Mid Term Exams - NUR 101 - Medication Administration From Foundations I
There are different medicines in existence and each of them has a specific need it meets. This therefore puts emphasis on knowing just the right dose that one needs. Below is a Nur 101 medication administration test designed to help you prepare for the midterms From Foundations of Nursing by Christensen and Kockrow, Chapter 23, pages 681-736. Give it a try!
- 1.
A 5 month old is to be immunized for DTP. What type of injection will be given and which site?
- A.
Sub Q - Deltoid
- B.
Sub Q - Abdominal
- C.
IM - Gluteus Maximus
- D.
IM - Vastus Lateralis
Correct Answer
D. IM - Vastus LateralisExplanation
p. 721.Rate this question:
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- 2.
An 8-year old child who recently migrated from Africa has slight symptoms of Murasmus. He was admitted to the Emergency Department because of burns caused by hot oil. An order for a topical ointment is to be administered. Which of the following methods would be the most used before applying medication.
- A.
Young's Rule
- B.
Clark's Rule
- C.
Fried's Rule
- D.
Body Surface Area
Correct Answer
D. Body Surface AreaExplanation
page 691Rate this question:
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- 3.
Method to calculate the appropriate dose of a drug for a child 2 years of age or older
- A.
Young's Rule
- B.
Clark's Rule
- C.
Body Surface Area
- D.
Fried's Rule
Correct Answer
A. Young's RuleExplanation
p. 691Rate this question:
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- 4.
Formulae used for Pediatric Administration of Medication. Select all that apply
- A.
Young's Rule
- B.
Clark's Rule
- C.
Fried's Rule
- D.
Body Surface Area
Correct Answer(s)
A. Young's Rule
B. Clark's Rule
C. Fried's Rule
D. Body Surface AreaExplanation
pp. 690-691Rate this question:
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- 5.
Rule used for infants less than 2 years of age
- A.
Young
- B.
Clark
- C.
Fried
- D.
BSA
Correct Answer
C. FriedExplanation
p.691Rate this question:
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- 6.
Intravenous medications are administered through several methods. Select all that apply:
- A.
Bolus
- B.
PCA
- C.
Piggyback
- D.
Intrathecal
- E.
Electronic Pumps
Correct Answer(s)
A. Bolus
B. PCA
C. Piggyback
E. Electronic PumpsExplanation
pp. 728-729Rate this question:
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- 7.
With regards to pain, taking both Advil and Motril simulatenously could be considered to have what kind of effect?
- A.
Synergistic
- B.
Idiosyncratic
- C.
Antagonistic
- D.
Toxic
Correct Answer
A. SynergisticExplanation
p. 692Rate this question:
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- 8.
Amount of drug prescribed for a patient by a physician in a given amount of time or at a given frequency.
- A.
Route
- B.
Number of Tablets
- C.
Dosage
- D.
Prescription
Correct Answer
C. DosageExplanation
p. 692Rate this question:
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- 9.
When one drug has a long duration and another drug has a long half life, these two drugs will have a longer time for excretion when taken at the same. They could build up in the body which could lead to a toxic or lethal effect. What is this effect referred to?
- A.
Cumulative
- B.
Agonistic
- C.
Idiosyncratic
- D.
Antagonistic
Correct Answer
A. CumulativeExplanation
p. 692Rate this question:
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- 10.
Referring to pain, when Advil and Motrin are taken at the same time, Advil could boost the effects of Motrin and vice versa. What do you call this effect?
- A.
Synergism
- B.
Compatibility
- C.
Agonistic
- D.
Antagonistic
Correct Answer
A. SynergismExplanation
p. 692 synergism is the same as potentiation.Rate this question:
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- 11.
General Types of Drug action. Select all that apply:
- A.
Regional
- B.
Systemic
- C.
Local
- D.
Topical
Correct Answer(s)
B. Systemic
C. LocalExplanation
p. 692Rate this question:
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- 12.
Naloxone is an antidote for Morphine. Based on drug interactions, Naloxone is then considered as what?
- A.
Agonistic
- B.
Antagonistic
- C.
Idiosyncratic
- D.
Synergistic
Correct Answer
B. AntagonisticExplanation
p. 693Rate this question:
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- 13.
When two drugs are COMPATIBLE, they could also be everything mentioned below except for what?
- A.
Synergistic
- B.
Agonistic
- C.
Antagonistic
- D.
Therapeutic
Correct Answer
C. AntagonisticExplanation
When two drugs are compatible, they cannot be antagonistic, p. 693Rate this question:
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- 14.
Most people take caffeine as a stimulant. When someone takes it as a sedative, the effect of caffeine is then said to be what?
- A.
Idiopathic
- B.
Idiogenetic
- C.
Idiosyncratic
- D.
Idiologic
Correct Answer
C. IdiosyncraticExplanation
p. 693Rate this question:
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- 15.
Mr.. Jones has been taking a proton pump inhibitor for more than 3 years because of his chronic GERD. Every year, when his prescription is refilled, his dosage is increased. His response to this proton pump inhibitor could be considered what?
- A.
Drug dependence
- B.
Drug use
- C.
Drug tolerance
- D.
Drug dosage
Correct Answer
C. Drug toleranceExplanation
Mr. Jones' increasing dosage requirement over time indicates that he has developed drug tolerance. Drug tolerance occurs when the body becomes less responsive to a drug, requiring higher doses to achieve the same effect. In this case, Mr. Jones' chronic use of the proton pump inhibitor has led to a decreased effectiveness of the drug, necessitating an increase in dosage to maintain its efficacy. Thus, his response to the proton pump inhibitor can be considered drug tolerance.Rate this question:
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- 16.
A common resource book used as a reference for unfamiliar medication
- A.
Physician's Desk Reference
- B.
Wikipedia
- C.
Encyclopedia Brittanica
- D.
Taber's Nursing Drug Book
Correct Answer
A. pHysician's Desk ReferenceExplanation
p. 693Rate this question:
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- 17.
When a drug causes toxic effects to pregnancy, how is it considered in relation to pregnancy?
- A.
Contraindicated
- B.
Compatible
- C.
Therapeutic
- D.
Toxic
Correct Answer
A. ContraindicatedExplanation
p. 693Rate this question:
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- 18.
Which of the following factors do not affect how a patient responds to medication?
- A.
Age and weight
- B.
Physical Status and Health
- C.
Mood and Temper
- D.
Environmental Temperature
- E.
Gender
Correct Answer
C. Mood and TemperExplanation
p. 693Rate this question:
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- 19.
A 78-year old man has to take Aspirin for his heart problems. He is also suffering from stomach ulcer. What is the most relevant and appropriate way to administer this medication?
- A.
Have patient rinse oral cavity frequently with clear tepid water
- B.
Have patient drink full glass of water and take medication with nonfat snacks
- C.
Position patient upright when taking the medication
- D.
Monitor blood chemistry for hepatic toxicity
Correct Answer
B. Have patient drink full glass of water and take medication with nonfat snacksExplanation
page 694Rate this question:
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- 20.
For an oral medication to reach the blood stream faster, drugs should be taken with....
- A.
An empty stomach
- B.
A full stomach
- C.
A catalyst
- D.
An electronic pump
Correct Answer
A. An empty stomachExplanation
p. 694Rate this question:
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- 21.
So as not to irritate the GI tract, when should non-enteric coated PRN tablets be administered?
- A.
After meals or during meal time
- B.
Before meals
- C.
Without meals
- D.
Mixed with food
Correct Answer
A. After meals or during meal timeExplanation
p. 694Rate this question:
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- 22.
Based on a portable cart, containing a 24-hour supply of medications for each patient. Each medication is individually wrapped in a unit-dose which is the ordered dose of medication the patient is to receive at each prescribed time
- A.
Unit dose system
- B.
Computer controlled dispensing system
- C.
Modular Distribution
- D.
Portable method
Correct Answer
A. Unit dose systemExplanation
page 695.Rate this question:
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- 23.
Uses a security code to access only those medications prescribed for a specific patient.
- A.
Unit Dose system
- B.
Computer Controlled dispensing System
- C.
Modular Distribution
- D.
Secured Distribution
Correct Answer
B. Computer Controlled dispensing SystemExplanation
p. 695Rate this question:
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- 24.
A drug name usually written in upper case and is considered a brand name
- A.
Generic
- B.
Chemical
- C.
Trade
- D.
Manufacturer
Correct Answer
C. TradeExplanation
The correct answer is "Trade." A drug name written in upper case and considered a brand name refers to the trade name of the drug. This name is typically used by the manufacturer to market and sell the drug. It is different from the generic name, which is the common name for the drug based on its chemical composition. The trade name helps distinguish the drug from other similar medications in the market.Rate this question:
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- 25.
It is now 8:15 am and you still have 4 patients left to administer their medication. Which of these four will you see first?
- A.
A patient who needs Potassium Sulfate NOW
- B.
A patient who has to take 10 mg of Morphine STAT
- C.
A patient who needs to take Digoxin at 8:00 am
- D.
A screaming patient who says he can take Vicodin ASAP
Correct Answer
B. A patient who has to take 10 mg of MorpHine STATExplanation
p. 696. STAT is number one priorityRate this question:
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- 26.
Which of the following is not a requirement in a medication order?
- A.
Patient's name and date of birth
- B.
Signature of pharmacist who prepared the drugs
- C.
Date and time of the order
- D.
Name and Dosage of the Drug
- E.
Signature of the Physician
Correct Answer
B. Signature of pHarmacist who prepared the drugsExplanation
page 696Rate this question:
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- 27.
A patient has to take 10 mg of hydrocodone, a controlled narcotic. There are only two 5 mg. tablets left and available. While preparing the tablets, one tablet accidentally fell on the floor. What would the nurse do next?
- A.
Pick up the tablet and proceed with administration.
- B.
Allow a second nurse to witness the documentation of the accidental disposal of the tablet
- C.
Withhold the drugs and document that patient refused them.
- D.
Proceed with just one 5 mg tablet and document.
Correct Answer
B. Allow a second nurse to witness the documentation of the accidental disposal of the tabletExplanation
page 696Rate this question:
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- 28.
Which of the following is not considered part of the "three label checks" of medication administration?
- A.
Check label when taking medication from its storage area
- B.
Check label before discarding or replacing the medication container and before giving the medication to the patient.
- C.
Check label before removing medication from its container
- D.
Check label right after giving medication to patient.
Correct Answer
D. Check label right after giving medication to patient.Explanation
p. 699Rate this question:
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- 29.
What does the Medication Reconciliation Protocol, a national safety goal initiated by the Joint Commission in 2005, include?
- A.
List of patient's current medication as compared to the medication received in the hospital
- B.
Involves medication history
- C.
Involves drug allergies
- D.
List of drugs the client does not like to take
Correct Answer
A. List of patient's current medication as compared to the medication received in the hospitalExplanation
p. 699Rate this question:
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- 30.
Which of the following is not true regarding the right route in the administration of medication?
- A.
All parenteral medications are labeled "for injectable use only"
- B.
The route choosing for administering a drug depends on the drug's properties, the desired effect, and the patient's physical and mental condition
- C.
It is always acceptable to administer an intramuscular medication as a subcutaneous medication as long as there is no specified contraindication
- D.
Serious complications will result if a liquid intended for oral use is injected.
Correct Answer
C. It is always acceptable to administer an intramuscular medication as a subcutaneous medication as long as there is no specified contraindicationExplanation
page 700Rate this question:
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- 31.
In a nursing home, when a patient is unconscious, which are the acceptable ways on confirming the right patient identification?
- A.
The picture of the patient on the MAR
- B.
Asking another nurse who knows the patient better
- C.
Asking the person beside the patient whom you will assume is a family member.
- D.
Asking another patient who seem confused.
Correct Answer(s)
A. The picture of the patient on the MAR
B. Asking another nurse who knows the patient betterExplanation
p. 700Rate this question:
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- 32.
Which of the following statements are true regarding "Right Documentation"? Select all that apply:
- A.
Never record on the chart any medication that you did not give or record them before you give them.
- B.
In an ambulatory care, where immunizations are given, there is no need to include the lot number of a an administered medication
- C.
Never give medication prepared by another nurse even if that nurse is your supervisor
- D.
Note complains or adverse effects on the chart and report them to head nurse and physician
Correct Answer(s)
A. Never record on the chart any medication that you did not give or record them before you give them.
C. Never give medication prepared by another nurse even if that nurse is your supervisor
D. Note complains or adverse effects on the chart and report them to head nurse and pHysicianExplanation
p. 700Rate this question:
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- 33.
Which of the following are considered safe medication practices? Select all that apply
- A.
Involve the patient to help protect against errors
- B.
Giving a medication to a patient on time is the most important thing to consider
- C.
Report errors only when there are adverse effects
- D.
Make pharmacists part of the team
- E.
Take MAR to the bedside.
Correct Answer(s)
A. Involve the patient to help protect against errors
D. Make pHarmacists part of the team
E. Take MAR to the bedside.Explanation
p. 701Rate this question:
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- 34.
Which of the following is not considered safe?
- A.
Follow the six rights of medication administration
- B.
Be sure to read labels at least once
- C.
Use three patient identifiers
- D.
Question unusually large or small doses
Correct Answer
B. Be sure to read labels at least onceExplanation
p. 702Rate this question:
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- 35.
A patient told you, "Dr. Brown just told me to tell you that I can take an extra tablet of Vicodin tonight so that I can sleep better". After reviewing the MAR, you discovered that "VICODIN", a narcotic pain reliever, is not even part of her medication. What would be the most appropriate thing to do next?
- A.
Get back to the patient and inform him/her that Vicodin is not even part of her medication.
- B.
Talk to your nurse supervisor to see what should be done
- C.
Call the physician and verify the patient's request. Ask for a phone order and then document before administration.
- D.
Ignore the patient's request and go home. The medication is not part of the MAR.
Correct Answer
C. Call the pHysician and verify the patient's request. Ask for a pHone order and then document before administration.Explanation
p. 702Rate this question:
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- 36.
When a nurse returns to assess a patient's response to the medication, which part of the nursing process is being fulfilled?
- A.
Assessment
- B.
Diagnosis
- C.
Outcome and Goals
- D.
Planning
- E.
Implementation
- F.
Evaluation
Correct Answer
F. EvaluationExplanation
p. 702Rate this question:
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- 37.
Drugs enter the body through three general routes. What are they? Select all that apply.
- A.
Enteral
- B.
Topical
- C.
Parenteral
- D.
Percutaneous
- E.
Intravenous
Correct Answer(s)
A. Enteral
C. Parenteral
D. PercutaneousExplanation
p. 702Rate this question:
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- 38.
Which of the following statements indicate a correct definition of enteric-coated tablet.
- A.
Candylike coated shell encases tablet to keep tablet from being absorbed in the intestine; absorption takes place in the stomach.
- B.
Candylike coated shell encases tablet to keep tablet from being absorbed in the stomach; absorption takes place in the intestine.
- C.
It is a tablet with a slight indentation in the middle to facilitate cutting the table in half when needed
- D.
Enteric means large intestine
Correct Answer
B. Candylike coated shell encases tablet to keep tablet from being absorbed in the stomach; absorption takes place in the intestine.Explanation
p. 703Rate this question:
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- 39.
Best patient position when administering a rectal suppository
- A.
Sim's on left side with upper leg flexed at knee
- B.
Sim's on right side with lower leg slightly bended
- C.
Supine with slightly bent knees
- D.
Prone at 180 degrees
Correct Answer
A. Sim's on left side with upper leg flexed at kneeExplanation
p. 706Rate this question:
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- 40.
When administering a tubal medication, which of the following is a right way to check the placement and patency of the tube?
- A.
Attach Asepto syringe to end of NG tube and wait if an aspirate is extracted.
- B.
First push 10 ml of air through the NG tube with a syringe, then auscultate the stomach using a stethoscope. If tube is in stomach, a rush of air is heard.
- C.
Measure pH of aspirate using salicylic acid
- D.
Ask the patient if he or she feels the tube inside.
Correct Answer
B. First push 10 ml of air through the NG tube with a syringe, then auscultate the stomach using a stethoscope. If tube is in stomach, a rush of air is heard.Explanation
p. 705Rate this question:
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- 41.
Which of the following is a percutaneous form of medication?
- A.
Topical
- B.
Buccal
- C.
Inhalation
- D.
Intradermal
Correct Answer(s)
A. Topical
B. Buccal
C. InhalationExplanation
p. 707Rate this question:
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- 42.
Which of the following statements are true regarding Eardrops? Select all that apply
- A.
Labeled as "otic"
- B.
Have them at room temperature
- C.
Refrigerate unused portion of the medication
- D.
Each patient should have an individual bottle
Correct Answer(s)
A. Labeled as "otic"
B. Have them at room temperature
D. Each patient should have an individual bottleExplanation
Eardrops are labeled as "otic" because they are specifically formulated for use in the ear. It is recommended to have them at room temperature for optimal effectiveness and comfort. Refrigerating the unused portion of the medication helps to maintain its stability and prevent contamination. Each patient should have an individual bottle to avoid cross-contamination and ensure proper dosage and administration.Rate this question:
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- 43.
Instillation is a form of percutaneous administration. They include which of the following? Select all that apply:
- A.
Sublingual
- B.
Oral
- C.
Inhalation
- D.
Buccal
Correct Answer(s)
A. Sublingual
D. BuccalExplanation
p. 707Rate this question:
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- 44.
Which of the following is a true benefit of nasal sprays?
- A.
Absorbed quickly, less medication is used and wasted
- B.
Absorption is gradual, therefore more medication is dispersed
- C.
Absorption is direct, therefore results are felt quickly
- D.
Absorption is painless, therefore a more preferred form
Correct Answer
A. Absorbed quickly, less medication is used and wastedExplanation
p. 708Rate this question:
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- 45.
A metered-dose inhaler is a form of medication usually used by patients with what kind of problem?
- A.
Cardiac
- B.
Respiratory
- C.
Neuro-sensory
- D.
Muscular
Correct Answer
B. RespiratoryExplanation
p. 708Rate this question:
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