Medication Administration Ch.31 Complete Exam
Study Set Questions with Reliable Solutions
1. A nurse knows that patient education has been effective when the patient states
a.
I must take my parenteral medication with food.
b.
If I am 30 minutes late taking my medication, I should skip that dose.
c.
I will rotate the location where I give myself injections.
d.
Once I start feeling better, I will stop taking my medication. - Answer c.
I will rotate the location where I give myself injections.
ANS: C
Rotating injection sites provides greater consistency in absorption of medication. Parenteral medication
absorption is not affected by the timing of meals. Taking a medication 30 minutes late is within the 60-
minute window of the time medications should be taken. Medications should be stopped based on the
providers orders. With some medications, such as antibiotics, it is crucial that the full course of
medication is taken to avoid relapse of infection.
2. Which statement by the patient is an indication to use the Z-track method?
a.
Im really afraid that a big needle will hurt.
,b.
The last shot like that turned my skin colors.
c.
I am allergic to many medications.
d.
My legs are too obese for the needle to go through. - Answer B.The last shot like that turned my skin
colors.
ANS: B
The Z-track is indicated when the medication being administered has the potential to irritate sensitive
tissues. The Z-track method is not meant to reduce discomfort from the procedure. If a patient is allergic
to a medication, it should not be administered. If a patient has additional subcutaneous tissue to go
through, a needle of a different size may be selected.
3. A 2-year-old child is ordered to have ear irrigation performed daily. The nurse correctly performs the
procedure by
a.
Pulling the auricle down and back to straighten the ear canal.
b.
Pulling the auricle upward and outward to straighten the ear canal.
c.
Instilling the irrigation solution by holding the syringe just inside the ear canal.
d.
Holding the fluid in the canal for 2 to 3 minutes with a cotton swab. - Answer a.
,Pulling the auricle down and back to straighten the ear canal.
ANS: A
Children up to 3 years of age should have the auricle pulled down and back, children 4 years of age to
adults should have the auricle pulled upward and outward. Irrigation solution should be instilled 1 cm
(1/2) above the opening of the ear canal. Irrigation solution should be allowed to drain freely during
instillation.
4. A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer?
a.
0.2 units
b.
2 units
c.
5 units
d.
20 units - Answer d.
20 units
ANS: D
The nurse is careful to perform nursing calculations to ensure proper medication administration. U-50
insulin has 50 units of insulin in every milliliter, a U-100 syringe has 100 units in every milliliter.
Conversion equals 20 units.
5. A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer?
, a.
0.04 mL
b.
0.4 mL
c.
4 mL
d.
10 mL - Answer b.
0.4 mL
ANS: B
The nurse is careful to perform nursing calculations to ensure proper medication administration. U-50
insulin has 50 units of insulin in every milliliter, a U-100 syringe has 100 units in every milliliter.
Conversion equals 20 units.
6. The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to draw a
trough level is
a.
0800.
b.
0830.
c.
0900.
Study Set Questions with Reliable Solutions
1. A nurse knows that patient education has been effective when the patient states
a.
I must take my parenteral medication with food.
b.
If I am 30 minutes late taking my medication, I should skip that dose.
c.
I will rotate the location where I give myself injections.
d.
Once I start feeling better, I will stop taking my medication. - Answer c.
I will rotate the location where I give myself injections.
ANS: C
Rotating injection sites provides greater consistency in absorption of medication. Parenteral medication
absorption is not affected by the timing of meals. Taking a medication 30 minutes late is within the 60-
minute window of the time medications should be taken. Medications should be stopped based on the
providers orders. With some medications, such as antibiotics, it is crucial that the full course of
medication is taken to avoid relapse of infection.
2. Which statement by the patient is an indication to use the Z-track method?
a.
Im really afraid that a big needle will hurt.
,b.
The last shot like that turned my skin colors.
c.
I am allergic to many medications.
d.
My legs are too obese for the needle to go through. - Answer B.The last shot like that turned my skin
colors.
ANS: B
The Z-track is indicated when the medication being administered has the potential to irritate sensitive
tissues. The Z-track method is not meant to reduce discomfort from the procedure. If a patient is allergic
to a medication, it should not be administered. If a patient has additional subcutaneous tissue to go
through, a needle of a different size may be selected.
3. A 2-year-old child is ordered to have ear irrigation performed daily. The nurse correctly performs the
procedure by
a.
Pulling the auricle down and back to straighten the ear canal.
b.
Pulling the auricle upward and outward to straighten the ear canal.
c.
Instilling the irrigation solution by holding the syringe just inside the ear canal.
d.
Holding the fluid in the canal for 2 to 3 minutes with a cotton swab. - Answer a.
,Pulling the auricle down and back to straighten the ear canal.
ANS: A
Children up to 3 years of age should have the auricle pulled down and back, children 4 years of age to
adults should have the auricle pulled upward and outward. Irrigation solution should be instilled 1 cm
(1/2) above the opening of the ear canal. Irrigation solution should be allowed to drain freely during
instillation.
4. A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer?
a.
0.2 units
b.
2 units
c.
5 units
d.
20 units - Answer d.
20 units
ANS: D
The nurse is careful to perform nursing calculations to ensure proper medication administration. U-50
insulin has 50 units of insulin in every milliliter, a U-100 syringe has 100 units in every milliliter.
Conversion equals 20 units.
5. A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100 syringe. How
many units should the nurse draw up in the syringe and administer?
, a.
0.04 mL
b.
0.4 mL
c.
4 mL
d.
10 mL - Answer b.
0.4 mL
ANS: B
The nurse is careful to perform nursing calculations to ensure proper medication administration. U-50
insulin has 50 units of insulin in every milliliter, a U-100 syringe has 100 units in every milliliter.
Conversion equals 20 units.
6. The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to draw a
trough level is
a.
0800.
b.
0830.
c.
0900.
