NSG 3100 EXAM 3.1 QUESTIONS WITH CORRECT
WELL DETAILED ANSWERS WITH A 100 %
GUARANTEED PASS TO MAJOR CONCEPTS
The nurse is teaching a patient about how to take a sublingual nitroglycerin tablet. Which statement by
the patient best demonstrates understanding of the teaching?
a. "I will take the tablet with plenty of water."
b. "I will place the tablet inside my cheek."
c. "I will put the tablet under my tongue."
d. "I will take the tablet while I am eating." - ✔✔c. "I will put the tablet under my tongue."
Sublingual medications are placed under the tongue, where they are absorbed quickly into systemic
circulation. Medications placed in the cheek are delivered by the buccal route. Sublingual medications
should be taken without water or food.
The nurse is caring for a critically ill patient. What are the contraindications for administering
medications by the oral route for this type of patient? (Select all that apply.)
a. Vomiting
b. Unconsciousness
c. Diarrhea
d. Penicillin allergy
e. Intubation - ✔✔a. Vomiting
b. Unconsciousness
c. Diarrhea
Nothing that needs to be swallowed should be administered to an unconscious patient due to the risk of
aspiration. Medications are unlikely to be absorbed in the patient who is vomiting. An endotracheal tube
makes it impossible for a patient to swallow oral medication. A penicillin allergy affects the type of
medication to administer but not the route. A patient with diarrhea may have decreased absorption, but
it does not affect the ability to swallow medications safely.
,The nurse is in a patient room ready to administer a new medication to the patient. Which action best
demonstrates awareness of safe, skilled nursing practice?
a. Identify the patient by comparing the patient's name and birth date to the medication administration
record (MAR).
a. Identify the patient by comparing the patient's name and birth date to the medication administration
record (MAR).
b. Determine whether the medication and dose are appropriate for the patient.
c. Make sure that the medication is in the medication cart.
d. Check the accuracy of the dose with another nurse. - ✔✔a. Identify the patient by comparing the
patient's name and birth date to the medication administration record (MAR).
The right patient is one of the six rights to ensure safe administration of the medication. At least two
patient identifiers should be used and compared with the armband or MAR. Determining the
appropriateness of a medication for a patient should be completed prior to entering the patient room.
Not all medications require another nurse to check the accuracy of the dose. Determining whether the
medication is available is a time management issue.
A patient has been using herbal medication as part of her daily routine. Which actions should the nurse
take? (Select all that apply.)
a. Document the herbs as part of the medication history.
b. Recommend a reputable company from which to buy herbs.
c. Allow the patient to self-administer the herbs with her morning medications.
d. Inform the primary care provider of the findings.
e. Identify possible adverse effects of the herbal medications. - ✔✔a. Document the herbs as part of the
medication history.
d. Inform the primary care provider of the findings.
e. Identify possible adverse effects of the herbal medications.
, It is important to include the herbal medications that the patient reports using in the medication history
because there is the possibility of interactions among herbals and prescribed medications. The primary
care provider should always be informed about the herbs being used by the patient. It is essential for the
nurse to identify potential adverse effects of the herbal medications to prevent harmful drug
interactions. It is inappropriate for the nurse to recommend a company for the patient to purchase
herbal preparations and to allow the patient to self-administer the herbs while in the hospital without a
specific physician order.
A nurse must give 1 g of cephalexin, PO, q 6 hr × 3 days. The supply on hand is 500 mg/capsule. How
many capsules should the nurse administer for each dose?
Answer: - ✔✔
The health care provider prescribes a transdermal medication. The nurse understands what feature of
the transdermal route?
a. It is inhaled into the respiratory tract.
b. It is dissolved inside the cheek.
c. It is absorbed through the skin.
d. It is inserted into the vaginal cavity. - ✔✔c. It is absorbed through the skin.
Medicated patches or disks can be applied directly to the skin. The transdermal route of administration
allows release and absorption of the medication through the skin over time, producing a steady drug
level. Medications that are inhaled are aerosolized and not absorbed through the skin. The buccal route
(inside the cheek) is a form of topical administration, but it is through the mucous membranes of the
mouth, not transdermal (through the skin). Medications administered vaginally are topical, but they are
applied to the mucous membrane of the vaginal wall, not to the skin.
The nurse is caring for a patient who is unable to hold a cup or spoon. How should the nurse administer
oral medications to the patient?
a. Crush the pills and mix them in pudding before administering.
b. Ask the pharmacist to change all of the medications to a liquid form.
c. Use a small paper cup to place the pills into the patient's mouth.
d. Place the pills on the table and have the patient take the pills by hand. - ✔✔c. Use a small paper cup
to place the pills into the patient's mouth.
WELL DETAILED ANSWERS WITH A 100 %
GUARANTEED PASS TO MAJOR CONCEPTS
The nurse is teaching a patient about how to take a sublingual nitroglycerin tablet. Which statement by
the patient best demonstrates understanding of the teaching?
a. "I will take the tablet with plenty of water."
b. "I will place the tablet inside my cheek."
c. "I will put the tablet under my tongue."
d. "I will take the tablet while I am eating." - ✔✔c. "I will put the tablet under my tongue."
Sublingual medications are placed under the tongue, where they are absorbed quickly into systemic
circulation. Medications placed in the cheek are delivered by the buccal route. Sublingual medications
should be taken without water or food.
The nurse is caring for a critically ill patient. What are the contraindications for administering
medications by the oral route for this type of patient? (Select all that apply.)
a. Vomiting
b. Unconsciousness
c. Diarrhea
d. Penicillin allergy
e. Intubation - ✔✔a. Vomiting
b. Unconsciousness
c. Diarrhea
Nothing that needs to be swallowed should be administered to an unconscious patient due to the risk of
aspiration. Medications are unlikely to be absorbed in the patient who is vomiting. An endotracheal tube
makes it impossible for a patient to swallow oral medication. A penicillin allergy affects the type of
medication to administer but not the route. A patient with diarrhea may have decreased absorption, but
it does not affect the ability to swallow medications safely.
,The nurse is in a patient room ready to administer a new medication to the patient. Which action best
demonstrates awareness of safe, skilled nursing practice?
a. Identify the patient by comparing the patient's name and birth date to the medication administration
record (MAR).
a. Identify the patient by comparing the patient's name and birth date to the medication administration
record (MAR).
b. Determine whether the medication and dose are appropriate for the patient.
c. Make sure that the medication is in the medication cart.
d. Check the accuracy of the dose with another nurse. - ✔✔a. Identify the patient by comparing the
patient's name and birth date to the medication administration record (MAR).
The right patient is one of the six rights to ensure safe administration of the medication. At least two
patient identifiers should be used and compared with the armband or MAR. Determining the
appropriateness of a medication for a patient should be completed prior to entering the patient room.
Not all medications require another nurse to check the accuracy of the dose. Determining whether the
medication is available is a time management issue.
A patient has been using herbal medication as part of her daily routine. Which actions should the nurse
take? (Select all that apply.)
a. Document the herbs as part of the medication history.
b. Recommend a reputable company from which to buy herbs.
c. Allow the patient to self-administer the herbs with her morning medications.
d. Inform the primary care provider of the findings.
e. Identify possible adverse effects of the herbal medications. - ✔✔a. Document the herbs as part of the
medication history.
d. Inform the primary care provider of the findings.
e. Identify possible adverse effects of the herbal medications.
, It is important to include the herbal medications that the patient reports using in the medication history
because there is the possibility of interactions among herbals and prescribed medications. The primary
care provider should always be informed about the herbs being used by the patient. It is essential for the
nurse to identify potential adverse effects of the herbal medications to prevent harmful drug
interactions. It is inappropriate for the nurse to recommend a company for the patient to purchase
herbal preparations and to allow the patient to self-administer the herbs while in the hospital without a
specific physician order.
A nurse must give 1 g of cephalexin, PO, q 6 hr × 3 days. The supply on hand is 500 mg/capsule. How
many capsules should the nurse administer for each dose?
Answer: - ✔✔
The health care provider prescribes a transdermal medication. The nurse understands what feature of
the transdermal route?
a. It is inhaled into the respiratory tract.
b. It is dissolved inside the cheek.
c. It is absorbed through the skin.
d. It is inserted into the vaginal cavity. - ✔✔c. It is absorbed through the skin.
Medicated patches or disks can be applied directly to the skin. The transdermal route of administration
allows release and absorption of the medication through the skin over time, producing a steady drug
level. Medications that are inhaled are aerosolized and not absorbed through the skin. The buccal route
(inside the cheek) is a form of topical administration, but it is through the mucous membranes of the
mouth, not transdermal (through the skin). Medications administered vaginally are topical, but they are
applied to the mucous membrane of the vaginal wall, not to the skin.
The nurse is caring for a patient who is unable to hold a cup or spoon. How should the nurse administer
oral medications to the patient?
a. Crush the pills and mix them in pudding before administering.
b. Ask the pharmacist to change all of the medications to a liquid form.
c. Use a small paper cup to place the pills into the patient's mouth.
d. Place the pills on the table and have the patient take the pills by hand. - ✔✔c. Use a small paper cup
to place the pills into the patient's mouth.
