ne
sh
MEDICATION EXAM PRACTICE FINAL VERSION 2023/2024 WITH RATIONALES
ne
la
What should the nurse do if a patient's enteral feeding is still running when medication
tz
administration is indicated? Select all that apply.
sh
A. Use 30 to 45 mL of water to flush the tubing.
Sp
ne
B. Keep the patient flat during administration.
C. Perform gastric suction after administration.
la
D. Count the water intake as output on the intake and output record.
E. Flush the tubing with water before and after feeding..
sh
Sp
ne
The nurse flushes the tube with 30 to 45 mL of water before and after the feeding. The
nurse flushes the tube before and after administration of medications. Flushing before
la
administration clears the tube of feed. Flushing after medication administration clears
tz
the tube of medication and prevents clogging. The nurse raises the head of the bed
sh
Sp
during and after the feeding to prevent aspiration. To allow absorption time, gastric
ne
suction should not be used for 20 to 30 minutes after administration. Note that water
intake associated with medication administration is counted as intake on the intake and
la
output record.
sh
Sp
Which of the Six Rights of Medication Administration would prevent another nurse from
ne
duplicating the administration of a medication?
la
1. Right time
tz
2. Right dosage
sh
3. Right patient
Sp
4. Right documentation
ne
la
The nurse must follow the Six Rights of Medication Administration. Documentation
helps to prevent another nurse from erroneously giving the patient an extra dose. The
sh
Sp
right time indicates giving the medication at the correct time as per the prescription. The
ne
right dosage indicates administering the medication in the correct dosage, such as in
milligrams or milliliters. Checking the identity of the patient before administering
la
medication ensures that the right patient receives the medication.
tz
sh
Sp
A patient is admitted to the hospital for hernia surgery and is informed of his patient
ne
rights. What rights does this patient have in regards to medication administration?
Select all that apply.
la
A. The right to receive unnecessary medications.
sh
B. The right to know the name and purpose of medications.
Sp
C. The right to refuse a medication regardless of the consequences.
ne
D. The right to receive unlabeled medications safely without discomfort.
E. The right to order the medication himself.
a
tz
l
sh
In accordance with the Patient Care Partnership and because of the potential risks
Sp
related to medication administration, a patient has the right to know the name, purpose,
ne
action, and potential undesired effects of a medication, and can refuse a medication.
la
sh
Sp
la
Sp
, ne
sh
The patient has the right not to receive unnecessary and unlabeled medications. The
ne
patient does not have the right to administer the medication himself, unless ordered so.
la
tz
In what forms can the nurse administer otic medications to a patient? Select all that
sh
apply.
Sp
A. Extraocular disks
B. Eardrops
ne
la
C. Injections
D. Irrigations
sh
Sp
E. Ointments
ne
Medications that are instilled into the ear are called otic medications. Two types of otic
la
medications are available: eardrops and irrigations. Eardrops are used to treat ear
tz
infections and to soften cerumen (ear wax). Irrigations are used to remove foreign
sh
Sp
bodies and clean the ear canal. Extraocular disks are used to treat eye infections.
ne
Injections are parenteral medications, not otic medications. Ointments are not used in
the ear because they are difficult to clean and may cause problems with hearing;
la
ointments can be topical or ophthalmic.
sh
Sp
The nurse is evaluating whether a patient is taking prescribed medications correctly.
ne
Which patient practice indicates the need for additional instruction? Select all that apply.
la
A. "I always check my medication before I take it."
tz
B. "I use multiple medication cups to prepare a single dose."
sh
C. "I use a plastic spoon as a measuring device to take syrups."
Sp
D. "I use a scored tablet if the dose must be divided."
ne
E. "I notice that a part of my medication is often left in the crusher."
la
Multiple devices, nonstandard measuring devices, and incomplete intake of prepared
sh
Sp
dose may violate the right dose of medication administration rights. Using multiple
ne
medication cups to prepare a single dose may result in leaving a part of the dose in the
cups and lead to underdosage. A plastic spoon is a nonstandard measuring device and
la
may cause changes in the prescribed doses. Leaving part of the crushed medication in
tz
the device may also lead to administration of an incorrect dose. Always checking
sh
Sp
medication before taking is an appropriate action that does not violate the six rights of
ne
medication administration and does not need to be addressed. Breaking tablets that are
scored or grooved into pieces does not violate the rights of medication administration.
la
sh
The nurse is evaluating a student nurse who is administering solid medications to a
Sp
patient through an enteral tube. Which behavior by the student nurse needs correction?
ne
1. Allows the diluted medication to flow into the tube by gravity
2. Adds the medication directly to the feeding tube before initiating the feeding
a
tz
3. Delays feeding for a designated time in case of interaction with the contents
l
sh
4. Flushes the feeding tube with 15 to 30 mL of sterile water after placing it properly
Sp
ne
The nurse should never add solid medications directly to the feeding tube as it
la
decreases its absorption and effectiveness. Therefore, the nurse should instruct the
sh
Sp
la
Sp
, ne
sh
student to administer the medication either by grinding it into powder or by dissolving in
ne
15 to 30 mL of sterile water. This helps to prevent clogging of the tube with the drug
la
particles. Enteric-coated medications should be taken on an empty stomach to prevent
tz
their disintegration in the stomach. If the food material can interact with the drug, the
sh
nurse should delay the feeding for a designated time. It helps to prevent adverse effects
Sp
ne
caused by food and drug interaction. The nurse should also allow the diluted medication
to flow into the tube directly under gravity or by pushing gently through the plunger to
la
help prevent aspiration.
sh
Sp
The nurse is caring for a patient who has undergone knee replacement and will have
ne
decreased mobility for a period of time. Which medications does the nurse expect the
primary health care provider to prescribe to prevent deep vein thrombosis (or blood
la
clots) in this patient? Select all that apply.
tz
A. Heparin (Liquaemin)
sh
Sp
B. Warfarin (Coumadin)
ne
C. Enoxaparin (Lovenox)
D. Metoprolol (Lopressor)
la
E. Morphine sulfate (Roxanol)
sh
Sp
Heparin (Liquaemin) is used to prevent the formation of blood clots. Warfarin
ne
(Coumadin) is an anticoagulant drug that helps in preventing the formation of blood
la
clots in patients with decreased mobility. Enoxaparin (Lovenox) is a low molecular
tz
weight heparin used to prevent blood clots. Other medications such as metoprolol
sh
(Lopressor), and morphine sulfate (Roxanol) are not used to prevent deep vein
Sp
thrombosis. Morphine sulfate (Roxanol) is an opioid analgesic that decreases pain by
ne
acting on the central nervous system. Metoprolol (Lopressor) is useful in relieving
la
hypertension.
sh
Sp
A nurse who is responsible for dispensing medications understands that every patient
ne
requires a different dosage for a given drug. Various factors affect the absorption of
drugs. Which factors influence absorption? Select all that apply.
la
A. Total body weight
tz
B. Body temperature sh
Sp
C. Route of administration
ne
D. Solubility
E. Blood flow to the site of administration
la
sh
Absorption is the passage of a drug from the administration site into the bloodstream.
Sp
Several factors affect absorption: route of administration, ability of the drug to dissolve
ne
or become soluble, blood flow to the administration site, body surface area, and patient
age. Absorption of drugs depends on body surface area, not on body weight. Body
a
tz
temperature does not affect the absorption of drugs.
l
sh
Sp
A patient with a sprained ankle is prescribed pain medications. The patient refuses to
ne
take the pain medications and insists on taking acupuncture treatment for pain relief.
la
sh
Sp
la
Sp
sh
MEDICATION EXAM PRACTICE FINAL VERSION 2023/2024 WITH RATIONALES
ne
la
What should the nurse do if a patient's enteral feeding is still running when medication
tz
administration is indicated? Select all that apply.
sh
A. Use 30 to 45 mL of water to flush the tubing.
Sp
ne
B. Keep the patient flat during administration.
C. Perform gastric suction after administration.
la
D. Count the water intake as output on the intake and output record.
E. Flush the tubing with water before and after feeding..
sh
Sp
ne
The nurse flushes the tube with 30 to 45 mL of water before and after the feeding. The
nurse flushes the tube before and after administration of medications. Flushing before
la
administration clears the tube of feed. Flushing after medication administration clears
tz
the tube of medication and prevents clogging. The nurse raises the head of the bed
sh
Sp
during and after the feeding to prevent aspiration. To allow absorption time, gastric
ne
suction should not be used for 20 to 30 minutes after administration. Note that water
intake associated with medication administration is counted as intake on the intake and
la
output record.
sh
Sp
Which of the Six Rights of Medication Administration would prevent another nurse from
ne
duplicating the administration of a medication?
la
1. Right time
tz
2. Right dosage
sh
3. Right patient
Sp
4. Right documentation
ne
la
The nurse must follow the Six Rights of Medication Administration. Documentation
helps to prevent another nurse from erroneously giving the patient an extra dose. The
sh
Sp
right time indicates giving the medication at the correct time as per the prescription. The
ne
right dosage indicates administering the medication in the correct dosage, such as in
milligrams or milliliters. Checking the identity of the patient before administering
la
medication ensures that the right patient receives the medication.
tz
sh
Sp
A patient is admitted to the hospital for hernia surgery and is informed of his patient
ne
rights. What rights does this patient have in regards to medication administration?
Select all that apply.
la
A. The right to receive unnecessary medications.
sh
B. The right to know the name and purpose of medications.
Sp
C. The right to refuse a medication regardless of the consequences.
ne
D. The right to receive unlabeled medications safely without discomfort.
E. The right to order the medication himself.
a
tz
l
sh
In accordance with the Patient Care Partnership and because of the potential risks
Sp
related to medication administration, a patient has the right to know the name, purpose,
ne
action, and potential undesired effects of a medication, and can refuse a medication.
la
sh
Sp
la
Sp
, ne
sh
The patient has the right not to receive unnecessary and unlabeled medications. The
ne
patient does not have the right to administer the medication himself, unless ordered so.
la
tz
In what forms can the nurse administer otic medications to a patient? Select all that
sh
apply.
Sp
A. Extraocular disks
B. Eardrops
ne
la
C. Injections
D. Irrigations
sh
Sp
E. Ointments
ne
Medications that are instilled into the ear are called otic medications. Two types of otic
la
medications are available: eardrops and irrigations. Eardrops are used to treat ear
tz
infections and to soften cerumen (ear wax). Irrigations are used to remove foreign
sh
Sp
bodies and clean the ear canal. Extraocular disks are used to treat eye infections.
ne
Injections are parenteral medications, not otic medications. Ointments are not used in
the ear because they are difficult to clean and may cause problems with hearing;
la
ointments can be topical or ophthalmic.
sh
Sp
The nurse is evaluating whether a patient is taking prescribed medications correctly.
ne
Which patient practice indicates the need for additional instruction? Select all that apply.
la
A. "I always check my medication before I take it."
tz
B. "I use multiple medication cups to prepare a single dose."
sh
C. "I use a plastic spoon as a measuring device to take syrups."
Sp
D. "I use a scored tablet if the dose must be divided."
ne
E. "I notice that a part of my medication is often left in the crusher."
la
Multiple devices, nonstandard measuring devices, and incomplete intake of prepared
sh
Sp
dose may violate the right dose of medication administration rights. Using multiple
ne
medication cups to prepare a single dose may result in leaving a part of the dose in the
cups and lead to underdosage. A plastic spoon is a nonstandard measuring device and
la
may cause changes in the prescribed doses. Leaving part of the crushed medication in
tz
the device may also lead to administration of an incorrect dose. Always checking
sh
Sp
medication before taking is an appropriate action that does not violate the six rights of
ne
medication administration and does not need to be addressed. Breaking tablets that are
scored or grooved into pieces does not violate the rights of medication administration.
la
sh
The nurse is evaluating a student nurse who is administering solid medications to a
Sp
patient through an enteral tube. Which behavior by the student nurse needs correction?
ne
1. Allows the diluted medication to flow into the tube by gravity
2. Adds the medication directly to the feeding tube before initiating the feeding
a
tz
3. Delays feeding for a designated time in case of interaction with the contents
l
sh
4. Flushes the feeding tube with 15 to 30 mL of sterile water after placing it properly
Sp
ne
The nurse should never add solid medications directly to the feeding tube as it
la
decreases its absorption and effectiveness. Therefore, the nurse should instruct the
sh
Sp
la
Sp
, ne
sh
student to administer the medication either by grinding it into powder or by dissolving in
ne
15 to 30 mL of sterile water. This helps to prevent clogging of the tube with the drug
la
particles. Enteric-coated medications should be taken on an empty stomach to prevent
tz
their disintegration in the stomach. If the food material can interact with the drug, the
sh
nurse should delay the feeding for a designated time. It helps to prevent adverse effects
Sp
ne
caused by food and drug interaction. The nurse should also allow the diluted medication
to flow into the tube directly under gravity or by pushing gently through the plunger to
la
help prevent aspiration.
sh
Sp
The nurse is caring for a patient who has undergone knee replacement and will have
ne
decreased mobility for a period of time. Which medications does the nurse expect the
primary health care provider to prescribe to prevent deep vein thrombosis (or blood
la
clots) in this patient? Select all that apply.
tz
A. Heparin (Liquaemin)
sh
Sp
B. Warfarin (Coumadin)
ne
C. Enoxaparin (Lovenox)
D. Metoprolol (Lopressor)
la
E. Morphine sulfate (Roxanol)
sh
Sp
Heparin (Liquaemin) is used to prevent the formation of blood clots. Warfarin
ne
(Coumadin) is an anticoagulant drug that helps in preventing the formation of blood
la
clots in patients with decreased mobility. Enoxaparin (Lovenox) is a low molecular
tz
weight heparin used to prevent blood clots. Other medications such as metoprolol
sh
(Lopressor), and morphine sulfate (Roxanol) are not used to prevent deep vein
Sp
thrombosis. Morphine sulfate (Roxanol) is an opioid analgesic that decreases pain by
ne
acting on the central nervous system. Metoprolol (Lopressor) is useful in relieving
la
hypertension.
sh
Sp
A nurse who is responsible for dispensing medications understands that every patient
ne
requires a different dosage for a given drug. Various factors affect the absorption of
drugs. Which factors influence absorption? Select all that apply.
la
A. Total body weight
tz
B. Body temperature sh
Sp
C. Route of administration
ne
D. Solubility
E. Blood flow to the site of administration
la
sh
Absorption is the passage of a drug from the administration site into the bloodstream.
Sp
Several factors affect absorption: route of administration, ability of the drug to dissolve
ne
or become soluble, blood flow to the administration site, body surface area, and patient
age. Absorption of drugs depends on body surface area, not on body weight. Body
a
tz
temperature does not affect the absorption of drugs.
l
sh
Sp
A patient with a sprained ankle is prescribed pain medications. The patient refuses to
ne
take the pain medications and insists on taking acupuncture treatment for pain relief.
la
sh
Sp
la
Sp
