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Exam (elaborations)

NURS 49 Week 6 Oral and Inhalation Administration Exam Questions with 100% Answers (2025/2026)

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Contains updated oral and inhalation administration exam questions with rationales, focusing on inhalers, troches, aspiration prevention, and ISMP pill-splitting safety. Provides detailed explanations for maintenance vs rescue medications and drug absorption principles.

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WEEK 6 EAQ: ORAL AND INHALATION
ADMINISTRATION QUESTIONS WITH 100% RATED
ANSWERS 2025/2026 LATEST UPDATED/GET A+

Which route is generally preferred for the administration of anesthetic agents during abdominal
surgery?

topical
sublingual
inhalational
transdermal - inhalational

Rationale
Most of the anesthetic agents are generally gases that are administered through the inhalational
route in patients undergoing abdominal surgery. Topical anesthetic agents are not preferred
during abdominal surgery. The sublingual and transdermal routes of drug administration are also
not preferred routes for administering anesthetic drugs.
p. 631

Which oral medication is available in liquid form?

elixir
tablet
capsule
lozenge - elixir

Rationale
An elixir is a clear fluid containing water; this medication is available in liquid form and
administered orally. Tablets, capsules, and lozenges are available in solid form.
p. 626

which route of drug administration is most economical and convenient?

oral
topical
parenteral
inhalational - oral

Rationale
The oral route of drug administration is convenient, comfortable, economical, and easy to
administer. The topical route of administration is painless and primarily provides a local effect
with limited side effects. Parenteral routes can be used when oral medications are
contraindicated. This route has a more rapid absorption than topical or oral routes but is

,expensive and is not a convenient route for drug administration. The inhalational route provides
rapid relief for local respiratory problems.
6. 626

which type of medication is often described as a "rescue" or "maintenance" medication?

oral
buccal
parenteral
inhalational - inhalational

Rationale
Inhaled medications are also often described as "rescue" or "maintenance" medications. Rescue
medications are short acting and are taken to immediately relieve acute respiratory distress.
Maintenance medications are used on a daily schedule to prevent acute respiratory distress.
While oral, buccal, and parenteral medications can be "maintenance" medications used on a daily
schedule, they are not typically considered "rescue" medications as they take longer to absorb.

According to the Institute for Safe Medication Practices (ISMP) guidleines, who is
recommended to use a pill-splitting device to split tablets in half?
Patient
Caregiver
Pharmacist
• Nursing student - Pharmacist

Rationale
If a pill must be split within inpatient settings, a pharmacist is authorized to split the pill with a
splitting device, repackage and label it, and send it to the nurse for administration. Patients,
caregivers, and nurses should not split pills.

Which route of administration mainly uses medication in the form of aerosol sprays?

• Oral

Buccal

Inhalational

• Transdermal - Inhalational

Rationale
The inhalational route of administration uses aerosol sprays, mists, or powders that penetrate
lung airways. The oral route of administration generally uses medication in the form of solids
and liquids. The buccal route of administration also uses medications in the form of solids and
liquids. The transdermal route generally uses medications in the form of transdermal patches.

, Which route of medication administration is easiest and most desirable?
Oral
Rectal
Vaginall
Intravenous - Oral

Rationale
The easiest and most desirable route for administering medications is oral. Rectal and vaginal
routes may cause discomfort. The intravenous route of medication administration may be painful
to the patient.

Which statement is accurate regarding the steps involved in administering medications by
inhalation?
The alveolar-capillary network absorbs medications slowly.

Breath-actuated metered-dose inhalers (BAls) do not use a spacer.

Ten to 20 pounds of pressure is applied to the canister to administer the
medication.

A spacer is 8 to 10 inches in length and allows the particles of medication to slow down. -
Breath-actuated metered-dose inhalers (BAIs) do not use a spacer

Rationale
BAls do not use a spacer. BAls release medication when a patient raises a lever and inhales. The
alveolar-capillary network absorbs medications rapidly. Five to 10 pounds of pressure is applied
to the canister to administer the medication. A spacer is a tube that is 10.16 to 20.32 cm (4 to 8
inches) in length that attaches to a pressurized metered-dose inhaler (MDI) and allows the
particles of medication to slow down and break into smaller pieces.
pp. 658,661

Which nursing intervention is beneficial while administering a bitter medication to a child?

• Reducing the dose of the medication

Offering the child a frozen juice bar

• Replacing the medication with another medication

• Mixing the medication in the child's favorite food - Offering the child a frozen juice bar

Which type of inhaler requires less manual dexterity?
Dry powder inhaler
Mist spray metered-dose inhaler
Pressurized metered-dose inhaler
Breath-actuated metered-dose inhaler - Dry powder inhaler

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