Pharmacological and Parenteral Therapies1. A practical nurse is preparing oral metoprolol for a 71-year-old man on a medical unit. Which action correctly applies a medication right before administration?A. Use two client identifiersB. Ask only the roommate to confirm the last name because it is faster on a busy shiftC. Skip identification if the client has been on the unit for several daysD. Match the room number alone to the medication administration recordCheck
Pharmacological and Parenteral Therapies2. A practical nurse is teaching a student about safe medication administration. Which actions apply the rights of medication administration? (Select all that apply)Select all that apply.A. Compare the medication label to the medication administration record three timesB. Identify the client with two identifiers before giving the doseC. Give a medication ordered for 0900 at 1400 without notifying anyone because the client was off the unitD. Document the dose after it is given, including the time and routeE. Clarify an order that lists a route the client cannot useF. Skip allergy review if the drug was given yesterdayCheck
Pharmacological and Parenteral Therapies3. A practical nurse is preparing oral metoprolol for a 71-year-old man on a medical unit. Which action correctly applies a medication right before administration?A. Use two client identifiersB. Ask only the roommate to confirm the last name because it is faster on a busy shiftC. Skip identification if the client has been on the unit for several daysD. Match the room number alone to the medication administration recordCheck
Pharmacological and Parenteral Therapies4. A 64-year-old woman needs prescribed otic drops in the right ear. She is alert and sitting. How should the practical nurse straighten the ear canal before instilling the drops?A. Pull the pinna down and back as for an infantB. Pull the pinna up and backC. Pull the tragus straight forward and hold it thereD. Leave the pinna untouched and aim at the external meatus onlyCheck
Pharmacological and Parenteral Therapies5. A 58-year-old man is ordered timolol eye drops. Which technique is correct?A. Drop the medication directly onto the cornea while the client stares aheadB. Place the drop on the lower lashes so it will roll in laterC. Place the drop in the conjunctival sacD. Rinse the eye with tap water immediately after each dropCheck
Pharmacological and Parenteral Therapies6. A 62-year-old woman is prescribed subcutaneous enoxaparin after hip arthroplasty. Which injection site is appropriate?A. The deltoid muscle using a 90-degree intramuscular techniqueB. The vastus lateralis because it is a large muscleC. The inner aspect of the forearm used for intradermal testingD. The anterolateral abdomen, not the deltoid or thigh muscleCheck
Pharmacological and Parenteral Therapies7. A 45-year-old man has a morphine patient-controlled analgesia (PCA) pump after bowel surgery. His partner asks to press the button while he sleeps. What should the practical nurse teach?A. The partner may press the button every 10 minutes if the client looks uncomfortableB. Nursing staff should press the button on a fixed schedule instead of the clientC. Only the client should press the PCA button; others must not give proxy dosesD. The partner may press the button once per hour while the client sleepsCheck
Pharmacological and Parenteral Therapies8. A 79-year-old woman cannot swallow tablets. The medication administration record lists oxycodone extended-release (XL) 10 mg PO every 12 hours. What should the practical nurse do?A. Do not crush the XL tablet and request another formulationB. Crush the tablet, mix it with applesauce, and give it nowC. Cut the tablet in half to make swallowing easierD. Dissolve the tablet in warm water and give it by oral syringeCheck
Pharmacological and Parenteral Therapies9. Ten minutes after packed red blood cells are started, a 54-year-old man reports chills, low back pain, and chest tightness. Temperature is 38.8 C. Blood pressure is 88/52 mm Hg. What is the first action?A. Slow the transfusion to 25 mL/h and reassess in 15 minutesB. Give acetaminophen and continue the same unitC. Flush the blood tubing with 5% dextrose and keep the unit hangingD. Stop the transfusion immediatelyCheck
Pharmacological and Parenteral Therapies10. A practical nurse draws 10 units of insulin aspart. Facility policy lists insulin as a high-alert medication. What is required before injection?A. Complete an independent double-check with a second regulated nurseB. A verbal confirmation from the client that the dose "looks right"C. Documentation of the dose after it is given, without a second checkD. A pharmacy callback only if the dose is greater than 20 unitsCheck