Medication Administration and IV Therapy Assignment
LPN Progression Transition
Module 5 Quiz
Medication Administration and IV Therapy Assignment
Question 1An insulin-dependent diabetic female patient tells the nurse that she has been giving herself injections in the same location in her right thigh for the past several months because it is easier. What is the nurse’s best action?
Provide patient teaching on rotating injection sites.
Tell the patient to make sure the dose is in milliliters.
Document the patient’s comments, as the patient understands the treatment regimen.
Check the type of insulin the patient receives to ensure that it is compatible with the vastus lateralis site.
Question 2The nurse is preparing to administer a medication for a client with cystic fibrosis. The nurse is not familiar with the drug. Which is the best action that the nurse should take?
Ask another nurse.
Refer to the Physician’s Desk Reference.
The Physician’s Desk Reference is a book commercially compiled by the pharmaceutical companies and is a standard resource for professionals prescribing and administering medication.
Administer the drug.
Review a nursing care plan textbook.
Question 3Which term refers to the movement of a drug from the site of administration to the bloodstream?
Absorption
Distribution
Metabolism
Excretion
Question 4A patient is given furosemide 40 mg orally at 0900. The duration of action for this drug is approximately 6 hours after oral administration. At which time in military hours should the nurse no longer expect to see the effects of this drug?
1100
1000
0930
1500
Question 5Before administering a medication, the nurse must verify the six rights of medication administration, which are:
Right patient, right drug, right dose, right route, right time, and right documentation.
Right patient, right room, right drug, right route, right dose, and right time.
Right drug, right dose, right route, right time, right physician, and right documentation.
Right patient, right drug, right route, right time, right documentation, and right equipment.
Question 6When the nurse enters a male patient’s room to administer a medication, he calls out from the bathroom, telling the nurse to leave his medication on the bedside table. He reassures the nurse that he will take the medication as soon as he is finished. How should the nurse proceed?
Wait outside the bathroom door until the patient is ready for the dose.
Inform the patient that the nurse will return when he is finished in the bathroom.
Withhold the dose until the next administration time later in the day.
Leave the medication at the bedside so that the patient can take it later.
Question 7Which documentation entry related to prn (as needed) medication administration is complete?
0600 famotidine 20 mg IV given in right hand, S. Abraham RN
6/5/20 0900 morphine 4 mg IV given in right antecubital fossa for pain rated 8 on a 1–10 scale, J. Williams RN
1/16/20 furosemide 40 mg PO given, J. Smith RN
9/2/20 0900 levothyroxine 50 mcg PO given
Question 8How should the nurse dispose of a contaminated needle after administering an injection?
Place the needle in a biohazard bag with other contaminated supplies.
Recap the needle, and place it in a puncture-proof container.
Place the needle in a specially marked, puncture-proof container.
Recap the needle, and carefully place it in the trashcan.
Question 9The physician prescribes warfarin 5 mg orally (PO) at 1800 for a patient. After administering the medication, the female nurse realizes that she administered a 10 mg tablet instead of the prescribed 5 mg PO. Which action by the nurse is appropriate?
No action is necessary because an extra 5 mg of warfarin is not harmful.
Complete an incident report according to the facility’s policy.
Call the prescriber and ask the order to be changed to 10 mg.
Document on the chart that the drug was given, and indicate the drug was given in error.
Question 10Which body organ is primarily responsible for the metabolism of medications?
Skin
Kidney
Liver
Large Intestine
Objective: Describe variables that inhibit / enhance oral medication absorption.
Question 11Which body organ is primarily responsible for medication excretion?
Endocrine glands
Kidney
Liver
Lungs
Question 12The nursing student is preparing to administer an intramuscular (IM) injection to the patient. The student states to the instructor, “I’m going to administer this medication in my patient’s buttocks at the dorsogluteal site.” What is the most appropriate response by the instructor?
“Okay, but first be sure to locate the bony landmarks carefully.”
“Okay. Explain the procedure to me and you are good to go.”
“I agree this is a good site for thin patients such as this one.”
“This may not be the best site owing to proximity of the sciatic nerve.”
Question 13The nurse is preparing to administer a subcutaneous dose of insulin to a patient with diabetes. Which two sites might the nurse use that would provide the fastest absorption of the injection? Select all that apply.
Arm
Upper buttocks
Thigh
Ventral forearm
Abdomen
Question 14The nurse is preparing to administer otic medications to a 35-year-old patient. What are the most appropriate actions by the nurse? Select all that apply.
Instruct the patient to remain in the side-lying position for at least 20 minutes.
Position the pinna down and back.
Cool the solution to slightly below body temperature.
Pull the pinna up and back.
Place the patient in the side-lying position with the appropriate ear up.
Question 15The nurse is preparing to administer ophthalmic eye drops to the patient. What are the most appropriate actions for administering eye drops?
Allow the medication to drop gently on the cornea.
Place the patient in the high-Fowler’s position.
Administer the ointment from the outer to the inner canthus of the eye.
Position the eyedropper 1 to 2 inches above the eye.
Question 16The new nurse is beginning orientation on a medical-surgical unit. What is most important for the nurse to know regarding hospital policies concerning controlled substances? Select all that apply.
Controlled substances are stored in a double-locked area.
Schedule 1 are drugs used commonly in the healthcare field.
The facility must keep a record of every dose of a controlled substance that is administered.
RNs can prescribe controlled substances to clients in the nursing home, but not in the hospital.
A count of all controlled substances is performed at specific times, usually monthly.
Question 17The nurse must administer hepatitis B (HB) immunoglobulin 0.5 mL intramuscularly to a newly born infant of a hepatitis B antigen (HB Ag)–positive mother. Which injection site should the nurse choose to administer this injection?
Deltoid
Ventrogluteal
Dorsogluteal
Vastus lateralis
Question 18After morning care, the nurse lowered the height of the IV container infusing via gravity flow, at the client’s request. What is the nurse’s next best action?
Instruct the client to call when the IV bag is empty.
Readjust the infusion rate, as needed.
Change the IV site and move it to the other arm.
Calculate the new infusion rate.
Question 19The nurse assesses that her client’s intravenous solution has infiltrated into the tissues. What action should she take first?
Notify the primary care provider.
Aspirate, and then inject 0.5 mL normal saline.
Restart the IV line in a different vein.
Stop the infusion immediately.
Question 20A client is receiving an IV infusion of lactated Ringer’s solution and 40 mEq of potassium chloride (KCl) at 100 mL/hr. When assessing the IV site, the nurse notes swelling, erythema, and warmth. There is a palpable cord along the vein, and the infusion is sluggish. The client is complaining of pain at the site. The nurse would recognize these findings to be consistent with which of the following?
Phlebitis
Extravasation
Hematoma
Infiltration
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