Medication Administration NCLEX Questions and Answers 100% pass.

Medication Administration NCLEX Questions and Answers 100% pass. What is the best way for the nurse to make sure that the right patient is receiving a prescribed drug when the patient is alert and oriented? a. ask the patient to state his or her name b. check the patient's wrist band c. look at the patients chart d. have the patient state his or her name and birth date. - ANS- d. have the patient state his or her name and birth date. when is it acceptable for the nurse to take a verbal order from the prescriber before giving a drug to a patient? a. during the night shift when the prescriber is not at the hospital b. in an emergency situation such as a cardiac arrest c. when a patient is experiencing severe pain d. at any time it is necessary - ANS- b. in an emergency situation such as a cardiac arrest The nurse is giving morning medications to patient who refuses to take an oral dose of docusate (Colace).What is the nurse's best response? a. your prescriber ordered that you must take this drug twice a day. b. docusate will soften your bowel movements so that you do not strain c. this drug will help prevent constipation while you are on bed rest. d. can you tell me why you do not want to take the docusate? - ANS- d. can you tell me why you do not want to take the docusate? what is the most important role of the nurse in preventing drug errors? a. always checking the patient's diagnosis before giving a drug b. always following the "six rights" of drug administration c. being the one defense for detecting and preventing drug errors d. being most likely to detect a drug error that has occurred. - ANS- b. always following the "six rights" of drug administration The prescriber orders atenolol (Tenormin) 25 mg to be given orally once a day to control a patients high blood pressure. The nurse takes the patient's vital signs and finds that the blood pressure is 128/80 and the heart rate is 60 b/m. What does the nurse do first before giving this drug? a. check the order for prescriber limitations on when the drug should be given b. notify the prescriber and ask if the drug should be given c. reassess the blood pressure and heart rate in 30 minutes d. give the drug exactly as prescribed. - ANS- a. check the order for prescriber limitations on when the drug should be given A patient is to receive nitroglycerin ointment, 1 inch STAT, for elevated blood pressure. What must the nurse do before giving this drug? a. shave the hair off the patient's chest b. place the patient on a heart monitor c. put on a pair of disposable gloves d. measure the dose directly on the patient's skin. - ANS- c. put on a pair of disposable gloves A sublingual drug is administered by placing the drug in what part of the body? a. between the cheek and the upper jaw b. under the tongue c. in the nose d. in the eyes - ANS- b. under the tongue What administration technique does the nurse use to give a 2 yr old child ear drops? a. pull the earlobe down and back b. pull the earlobe up and out c. keep the earlobe straight d. hang the patient's head over the side of the bed. - ANS- a. pull the earlobe down and back What must the nurse be sure to tel the patient after a vaginal drug is administered? a. this drug should be refrigerated b. you may take this drug at home while sitting on the toilet. c. be sure to empty your bladder after receiving this drug. d. remain lying down for 10 to 15 mins after taking this drug. - ANS- d. remain lying down for 10 to 15 mins after taking this drug. hen giving a drug to a patient who is awake but confused, what is the best way for the nurse to identify the patient? a. check the room and bed number that the patient occupies. b. ask the patient to state his or her name and birth date. c. check the name on the patient's wristband. d. ask the patient if he or she is Mr. or Ms. (name). - ANS- c. check the name on the patient's wristband. The physician orders all of the following drugs for a patient who had surgery 2 days ago. Which drug order does the nurse administer first? a. Alphamine (cyanocobalamin) 100 mcg intramuscularly once b. Benadryl (diphenhydramine) 25 mg orally every 8 hrs. c. compazine (prochlorperazine) 10 mg orally STAT d. Dalmane (flurazepam) 30mg orally at night PRN - ANS- c. compazine (prochlorperazine) 10 mg orally STAT The nurse is interviewing a patient. Which action by the nurse indicates active listening? a. asking interview questions while starting an IV b. correcting the patient's use of the word "free bleeder" for hemophilia c. asking the spouse to verify the patient's responses to family history questions d. restating what the patient said to ensure the nurse understands what the patient meant. - ANS- d. restating what the patient said to ensure the nurse understands what the patient meant. The nurse is preparing to teach a patient about a newly prescribed drug therapy. What time is best for improving teaching effectiveness? a. during lunch so that the patient is not too hungry to learn b. after the patient wakes up from a nap and no visitors are present. c. right after the health care provider has told the patient that the health problem cannot be cured. d. when the patient's spouse and 3 adult children are present so that the family can reinforce the teaching. - ANS- b. after the patient wakes up from a nap and no visitors are present. Which statement by the nurse is more likely to motivate a patient to adhere to a drug therapy regimen for hypertension? a. your doctor prescribed this drug and your doctor knows what is best for your health. b. if you do not take this drug you are at greater risk to die of stroke or heart attack within the next 10 yrs. c. as an artist, your eyes are important, and taking this drug daily helps prevent eye damage from high blood pressure. d. if you are not taking this drug because you are to poor to afford it, I can call a social worker so you can get financial aid. - ANS- c. as an artist, your eyes are important, and taking this drug daily helps prevent eye damage from high blood pressure. a nurse receives an order to administer 8 units regular insulin and 20 units NPH insulin before breakfast. Using a U-100 syringe, the nurse would prepare this dos in which of the following ways? a. drawing up 8 units NPH, then 20 units regular in the same syringe. b. drawing up 9 units regular in one syringe, and 20 units NPH in a separate syringe. c. drawing up 8units regular, then 20 units NPH in the same syringe d. giving the 20 units NPH insulin 15 min before food, and the 8 units of regular when the food arrives. - ANS- c. drawing up 8units regular, then 20 units NPH in the same syringe If Phenergan is available in 100 mg/2 mL ampules, which of the following represents the amount is needed in mL to give a dose of 12.5 mg IM? a. 0.20 b. 0.25 c. 0.50 d. 0.75 - ANS- b. 0.25 The order reads: Lanoxin 0.125 mg PO now. The medication is available in 0.25 mg tablets. Which of the following represent the number of tablets the nurse will give. a. 2 tab b. 1/2 tab c. 1 1/2 tab d. 1/4 tab - ANS- b. 1/2 tab Which of the following represents the proper way for a nurse to administer an oral capsule? a. tell the patient to swallow it whole b. pierce it with a needle and squeeze into the mouth c. crush and dilute it in warm water. d. tell the patient to chew it completely - ANS- a. tell the patient to swallow it whole The nurse instructs a clinic patient on using an inhaler for his asthma attacks. Which of the following is correct about the use of an inhaler? a. the medication must go into the back of the nose b. the medication must go directly into the throat c. the medication must get to the ears d. the medication must go into the lungs. - ANS- d. the medication must go into the lungs. When giving a medicine through a nasogastric (NG) tube, the nurse will first do which of the following? a. flush the tube with 30 mL of water b. Check placement of the tube c. take the vital signs d. ask the patient if the tube is painful - ANS- b. Check placement of the tube Which of the following is done after giving medication through a nasogastric tube that is connected to suction? a. the tube is reconnected to the suction b. the tube is clamped for 10 min then reconnected to suction c. the tube is clamped for 30min then reconnected to suction d. the suction is left off for 4 hrs then reconnected to suction - ANS- c. the tube is clamped for 30min then reconnected to suction