PN Pharmacology Exam 2 Questions With Complete
Solutions
a nurse is administering an injection to a patient who is in a
prone position by placing the palm of the hand on the lateral
portion of the greater trochanter, the index finger on the anterior
superior iliac spine, and the middle finger extended to the iliac
crest. The injection is made into the center of the "V" formed
between the index and middle fingers, with the needle directed
slightly upward toward the crest of the ilium. Which injection
site is the nurse using? Correct Answers ventrogluteal
a patient's skin is blanched, edema is greater than 6 inches in a
particular direction, and the area is cool to touch. The patient
experiences mild to moderate pain and numbness at the site.
Which grade would the nurse use to describe the patient's
condition in the infiltration scale? Correct Answers 3
after administering an intradermal injection, the nurse enters ++
++ (4+) in the chart. Which meaning does this symbol have?
Correct Answers >5 mm wheal
after placing a nasogastric tube, the nurse checks the color and
pH of the GI contents. Which finding would reassure the nurse
that the tube is in the correct position? Correct Answers off
white fluid with a pH of 2
an 86 year old patient who has difficulty swallowing pills has
been prescribed a capsule for pain. Which action would be
appropriate for the nurse to take? Correct Answers sprinkle the
contents of the capsule on a spoonful of applesauce
,arrange in order the steps a circulating nurse and scrub nurse
would take when adding a medication to the sterile surgical field
Correct Answers the circulating nurse cleans the top of the vial
the scrub nurse attaches a large bore needle to the appropriate
syringe
the circulating nurse holds the vial of medication to facilitate the
withdrawal of medication
the scrub nurse draws the appropriate volume of medication
from the vial
the scrub nurse removes the needle from the syringe
arrange the steps in the correct order for administration of a drug
via metered dose inhaler? Correct Answers shake the canister if
the formulation is a suspension
place the canister 2 to 4 inches in front of the patient's mouth
activate the metered dose inhaler and instruct the patient to
inhale for 10 seconds
have the patient hold his or her breath and then exhale slowly
arrange the steps in the correct order for administration of a dry
powder inhaler Correct Answers remove the cover and check
whether the device and mouthpiece are properly cleaned
,have the patient breathe out away from the device
place the p=mouthpiece gently into the patient's mouth and ask
the patient to close the lips around it
have the patient breathe in and then remove the inhaler
have the patient hold the breath for about 10 seconds before
breathing out
at which angle would the nurse insert the needle into the skin
when administering an intradermal injection? Correct Answers
15 degrees
before giving a medicine, the nurse checks the cart, which shows
that another nurse has already given the medicine to a patient a
few minutes ago. Which "right of drug administration" is
demonstrated when the nurse holds the medication? Correct
Answers time
before starting a patch test, the nurse is most likely to ask
whether the patient has taken which medicine within the past 48
hours? Correct Answers ibuprofen
for how many hours is an applied patch left in place when
allergy testing? Correct Answers 48 hours
how many drops of solution does the microdrip chamber
deliver? Correct Answers 60 drops/ mL
, if a patient is receiving 5 units of regular insulin and 19 units of
NPH insulin every morning at 0700, which action would the
nurse take when mixing these two insulins in one syringe?
Correct Answers withdraw regular insulin dose first
in which order would a nurse measure a liquid medication using
a measuring cup? Correct Answers hold the bottle such that the
label is in the palm of the hand
locate the exact place where the volume should be measured
place the medicine cup on a hard surface
pour the prescribed volume of medication into the cup at eye
level
read the volume of the medication accurately at the level of the
meniscus
in which situation does the nurse use the Z track method for
giving an intramuscular injection? Correct Answers the
medication is very irritating
in which situation would the nurse use the deltoid muscle to
administer an intramuscular injection in an adult? Correct
Answers the medication must be quickly absorbed
in which way are the sublingual and buccal routes of
administration advantageous over the topical route? Correct
Answers faster absorption
Solutions
a nurse is administering an injection to a patient who is in a
prone position by placing the palm of the hand on the lateral
portion of the greater trochanter, the index finger on the anterior
superior iliac spine, and the middle finger extended to the iliac
crest. The injection is made into the center of the "V" formed
between the index and middle fingers, with the needle directed
slightly upward toward the crest of the ilium. Which injection
site is the nurse using? Correct Answers ventrogluteal
a patient's skin is blanched, edema is greater than 6 inches in a
particular direction, and the area is cool to touch. The patient
experiences mild to moderate pain and numbness at the site.
Which grade would the nurse use to describe the patient's
condition in the infiltration scale? Correct Answers 3
after administering an intradermal injection, the nurse enters ++
++ (4+) in the chart. Which meaning does this symbol have?
Correct Answers >5 mm wheal
after placing a nasogastric tube, the nurse checks the color and
pH of the GI contents. Which finding would reassure the nurse
that the tube is in the correct position? Correct Answers off
white fluid with a pH of 2
an 86 year old patient who has difficulty swallowing pills has
been prescribed a capsule for pain. Which action would be
appropriate for the nurse to take? Correct Answers sprinkle the
contents of the capsule on a spoonful of applesauce
,arrange in order the steps a circulating nurse and scrub nurse
would take when adding a medication to the sterile surgical field
Correct Answers the circulating nurse cleans the top of the vial
the scrub nurse attaches a large bore needle to the appropriate
syringe
the circulating nurse holds the vial of medication to facilitate the
withdrawal of medication
the scrub nurse draws the appropriate volume of medication
from the vial
the scrub nurse removes the needle from the syringe
arrange the steps in the correct order for administration of a drug
via metered dose inhaler? Correct Answers shake the canister if
the formulation is a suspension
place the canister 2 to 4 inches in front of the patient's mouth
activate the metered dose inhaler and instruct the patient to
inhale for 10 seconds
have the patient hold his or her breath and then exhale slowly
arrange the steps in the correct order for administration of a dry
powder inhaler Correct Answers remove the cover and check
whether the device and mouthpiece are properly cleaned
,have the patient breathe out away from the device
place the p=mouthpiece gently into the patient's mouth and ask
the patient to close the lips around it
have the patient breathe in and then remove the inhaler
have the patient hold the breath for about 10 seconds before
breathing out
at which angle would the nurse insert the needle into the skin
when administering an intradermal injection? Correct Answers
15 degrees
before giving a medicine, the nurse checks the cart, which shows
that another nurse has already given the medicine to a patient a
few minutes ago. Which "right of drug administration" is
demonstrated when the nurse holds the medication? Correct
Answers time
before starting a patch test, the nurse is most likely to ask
whether the patient has taken which medicine within the past 48
hours? Correct Answers ibuprofen
for how many hours is an applied patch left in place when
allergy testing? Correct Answers 48 hours
how many drops of solution does the microdrip chamber
deliver? Correct Answers 60 drops/ mL
, if a patient is receiving 5 units of regular insulin and 19 units of
NPH insulin every morning at 0700, which action would the
nurse take when mixing these two insulins in one syringe?
Correct Answers withdraw regular insulin dose first
in which order would a nurse measure a liquid medication using
a measuring cup? Correct Answers hold the bottle such that the
label is in the palm of the hand
locate the exact place where the volume should be measured
place the medicine cup on a hard surface
pour the prescribed volume of medication into the cup at eye
level
read the volume of the medication accurately at the level of the
meniscus
in which situation does the nurse use the Z track method for
giving an intramuscular injection? Correct Answers the
medication is very irritating
in which situation would the nurse use the deltoid muscle to
administer an intramuscular injection in an adult? Correct
Answers the medication must be quickly absorbed
in which way are the sublingual and buccal routes of
administration advantageous over the topical route? Correct
Answers faster absorption
