medications test bank questions & answers | Exams Medicine

medications test bank questions &

answers

TRUE OR FALSE Medications cannot have natural (e.g.,plant, mineral, and animal)

sources; they must be synthesized in the laboratory. -

✔FALSE

TRUE OR FALSE Medications vary in strength and activity -

✔TRUE

TRUE OR FALSE medications must be pure and uniform strength if drug dosages are

to be predictable in their effect -

✔TRUE

TRUE OR FALSE the actions of a drug in the body can be described in terms of its half

✔life, the time interval required for the body's elimination process to reduce the

concentration of the drug in the body by 25% -FALSE by 50 %

The nurse is preparing to administer a medication that the agency designates as "high

alert." What action should the nurse take? -

✔Ask another registered nurse to verify the medication.

Why is the nurse writing out the name of the drug morphine sulfate instead of using the

abbreviation MS? -

✔Using the abbreviation MS puts the client at risk of medication error.

The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours prn

temperature over 101°F. The client complains of a headache. Can the nurse legally

administer Tylenol to treat the headache? -

✔No, not unless the client also has a temperature over 101°F.

The nurse identifies that the ordered dose for a medication is twice the amount

generally administered. What action should the nurse take? -

✔Collaborate with the prescriber about the order.

During the process of administering medications, the nurse checks the name band for

the client's name. What should be this nurse's next action? -

✔Double check the client's identification using a second method

The nurse is caring for a team of four clients who are seriously ill. One of the clients has

just received a new cardiac medication. How should the nurse instruct the unlicensed

assistive personnel (UAP) who is also caring for this client? -

✔Give the UAP specific instructions regarding what drug actions or side effects to

report to the nurse.

The nurse is to administer four oral medications to the client via a nasogastric tube. One

of the medications is a tablet that has been crushed, one is a capsule that has been

opened and the powder removed, and two are supplied in liquid form. How should the

nurse administer these medications? -

✔Mix the crushed tablet and capsule powder individually in warm water. Administer

each medication separately, flushing the tube before and after each administration.

At which point of preparing medication from an ampule does the nurse anticipate using

a filter needle? -

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medications test bank questions &

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TRUE OR FALSE Medications cannot have natural (e.g.,plant, mineral, and animal) sources; they must be synthesized in the laboratory. - ✔FALSE TRUE OR FALSE Medications vary in strength and activity - ✔TRUE TRUE OR FALSE medications must be pure and uniform strength if drug dosages are to be predictable in their effect - ✔TRUE TRUE OR FALSE the actions of a drug in the body can be described in terms of its half

✔life, the time interval required for the body's elimination process to reduce the concentration of the drug in the body by 25% -FALSE by 50 % The nurse is preparing to administer a medication that the agency designates as "high alert." What action should the nurse take? - ✔Ask another registered nurse to verify the medication. Why is the nurse writing out the name of the drug morphine sulfate instead of using the abbreviation MS? - ✔Using the abbreviation MS puts the client at risk of medication error. The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours prn temperature over 101°F. The client complains of a headache. Can the nurse legally administer Tylenol to treat the headache? - ✔No, not unless the client also has a temperature over 101°F. The nurse identifies that the ordered dose for a medication is twice the amount generally administered. What action should the nurse take? - ✔Collaborate with the prescriber about the order. During the process of administering medications, the nurse checks the name band for the client's name. What should be this nurse's next action? - ✔Double check the client's identification using a second method The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client? - ✔Give the UAP specific instructions regarding what drug actions or side effects to report to the nurse. The nurse is to administer four oral medications to the client via a nasogastric tube. One of the medications is a tablet that has been crushed, one is a capsule that has been opened and the powder removed, and two are supplied in liquid form. How should the nurse administer these medications? - ✔Mix the crushed tablet and capsule powder individually in warm water. Administer each medication separately, flushing the tube before and after each administration. At which point of preparing medication from an ampule does the nurse anticipate using a filter needle? -

✔When drawing the medication from the ampule. The client is to receive an intramuscular injection of a medication that is supplied in a 2mL cartridge and a second medication that is supplied in a vial. The total amount to be administered of these medications exceeds the volume of the cartridge by 0.5 mL. How should the nurse proceed? - ✔Draw both of the medications up into a syringe for administration. During administration of an intradermal injection, the nurse notices that the outline of the needle bevel is visible under the client's skin. How should the nurse proceed? - ✔Recognize that this is an expected finding in a properly administered intradermal injection. The nurse has just injected insulin subcutaneously into the client's abdomen. What action should the nurse take at this point? - ✔Leave the needle embedded in the client's skin for 5 seconds after administration. The nurse who is to administer 2.5 mL of intramuscular pain medication to an adult client notes that the previous injection was administered in the right ventrogluteal site. In which site should the nurse plan to administer this injection? - ✔The left ventrogluteal While administering an intramuscular injection, the nurse notes blood return in the syringe barrel after aspirating. What action should the nurse take? - ✔Discard the medication and start over. The nurse is adding medication to an existing intravenous setup. Which nursing action is indicated? - ✔Close the infusion clamp. Upon aspirating a saline lock prior to administering intravenous medication, the nurse notes that there is no blood return. What nursing action should be taken? - ✔Slowly infuse 1 mL of saline into the lock, assessing for infiltration. While preparing to administer an eye ointment, the nurse inadvertently squeezes the tube, discarding the first bead of medication. What action should the nurse take at this point? - ✔Administer the eye ointment as ordered, as the first bead of ointment should be discarded anyway. While preparing to administer a transdermal estrogen patch, the nurse finds the previously applied patch in the client's bed linens. How can the nurse avoid this situation with the patch now being applied? - ✔Press firmly over the patch with the palm of the hand for about 10 seconds after applying it to the skin. The nurse is preparing a small amount of medication for oral administration. Which nursing action is essential? - ✔Label the syringe with the medication name, amount, and route. A client diagnosed with diabetes asks the nurse about reusing insulin syringes. Assessment reveals that the client has poor personal hygiene and difficulty with fine motor skills. The nurse also knows the client has financial difficulties. What instruction should the nurse give this client? - ✔"All clients are different, but I advise you to use a new syringe for each injection."

✔is the time required for the elimination process to reduce the concentration of the drug to one-half of what it was at initial administration Onset of action - ✔is the time after administration when the body initially responds to the drug. The nurse determines that the effectiveness of a medication is not as great when provided to female clients as it is with male clients. The nurse suspects that this difference in effectiveness is because of which factor? - ✔Hormones Fat amount Fluid level A client is prescribed an oral medication. When reviewing this medication, the nurse realizes it might not be the route of choice for this client because the client is experiencing - ✔nausea vomiting irritated gastric mucosa A client is prescribed a medication to be administered through the parenteral route. The nurse would expect that this medication will be provided through which method? - ✔Subcutaneous injection Intramuscular injection Intradermal injection Intravenous infusion The nurse is reviewing a new medication order for a client, and determines that the order is incomplete when which element is missing? - ✔Name of the medication Dosage Route of administration A client tells the nurse that the pharmacy will not fill a prescription that was written by the physician. Upon closer examination, what should the nurse determine is missing from the prescription? - ✔Rx symbol Dispensing instructions for the pharmacist Number of refills A client has a new order for a medication that does not have a termination date. The nurse would place this medication order under which classification on the client's medication administration record? - ✔standing A standing order might not have a termination date. This medication may be provided to the client indefinitely. A client's status is deteriorating, and the physician prescribes a medication to be administered immediately one time. The nurse would contact the pharmacy and identify this medication order as being of which type? - ✔stat A STAT order indicates that the medication is to be provided immediately and only once.

The nurse is providing medications to a client. After identifying the client, the nurse should take which action? - ✔Inform the client as to the intended action of the medication. Before administering a medication to a client, the nurse checks the client's pulse, blood pressure, and laboratory values. The nurse is performing which "right" of medication administration? - ✔Assessment The nurse is preparing medications for a client. What should the nurse do to ensure that the correct medication is provided to the client? - ✔Make sure it is the right client. Make sure it is the right medication. Make sure it is the right dose. Make sure it is the right route The nurse is concerned that an older client is experiencing an adverse effect from a prescribed medication. What did the nurse assess to make this clinical decision? - ✔Altered organ responsiveness The nurse is concerned that an older client will have difficulty self-administering medications. What did the nurse assess that caused this concern? - ✔Altered memory Decreased visual acuity Decreased manual dexterity The nurse is preparing to administer a subcutaneous injection to a client. When selecting the needle, the nurse should choose one with a - ✔long bevel Longer bevels provide the sharpest needles, and cause less discomfort. They are commonly used for subcutaneous and intramuscular injections. An adult client is prescribed the hepatitis B vaccination. The nurse will administer this medication through which site? - ✔Deltoid muscle The nurse has provided an otic medication to a client. What should the nurse document about this medication's administration? - ✔Name of the drug The strength The number of drops The response of the client A client is prescribed a new medication. The pharmacy notifies the nurse that the dosage is outside of route prescribing limits. The nurse is unable to reach the prescribing physician about the order. What should the nurse do? - ✔Withhold the medication. the process by which a drug changes the body (e.g. alters cells physiology) - ✔pharmacodynamics the study of the effect of drugs on living organisms - ✔pharmacology when two different drugs INCREASE the action of one or another drug, - ✔synergistics

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medications test bank questions &

answers