Test Generator Questions, Chapter 21, Medication Administration

Format: Multiple Choice

Chapter: 21

Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

Cognitive Level: Understand

Integrated Process: Nursing Process

Learning Objective: 5

Page and Header: Self-Administered Medication System, p. 460.

1. Which medication system allows for client independence?

A) Unit dose system

B) Self-administered medication system

C) Automated medication-dispensing system

D) Bar code medication administration (BCMA)

2. Ibuprofen 200 mg is obtained:

A) by prescription.

B) over-the-counter.

C) as an herb.

D) as a supplement.

3. The nurse should assess the client for the use of herbal and botanical supplements. The client reports taking a botanical medication to treat mild depression. Which agent would the client report using?

A) Echinacea

B) Ginkgo biloba

C) St. John’s wort

D) Green tea

4. A physician writes an order for ampicillin 1 g every 6 hours for a client. What is missing in this order?

A) Time

B) Amount

C) Route

D) Frequency

5. A medication order has a.c. written after the medication dosage. What does a.c. stand for?

A) Before meals

B) After meals

C) Before

D) After

6. Which client would be most likely to use a self-administered medication system?

A) A client who is alert and in an area where other clients won’t disturb the drugs

B) A 10-year-old child who is ambulatory on a pediatric unit of multiple-bed rooms

C) An elderly client in a semiprivate room with another client who is confused

D) A client who is restrained to the bed as a safety measure against falling

7. What electronic medical record advancement helps the nurse recognize when a generic drug has been ordered?

A) The computer verbally pronounces the medication.

B) The computer displays the generic name and the chemical name side by side.

C) The computer uses "Tall-man letters" to identify generic drugs.

D) The computer will bold the medication for enhanced clarity.

8. Which medication dosage is properly written?

A) 0.8 mg

B) 0.125 mcg

C) 00.125 mg

D) 0.25 mg

9. In terms of categories of controlled substance, which description reflects schedule IV drugs?

A) May lead to severe psychological dependence

B) Has the highest potential for abuse

C) May lead to limited physical dependence

D) Deemed safe for use in pregnancy

10. The primary reason for the Controlled Substances Act is:

A) to regulate the purchase of antibiotics.

B) to regulate the purchase of narcotics.

C) to prevent overuse of antibiotics.

D) to prevent drug abuse.

11. Regarding medication administration, what must occur at the change of shifts?

A) The client’s medications must be drawn up.

B) The medications for the division are counted.

C) The narcotics for the division are counted.

D) Only the LPNs on the division count medications.

12. If the dosage is inappropriate for a client, who is responsible?

A) Physician

B) Pharmacist

C) Nurse

D) Medical technician

13. In administering medications, the six rights include client, drug, route, time, and documentation. What is the sixth right?

A) Heart rate

B) Dosage

C) Intrathecal

D) Pain level

14. What is the name of the process by which a drug moves through the body and is eventually eliminated?

A) Pharmacology

B) Pharmacotherapeutics

C) Pharmacokinetics

D) Pharmacodynamics

15. The physiologic and biochemical effects of a drug on the body defines:

A) Pharmacology

B) Pharmacotherapeutics

C) Pharmacokinetics

D) Pharmacodynamics

16. Which client is likely to have altered metabolism of medications?

A) School-age child

B) Adolescent

C) Middle adult

D) Older adult

17. When the client demonstrates a rash 30 minutes after taking a dose of penicillin, the nurse recognizes that the client is likely demonstrating which type of drug reaction?

A) Allergy

B) Anaphylaxis

C) Antagonistic

D) Idiosyncratic

18. A severe allergic reaction from a medication requires:

A) Aspirin

B) Atarax

C) Dopamine

D) Epinephrine

19. Drugs known to cause birth defects are called:

A) pregnancy sensitivity.

B) umbilical cross.

C) teratogenic.

D) nosocomial.

20. Children’s medication dosages are most often calculated using the child’s body surface area and:

A) age.

B) diagnosis.

C) height.

D) weight.

21. When the nurse administers the morning dose of a medication during the evening, which of the rights of medication administration has he or she failed to follow?

A) Client

B) Medication

C) Dose

D) Time

22. When administering heparin subcutaneously, the nurse should:

A) aspirate after the injection.

B) aspirate before the injection.

C) vigorously massage the site.

D) never aspirate.

23. A nurse is preparing to administer a prescribed antiarrhythmic agent to a client. The nurse would evaluate which aspect to determine the drug’s effectiveness?

A) Blood pressure

B) Heart rhythm

C) Airway patency

D) Stool consistency

24. A client is prescribed an opioid analgesic. The nurse is teaching the client about the need to avoid ingesting alcohol with the drug to prevent an interaction, which would potentiate the effects of the analgesic. The nurse is describing which event?

A) Synergism

B) Antagonism

C) Incompatibility

D) Tolerance