NR 224 Fundamentals of Nursing - Week 9 Study Guide 2026
|Chamberlain College
1. When preparing to administer a liquid medication to a patient, the nurse
should perform which action to ensure an accurate dose?
A. Measure the dose at the top of the meniscus
B. Measure the dose at the base of the meniscus
C. Hold the medicine cup above eye level
D. Pour the medication with the label facing away from the palm
Answer: B
Rationale: Liquid medications should be measured at the base of the meniscus at eye level
on a flat surface to ensure accuracy.
2. A nurse is preparing to administer an intramuscular (IM) injection to an
infant. Which site is the most appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred site for IM injections in infants and toddlers
who are not yet walking.
,3. The nurse is teaching a patient about a new prescription for an enteric-coated
medication. Which statement by the patient indicates a need for further
teaching?
A. I will swallow the pill whole.
B. I should not crush or chew this pill.
C. I can crush the pill if I have trouble swallowing.
D. This coating protects my stomach from irritation.
Answer: C
Rationale: Enteric-coated medications are designed to dissolve in the small intestine and
should never be crushed or chewed.
4. Which of the following is a primary safety check the nurse must perform
before administering any medication?
A. Ask the roommate to verify the patient’s identity
B. Administer the medication as soon as it is brought to the floor
C. Check the patient’s room number against the MAR
D. Compare the medication label with the MAR three times
Answer: D
Rationale: The nurse must compare the medication label against the Medication
Administration Record (MAR) three times to prevent errors.
5. A patient is prescribed a sublingual medication. How should the nurse
instruct the patient to take this medication?
A. Swallow the tablet with a full glass of water
B. Dissolve the tablet under the tongue
C. Place the tablet between the cheek and gums
D. Chew the tablet thoroughly before swallowing
Answer: B
, Rationale: Sublingual medications are placed under the tongue to be absorbed through the
mucous membranes.
6. When administering ear drops to an adult, the nurse should pull the pinna in
which direction?
A. Up and back
B. Down and back
C. Straight back
D. Down and forward
Answer: A
Rationale: For adults, the pinna is pulled up and back to straighten the ear canal; for
children under 3, it is pulled down and back.
7. Which of the following is the most important action for the nurse to take to
prevent medication errors?
A. Rely on memory for dosage calculations
B. Follow the ‘Six Rights’ of medication administration
C. Prepare medications for multiple patients at once
D. Avoid talking to the patient during administration
Answer: B
Rationale: Following the Six Rights (right patient, drug, dose, route, time, and
documentation) is the standard for safe medication administration.
8. The nurse is applying a transdermal patch to a patient. Which action is
correct?
A. Apply the new patch over the old one
B. Shave the area before applying the patch
C. Remove the old patch before applying a new one
D. Apply the patch to the same site every time
Answer: C
|Chamberlain College
1. When preparing to administer a liquid medication to a patient, the nurse
should perform which action to ensure an accurate dose?
A. Measure the dose at the top of the meniscus
B. Measure the dose at the base of the meniscus
C. Hold the medicine cup above eye level
D. Pour the medication with the label facing away from the palm
Answer: B
Rationale: Liquid medications should be measured at the base of the meniscus at eye level
on a flat surface to ensure accuracy.
2. A nurse is preparing to administer an intramuscular (IM) injection to an
infant. Which site is the most appropriate?
A. Deltoid
B. Dorsogluteal
C. Vastus lateralis
D. Ventrogluteal
Answer: C
Rationale: The vastus lateralis is the preferred site for IM injections in infants and toddlers
who are not yet walking.
,3. The nurse is teaching a patient about a new prescription for an enteric-coated
medication. Which statement by the patient indicates a need for further
teaching?
A. I will swallow the pill whole.
B. I should not crush or chew this pill.
C. I can crush the pill if I have trouble swallowing.
D. This coating protects my stomach from irritation.
Answer: C
Rationale: Enteric-coated medications are designed to dissolve in the small intestine and
should never be crushed or chewed.
4. Which of the following is a primary safety check the nurse must perform
before administering any medication?
A. Ask the roommate to verify the patient’s identity
B. Administer the medication as soon as it is brought to the floor
C. Check the patient’s room number against the MAR
D. Compare the medication label with the MAR three times
Answer: D
Rationale: The nurse must compare the medication label against the Medication
Administration Record (MAR) three times to prevent errors.
5. A patient is prescribed a sublingual medication. How should the nurse
instruct the patient to take this medication?
A. Swallow the tablet with a full glass of water
B. Dissolve the tablet under the tongue
C. Place the tablet between the cheek and gums
D. Chew the tablet thoroughly before swallowing
Answer: B
, Rationale: Sublingual medications are placed under the tongue to be absorbed through the
mucous membranes.
6. When administering ear drops to an adult, the nurse should pull the pinna in
which direction?
A. Up and back
B. Down and back
C. Straight back
D. Down and forward
Answer: A
Rationale: For adults, the pinna is pulled up and back to straighten the ear canal; for
children under 3, it is pulled down and back.
7. Which of the following is the most important action for the nurse to take to
prevent medication errors?
A. Rely on memory for dosage calculations
B. Follow the ‘Six Rights’ of medication administration
C. Prepare medications for multiple patients at once
D. Avoid talking to the patient during administration
Answer: B
Rationale: Following the Six Rights (right patient, drug, dose, route, time, and
documentation) is the standard for safe medication administration.
8. The nurse is applying a transdermal patch to a patient. Which action is
correct?
A. Apply the new patch over the old one
B. Shave the area before applying the patch
C. Remove the old patch before applying a new one
D. Apply the patch to the same site every time
Answer: C
