Test Bank for Fiscal
Administration.
A nurse is teaching a patient about medications. Which statement from the patient
indicates teaching is effective?
a. "My parenteral medication must be taken with food."
b. "I will rotate the sites in my left leg when I give my insulin."
c. "Once I start feeling better, I will stop taking my antibiotic."
d. "If I am 30 minutes late taking my medication, I should skip that dose." - ANSWERS"I
will rotate the sites in my left leg when I give my insulin."
For daily insulin, rotate site within anatomical area. Rotating injections within the same
body part (instrasite rotation) provides greater consistency in absorption of medication.
Parenteral medication
absorption is not affected by the timing of meals. Taking a medication 30 minutes late is
within the
60-minute window of the time medications should be taken.
A nurse is preparing to administer an injection to a patient. Which statement made by
the patient is an indication for the nurse to use the Z-track method?
a. "I am allergic to many medications."
b. "I'm really afraid that a big needle will hurt."
c. "The last shot like that turned my skin colors."
d. "My legs are too obese for the needle to go through." - ANSWERS"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. It is recommended that, when administering IM injections, the
Z-track method be used to minimize local skin irritation by sealing the medication in
muscle tissue. The Z-track method is not meant to reduce discomfort from the
procedure.
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
a. Pull the auricle down and back to straighten the ear canal.
b. Pull the auricle upward and outward to straighten the ear canal.
c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal.
d. Sit the child up to insert the cotton ball into the innermost ear canal. - ANSWERSPull
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 3
years of age to adults should have the auricle pulled upward and outward. Solution
should be instilled 1 cm (1/2 in) above the opening of the ear canal. The patient should
,remain in the side-lying position 2 to 3 minutes. If a cotton ball is needed, place it into
the outermost part of the ear canal.
A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse
obtain to administer the medication?
a. 3-mL syringe
b. U-100 syringe
c. Needleless syringe
d. Tuberculin syringe - ANSWERSTuberculin syringe
Because there is no syringe currently designed to prepare U-500 insulin, many
medication errors
result with this kind of insulin. To prevent errors, ensure that the order for U-500
specifies units and
volume (e.g., 150 units, 0.3 mL of U-500 insulin), and use tuberculin syringes to draw up
the doses. A 3 mL and U-100 can result in inaccurate dosing. A needleless syringe will
not be acceptable in this
situation.
A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on
hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse
administer?
a. 1/2 tablet
b. 1 tablet
c. 1 1/2 tablets
d. 2 tablets - ANSWERS1/2 tablet will be given. The nurse is careful to perform nursing
calculations to ensure proper medication administration. The dose ordered is 12.5. The
dose on hand is 25. 12.5/25 = 1/2 tablet.
The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the
nurse to schedule a trough level?
a. 0800
b. 0830
c. 0900
d. 0930 - ANSWERS0830
Trough levels are generally drawn 30 minutes before the drug is administered
A patient is receiving vancomycin. Which function is the priority for the nurses to
assess?
a. Vision
b. Hearing
, c. Heart tones
d. Bowel sounds - ANSWERSHearing
A side effect of vancomycin is ototoxicity—hearing.
The nurse is preparing to administer an injection into the deltoid muscle of an adult
patient. Which needle size and length will the nurse choose?
a. 18 gauge x 1 1/2 inch
b. 23 gauge x 1/2 inch
c. 25 gauge x 1 inch
d. 27 gauge x 5/8 inch - ANSWERS25 gauge x 1 inch
For an intramuscular injection into an adult deltoid muscle, a 25-gauge, 1-inch needle is
recommended. An 18-gauge needle is too big. While a 23-gauge needle can be used, a
1/2-inch needle is too small. A 27-gauge, 5/8 -inch needle is used for intradermal.
When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is
the rationale for the nurse aspirating?
a. Prevent the patient from choking.
b. Increase the force of the injection.
c. Ensure proper placement of the needle.
d. Reduce the discomfort of the injection. - ANSWERSEnsure proper placement of the
needle.
The purpose of aspiration is to ensure that the needle is in the muscle and not in the
vascular system. Blood return upon aspiration indicates improper placement, and the
injection should not be
given.
The nurse is planning to administer a tuberculin test with a 27-gauge, -inch needle. At
which angle will the nurse insert the needle?
a. 15 degree
b. 30 degree
c. 45 degree
d. 90 degree - ANSWERS15 degrees
A 27-gauge, -inch needle is used for intradermal injections such as a tuberculin test,
which should be inserted at a 5- to 15-degree angle, just under the dermis of the skin.
The nurse closely monitors an older adult for signs of medication toxicity. Which
physiological change is the reason for the nurse's action?
a. Reduced glomerular filtration
Administration.
A nurse is teaching a patient about medications. Which statement from the patient
indicates teaching is effective?
a. "My parenteral medication must be taken with food."
b. "I will rotate the sites in my left leg when I give my insulin."
c. "Once I start feeling better, I will stop taking my antibiotic."
d. "If I am 30 minutes late taking my medication, I should skip that dose." - ANSWERS"I
will rotate the sites in my left leg when I give my insulin."
For daily insulin, rotate site within anatomical area. Rotating injections within the same
body part (instrasite rotation) provides greater consistency in absorption of medication.
Parenteral medication
absorption is not affected by the timing of meals. Taking a medication 30 minutes late is
within the
60-minute window of the time medications should be taken.
A nurse is preparing to administer an injection to a patient. Which statement made by
the patient is an indication for the nurse to use the Z-track method?
a. "I am allergic to many medications."
b. "I'm really afraid that a big needle will hurt."
c. "The last shot like that turned my skin colors."
d. "My legs are too obese for the needle to go through." - ANSWERS"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. It is recommended that, when administering IM injections, the
Z-track method be used to minimize local skin irritation by sealing the medication in
muscle tissue. The Z-track method is not meant to reduce discomfort from the
procedure.
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
a. Pull the auricle down and back to straighten the ear canal.
b. Pull the auricle upward and outward to straighten the ear canal.
c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal.
d. Sit the child up to insert the cotton ball into the innermost ear canal. - ANSWERSPull
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 3
years of age to adults should have the auricle pulled upward and outward. Solution
should be instilled 1 cm (1/2 in) above the opening of the ear canal. The patient should
,remain in the side-lying position 2 to 3 minutes. If a cotton ball is needed, place it into
the outermost part of the ear canal.
A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse
obtain to administer the medication?
a. 3-mL syringe
b. U-100 syringe
c. Needleless syringe
d. Tuberculin syringe - ANSWERSTuberculin syringe
Because there is no syringe currently designed to prepare U-500 insulin, many
medication errors
result with this kind of insulin. To prevent errors, ensure that the order for U-500
specifies units and
volume (e.g., 150 units, 0.3 mL of U-500 insulin), and use tuberculin syringes to draw up
the doses. A 3 mL and U-100 can result in inaccurate dosing. A needleless syringe will
not be acceptable in this
situation.
A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on
hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse
administer?
a. 1/2 tablet
b. 1 tablet
c. 1 1/2 tablets
d. 2 tablets - ANSWERS1/2 tablet will be given. The nurse is careful to perform nursing
calculations to ensure proper medication administration. The dose ordered is 12.5. The
dose on hand is 25. 12.5/25 = 1/2 tablet.
The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the
nurse to schedule a trough level?
a. 0800
b. 0830
c. 0900
d. 0930 - ANSWERS0830
Trough levels are generally drawn 30 minutes before the drug is administered
A patient is receiving vancomycin. Which function is the priority for the nurses to
assess?
a. Vision
b. Hearing
, c. Heart tones
d. Bowel sounds - ANSWERSHearing
A side effect of vancomycin is ototoxicity—hearing.
The nurse is preparing to administer an injection into the deltoid muscle of an adult
patient. Which needle size and length will the nurse choose?
a. 18 gauge x 1 1/2 inch
b. 23 gauge x 1/2 inch
c. 25 gauge x 1 inch
d. 27 gauge x 5/8 inch - ANSWERS25 gauge x 1 inch
For an intramuscular injection into an adult deltoid muscle, a 25-gauge, 1-inch needle is
recommended. An 18-gauge needle is too big. While a 23-gauge needle can be used, a
1/2-inch needle is too small. A 27-gauge, 5/8 -inch needle is used for intradermal.
When the nurse administers an IM corticosteroid injection, the nurse aspirates. What is
the rationale for the nurse aspirating?
a. Prevent the patient from choking.
b. Increase the force of the injection.
c. Ensure proper placement of the needle.
d. Reduce the discomfort of the injection. - ANSWERSEnsure proper placement of the
needle.
The purpose of aspiration is to ensure that the needle is in the muscle and not in the
vascular system. Blood return upon aspiration indicates improper placement, and the
injection should not be
given.
The nurse is planning to administer a tuberculin test with a 27-gauge, -inch needle. At
which angle will the nurse insert the needle?
a. 15 degree
b. 30 degree
c. 45 degree
d. 90 degree - ANSWERS15 degrees
A 27-gauge, -inch needle is used for intradermal injections such as a tuberculin test,
which should be inserted at a 5- to 15-degree angle, just under the dermis of the skin.
The nurse closely monitors an older adult for signs of medication toxicity. Which
physiological change is the reason for the nurse's action?
a. Reduced glomerular filtration
