NURS 202 Final Exam prep (Quiz ?'s & mainly..Modules 1-3, 6/7)
Study online at https://quizlet.com/_fupu13
1. When adminis- Up at the ceiling
tering an oph- *Rationale
thalmic med- When giving an ophthalmic medication, instruct the patient to look towards the
ication where ceiling as the patient is less likely to blink if looking up and the cornea is protected
should the nurse by the lid. (p.814)
instruct the pa-
tient to look?
2. A nurse is prepar- Vastus lateralis muscle
ing to administer *Rationale
an IM injection The vastus lateralis muscles is the site preferred for infants and young children
to a 2-year-old because it is the largest muscle mass and there are no major blood vessels or
child. The best nerves in this area (p.798).
site to select for
the injection is
the....?
3. When adminis- Is irritating to the tissues
tering intramus- *Rationale
cular injections, The use of the Z tract method is recommended when the medication can be
the nurse uses an irritate as the Z tract method has been shown to be a less painful technique
the Z-tract tech- and decreases the leakage of irritating medications into the subcutaneous tissues
nique when the (p.800).
medication does
what?
4. The nurse is ap- -Wear clean gloves when applying the patch
plying a transder- -Remove the previous pain patch prior to applying the new one
mal pain patch to -Place time, date, and initials on the patch
a patient's upper *Rationale
arm. Which nurs- When applying a transdermal patch, the patch should be applied to a dry clean
ing actions are area that is free of hair and matches the manufactures recommendations. Remove
, NURS 202 Final Exam prep (Quiz ?'s & mainly..Modules 1-3, 6/7)
Study online at https://quizlet.com/_fupu13
appropriate? (se- the patch from its protective coating and hold it without touching the adhesive
lect all that apply) edges and apply by pressing firmly with the palm of hand for 10 seconds. Place
time, date, and initials on the patch. Previous patches should be removed before
applying another and the patches should be removed at the appropriate time.
Clean gloves would be appropriate for the procedure and to keep medication
from getting on the nurses' hands. (p.812).
5. When adminis- Against the mucous membranes of the cheek
tering a medica- *Rationale
tion by the buccal Buccal means pertaining to the cheek. In this medication administration, the
route the nurse medication is held in the mouth against the mucous membranes of the cheek
understands that until it is dissolved (p. 759).
the medication
should be placed
where?
6. A patient is di- Biotransformation
agnosed with liv- *Rationale
er disease. The Biotransformation or metabolism is the process by which a medication is con-
nurse realizes verted to a less active form that takes place in the liver where enzymes await to
that which ele- detoxify the drugs. Biotransformation is altered in a patient who has an unhealthy
ment of pharma- liver. Drugs in these patients can accumulate and lead to toxicity (p.755)
cokinetics will be
affected in this
patient?
7. The nurse is plan- Before giving the medications, know what the intended effects are for this patient
ning to admin- *Rationale
ister medications When giving a patient medication, it is essential that the nurse understands the
to a new pa- intended effects or the reason the drug is prescribed. Knowing this, the nurse
tient. What is the understands what should be expected versus other signs and symptoms that
nurse's greatest could be side effects, adverse reactions, or an allergic reaction (p.755)
, NURS 202 Final Exam prep (Quiz ?'s & mainly..Modules 1-3, 6/7)
Study online at https://quizlet.com/_fupu13
priority in admin-
istering these
medications?
8. The nurse re- Assess the patient's condition
alizes that a *Rationale
medication error When a medication error occurs, the first action the nurse should complete is to
has been made assess the patient's condition as patient safety is a top priority. It then should be
and a patient reported to the charge nurse, nurse manager, and provider. (p.769)
has received
the wrong med-
ication. What
should be the
nurse's first ac-
tion when realiz-
ing an error has
been made?
9. The nurse is Notify the nurse manager and pharmacy immediately
removing mor- *Rationale
phine from the The nurse has the responsibly to investigate and correct the discrepancy before
automatic dis- proceeding any further. If the totals do not tally and the discrepancy cannot be
pensing cart and resolved, then the nurse must notify the nurse manager and pharmacy immedi-
notices that the ately (p.752)
count by the ma-
chine does not
match the count
in the drawer.
What is the first
action the nurse
should take?
, NURS 202 Final Exam prep (Quiz ?'s & mainly..Modules 1-3, 6/7)
Study online at https://quizlet.com/_fupu13
10. Which of the Insert the needle at a 45-degree angle to the skin
following tech- *Rationale
niques is cor- When giving a subcutaneous injection, the need should be inserted using a
rect when admin- 45-degree angle to the skin while the palm is facing to the side or upward. The
istering a sub- needle used in these injections should be only 3/8ths or 5/8ths inch long, and
cutaneous injec- the skin should spread gently or pinched depending on the amount of adipose
tion? tissue present. No air should be drawn into the syringe before administration.
(p.795)
11. When adminis- Side-lying with knee bent and raised slightly to chest
tering an intra- *Rationale
muscular injec- The best position in which to administer an IM injection into the ventrogluteal
tion in the ven- muscle is the side lying position as this help locate the site more easily (p.798)
trogluteal mus-
cle, which is the
best position for
the nurse to
place the patient
for ease in locat-
ing the muscle?
12. The nurse Check with the pharmacy if the medication comes in liquid form
is preparing *Rationale
to administer When administering medications through a gastrostomy tube, it is important to
an enteric-coat- first check with pharmacy to see if the medication comes in a liquid form as this
ed medication to helps ensure the tube does not become clogged. Enteric coated medications
a patient through cannot be crushed making it essential to see if it comes in another form (p.780).
their gastrosto-
my tube. What
is the first action
the nurse should
take?
Study online at https://quizlet.com/_fupu13
1. When adminis- Up at the ceiling
tering an oph- *Rationale
thalmic med- When giving an ophthalmic medication, instruct the patient to look towards the
ication where ceiling as the patient is less likely to blink if looking up and the cornea is protected
should the nurse by the lid. (p.814)
instruct the pa-
tient to look?
2. A nurse is prepar- Vastus lateralis muscle
ing to administer *Rationale
an IM injection The vastus lateralis muscles is the site preferred for infants and young children
to a 2-year-old because it is the largest muscle mass and there are no major blood vessels or
child. The best nerves in this area (p.798).
site to select for
the injection is
the....?
3. When adminis- Is irritating to the tissues
tering intramus- *Rationale
cular injections, The use of the Z tract method is recommended when the medication can be
the nurse uses an irritate as the Z tract method has been shown to be a less painful technique
the Z-tract tech- and decreases the leakage of irritating medications into the subcutaneous tissues
nique when the (p.800).
medication does
what?
4. The nurse is ap- -Wear clean gloves when applying the patch
plying a transder- -Remove the previous pain patch prior to applying the new one
mal pain patch to -Place time, date, and initials on the patch
a patient's upper *Rationale
arm. Which nurs- When applying a transdermal patch, the patch should be applied to a dry clean
ing actions are area that is free of hair and matches the manufactures recommendations. Remove
, NURS 202 Final Exam prep (Quiz ?'s & mainly..Modules 1-3, 6/7)
Study online at https://quizlet.com/_fupu13
appropriate? (se- the patch from its protective coating and hold it without touching the adhesive
lect all that apply) edges and apply by pressing firmly with the palm of hand for 10 seconds. Place
time, date, and initials on the patch. Previous patches should be removed before
applying another and the patches should be removed at the appropriate time.
Clean gloves would be appropriate for the procedure and to keep medication
from getting on the nurses' hands. (p.812).
5. When adminis- Against the mucous membranes of the cheek
tering a medica- *Rationale
tion by the buccal Buccal means pertaining to the cheek. In this medication administration, the
route the nurse medication is held in the mouth against the mucous membranes of the cheek
understands that until it is dissolved (p. 759).
the medication
should be placed
where?
6. A patient is di- Biotransformation
agnosed with liv- *Rationale
er disease. The Biotransformation or metabolism is the process by which a medication is con-
nurse realizes verted to a less active form that takes place in the liver where enzymes await to
that which ele- detoxify the drugs. Biotransformation is altered in a patient who has an unhealthy
ment of pharma- liver. Drugs in these patients can accumulate and lead to toxicity (p.755)
cokinetics will be
affected in this
patient?
7. The nurse is plan- Before giving the medications, know what the intended effects are for this patient
ning to admin- *Rationale
ister medications When giving a patient medication, it is essential that the nurse understands the
to a new pa- intended effects or the reason the drug is prescribed. Knowing this, the nurse
tient. What is the understands what should be expected versus other signs and symptoms that
nurse's greatest could be side effects, adverse reactions, or an allergic reaction (p.755)
, NURS 202 Final Exam prep (Quiz ?'s & mainly..Modules 1-3, 6/7)
Study online at https://quizlet.com/_fupu13
priority in admin-
istering these
medications?
8. The nurse re- Assess the patient's condition
alizes that a *Rationale
medication error When a medication error occurs, the first action the nurse should complete is to
has been made assess the patient's condition as patient safety is a top priority. It then should be
and a patient reported to the charge nurse, nurse manager, and provider. (p.769)
has received
the wrong med-
ication. What
should be the
nurse's first ac-
tion when realiz-
ing an error has
been made?
9. The nurse is Notify the nurse manager and pharmacy immediately
removing mor- *Rationale
phine from the The nurse has the responsibly to investigate and correct the discrepancy before
automatic dis- proceeding any further. If the totals do not tally and the discrepancy cannot be
pensing cart and resolved, then the nurse must notify the nurse manager and pharmacy immedi-
notices that the ately (p.752)
count by the ma-
chine does not
match the count
in the drawer.
What is the first
action the nurse
should take?
, NURS 202 Final Exam prep (Quiz ?'s & mainly..Modules 1-3, 6/7)
Study online at https://quizlet.com/_fupu13
10. Which of the Insert the needle at a 45-degree angle to the skin
following tech- *Rationale
niques is cor- When giving a subcutaneous injection, the need should be inserted using a
rect when admin- 45-degree angle to the skin while the palm is facing to the side or upward. The
istering a sub- needle used in these injections should be only 3/8ths or 5/8ths inch long, and
cutaneous injec- the skin should spread gently or pinched depending on the amount of adipose
tion? tissue present. No air should be drawn into the syringe before administration.
(p.795)
11. When adminis- Side-lying with knee bent and raised slightly to chest
tering an intra- *Rationale
muscular injec- The best position in which to administer an IM injection into the ventrogluteal
tion in the ven- muscle is the side lying position as this help locate the site more easily (p.798)
trogluteal mus-
cle, which is the
best position for
the nurse to
place the patient
for ease in locat-
ing the muscle?
12. The nurse Check with the pharmacy if the medication comes in liquid form
is preparing *Rationale
to administer When administering medications through a gastrostomy tube, it is important to
an enteric-coat- first check with pharmacy to see if the medication comes in a liquid form as this
ed medication to helps ensure the tube does not become clogged. Enteric coated medications
a patient through cannot be crushed making it essential to see if it comes in another form (p.780).
their gastrosto-
my tube. What
is the first action
the nurse should
take?
