Saunders Med Administration NCLEX
Questions And Answers
The nurse prepares to administer an intramuscular injection to a 4-month-old infant. The nurse
selects which best site to administer the injection?
1.Ventrogluteal 2.Lateral deltoid 3.Rectus femoris 4.Vastus lateralis - verified answer 4.Vastus
lateralis
Intramuscular injection sites are selected on the basis of the child's age and muscle development of
the child. The vastus lateralis is the only safe muscle group to use for intramuscular injection in a 4-
month-old infant. The sites identified in options 1, 2, and 3 are unsafe for a child of this age.
The nurse is preparing to administer eye drops. Which interventions should the nurse take to
administer the drops? Select all that apply.
1.Wash hands. 2.Put gloves on. 3.Place the drop in the conjunctival sac. 4.Pull the lower lid down
against the cheekbone. 5.Instruct the client to squeeze the eyes shut after instilling the eye drop.
6.Instruct the client to tilt the head forward, open the eyes, and look down. - verified answer 1.Wash
hands. 2.Put gloves on. 3.Place the drop in the conjunctival sac. 4.Pull the lower lid down against the
cheekbone.
To administer eye medications, the nurse should wash hands and put gloves on. The client is
instructed to tilt the head backward, open the eyes, and look up. The nurse pulls the lower lid down
against the cheekbone and holds the bottle like a pencil with the tip downward. Holding the bottle,
the nurse gently rests the wrist of the hand on the client's cheek and squeezes the bottle gently to
allow the drop to fall into the conjunctival sac. The client is instructed to close the eyes gently and
not to squeeze the eyes shut to prevent the loss of medication.
A client is prescribed an eye drop and an eye ointment for the right eye. How should the nurse best
administer the medications?
1.Administer the eye drop first, followed by the eye ointment. 2.Administer the eye ointment first,
followed by the eye drop. 3.Administer the eye drop, wait 15 minutes, and administer the eye
ointment. 4.Administer the eye ointment, wait 15 minutes, and administer the eye drop. - verified
answer 1.Administer the eye drop first, followed by the eye ointment.
, When an eye drop and an eye ointment are scheduled to be administered at the same time, the eye
drop is administered first. The instillation of two medications is separated by 3 to 5 minutes.
The nurse educator is orienting a new nurse to the pediatric unit and is including tips for medication
administration. Which statement by the new nurse indicates that the teaching has been effective?
1."It helps to use magical thinking with the infant-age group." 2."It helps to use magical thinking with
the school-age group." 3."It helps to use magical thinking with the toddler-age group." 4."It helps to
use magical thinking with the preschool-age group." - verified answer 4."It helps to use magical
thinking with the preschool-age group."
The nurse uses developmental perspectives when administering medications. The preschool age is
when the nurse can make use of "magical thinking" as a strategy to administer medications. Infants
and toddlers are too young for this concept, and school-age children are too mature.
The nurse is providing medication instructions to a parent. Which statement by the parent indicates
a need for further instruction?
1."I should cuddle my child after giving the medication." 2."I can give my child a frozen juice bar after
he swallows the medication." 3."I should mix the medication in the baby food and give it when I feed
my child." 4."If my child does not like the taste of the medicine, I should encourage him to pinch his
nose and drink the medication through a straw." - verified answer 3."I should mix the medication in
the baby food and give it when I feed my child."
The nurse would teach the parent to avoid putting medications in foods because it may give an
unpleasant taste to the food, and the child may refuse to accept the same food in the future. In
addition, the child may not consume the entire serving and would not receive the required
medication dosage. The mother should provide comfort measures immediately after medication
administration, such as touching, holding, cuddling, and providing a favorite toy. The mother should
offer juice, a soft drink, or a frozen juice bar to the child after the child swallows the medication. If
the taste of the medication is unpleasant, the child should pinch the nose and drink the medication
through a straw.
The nurse is preparing to administer a tuberculin skin test to a client via the intradermal route.
Which action should the nurse perform when administering this test to the client?
1.Inject the medication and place a pressure dressing over the medication site. 2.Make a circular
mark around the injection site after administration of the tuberculin test. 3.Administer the injection
with the needle bevel facing downward at a 10- to 15-degree angle. 4.Massage the area with an
Questions And Answers
The nurse prepares to administer an intramuscular injection to a 4-month-old infant. The nurse
selects which best site to administer the injection?
1.Ventrogluteal 2.Lateral deltoid 3.Rectus femoris 4.Vastus lateralis - verified answer 4.Vastus
lateralis
Intramuscular injection sites are selected on the basis of the child's age and muscle development of
the child. The vastus lateralis is the only safe muscle group to use for intramuscular injection in a 4-
month-old infant. The sites identified in options 1, 2, and 3 are unsafe for a child of this age.
The nurse is preparing to administer eye drops. Which interventions should the nurse take to
administer the drops? Select all that apply.
1.Wash hands. 2.Put gloves on. 3.Place the drop in the conjunctival sac. 4.Pull the lower lid down
against the cheekbone. 5.Instruct the client to squeeze the eyes shut after instilling the eye drop.
6.Instruct the client to tilt the head forward, open the eyes, and look down. - verified answer 1.Wash
hands. 2.Put gloves on. 3.Place the drop in the conjunctival sac. 4.Pull the lower lid down against the
cheekbone.
To administer eye medications, the nurse should wash hands and put gloves on. The client is
instructed to tilt the head backward, open the eyes, and look up. The nurse pulls the lower lid down
against the cheekbone and holds the bottle like a pencil with the tip downward. Holding the bottle,
the nurse gently rests the wrist of the hand on the client's cheek and squeezes the bottle gently to
allow the drop to fall into the conjunctival sac. The client is instructed to close the eyes gently and
not to squeeze the eyes shut to prevent the loss of medication.
A client is prescribed an eye drop and an eye ointment for the right eye. How should the nurse best
administer the medications?
1.Administer the eye drop first, followed by the eye ointment. 2.Administer the eye ointment first,
followed by the eye drop. 3.Administer the eye drop, wait 15 minutes, and administer the eye
ointment. 4.Administer the eye ointment, wait 15 minutes, and administer the eye drop. - verified
answer 1.Administer the eye drop first, followed by the eye ointment.
, When an eye drop and an eye ointment are scheduled to be administered at the same time, the eye
drop is administered first. The instillation of two medications is separated by 3 to 5 minutes.
The nurse educator is orienting a new nurse to the pediatric unit and is including tips for medication
administration. Which statement by the new nurse indicates that the teaching has been effective?
1."It helps to use magical thinking with the infant-age group." 2."It helps to use magical thinking with
the school-age group." 3."It helps to use magical thinking with the toddler-age group." 4."It helps to
use magical thinking with the preschool-age group." - verified answer 4."It helps to use magical
thinking with the preschool-age group."
The nurse uses developmental perspectives when administering medications. The preschool age is
when the nurse can make use of "magical thinking" as a strategy to administer medications. Infants
and toddlers are too young for this concept, and school-age children are too mature.
The nurse is providing medication instructions to a parent. Which statement by the parent indicates
a need for further instruction?
1."I should cuddle my child after giving the medication." 2."I can give my child a frozen juice bar after
he swallows the medication." 3."I should mix the medication in the baby food and give it when I feed
my child." 4."If my child does not like the taste of the medicine, I should encourage him to pinch his
nose and drink the medication through a straw." - verified answer 3."I should mix the medication in
the baby food and give it when I feed my child."
The nurse would teach the parent to avoid putting medications in foods because it may give an
unpleasant taste to the food, and the child may refuse to accept the same food in the future. In
addition, the child may not consume the entire serving and would not receive the required
medication dosage. The mother should provide comfort measures immediately after medication
administration, such as touching, holding, cuddling, and providing a favorite toy. The mother should
offer juice, a soft drink, or a frozen juice bar to the child after the child swallows the medication. If
the taste of the medication is unpleasant, the child should pinch the nose and drink the medication
through a straw.
The nurse is preparing to administer a tuberculin skin test to a client via the intradermal route.
Which action should the nurse perform when administering this test to the client?
1.Inject the medication and place a pressure dressing over the medication site. 2.Make a circular
mark around the injection site after administration of the tuberculin test. 3.Administer the injection
with the needle bevel facing downward at a 10- to 15-degree angle. 4.Massage the area with an
