NUR 155
1
Exam 4 Study Guide
1. What are the 3 checks?
a. Check the mar before you pull the medicine
b. Check it when you pull the medicine
c. Check it before you give it to the pt one final time
2. What do you do if a PT has a reaction to the medication they’re given? Stop giving
them the medication.
3. When do you do a med rec?
a. Admission
b. Transfer
c. Discharge
4. SCENARIO: pt with temperature is given Tylenol. Later the pt was still running a
temperature, what do you do?
a. Call the Dr
5. What do you do when an ordered medication is in powdered form?
a. Reconstitute it
6. 5 Rights
a. Right patient
b. Right Time
c. Right Dose
d. Right Route
e. Right Medication
7. What do you assess before giving Morphine?
a. Respirations
8. What do you do when it's time to give a PT they’re medications and they are asleep?
a. Wake them and give the medication (do not leave meds in the room or w/ family)
9. How do you read a syringe?
a. Know each line is .2 on a milliliter scale
b. Know that insulin syringes are measured in units and mL.
, NUR 155
2
10. What do you do when taking a phone order from a doctor? Read back & verify
11. What do you do if meds are skipped or not given? Document why the meds weren’t
given, then call the doctor. If it is not life threatening, do not file an incident report.
12. How do you give the medicine through an NG tube?
a. Check placement
b. Feed by gravity, no force
c. If medication comes in liquid form further dilute the medication with sterile water
d. If medication has to be crushed dissolve in at least 30 mL of warm sterile water.
e. Administer each medication separately and flush with 15-30mL of water after
each medication.
f. Flush after all medications have been administered with 15-30mL of water to
clear the tube.
13. What do you use to flush an IV?
a. 0.9% sodium chloride (NaCl) or NS
14. Shot angles
a. Intradermal 5 - 15
b. SubQ 45 - 90
c. Intramuscular 90
15. What are the different needle sizes?
a. 18 gauge - never use for injections
b. Intradermal
i. TB Syringe
ii. #25-27 gauge
iii. ¼-⅝ inch
c. Subcutaneous
i. 1-2 mL syringe/ insulin syringe
ii. #25gauge, #30 gauge for insulin
iii. Adult of normal weight- ⅝ inch at 45 or ⅜ inch at 90
d. Intramuscular
i. Deltoid:
1. 1 mL syringe
1
Exam 4 Study Guide
1. What are the 3 checks?
a. Check the mar before you pull the medicine
b. Check it when you pull the medicine
c. Check it before you give it to the pt one final time
2. What do you do if a PT has a reaction to the medication they’re given? Stop giving
them the medication.
3. When do you do a med rec?
a. Admission
b. Transfer
c. Discharge
4. SCENARIO: pt with temperature is given Tylenol. Later the pt was still running a
temperature, what do you do?
a. Call the Dr
5. What do you do when an ordered medication is in powdered form?
a. Reconstitute it
6. 5 Rights
a. Right patient
b. Right Time
c. Right Dose
d. Right Route
e. Right Medication
7. What do you assess before giving Morphine?
a. Respirations
8. What do you do when it's time to give a PT they’re medications and they are asleep?
a. Wake them and give the medication (do not leave meds in the room or w/ family)
9. How do you read a syringe?
a. Know each line is .2 on a milliliter scale
b. Know that insulin syringes are measured in units and mL.
, NUR 155
2
10. What do you do when taking a phone order from a doctor? Read back & verify
11. What do you do if meds are skipped or not given? Document why the meds weren’t
given, then call the doctor. If it is not life threatening, do not file an incident report.
12. How do you give the medicine through an NG tube?
a. Check placement
b. Feed by gravity, no force
c. If medication comes in liquid form further dilute the medication with sterile water
d. If medication has to be crushed dissolve in at least 30 mL of warm sterile water.
e. Administer each medication separately and flush with 15-30mL of water after
each medication.
f. Flush after all medications have been administered with 15-30mL of water to
clear the tube.
13. What do you use to flush an IV?
a. 0.9% sodium chloride (NaCl) or NS
14. Shot angles
a. Intradermal 5 - 15
b. SubQ 45 - 90
c. Intramuscular 90
15. What are the different needle sizes?
a. 18 gauge - never use for injections
b. Intradermal
i. TB Syringe
ii. #25-27 gauge
iii. ¼-⅝ inch
c. Subcutaneous
i. 1-2 mL syringe/ insulin syringe
ii. #25gauge, #30 gauge for insulin
iii. Adult of normal weight- ⅝ inch at 45 or ⅜ inch at 90
d. Intramuscular
i. Deltoid:
1. 1 mL syringe
