HESI PHARMACOLOGY FINAL EXAM(RIGHT PATIENT)
1. What are the 5 rights of medication administration?:
Right Patient Right Drug
Right
Route
Right
Time
Right
Dose
2. How do you safely prepare medication?: Have good lighting &
work alone. Check medication label 3 times (When you grab the
medication, Before dispensing medication, & When you replace
medication.)
Don't use anything without a label.
Bottles with bad labels need to be returned to the
pharmacy. Never transfer medication into another
bottle.
Check expiration date.
Inspect & throw away decomposing medications.
3. How would you administer medication via IM?: Injecting at
90° using the Z-Track method.
4. How would you administer medication via IV?: Assess
for allergies. Assess the IV site for complications.
Clean the port closest to the IV site with
alcohol swab. Administer medication.
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,5. How would you administer medication via SubQ?: Injecting
45° (Skinny Patient) or 90° (Average Patient) into the fatty tissue.
6. How would you administer medication via oral route?: Assist
the patient into an upright or side lying position.
Ask patient if they would like the medications in his/her hand or
in the cup. Offer water.
Remain with the patient until each medication is swallowed.
Never leave the patient's bedside.
7. How would you instill ear medications?: Warm the
medication to prep it before entering the patient's room.
Clean any ear drainage.
Place the patient on his/her unaffected side or have the patient sit up
with head titled to the unaffected side.
Straighten the ear canal by pulling up & back for adults or down &
back for children. Administer the medication and allow the drops to fall
on the side of the canal. Avoid instilling in the middle of the canal or
the tympanic membrane.
Instruct patient to remain in this position for 5 minutes.
Gently press on the tragus to facilitate the medication to travel towards
the tym-
2/
, panic membrane.
If ordered loosely place a cotton ball into the ear canal.
If you have to administer drops in both ear wait 5 minutes between
each side.
8. How would you instill eye medications?: Offer the
patient a tissue. Cleanse each eye from the inner area to the
outer area.
If the patient does not have cervical spine injury instruct the patient
to tilt his/her head back.
Gently apply pressure with fingers at the edge of the lower eyelid to
expose the conjunctival sac.
Administer the medication & release the lower
eyelid. Instruct patient to close eyes gently.
Apply gentle pressure on the inner canthus to prevent the medication
from flowing into the tear ducts.
Instruct patient not to rub eyes.
9. How would you apply a transdermal patch?:
Wear gloves! Remove the old patch & fold it close on
itself.
Clean the old site to remove residue.
Document date, time, & initials on the new
patch. Rotate site.
Clean the new
site. Apply the
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1. What are the 5 rights of medication administration?:
Right Patient Right Drug
Right
Route
Right
Time
Right
Dose
2. How do you safely prepare medication?: Have good lighting &
work alone. Check medication label 3 times (When you grab the
medication, Before dispensing medication, & When you replace
medication.)
Don't use anything without a label.
Bottles with bad labels need to be returned to the
pharmacy. Never transfer medication into another
bottle.
Check expiration date.
Inspect & throw away decomposing medications.
3. How would you administer medication via IM?: Injecting at
90° using the Z-Track method.
4. How would you administer medication via IV?: Assess
for allergies. Assess the IV site for complications.
Clean the port closest to the IV site with
alcohol swab. Administer medication.
1/
,5. How would you administer medication via SubQ?: Injecting
45° (Skinny Patient) or 90° (Average Patient) into the fatty tissue.
6. How would you administer medication via oral route?: Assist
the patient into an upright or side lying position.
Ask patient if they would like the medications in his/her hand or
in the cup. Offer water.
Remain with the patient until each medication is swallowed.
Never leave the patient's bedside.
7. How would you instill ear medications?: Warm the
medication to prep it before entering the patient's room.
Clean any ear drainage.
Place the patient on his/her unaffected side or have the patient sit up
with head titled to the unaffected side.
Straighten the ear canal by pulling up & back for adults or down &
back for children. Administer the medication and allow the drops to fall
on the side of the canal. Avoid instilling in the middle of the canal or
the tympanic membrane.
Instruct patient to remain in this position for 5 minutes.
Gently press on the tragus to facilitate the medication to travel towards
the tym-
2/
, panic membrane.
If ordered loosely place a cotton ball into the ear canal.
If you have to administer drops in both ear wait 5 minutes between
each side.
8. How would you instill eye medications?: Offer the
patient a tissue. Cleanse each eye from the inner area to the
outer area.
If the patient does not have cervical spine injury instruct the patient
to tilt his/her head back.
Gently apply pressure with fingers at the edge of the lower eyelid to
expose the conjunctival sac.
Administer the medication & release the lower
eyelid. Instruct patient to close eyes gently.
Apply gentle pressure on the inner canthus to prevent the medication
from flowing into the tear ducts.
Instruct patient not to rub eyes.
9. How would you apply a transdermal patch?:
Wear gloves! Remove the old patch & fold it close on
itself.
Clean the old site to remove residue.
Document date, time, & initials on the new
patch. Rotate site.
Clean the new
site. Apply the
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