FREE AMAP Medication and I.V Administration Questions and Answers

Question 1

When teaching a client how to take a sublingual tablet, the nurse should instruct the client to place the tablet:

Accepted Answer

On the floor of the mouth.

Answer

RATIONALE: The nurse should instruct the client to touch the tip of the tongue to the roof of the mouth, then place the sublingual tablet on the floor of the mouth. Sublingual medications are absorbed directly into the bloodstream from the oral mucosa, bypassing the GI and hepatic systems. No drug is administered on top of the tongue or on the roof of the mouth. With the buccal route, the client places the tablet between the gum and the cheek.

Question 2

A nurse is helping a physician insert a subclavian central line. After the physician has gained access to the subclavian vein, he connects a 10-ml syringe to the catheter and withdraws a sample of blood. He then disconnects the syringe from the port. Suddenly, the client becomes confused, disoriented, and pale. The nurse suspects an air embolus. She should:

Accepted Answer

Turn the client on his left side and place the bed in Trendelenburg's position.

Answer

RATIONALE: A nurse who suspects an air embolism should place the client on his left side and in Trendelenburg's position. Doing so allows the air to collect in the right atrium rather than enter the pulmonary system. The supine position, high-Fowler's position, and the shock position are therapeutic for other situations but not for air embolism.

Question 3

A physician orders morphine, 3 mg I.V. every 2 hours as needed, to control a client's postoperative pain. The package insert reads: "Morphine, 4 mg/ml." How many milliliters of morphine should the client receive?

Accepted Answer

0.75

Answer

"RATIONALE: To determine the number of milliliters of morphine the client should receive, the nurse should use the fraction method in the following equation:
3 mg/X ml = 4 mg/1 ml
To solve for X, cross-multiply:
3 mg × 1 ml = X ml × 4 mg
3 = 4X
3/4 = X
0.75 ml = X"

Question 4

Before administering packed red blood cells, a nurse must flush a client's I.V. line. Which solution should the nurse use to flush the line?

Accepted Answer

Normal saline solution

Answer

RATIONALE: Normal saline solution is the only I.V. solution that is compatible with any blood product. Lactated Ringer's and dextrose solutions are incompatible with blood products.

Question 5

Which type of solution, when administered I.V., would cause fluid to shift from body tissues to the bloodstream?

Accepted Answer

Hypertonic

Answer

RATIONALE: A hypertonic solution causes the bloodstream to absorb fluids until pressure on both sides of the blood vessel is equal. A hypotonic solution causes fluids to move from the bloodstream into the tissues. An isotonic solution has no effect on the cell. Depending on the concentration of sodium, a sodium chloride solution can be isotonic, hypertonic, or hypotonic.

AMAP - Assistive Medication Administration Personnel Practice Test

AMAP - Assistive Medication Administration Personnel Practice Test

FREE AMAP Medication and I.V Administration Questions and Answers