25 minutes
Pre-test (Medication Administration & Calculation)
Pre - test
* Required
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73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg. Which
of the following is least appropriate for the administration of this medication? * (1 Point)
Aspirating the syringe before injecting the medication is a priority
A 5/8-inch needle is used at a 45-degree angle to the skin
Using a 25-gauge needle would be best
Pinching the skin before administration is necessary
A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-
nausea) medication. Which of the following is accurate? * (1 Point)
A rectal suppository must be administered.
A parenteral route is the route of choice.
An enteric-coated medication should be given.
Any medication will not be absorbed as easily because of the nausea problem.
3
A client in observation room develops a fever but has no orders for an antipyretic. When the nurse
calls the physician for an order, he replies: “just give him some Tylenol and keep an eye on him.”
What should the
nurse do? * (1 Point)
Clarify the order with the physician.
Ask the client how much Tylenol he used to take at home.
Read the Tylenol package and decide the appropriate dose.
Keep observation without given antipyretic.
The nurse is preparing to administer 37.5 mg of meperidine (Demerol) IM to a client who is having
pain. The medication comes in a 50-mg/mL vial. Which action should the nurse implement? *
(1 Point)
Have another nurse verify wastage of medication
Administer one (1) mL of medication to the client
Request the HCP to increase the client’s dose.
Notify the pharmacist to bring the correct vial
Enter your employee ID *
Number must be between 1 ~ 1500
76-year-old client lives alone and takes medications without supervision. Which of the following is
the most appropriate question for his home health nurse to ask in regard to his medication
regimen? * (1 Point)
"Have you been taking other substances than those ordered by the physician?"
"How much do you weigh?"
"What medications are you currently taking?"
"We'll have to take away your sedatives if you keep taking them during the day. "
7
The client on bedrest is receiving enoxaparin (Lovenox), a low molecular weight heparin. Which
anatomical site is recommended for administering this medication? * (1 Point)
In the vastus lateralis with a 23-gauge needle.
In the deltoid area subcutaneously.
In the abdominal wall one (1) inch away from the umbilicus
In the anterolateral abdomen.
Select your PHC *
Hawally
Fahaheel
Dajeej
Riggae
Bneid Al Gar
The health care assistant reports the client’s glucometer reading is 380 mg/dL. The client is on
regular sliding-scale insulin which reads as below table. According to the scale, the assign registered
nurse should give? * (1 Point)
12 Units
10 Units
9 Units
8 Units
10
The nurse is administering an ophthalmic
drop to the right eye. Which anatomical
location would be correct when administering
eyedrops? * (1 Point)
11
The client is receiving a continuous heparin drip, 20,000 units/500 mL D5W, at 23 mL/min. How
many units of heparin is the client receiving an hour? * (1 Point)
The value must be a number
12
The client is to receive 3,000 mg of medication daily in a divided dose every eight (8) hours. The
medication comes 500 mg per tablet. How many tablets will the nurse administer at each dose? *
(1 Point)
The value must be a number
13
The client is to receive a sedative via the buccal route. Which of the following is true? * (1 Point)
This method of administration would be avoided in the event of facial injuries
This route is probably more expensive than the intramuscular route.
The nurse should offer the client a glass of orange juice after taking the sedative.
The medication is placed under the tongue.
14
A nurse notices a discrepancy in the insulin administration practice on her new unit. The current
policy requires a double check and signature of both nurses. However, most times, nurses
administer the insulin without the second check, because they claim they are too busy to wait
for the second check. This practice makes the nurse nervous, and she fears that client safety is
being compromised. What should she do? * (1 Point)
Follow the double-check rule herself but ignore that other nurses are not following it.
Say nothing about this practice as she does not want to criticize her new colleagues.
Prepare double check label before starting the shift and stick on EMR when ordered.
Collaborate with the nurse manager and nursing staff to implement the double check practice as per policy.
15
The nurse is hanging 1,000 mL of IV fluids to run for eight (8) hours. The intravenous tubing is a
micro drip. How many gtt/min should the IV rate be set? * (1 Point)
The value must be a number
16
The nurse is administering an Otic drop to the 45-year-old client. Which procedure should the nurse
implement when administering the drops? * (1 Point)
Place the drops in the inner canthus and apply pressure
Place the drops in the lower conjunctival sac.
Place the drops when pulling the ear up and back
Place the drops when pulling the ear down and back
17
A nurse in a community clinic is required to administer an intradermal injection. She has never
performed this type of injection. What should the nurse do? * (1 Point)
Ask for training on this skill and review relevant employer policies.
Ask from colleagues to do instead of her.
Attempt the skill because they do not want to appear incompetent in their new workplace.
Watch a quick video on the injection and attempt it on the client.
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