NLE Pharmacology and Medication Management 3

Question 1

Which action is most important before administering medications through a nasogastric (NG) tube?

Accepted Answer

Verifying tube placement

Answer

Crushing all tablets to a fine powder

Answer

Flushing with 500 mL of water

Answer

Warming medications to body temperature

Question 2

The 'five rights' of medication administration include all of the following EXCEPT:

Accepted Answer

Right manufacturer

Answer

Right patient

Answer

Right drug

Answer

Right route

Question 3

Which type of insulin appears cloudy and should NEVER be administered intravenously?

Accepted Answer

NPH insulin

Answer

Regular insulin

Answer

Insulin aspart

Answer

Insulin lispro

Question 4

A patient is receiving methotrexate therapy. Which laboratory values are most important to monitor?

Accepted Answer

Liver function tests and CBC

Answer

Blood glucose and HbA1c

Answer

Serum potassium and sodium

Answer

Serum calcium and phosphorus

Question 5

Which describes the correct Z-track injection technique?

Accepted Answer

Displace skin laterally, insert needle at 90 degrees, inject, then release skin

Answer

Insert needle at 45 degrees and aspirate before injecting

Answer

Insert needle at 90 degrees without skin displacement and massage afterward

Answer

Insert needle at 15 degrees and inject slowly over 2 minutes

Question 6

A nurse needs to administer 10 mg of morphine IV. The available concentration is 5 mg/mL. How many mL should be administered?

Accepted Answer

2 mL

Answer

0.5 mL

Answer

1 mL

Answer

5 mL

Question 7

Which precaution is most critical when a nurse prepares to administer chemotherapy agents?

Accepted Answer

Wear personal protective equipment including gloves and a protective gown

Answer

Administer only during morning hours when patient metabolism is highest

Answer

Mix agents in an open area to ensure adequate ventilation

Answer

Use only peripheral IV lines to avoid central line contamination