Medication Administration NCLEX Ch. 32 Exam
Questions and Answers Solved to Score A+
A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-
nausea) medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered. - Answer C. A parenteral route is the route of choice.
he client receiving an intravenous infusion of morphine sulfate begins to experience respiratory
depression and decreased urine output. This effect is described as:
A. Therapeutic
B. Toxic
C. Idiosyncratic
D. Allergic - Answer B. Toxic
The client is to receive a sedative via the buccal route. Which of the following is true?
A. The medication is placed under the tongue.
B. This route is probably more expensive than the intramuscular route.
C. The nurse should offer the client a glass of orange juice after taking the sedative.
D. This method of administration would be avoided in the event of facial injuries. - Answer D. This
method of administration would be avoided in the event of facial injuries.
The nurse uses a mortar and pedestal to crush a medication before giving it to one of her clients. Which
of the five rights is the nurse ensuring?
A. The right route
B. The right client
C. The right time
D. The right drug - Answer A. The right route
, A 76-year-old client lives alone and takes medications without supervision. Which of the following is the
most appropriate question for his home health nurse to ask in regard to his medication regimen?
A. "How much do you weigh?"
B. "What medications are you currently taking?"
C. "We'll have to take away your sedatives if you keep taking them during the day. "
D. "Have you been taking other substances than those ordered by the physician?" - Answer D. "Have
you been taking other substances than those ordered by the physician?"
In preparing two different medications from two vials, the nurse must:
A. Inject fluid from one vial into the other
B. Uncap the syringe and wipe the needle with an alcohol preparation before inserting into either vial
C. Discard the medication from vial number two if medication from vial number one is pushed into it
D. Insert air into the first vial, but not the second vial - Answer C. Discard the medication from vial
number two if medication from vial number one is pushed into it
he nurse is preparing 10 units of regular insulin and 5 units of NPH insulin. Which of the following
statements is the most accurate?
A. The NPH insulin is the shortest acting form of insulin.
B. Air is injected first into the regular insulin, then into the NPH.
C. The insulin vial should be discarded if there are any bubbles in it.
D. This medication order is given via the subcutaneous route. - Answer D. This medication order is given
via the subcutaneous route.
A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg. Which of
the following is least appropriate for the administration of this medication?
A. A 5/8-inch needle is used at a 45-degree angle to the skin
B. Pinching the skin before administration is necessary
C. Aspirating the syringe before injecting the medication is a priority
D. Using a 25-gauge needle would be best - Answer C. Aspirating the syringe before injecting the
medication is a priority
Questions and Answers Solved to Score A+
A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-
nausea) medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered. - Answer C. A parenteral route is the route of choice.
he client receiving an intravenous infusion of morphine sulfate begins to experience respiratory
depression and decreased urine output. This effect is described as:
A. Therapeutic
B. Toxic
C. Idiosyncratic
D. Allergic - Answer B. Toxic
The client is to receive a sedative via the buccal route. Which of the following is true?
A. The medication is placed under the tongue.
B. This route is probably more expensive than the intramuscular route.
C. The nurse should offer the client a glass of orange juice after taking the sedative.
D. This method of administration would be avoided in the event of facial injuries. - Answer D. This
method of administration would be avoided in the event of facial injuries.
The nurse uses a mortar and pedestal to crush a medication before giving it to one of her clients. Which
of the five rights is the nurse ensuring?
A. The right route
B. The right client
C. The right time
D. The right drug - Answer A. The right route
, A 76-year-old client lives alone and takes medications without supervision. Which of the following is the
most appropriate question for his home health nurse to ask in regard to his medication regimen?
A. "How much do you weigh?"
B. "What medications are you currently taking?"
C. "We'll have to take away your sedatives if you keep taking them during the day. "
D. "Have you been taking other substances than those ordered by the physician?" - Answer D. "Have
you been taking other substances than those ordered by the physician?"
In preparing two different medications from two vials, the nurse must:
A. Inject fluid from one vial into the other
B. Uncap the syringe and wipe the needle with an alcohol preparation before inserting into either vial
C. Discard the medication from vial number two if medication from vial number one is pushed into it
D. Insert air into the first vial, but not the second vial - Answer C. Discard the medication from vial
number two if medication from vial number one is pushed into it
he nurse is preparing 10 units of regular insulin and 5 units of NPH insulin. Which of the following
statements is the most accurate?
A. The NPH insulin is the shortest acting form of insulin.
B. Air is injected first into the regular insulin, then into the NPH.
C. The insulin vial should be discarded if there are any bubbles in it.
D. This medication order is given via the subcutaneous route. - Answer D. This medication order is given
via the subcutaneous route.
A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg. Which of
the following is least appropriate for the administration of this medication?
A. A 5/8-inch needle is used at a 45-degree angle to the skin
B. Pinching the skin before administration is necessary
C. Aspirating the syringe before injecting the medication is a priority
D. Using a 25-gauge needle would be best - Answer C. Aspirating the syringe before injecting the
medication is a priority
