1. A nurse is administering insulin to a diabetic patient. Which of the following are three
recommended times to check the label before administration? Select all that apply.
A) When reaching for the container or unit dose package
B) After retrieval from the drawer and compared with the CMAR
C) When comparing with the CMAR immediately after pouring from a multidose
container
D) When replacing the container to the drawer or shelf
E) After giving the unit dose medication to the patient
F) When documenting administration of the medicine
2. The “Rights of Medication Administration” help to ensure accuracy when administering
medications. Which of the following represent these five rights? Select all that apply.
A) Medication
B) Patient
C) Prescribing physician
D) Pharmacy
E) Dosage
F) Route
3. A nurse is administering pain medication to an 80-year-old man. What altered drug
response might be expected due to the patient's age?
A) Decreased gastric pH causing stomach irritation
B) Increased possibility of drug toxicity due to increased distribution of water-soluble
drugs
C) Increased excretion of drugs, leading to possible increased serum levels/toxicity
D) Increased possibility of drug toxicity due to higher drug plasma concentrations
4. Which of the following accurately describes a recommended guideline when
administering oral medications to patients?
A) Assume that the patient is the authority on whether or not the medication was
swallowed.
B) If a pill is dropped, it should be briefly immersed in saline to remove any dirt or
germs.
C) If a patient vomits immediately after receiving oral medications, readminister the
medication.
D) If a child refuses to take medication, the medication can be crushed and added to a
small amount of food.
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5. A nurse is administering medication to a patient with a gastrointestinal tube. Which of
the following is a recommended guideline for medication administration using this
route?
A) Use solid medications whenever possible.
B) Crush medications to a fine powder and mix with 15 to 30 mL of water.
C) Do not open capsules to empty into liquid.
D) Follow medication administration with a 30- to 60-mL water flush between
medication doses.
6. A nurse is administering medication to a patient via a gastric tube and finds that the
medicine enters the tube and then the tube becomes clogged. What is the appropriate
intervention in this situation?
A) Remove the tube and replace it with a new tube.
B) Use a syringe to plunge the tube to try to dislodge the medication.
C) Call the physician before instituting any corrective interventions.
D) Wait the prescribed amount of time and attempt to administer the medication again
before calling the physician.
7. A nurse receives doctor's orders to mix a patient's insulin in a syringe with two other
medications. What is the recommended guideline in this situation?
A) It cannot be done because it is not possible to mix more than two medications in
one syringe.
B) Call the physician to determine the necessity of mixing the three drugs or to see if
they are compatible.
C) Call the pharmacist to determine compatibility of the drugs.
D) Check with the nursing team before mixing and administering the drugs.
8. A nurse educator is teaching a student nurse how to choose the correct needle for an
injection. Which of the following guidelines for needle selection might they discuss?
A) When looking at a needle package, the first number is the length in inches and the
second number is the gauge or diameter of the needle.
B) As the gauge number becomes larger, the size of the needle becomes smaller.
C) When giving an injection, the amount of the medication directs the choice of
gauge.
D) The size of the syringe is directed by the viscosity of the medication to be given.
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9. A nurse is performing a sensitivity test on a patient. What would be the best type of
injection to use for this procedure?
A) Intradermal
B) Intramuscular
C) Subcutaneous
D) None of the above
10. A nurse is administering enoxaparin, (blood thinner) to a patient with DVT, via the
subcutaneous route. Which of the following is a recommended guideline when
administering a subcutaneous injection?
A) Sites commonly used for a subcutaneous injection are the inner surface of the
forearm and the upper back, under the scapula.
B) Subcutaneous injections are administered into the adipose tissue layer just below
the epidermis and dermis.
C) Subcutaneous injections are administered at a 30- to 45-degree angle based on the
amount of subcutaneous tissue present.
D) Pinching is advised for obese patients to lift the adipose tissue away from
underlying muscle and tissue.
11. A nurse is administering a hepatitis B shot intramuscularly. What would be the
appropriate site for administration?
A) Deltoid
B) Vastus lateralis
C) Ventrogluteal
D) Scapula
12. A nurse is caring for a patient with pancreatic cancer who is receiving continuous
morphine for pain. Which of the following would be the most effective method to
administer this medication?
A) Administer morphine by intravenous bolus or push through an intravenous
infusion.
B) Administer a piggyback intermittent intravenous infusion of morphine.
C) Administer an intermittent intravenous infusion of morphine via a volume-control
administration set.
D) Administer a continuous subcutaneous infusion of morphine.
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13. A patient presents in the ER with signs and symptoms of VTE. What type of medication
administration would most likely be ordered to infuse a large dose of heparin for this
patient?
A) Administer heparin by intravenous bolus or push through an intravenous infusion.
B) Administer a piggyback intermittent intravenous infusion of heparin.
C) Administer an intermittent intravenous infusion of heparin via a volume-control
administration set.
D) Administer heparin via a continuous infusion.
14. Which of the following are recommended guidelines for the nurse who is administering
a piggyback intermittent intravenous infusion of medication?
A) Place the additive solution lower than the primary solution container.
B) Ask the physician to calculate and regulate the infusion with an infusion pump.
C) Using clean technique, remove the cap on the tubing spike and the cap on the port
of the medication container.
D) Attach infusion tubing to the medication container by inserting the tubing spike
into the port with a firm push and twisting motion.
15. A nurse is administering intermittent IV medication to an active adolescent. Which of
the following IV systems could be used to allow the patient more freedom?
A) Peripheral venous access device
B) Continuous intravenous infusion
C) Volume-control administration set
D) Intravenous infusion
16. Which one of the following medications would most likely be administered via a
transdermal patch?
A) Epinephrine
B) Antibiotics
C) Hormonal medications
D) Antidepressants
17. A nurse is applying a nitroglycerine transdermal patch to a patient. Which of the
following is the preferred site to use?
A) Any hairless surface
B) Chest
C) Lower leg
D) Bicep
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18. A nurse instills eardrops into a patient's ear to soften a wax buildup. Which of the
following is a guideline the nurse should follow?
A) Pull the pinna down and back for a child over 3 years of age and straight back for
an infant or a child younger than 3 years.
B) Eardrops should not be considered if the ear canal has swollen to the point that
medication cannot pass.
C) The dropper should be held with its tip resting on the ear.
D) If both ears are to be treated, wait 5 minutes before instilling drops in the second
ear.
19. A nurse is applying a vaginal cream to a patient with a vaginal infection. Which of the
following is a recommended guideline for this application?
A) Position the patient in the prone position.
B) Cleanse area at vaginal orifice with washcloth and warm water.
C) Wipe from the sacrum to the vaginal orifice upward (back to front).
D) Spread the labia with dominant hand and introduce the applicator with the
nondominant hand gently, using pushing motion.
20. Which of the following is an accurate guideline for patient teaching regarding the use of
a DPI?
A) Instruct the patient not to inhale into the mouthpiece.
B) Instruct the patient that if mist can be seen from the mouth or nose, the DPI is
being used incorrectly.
C) Remind the patient that it is not necessary to count doses because a DPI has dosage
counters.
D) Instruct the patient to breathe in slowly with shallow breaths, over 2 to 3 seconds.
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Answer Key
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
A, B, D
A, B, E, F
D
D
B
B
C
B
A
B
A
D
A
D
A
C
B
D
B
B
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