Med admin Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
The patient complains of burning after the administration of a nonparenteral medication. By
which route would you most likely expect this response - CORRECT
ANSWER Instillation onto the eye
Which situations may be contraindications for the oral route of medication administration?
(Select all that apply.) - CORRECT ANSWER The patient who is confused and
unwilling to cooperate
The patient who has a nasogastric tube connected to wall suction
The patient who is NPO (nothing by mouth)
The patient who is unconscious
The patient is concerned that there may be systemic effects from a medication given by the
nonparenteral route. Which statement would be the best response by the nurse? - CORRECT
ANSWER "Even though medications are absorbed more slowly through the skin, it is
possible to have systemic effects if the medication concentrations are high."
For which patient would a transdermal patch be the preferred type of medication
administration? - CORRECT ANSWER A patient with liver disease.
A nurse understands the importance of providing culturally competent care. Which action by
the nurse fails to take possible cultural differences into consideration? - CORRECT
ANSWER When admitting a patient, the nurse asks only about prescribed medications
A patient is being admitted to the hospital to receive intravenous (IV) antibiotics. What type
of medication administration is an IV antibiotic - CORRECT ANSWER parenteral
Which patient is at lowest risk for a systemic effect from a topical agent? A patient who -
CORRECT ANSWER is very mobile and receiving a drug in low concentration.
, A patient has been hospitalized for several days after a motor vehicle accident. The patient
has several fractured bones and has cuts and scratches across the chest area. Where should
you apply the fentanyl (Duragesic) patch to treat the patient's pain? - CORRECT
ANSWER On the upper back in an area that is free of hair
You don clean gloves and measure the antianginal ointment onto dosage paper according to
health care provider's orders. You rub the ointment off the paper directly onto the female
patient's skin of the anterior chest and cover the area of ointment with plastic wrap and tape.
You discard the gloves and perform hand hygiene. Which steps of the procedure were
incorrect and/or missing? (Select all that apply.) - CORRECT ANSWER You did not
remove the previous dosage paper.
You rubbed the ointment off the paper.
You did not write the date, time, and initials on the paper wrapper.
What should the nurse do to maximize the effectiveness of medicated lotions and/or ointment
- CORRECT ANSWER First wash area with nondrying soap and water
The hospice nurse comes to the home of a patient with terminal cancer. She discovers several
fentanyl (Duragesic) pain patches on the patient's body. What should the nurse do first? -
CORRECT ANSWER Remove the patches except for the most recent and provide
patient teaching
The nurse is going to administer eye drops into the eye of a confused elderly patient. What
safety precautions should the nurse take? - CORRECT ANSWER Rest hand holding
the eye dropper on the patient's forehead and hold the eye dropper 1 to 2 cm (0.4 to 0.8
inches) above the conjunctival sac.
The nurse is instilling eye drops into a patient's eye. The nurse checks the patient's
identification, performs hand hygiene, and applies gloves. The nurse follows the 6 rights of
medication administration. The nurse asks the patient to tilt the head back and look up. The
nurse holds the patient's eye open by pushing up on the skin of the upper orbit, and with the
free hand, instills the drops of medication onto the patient's cornea at a distance of 2.5 to 5
cm (1 to 2 inches). The nurse applies gentle pressure to the lacrimal duct and asks the patient
to close the eyes gently. The nurse discards the gloves and performs hand hygiene, and
documents the procedure. What actions by the nurse, if any, were incorrect? (Select all that
apply.) - CORRECT ANSWER The method used to hold the patient's eye open.
QUESTIONS AND CORRECT ANSWERS
The patient complains of burning after the administration of a nonparenteral medication. By
which route would you most likely expect this response - CORRECT
ANSWER Instillation onto the eye
Which situations may be contraindications for the oral route of medication administration?
(Select all that apply.) - CORRECT ANSWER The patient who is confused and
unwilling to cooperate
The patient who has a nasogastric tube connected to wall suction
The patient who is NPO (nothing by mouth)
The patient who is unconscious
The patient is concerned that there may be systemic effects from a medication given by the
nonparenteral route. Which statement would be the best response by the nurse? - CORRECT
ANSWER "Even though medications are absorbed more slowly through the skin, it is
possible to have systemic effects if the medication concentrations are high."
For which patient would a transdermal patch be the preferred type of medication
administration? - CORRECT ANSWER A patient with liver disease.
A nurse understands the importance of providing culturally competent care. Which action by
the nurse fails to take possible cultural differences into consideration? - CORRECT
ANSWER When admitting a patient, the nurse asks only about prescribed medications
A patient is being admitted to the hospital to receive intravenous (IV) antibiotics. What type
of medication administration is an IV antibiotic - CORRECT ANSWER parenteral
Which patient is at lowest risk for a systemic effect from a topical agent? A patient who -
CORRECT ANSWER is very mobile and receiving a drug in low concentration.
, A patient has been hospitalized for several days after a motor vehicle accident. The patient
has several fractured bones and has cuts and scratches across the chest area. Where should
you apply the fentanyl (Duragesic) patch to treat the patient's pain? - CORRECT
ANSWER On the upper back in an area that is free of hair
You don clean gloves and measure the antianginal ointment onto dosage paper according to
health care provider's orders. You rub the ointment off the paper directly onto the female
patient's skin of the anterior chest and cover the area of ointment with plastic wrap and tape.
You discard the gloves and perform hand hygiene. Which steps of the procedure were
incorrect and/or missing? (Select all that apply.) - CORRECT ANSWER You did not
remove the previous dosage paper.
You rubbed the ointment off the paper.
You did not write the date, time, and initials on the paper wrapper.
What should the nurse do to maximize the effectiveness of medicated lotions and/or ointment
- CORRECT ANSWER First wash area with nondrying soap and water
The hospice nurse comes to the home of a patient with terminal cancer. She discovers several
fentanyl (Duragesic) pain patches on the patient's body. What should the nurse do first? -
CORRECT ANSWER Remove the patches except for the most recent and provide
patient teaching
The nurse is going to administer eye drops into the eye of a confused elderly patient. What
safety precautions should the nurse take? - CORRECT ANSWER Rest hand holding
the eye dropper on the patient's forehead and hold the eye dropper 1 to 2 cm (0.4 to 0.8
inches) above the conjunctival sac.
The nurse is instilling eye drops into a patient's eye. The nurse checks the patient's
identification, performs hand hygiene, and applies gloves. The nurse follows the 6 rights of
medication administration. The nurse asks the patient to tilt the head back and look up. The
nurse holds the patient's eye open by pushing up on the skin of the upper orbit, and with the
free hand, instills the drops of medication onto the patient's cornea at a distance of 2.5 to 5
cm (1 to 2 inches). The nurse applies gentle pressure to the lacrimal duct and asks the patient
to close the eyes gently. The nurse discards the gloves and performs hand hygiene, and
documents the procedure. What actions by the nurse, if any, were incorrect? (Select all that
apply.) - CORRECT ANSWER The method used to hold the patient's eye open.
