Chapter 35: Medication Administration

Chapter 35: Medication Administration

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which medication has the highest potential for abuse?

ANS:  A

According to the Controlled Substances Act, drugs that have the potential for abuse/dependency are classified as schedule I-V. Schedule I drugs have no approved medical applications in the United States. Schedule II drugs have high potential for abuse/dependency and have multiple restrictions for prescriptions. Schedule III, IV, and V have lower risks of dependency/abuse and fewer restrictions for prescriptions

DIF:    Applying        REF:   p. 814            TOP:   Assessment

MSC:  NCLEX Client Needs Category: Pharmacological Therapies: Medication Administration

NOT:  Concepts: Addiction

2. The nurse is caring for a patient who will give himself medication injections at home after discharge. How can the nurse best determine that the patient understands the technique and can administer the injections correctly?

ANS:  B

The nurse should watch the patient give himself an injection to make sure that he is doing it correctly. This will give the nurse an opportunity to point out and correct any mistakes and offer the patient reassurance about his technique.

DIF:    Remembering                                 REF:   p. 845             TOP:   Assessment

MSC:  NCLEX Client Needs Category: Health Promotion: Self-care

NOT:  Concepts: Patient Education

3. The nurse is caring for a patient who is in agonizing pain. All of the following options are listed on the patient’s medication order sheet to relive pain. Which will provide the most rapid pain relief for the patient?

ANS:  B

IV administration has the most rapid onset of action and will provide the patient with the quickest pain relief.

DIF:    Remembering                                 REF:   p. 815             TOP:   Implementation

MSC:  NCLEX Client Needs Category: Pharmacological Therapies: Pharmacological Pain Management  NOT:           Concepts: Pain

4. The nurse administers a medication to a patient. Shortly afterward, the patient develops an itchy rash all of his body and reports feeling very unwell. What is the priority action of the nurse?

ANS:  B

The nurse must first determine if the patient is having any difficulty breathing, since the patient may be starting to have an anaphylactic reaction to the medication. Anaphylaxis is life threatening and requires immediate treatment; the nurse must recognize this potential and plan to initiate emergency interventions right away.

DIF:    Applying        REF:   p. 816 | p. 838 | p. 846 | p. 853          TOP:   Assessment

MSC:  NCLEX Client Needs Category: Pharmacological Therapies: Medication Administration

NOT:  Concepts: Clinical Judgment