the capsule in a spoonful
of the patient's applesauce.
Rationale: Placing the capsule in a spoonful of the
patient's applesauce helps lubricate the capsule,
thereby facilitating the patient's ability to swallow
it. Although giving the pill whole and encouraging
the patient to drink plenty of water when
swallowing it is one way to administer the capsule,
it is not the safest way. Opening an extended-
release capsule is not safe. Changing the sequence
in which the medication is administered will not
make it safer for the patient to swallow.
1. The nurse is preparing to apply a topical oil-
based medication to a patient's forearms. What
should the nurse do to minimize the risk of
contamination during the application?
A. Encourage the patient to self-apply the
medication.
, B. Wear treatment gloves during the entire
application process.
C. Change gloves between prepping the skin and
applying the medication.
D. Perform effective hand hygiene before and after
applying the medication. Correct Answers C.
Change gloves between prepping the skin and
applying the medication.
Rationale: Changing gloves minimizes the risk of
cross-contamination between the two processes of
prepping and application. Encouraging the patient
to self-apply the medication will not necessarily
minimize contamination. Wearing treatment gloves
throughout the application process will not
necessarily minimize contamination. Although
performing proper hand hygiene is appropriate, it
is not the best way to minimize contamination
during the application.
1. The nurse is preparing to help a patient use a
dry powder inhaler. What will the nurse do first in
order to evaluate the medication's effectiveness?
A. Assess the patient's respiratory status.
B. Warn the patient against overuse of the inhaler.
C. Discuss the side effects of the particular drug.
D. Verify the patient's identity according to agency
policy. Correct Answers A. Assess the patient's
respiratory status.
Rationale: Assessing the patient's respiratory
status provides a baseline against which
