Basic RN Medication/ RN Medication Exams
(2024/ 2025 Updates BUNDLE WITH COMPLETE
SOLUTIONS) Grade A Question and Verified
Answers| 100% Correct
Correct Procedure for enteral feeding tube - ANSWERDo not mix meds
Flush after each medication
Feed on hold during med administration
Angle of Degree to IM injection - ANSWER90 degrees
Angle of Degree to SubQ injection - ANSWER45 degrees
Angle of Degree to intradermal injection - ANSWER10-15 degrees
Long acting or XR medications - ANSWERDo not crush
Ask pharmacist for alternative if needed
How to troubleshoot a PCA (patient control analgesic) pump - ANSWEROnly patient
can touch the button
If continually pushing, speak to provider as pain is not being managed appropriately
Distance for inserting a rectal suppository - ANSWER1 inch for adult = 2.5 cm
Past anal sphincter
Locations for transdermal patch - ANSWERdeltoid
anywhere flat: back, chest
Rotate sites
Putting on and removing transdermal patch - ANSWERwear gloves
pinch off so you do not touch medication
Patient education transdermal patch - ANSWERDo not put over broken skin
Do not place over ports or pacemakers
, avoid sauna
symptoms of allergic reaction - ANSWERdifficulty breathing, runny nose, itchy eyes,
hives, and rashes
When asking a patient about allergies always ask ____ also - ANSWERwhat was the
allergic reaction like
What to monitor on diabetic patients - ANSWERbreads and fruit intake (carbs!)
What is the greatest risk/concern for a patient taking benzos? - ANSWERRespiratory
depression
benzos end in 'lam or 'pam
Analgesics: Acetaminophen - ANSWERRisk of liver damage >3,500 mg in a day
risk of liver failure
Analgesics: Morphine - ANSWERSide effect of respiratory depression
Analgesics: Opioids - ANSWERNeed to have bowel protocol - risk for constipation
Often pair with colace, laxative, milk of mag
Analgesics: Naloxone (Narcan) - ANSWERUsed to reverse opiods in emergency
Antibiotics: vancomycin - ANSWERMonitor peaks and troughs to obtain therapeutic
level
very vesicant (irritating to veins)
Run slowly and watch veins
Antibiotics: Piperacillin/tazobactam - ANSWERWatch for indications of anaphylactic
shock:
• Shortness of breath (dyspnea)
• Rash/Hives (urticaria)
• Itching (puritis)
• When in shock BP drops
Anticoagulants: heparin - ANSWERCalculate dosage with vial and prefilled syringe
Monitor aPTT
Anticoagulants: Enoxaparin (Lenovox) - ANSWERLonger effect than heparin
(2024/ 2025 Updates BUNDLE WITH COMPLETE
SOLUTIONS) Grade A Question and Verified
Answers| 100% Correct
Correct Procedure for enteral feeding tube - ANSWERDo not mix meds
Flush after each medication
Feed on hold during med administration
Angle of Degree to IM injection - ANSWER90 degrees
Angle of Degree to SubQ injection - ANSWER45 degrees
Angle of Degree to intradermal injection - ANSWER10-15 degrees
Long acting or XR medications - ANSWERDo not crush
Ask pharmacist for alternative if needed
How to troubleshoot a PCA (patient control analgesic) pump - ANSWEROnly patient
can touch the button
If continually pushing, speak to provider as pain is not being managed appropriately
Distance for inserting a rectal suppository - ANSWER1 inch for adult = 2.5 cm
Past anal sphincter
Locations for transdermal patch - ANSWERdeltoid
anywhere flat: back, chest
Rotate sites
Putting on and removing transdermal patch - ANSWERwear gloves
pinch off so you do not touch medication
Patient education transdermal patch - ANSWERDo not put over broken skin
Do not place over ports or pacemakers
, avoid sauna
symptoms of allergic reaction - ANSWERdifficulty breathing, runny nose, itchy eyes,
hives, and rashes
When asking a patient about allergies always ask ____ also - ANSWERwhat was the
allergic reaction like
What to monitor on diabetic patients - ANSWERbreads and fruit intake (carbs!)
What is the greatest risk/concern for a patient taking benzos? - ANSWERRespiratory
depression
benzos end in 'lam or 'pam
Analgesics: Acetaminophen - ANSWERRisk of liver damage >3,500 mg in a day
risk of liver failure
Analgesics: Morphine - ANSWERSide effect of respiratory depression
Analgesics: Opioids - ANSWERNeed to have bowel protocol - risk for constipation
Often pair with colace, laxative, milk of mag
Analgesics: Naloxone (Narcan) - ANSWERUsed to reverse opiods in emergency
Antibiotics: vancomycin - ANSWERMonitor peaks and troughs to obtain therapeutic
level
very vesicant (irritating to veins)
Run slowly and watch veins
Antibiotics: Piperacillin/tazobactam - ANSWERWatch for indications of anaphylactic
shock:
• Shortness of breath (dyspnea)
• Rash/Hives (urticaria)
• Itching (puritis)
• When in shock BP drops
Anticoagulants: heparin - ANSWERCalculate dosage with vial and prefilled syringe
Monitor aPTT
Anticoagulants: Enoxaparin (Lenovox) - ANSWERLonger effect than heparin
