N125 Testbank Review Medication Administration
Exam Latest Update
2. Which statement by the patient is an indication to use the Z-track method?
a. I'm really afraid that a big needle will hurt.
b. The last shot like that turned my skin colors.
c. I am allergic to many medications.
d. My legs are too obese for the needle to go through. - ANSWER ANS: B The last shot
like that turned my skin colors.
The Z-track is indicated when the medication being administered has the potential to
irritate sensitive tissues.
The Z-track method is not meant to reduce discomfort from the procedure. If a patient is
allergic to a medication, it should not be administered. If a patient has additional
subcutaneous tissue to go through, a needle of a different size may be selected.
3. A 2-year-old child is ordered to have ear irrigation performed daily. The nurse
correctly performs the procedure by
a. Pulling the auricle down and back to straighten the ear canal.
b. Pulling the auricle upward and outward to straighten the ear canal.
,c. Instilling the irrigation solution by holding the syringe just inside the ear canal.
d. Holding the fluid in the canal for 2 to 3 minutes with a cotton swab. - ANSWER ANS: A.
Pulling the auricle down and back to straighten the ear canal.
Children up to 3 years of age should have the auricle pulled down and back.
Children 4 years of age to adults should have the auricle pulled upward and outward.
Irrigation solution should be instilled 1 cm (1/2) above the opening of the ear canal.
Irrigation solution should be allowed to drain freely during instillation.
4. A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100
syringe. How many units should the nurse draw up in the syringe and administer?
a. 0.2 units
b. 2 units
c. 5 units
d.20 units - ANSWER ANS: D. 20 units
The nurse is careful to perform nursing calculations to ensure proper medication
administration. U-50 insulin has 50 units of insulin in every milliliter, a U-100 syringe has
100 units in every milliliter. Conversion equals 20 units.
5. A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100
syringe. How many units should the nurse draw up in the syringe and administer?
, a. 0.04 mL
b. 0.4 mL
c. 4 mL
d. 10 mL - ANSWER ANS: B. 0.4 mL
The nurse is careful to perform nursing calculations to ensure proper medication
administration. U-50 insulin has 50 units of insulin in every milliliter, a U-100 syringe has
100 units in every milliliter. Conversion equals 20 units.
6. The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal
time to draw a trough level is
a. 0800.
b. 0830.
c. 0900.
d. 0930. - ANSWER ANS: B. 0830.
Trough levels are generally drawn 30 minutes before the drug is administered. If the
medication is administered at 0900, the trough should be drawn at 0830.
7. A patient who has been receiving intermittent chemotherapy through a peripheral IV
site is ordered to receive a high dose of vancomycin through the same vein. Why does
Exam Latest Update
2. Which statement by the patient is an indication to use the Z-track method?
a. I'm really afraid that a big needle will hurt.
b. The last shot like that turned my skin colors.
c. I am allergic to many medications.
d. My legs are too obese for the needle to go through. - ANSWER ANS: B The last shot
like that turned my skin colors.
The Z-track is indicated when the medication being administered has the potential to
irritate sensitive tissues.
The Z-track method is not meant to reduce discomfort from the procedure. If a patient is
allergic to a medication, it should not be administered. If a patient has additional
subcutaneous tissue to go through, a needle of a different size may be selected.
3. A 2-year-old child is ordered to have ear irrigation performed daily. The nurse
correctly performs the procedure by
a. Pulling the auricle down and back to straighten the ear canal.
b. Pulling the auricle upward and outward to straighten the ear canal.
,c. Instilling the irrigation solution by holding the syringe just inside the ear canal.
d. Holding the fluid in the canal for 2 to 3 minutes with a cotton swab. - ANSWER ANS: A.
Pulling the auricle down and back to straighten the ear canal.
Children up to 3 years of age should have the auricle pulled down and back.
Children 4 years of age to adults should have the auricle pulled upward and outward.
Irrigation solution should be instilled 1 cm (1/2) above the opening of the ear canal.
Irrigation solution should be allowed to drain freely during instillation.
4. A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100
syringe. How many units should the nurse draw up in the syringe and administer?
a. 0.2 units
b. 2 units
c. 5 units
d.20 units - ANSWER ANS: D. 20 units
The nurse is careful to perform nursing calculations to ensure proper medication
administration. U-50 insulin has 50 units of insulin in every milliliter, a U-100 syringe has
100 units in every milliliter. Conversion equals 20 units.
5. A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100
syringe. How many units should the nurse draw up in the syringe and administer?
, a. 0.04 mL
b. 0.4 mL
c. 4 mL
d. 10 mL - ANSWER ANS: B. 0.4 mL
The nurse is careful to perform nursing calculations to ensure proper medication
administration. U-50 insulin has 50 units of insulin in every milliliter, a U-100 syringe has
100 units in every milliliter. Conversion equals 20 units.
6. The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal
time to draw a trough level is
a. 0800.
b. 0830.
c. 0900.
d. 0930. - ANSWER ANS: B. 0830.
Trough levels are generally drawn 30 minutes before the drug is administered. If the
medication is administered at 0900, the trough should be drawn at 0830.
7. A patient who has been receiving intermittent chemotherapy through a peripheral IV
site is ordered to receive a high dose of vancomycin through the same vein. Why does
