Ch.35 Medication MNL Questions and
Answers
The primary care provider prescribed 2.5 mL of a medication be given deep IM to a 40-
year-old female who is 5' 7" tall and weighs 135 pounds. The nurse appropriately plans
to administer this medication using: - answer A 3-mL syringe, #20 gauge, 1½- inch
needle.
Using the box shown, the nurse appropriately uses the "scoop method" only when: -
answer Recapping a needle after medication administration.
The nurse receives an order for a medication to be administered based on kilograms of
weight. The client weighs 110 lb. The nurse determines that this client's weight in
kilograms is: - answer 50 kg.
When preparing to administer medication into the client's abdomen, the nurse notes an
area the size of a nickel of scarring and inflamed tissue on the client's lower left
abdomen. The nurse administers the medication: - answer Above and to the right of
the umbilicus.
The nurse is teaching the client who is newly diagnosed with diabetes and needs to
learn how to self-administer insulin before discharge from the hospital. The nurse
recognizes that further teaching is needed when the client states: - answer Rubbing
the site when I am done with the shot will make it hurt less
The nurse adds 20 mEq of potassium chloride to 1,000 mL of 5% dextrose and water
and then appropriately prepares and attaches a label to the solution bag that includes:
(Select all that apply.) - answer Time and date the medication was added, Nurse's
initials, Dosage of the medication added, Name of the medication
The nurse administers an IV push medication using the client's IV lock using a needless
system by following these steps in what order? - answer 1) cleans the injection port
using the appropriate antiseptic. The nurse then 2) inserts the needle into the injection
port, 3) injects the medication slowly at the recommended rate of infusion, 4) and then
removes the needle and activates the needle safety device.
The nurse who is caring for a client with Alzheimer's disease follows appropriate steps
to administer oral medication safely to this client by:
(Select all that apply.) - answer Assessing the client's ability to swallow medication,
Assessing client allergies prior to administration
Place the following steps in order when preparing liquid medications. - answer (1)
Thoroughly mix the medication because liquid medication will often separate. Many
, liquid medications can be shaken, but some require rolling or more gentle mixing. (2)
Remove the cap and place it upside down—this avoids contaminating the inside of the
cap, which will be returned to the bottle and could contaminate remaining fluid if not
properly handled. (3) Wrap the palm of the hand over the label to prevent spilling and
damage to the label and pour fluid away from label to further reduce this risk. (4) Place
the medication cup on a flat surface at eye level and fill to the desired level required to
administer the correct dosage of medication.
The nurse is preparing a medication for injection and appropriately: - answer Injects
air into the vial before withdrawing the medication
When opening an ampule, the nurse maintains safety for self by:
(Select all that apply.) - answer Covering the top of the vial, Pointing the ampule
away from self and others
The nurse calculates the medication dosage by using the formula of desired dose times
vehicle divided by dosage on hand. What system of calculation is the nurse using? -
answer Basic formula
When administering a controlled substance to a client, the nurse may have additional
documentation or procedures required by the law and/or the agency including:
(Select all that apply.) - answer Special inventory forms record the use of controlled
substances, Discarded controlled substances must be witnessed by a second nurse,
Controlled substances are counted at the end of each shift.
When a physician writes a medication that specifies an incorrect route, the nurse: -
answer Is responsible for questioning the order and refusing to give the medication
until the order is clarified
The medication was ordered as follows: "Cefazolin 1,000 mg IVPB every 8 hours." The
medication administration record (MAR) indicates that the medication should be given at
0800, 1600, and 2400. The nurse commits a medication error if administering this
medication at: - answer 0845
The nurse sees that the pharmacy has indicated that the client requires four capsules
be administered to provide the proper dose. Using the box shown, the nurse's priority
action before administering the drug is to: - answer Check that the dosage
calculation is correct
The nurse recognizes that abbreviations on the "Do Not Use" list include:(Select all that
apply.) - answer QD, QOD, cc
The nurse who is caring for a client with acute nausea and vomiting after a procedure
involving general anesthesia, notes that the client is to receive insulin Humulin R 22
units daily at 1600 subcutaneously. The nurse verifies this order because: - answer
The medication is contraindicated by the client's condition
Answers
The primary care provider prescribed 2.5 mL of a medication be given deep IM to a 40-
year-old female who is 5' 7" tall and weighs 135 pounds. The nurse appropriately plans
to administer this medication using: - answer A 3-mL syringe, #20 gauge, 1½- inch
needle.
Using the box shown, the nurse appropriately uses the "scoop method" only when: -
answer Recapping a needle after medication administration.
The nurse receives an order for a medication to be administered based on kilograms of
weight. The client weighs 110 lb. The nurse determines that this client's weight in
kilograms is: - answer 50 kg.
When preparing to administer medication into the client's abdomen, the nurse notes an
area the size of a nickel of scarring and inflamed tissue on the client's lower left
abdomen. The nurse administers the medication: - answer Above and to the right of
the umbilicus.
The nurse is teaching the client who is newly diagnosed with diabetes and needs to
learn how to self-administer insulin before discharge from the hospital. The nurse
recognizes that further teaching is needed when the client states: - answer Rubbing
the site when I am done with the shot will make it hurt less
The nurse adds 20 mEq of potassium chloride to 1,000 mL of 5% dextrose and water
and then appropriately prepares and attaches a label to the solution bag that includes:
(Select all that apply.) - answer Time and date the medication was added, Nurse's
initials, Dosage of the medication added, Name of the medication
The nurse administers an IV push medication using the client's IV lock using a needless
system by following these steps in what order? - answer 1) cleans the injection port
using the appropriate antiseptic. The nurse then 2) inserts the needle into the injection
port, 3) injects the medication slowly at the recommended rate of infusion, 4) and then
removes the needle and activates the needle safety device.
The nurse who is caring for a client with Alzheimer's disease follows appropriate steps
to administer oral medication safely to this client by:
(Select all that apply.) - answer Assessing the client's ability to swallow medication,
Assessing client allergies prior to administration
Place the following steps in order when preparing liquid medications. - answer (1)
Thoroughly mix the medication because liquid medication will often separate. Many
, liquid medications can be shaken, but some require rolling or more gentle mixing. (2)
Remove the cap and place it upside down—this avoids contaminating the inside of the
cap, which will be returned to the bottle and could contaminate remaining fluid if not
properly handled. (3) Wrap the palm of the hand over the label to prevent spilling and
damage to the label and pour fluid away from label to further reduce this risk. (4) Place
the medication cup on a flat surface at eye level and fill to the desired level required to
administer the correct dosage of medication.
The nurse is preparing a medication for injection and appropriately: - answer Injects
air into the vial before withdrawing the medication
When opening an ampule, the nurse maintains safety for self by:
(Select all that apply.) - answer Covering the top of the vial, Pointing the ampule
away from self and others
The nurse calculates the medication dosage by using the formula of desired dose times
vehicle divided by dosage on hand. What system of calculation is the nurse using? -
answer Basic formula
When administering a controlled substance to a client, the nurse may have additional
documentation or procedures required by the law and/or the agency including:
(Select all that apply.) - answer Special inventory forms record the use of controlled
substances, Discarded controlled substances must be witnessed by a second nurse,
Controlled substances are counted at the end of each shift.
When a physician writes a medication that specifies an incorrect route, the nurse: -
answer Is responsible for questioning the order and refusing to give the medication
until the order is clarified
The medication was ordered as follows: "Cefazolin 1,000 mg IVPB every 8 hours." The
medication administration record (MAR) indicates that the medication should be given at
0800, 1600, and 2400. The nurse commits a medication error if administering this
medication at: - answer 0845
The nurse sees that the pharmacy has indicated that the client requires four capsules
be administered to provide the proper dose. Using the box shown, the nurse's priority
action before administering the drug is to: - answer Check that the dosage
calculation is correct
The nurse recognizes that abbreviations on the "Do Not Use" list include:(Select all that
apply.) - answer QD, QOD, cc
The nurse who is caring for a client with acute nausea and vomiting after a procedure
involving general anesthesia, notes that the client is to receive insulin Humulin R 22
units daily at 1600 subcutaneously. The nurse verifies this order because: - answer
The medication is contraindicated by the client's condition
