NCAS Pharmacology and Medication Administration 2

Question 1

A nurse is preparing to administer a subcutaneous insulin injection to an adult patient with average body weight. Which needle length is most appropriate?

Accepted Answer

5/8 inch or shorter

Answer

1.5 inches

Answer

1 inch

Answer

2 inches

Question 2

A patient started on an ACE inhibitor two weeks ago calls the clinic complaining of a bothersome symptom. Which adverse effect is most characteristic of this drug class?

Accepted Answer

Persistent dry cough

Answer

Peripheral edema

Answer

Excessive urination

Answer

Muscle cramps

Question 3

A patient receiving IV morphine develops a respiratory rate of 8 breaths per minute and is difficult to arouse. Which medication should the nurse prepare to administer?

Accepted Answer

Naloxone

Answer

Flumazenil

Answer

Protamine sulfate

Answer

Vitamin K

Question 4

What is the primary nursing safety action that must be completed immediately before administering any medication to a patient?

Accepted Answer

Using two patient identifiers to confirm patient identity

Answer

Verifying the patient's allergy history in the chart

Answer

Confirming the order with the prescribing physician

Answer

Documenting medication administration in the MAR

Question 5

A patient is prescribed a transdermal nitroglycerin patch. Which nursing instruction regarding application is most accurate?

Accepted Answer

Apply to a clean, dry, hairless skin area and rotate sites with each dose

Answer

Apply it directly over the precordial area for maximum cardiac effect

Answer

Apply only to the inner forearm and do not rotate

Answer

Apply over a bony prominence to ensure firm adhesion

Question 6

A nurse is assessing a patient receiving digoxin and notes a new complaint of seeing yellow-green halos around lights along with a heart rate of 48 bpm. What does the nurse suspect?

Accepted Answer

Digoxin toxicity

Answer

Therapeutic drug response indicating adequate dosing

Answer

Hypertensive urgency requiring immediate intervention

Answer

Allergic reaction to the medication

Question 7

When administering an intramuscular injection requiring a large volume of medication to an adult patient, which injection site is currently recommended by evidence-based practice?

Accepted Answer

Ventrogluteal

Answer

Deltoid

Answer

Dorsogluteal

Answer

Vastus lateralis