Medication Administration Test Bank
A nurse is teaching a patient about medications. Which statement from the patient indicates
teaching is effective?
a. "My parenteral medication must be taken with food."
b. "I will rotate the sites in my left leg when I give my insulin."
c. "Once I start feeling better, I will stop taking my antibiotic."
d. "If I am 30 minutes late taking my medication, I should skip that dose." - ANS"I will rotate the
sites in my left leg when I give my insulin."
For daily insulin, rotate site within anatomical area. Rotating injections within the same body part
(instrasite rotation) 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.
A nurse is preparing to administer an injection to a patient. Which statement made by the
patient is an indication for the nurse to use the Z-track method?
a. "I am allergic to many medications."
b. "I'm really afraid that a big needle will hurt."
c. "The last shot like that turned my skin colors."
d. "My legs are too obese for the needle to go through." - ANS"The last shot like that turned my
skin colors."
The Z-track is indicated when the medication being administered has the potential to irritate
sensitive tissues. It is recommended that, when administering IM injections, the Z-track method
be used to minimize local skin irritation by sealing the medication in muscle tissue. The Z-track
method is not meant to reduce discomfort from the procedure.
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
a. Pull the auricle down and back to straighten the ear canal.
b. Pull the auricle upward and outward to straighten the ear canal.
c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal.
d. Sit the child up to insert the cotton ball into the innermost ear canal. - ANSPull the auricle
down and back to straighten the ear canal.
Children up to 3 years of age should have the auricle pulled down and back, children 3 years of
age to adults should have the auricle pulled upward and outward. Solution should be instilled 1
, cm (1/2 in) above the opening of the ear canal. The patient should remain in the side-lying
position 2 to 3 minutes. If a cotton ball is needed, place it into the outermost part of the ear
canal.
A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to
administer the medication?
a. 3-mL syringe
b. U-100 syringe
c. Needleless syringe
d. Tuberculin syringe - ANSTuberculin syringe
Because there is no syringe currently designed to prepare U-500 insulin, many medication
errors
result with this kind of insulin. To prevent errors, ensure that the order for U-500 specifies units
and
volume (e.g., 150 units, 0.3 mL of U-500 insulin), and use tuberculin syringes to draw up the
doses. A 3 mL and U-100 can result in inaccurate dosing. A needleless syringe will not be
acceptable in this
situation.
A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25
mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?
a. 1/2 tablet
b. 1 tablet
c. 1 1/2 tablets
d. 2 tablets - ANS1/2 tablet will be given. The nurse is careful to perform nursing calculations to
ensure proper medication administration. The dose ordered is 12.5. The dose on hand is 25.
12.5/25 = 1/2 tablet.
The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse
to schedule a trough level?
a. 0800
b. 0830
c. 0900
d. 0930 - ANS0830
Trough levels are generally drawn 30 minutes before the drug is administered
A patient is receiving vancomycin. Which function is the priority for the nurses to assess?
a. Vision
A nurse is teaching a patient about medications. Which statement from the patient indicates
teaching is effective?
a. "My parenteral medication must be taken with food."
b. "I will rotate the sites in my left leg when I give my insulin."
c. "Once I start feeling better, I will stop taking my antibiotic."
d. "If I am 30 minutes late taking my medication, I should skip that dose." - ANS"I will rotate the
sites in my left leg when I give my insulin."
For daily insulin, rotate site within anatomical area. Rotating injections within the same body part
(instrasite rotation) 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.
A nurse is preparing to administer an injection to a patient. Which statement made by the
patient is an indication for the nurse to use the Z-track method?
a. "I am allergic to many medications."
b. "I'm really afraid that a big needle will hurt."
c. "The last shot like that turned my skin colors."
d. "My legs are too obese for the needle to go through." - ANS"The last shot like that turned my
skin colors."
The Z-track is indicated when the medication being administered has the potential to irritate
sensitive tissues. It is recommended that, when administering IM injections, the Z-track method
be used to minimize local skin irritation by sealing the medication in muscle tissue. The Z-track
method is not meant to reduce discomfort from the procedure.
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
a. Pull the auricle down and back to straighten the ear canal.
b. Pull the auricle upward and outward to straighten the ear canal.
c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal.
d. Sit the child up to insert the cotton ball into the innermost ear canal. - ANSPull the auricle
down and back to straighten the ear canal.
Children up to 3 years of age should have the auricle pulled down and back, children 3 years of
age to adults should have the auricle pulled upward and outward. Solution should be instilled 1
, cm (1/2 in) above the opening of the ear canal. The patient should remain in the side-lying
position 2 to 3 minutes. If a cotton ball is needed, place it into the outermost part of the ear
canal.
A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to
administer the medication?
a. 3-mL syringe
b. U-100 syringe
c. Needleless syringe
d. Tuberculin syringe - ANSTuberculin syringe
Because there is no syringe currently designed to prepare U-500 insulin, many medication
errors
result with this kind of insulin. To prevent errors, ensure that the order for U-500 specifies units
and
volume (e.g., 150 units, 0.3 mL of U-500 insulin), and use tuberculin syringes to draw up the
doses. A 3 mL and U-100 can result in inaccurate dosing. A needleless syringe will not be
acceptable in this
situation.
A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25
mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?
a. 1/2 tablet
b. 1 tablet
c. 1 1/2 tablets
d. 2 tablets - ANS1/2 tablet will be given. The nurse is careful to perform nursing calculations to
ensure proper medication administration. The dose ordered is 12.5. The dose on hand is 25.
12.5/25 = 1/2 tablet.
The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse
to schedule a trough level?
a. 0800
b. 0830
c. 0900
d. 0930 - ANS0830
Trough levels are generally drawn 30 minutes before the drug is administered
A patient is receiving vancomycin. Which function is the priority for the nurses to assess?
a. Vision
