Ch. 32 Medication Administration NCLEX
questions
1. The nurse is selecting a site to administer a medication by the intramuscular route. The nurse
chooses to avoid which site due to the high risk for injury?
a. Vastus lateralis
b. Ventrogluteal
c. Dorsogluteal
d. Deltoid - c. Dorsogluteal
3. The nurse understands that medication absorption is affected by the administration route.
Which route for medications has the fastest absorption rate?
a. Cream applied to the skin
b. Enteric-coated capsules
c. Subcutaneous injection
d. Intravenous injection - d. Intravenous injection
A 2 year old child is ordered to have eardrops daily. Which action will the nurse take?
A. Pull the auricle down and back
B. Pull the auricle up and outward
C. Sit the child up for 2-3 min after instilling drops
D. Sit the child up to insert the cotton ball into the innermost ear canal - A. Pull the auricle down
and back
A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg.
Which of the following is least appropriate for the administration of this medication?
A. A 5/8-inch needle is used at a 45-degree angle to the skin
, B. Pinching the skin before administration is necessary
C. Aspirating the syringe before injecting the medication is a priority
D. Using a 25-gauge needle would be best - C. Aspirating the syringe before injecting the
medication is a priority
A 76-year-old client lives alone and takes medications without supervision. Which of the
following is the most appropriate question for his home health nurse to ask in regard to his
medication regimen?
A. "How much do you weigh?"
B. "What medications are you currently taking?"
C. "We'll have to take away your sedatives if you keep taking them during the day. "
D. "Have you been taking other substances than those ordered by the physician?" - D. "Have
you been taking other substances than those ordered by the physician?"
A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic
(anti-nausea) medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered. - C. A parenteral route is the route of choice.
A nurse is performing the three accuracy checks before administering an oral liquid medication
to a patient. When will the nurse perform the second accuracy check?
A. At the patient's bedside
B. Before going into the patient's room
C. When checking the medication order
D. When selecting medication from the unit-dose drawer - B. Before going into the patient's
room
questions
1. The nurse is selecting a site to administer a medication by the intramuscular route. The nurse
chooses to avoid which site due to the high risk for injury?
a. Vastus lateralis
b. Ventrogluteal
c. Dorsogluteal
d. Deltoid - c. Dorsogluteal
3. The nurse understands that medication absorption is affected by the administration route.
Which route for medications has the fastest absorption rate?
a. Cream applied to the skin
b. Enteric-coated capsules
c. Subcutaneous injection
d. Intravenous injection - d. Intravenous injection
A 2 year old child is ordered to have eardrops daily. Which action will the nurse take?
A. Pull the auricle down and back
B. Pull the auricle up and outward
C. Sit the child up for 2-3 min after instilling drops
D. Sit the child up to insert the cotton ball into the innermost ear canal - A. Pull the auricle down
and back
A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg.
Which of the following is least appropriate for the administration of this medication?
A. A 5/8-inch needle is used at a 45-degree angle to the skin
, B. Pinching the skin before administration is necessary
C. Aspirating the syringe before injecting the medication is a priority
D. Using a 25-gauge needle would be best - C. Aspirating the syringe before injecting the
medication is a priority
A 76-year-old client lives alone and takes medications without supervision. Which of the
following is the most appropriate question for his home health nurse to ask in regard to his
medication regimen?
A. "How much do you weigh?"
B. "What medications are you currently taking?"
C. "We'll have to take away your sedatives if you keep taking them during the day. "
D. "Have you been taking other substances than those ordered by the physician?" - D. "Have
you been taking other substances than those ordered by the physician?"
A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic
(anti-nausea) medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered. - C. A parenteral route is the route of choice.
A nurse is performing the three accuracy checks before administering an oral liquid medication
to a patient. When will the nurse perform the second accuracy check?
A. At the patient's bedside
B. Before going into the patient's room
C. When checking the medication order
D. When selecting medication from the unit-dose drawer - B. Before going into the patient's
room
