Which action by the nurse is appropriate when administering otic drops to an adult?

Pull the auricle up and back before instilling.

A patient with asthma is prescribed an MDI. Which statement indicates correct use? I should inhale quickly and forcefully as I press the inhaler. I will shake the inhaler and use a slow, deep breath when I press down. I should not use a spacer because it makes the dose weaker. I should exhale and then skip inhaling while pressing the inhaler.

I will shake the inhaler and use a slow, deep breath when I press down.

The nurse prepares to administer 1 mL of heparin SubQ. Which action is correct?

Insert at 90° angle using a 28–31 gauge needle.

A patient prescribed nitroglycerin tablets states: “I’ll chew the tablet if my chest pain gets severe.” How should the nurse respond?

No, place the tablet under your tongue until it dissolves.

Which statement best explains the purpose of the Z-track method?

Prevents medication from leaking into subcutaneous tissue.

A nurse is preparing to administer a tuberculin skin test. Which of the following actions demonstrates correct technique? Options: Use a 21-gauge, 1-inch needle at a 90° angle into the forearm. Use a 25-gauge, ½-inch needle at a 5–15° angle, bevel up. Use a 27-gauge, 1½-inch needle at a 45° angle into the deltoid. Use a 31-gauge, ⅜-inch needle at a 45–90° angle into the abdomen.

Use a 25-gauge, ½-inch needle at a 5–15° angle, bevel up.

The nurse is teaching a patient how to self-administer insulin. Which teaching is correct? Options: “Insert the needle at a 5–15° angle just under the skin of your forearm.”, “Use a 28–31 gauge needle, ⅜–⅝ inch long, at a 45–90° angle in the abdomen.”, “Use a 21-gauge needle at a 90° angle into the thigh.”, “Insert the needle at a 15–30° angle into the upper arm.”

“Use a 28–31 gauge needle, ⅜–⅝ inch long, at a 45–90° angle in the abdomen.”

The nurse is giving a flu vaccine to an adult. Which technique is correct? Options: Insert a 27-gauge, ⅝-inch needle at a 45° angle into the forearm., Insert a 21-gauge, 1-inch needle at 90° into the deltoid muscle., Insert a 25-gauge, ½-inch needle at 15° into the vastus lateralis., Insert an 18-gauge, 1½-inch needle at 90° into the abdomen.

Insert a 21-gauge, 1-inch needle at 90° into the deltoid muscle.

A nurse is preparing to administer medications. Which order is appropriate for the route? Options: Inject 0.1 mL intradermally into the forearm., Inject 2 mL subcutaneously into the abdomen., Inject 3 mL intramuscularly into the deltoid., Inject 1.5 mL intradermally into the forearm.

Inject 0.1 mL intradermally into the forearm.

Which patient scenario demonstrates correct site selection? A 1.2 mL heparin injection is given SubQ in the abdomen. A 2.5 mL penicillin injection is given IM in the deltoid. A 0.05 mL PPD injection is given ID in the ventrogluteal. A 1 mL insulin injection is given IM in the vastus lateralis.

A 1.2 mL heparin injection is given SubQ in the abdomen.

The nurse is preparing to give a vaccine to a 6-month-old infant. Which technique is correct? Options: 25-gauge, ⅝-inch needle, 45° angle into the abdomen.; 21-gauge, 1-inch needle, 90° angle into the vastus lateralis.; 27-gauge, ½-inch needle, 5–15° angle into the forearm.; 18-gauge, 1½-inch needle, 90° angle into the deltoid.

21-gauge, 1-inch needle, 90° angle into the vastus lateralis.

A nurse is preparing to give an IM injection in the ventrogluteal site. Which statement about aspiration is correct?

Aspiration is not routinely recommended; follow facility policy.

The nurse is preparing to administer an antihypertensive. Which action best demonstrates the nurse’s role in safe medication administration?

Checking the patient’s identity using two identifiers before administration.

Which statement by a patient indicates the nurse has fulfilled their role in safe medication administration? Options: I know the name and purpose of my medication., I take my medication whenever I feel like it., I don't need to know about side effects., I rely on my family to manage my medication.

I know the name and purpose of my medication.

A patient says, "This pill lowers my blood pressure, and I should take it every morning." What does this statement indicate?

The patient is aware of the medication's purpose and schedule.

Which nursing action demonstrates safe medication administration after administering IV morphine for severe pain?

Monitoring the patient's respiratory rate and sedation level within 30 minutes.

A new nurse prepares to administer medications to a patient. Which behavior would require intervention? Asking another nurse to verify a high-alert medication like insulin. Preparing medications for multiple patients at the same time to save time. Reviewing the MAR and comparing it with the provider’s order. Checking the patient’s allergies before administration.

Preparing medications for multiple patients at the same time to save time.

What is the nurse’s first action upon discovering a patient received the wrong medication?

Notify the healthcare provider and monitor the patient’s condition.

Which statement best reflects the nurse’s role in safe medication administration? Options: I am responsible only for giving medications exactly as written. I must understand the medication’s purpose, effects, and safe ranges before administration. If a provider prescribes a medication, I am not liable for adverse effects. My role ends once I hand the patient the medication.

I must understand the medication’s purpose, effects, and safe ranges before administration.

Which scenario BEST describes a medication error? A nurse delays administering an antibiotic because the patient was off the unit for a test. A patient refuses to take their morning antihypertensive medication. A nurse administers a double dose of digoxin after misreading the MAR. A provider discontinues a medication after a patient develops an allergic reaction.

A nurse administers a double dose of digoxin after misreading the MAR.

The nurse is preparing to administer a medication. Which action is MOST essential to prevent a medication error?

Performing the three checks against the MAR before administration.

A nurse is preparing to administer insulin. Which step is MOST important to prevent a medication error?

Having another nurse verify the insulin type and dosage before administration.

The nurse receives orders for hydralazine and hydroxyzine. What is the BEST action to prevent a medication error?

Clarify the order with the provider before administration.

Which situation increases the risk for a medication error? Options: Preparing one patient’s medications at a time in a quiet area. Answering a call light while preparing medications. Using a barcode system to verify patient and medication. Reviewing the provider’s order before preparing medications.

Answering a call light while preparing medications.

The nurse realizes they administered the wrong dose of a medication. What is the PRIORITY action?

Assess the patient for any adverse effects.

A nurse realizes that the wrong dose of antihypertensive was administered to a patient 10 minutes ago. What is the nurse’s FIRST action?

Assess the patient’s vital signs and condition.

Which statement best reflects appropriate nurse action when completing an incident report after a medication error? Options: The incident report becomes part of the patient’s medical record., The incident report should be objective and factual., The incident report should include opinions about who caused the error., The incident report replaces the need to notify the provider.

The incident report should be objective and factual.

After a nurse administers the wrong medication, what should be documented in the patient’s chart?

Patient’s actual medication, dose, time, and the patient’s response.

The nurse gave a patient the wrong medication. What is the MOST appropriate communication with the healthcare provider? Options: “I accidentally gave the wrong drug; should I monitor or take corrective action?” , “I gave the medication late, but I don’t think it will matter.” , “Pharmacy sent the wrong drug, so the error wasn’t my fault.” , “I already filled out the incident report, so there’s no need to notify you.”

“I accidentally gave the wrong drug; should I monitor or take corrective action?”

A nurse discovers that they gave a medication to the wrong patient, who shows no adverse reaction. What is the best action?

Notify the provider and complete an incident report.

A nurse gives a patient the wrong medication. The patient asks what happened. What is the BEST response?

I made a mistake and gave you the wrong medication. I have notified your provider, and we will monitor you closely.

A nurse is scheduled to administer an IV antibiotic at 0800. At 0755, the patient is off the unit for a CT scan. What is the nurse’s BEST action?

Hold the medication and administer it as soon as the patient returns.

A patient's potassium supplement is scheduled for 0900, but the medication has not yet arrived from pharmacy. Which is the most appropriate nurse action?

Notify pharmacy and document the delay.

The nurse prepares to administer an oral antihypertensive at 0800, but the patient is vomiting. What should the nurse do FIRST?

Hold the medication and notify the provider.

A nurse is preparing multiple medications for a patient. Which scenario most increases the risk for delayed or missed administration? The nurse is interrupted by a phone call. The medications are pre-packaged and labeled. The patient is in a stable condition. The nurse has a checklist for medication administration.

The nurse is interrupted by a phone call.

A nurse is interrupted with a phone call while preparing medications. What is the best action?

Continue preparing medications without interruption.

Which situation would justify delaying a scheduled medication? A patient requires a STAT epinephrine injection for anaphylaxis. A patient requests their pain medication slightly earlier than scheduled. The nurse is waiting for a meal tray to give a routine PO vitamin. The patient’s blood pressure is stable, and an antihypertensive is due.

A patient requires a STAT epinephrine injection for anaphylaxis.

A provider orders “Lasix 20 mg daily.” The nurse notices there is no specified route. What is the BEST action?

Hold the medication until clarification is received from the provider.

Which of the following is required for every medication order to be valid? Patient’s full name, medication name, dose, route, time/frequency, provider’s signature Patient’s initials, medication classification, pharmacy lot number, provider’s phone number Patient’s name, diagnosis, vital signs, nurse’s initials Patient’s medical record number, pharmacy approval, unit secretary’s initials

Patient’s full name, medication name, dose, route, time/frequency, provider’s signature

The provider writes: “Give insulin 10 units.” What is the MOST appropriate nurse action?

Clarify the order with the provider before giving.

The provider writes: “Amoxicillin 250 mg PO q8h for otitis media.” Which additional component is required?

Provider’s signature and date/time of the order

What is wrong with the medication order: “Morphine sulfate .5 mg IV q4h PRN pain.”?

A leading zero is missing before the decimal point.

Nursing Medication Administration Flashcard

Flashcard

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Health Sciences

•

University

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Practice Problem

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Hard

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FLASHCARD QUESTION

Front

A nurse is teaching a patient how to take a buccal medication. Which statement indicates correct understanding? Options: I will place the pill under my tongue until it dissolves. I will chew the pill slowly for best absorption. I will place the pill between my cheek and gums until it dissolves. I will swallow the pill quickly with a small sip of water.

Back

I will place the pill between my cheek and gums until it dissolves.

FLASHCARD QUESTION

Front

A patient is scheduled to receive an intraarticular injection of corticosteroids for arthritis. Which action should the nurse take?

Back

Prepare the site using sterile technique.

FLASHCARD QUESTION

Front

Which statement best describes correct ID injection technique? Options: Insert at a 45° angle with a 28-gauge needle., Inject 1 mL of medication into the deltoid muscle., Use a 25–27 gauge needle at a 5–15° angle with the bevel up., Administer medication in the abdomen with a 1-inch needle.

Back

Use a 25–27 gauge needle at a 5–15° angle with the bevel up.

FLASHCARD QUESTION

Front

The nurse is preparing to administer 2 mL of viscous antibiotic via IM injection. Which site and method are most appropriate?

Back

Ventrogluteal site with Z-track method.

FLASHCARD QUESTION

Front

Which patient statement indicates the need for further teaching about intraocular disk administration? Options: “I will place the disk in my conjunctival sac like a contact lens.”, “I should remove the disk at night and reinsert it in the morning.”, “I will avoid using it if I have an eye infection.”, “The disk will provide continuous medication release.”

Back

I should remove the disk at night and reinsert it in the morning.

FLASHCARD QUESTION

Front

A nurse is administering IV vancomycin. Which action is priority?

Back

Monitor the site for phlebitis and infiltration.

FLASHCARD QUESTION

Front

A nurse is administering ophthalmic drops for glaucoma. Which step is correct?

Back

Pull the lower eyelid down and drop into conjunctival sac.

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