ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 9 : Photo Atlas of Drug Administration Questions
Question 1 of 5
A patient says he prefers to chew rather than swallow his pills. One of the pills has the abbreviation SR behind the name of the medication. The nurse needs to remember which correct instruction regarding how to give this medication?
Correct Answer: C
Rationale: Sustained-release (SR) tablets must not be crushed or broken to maintain their controlled-release properties and prevent rapid absorption or gastrointestinal irritation.
Question 2 of 5
When administering nasal spray, which instruction by the nurse is appropriate?
Correct Answer: A
Rationale: Clearing the nasal passages by blowing the nose before administering nasal spray ensures effective delivery. Blowing afterward removes the medication, holding breath is unnecessary, and the patient should remain supine, not sit up.
Question 3 of 5
The nurse is preparing to give an aqueous intramuscular (IM) injection to an average-sized adult. Which actions are appropriate? (Select all that apply.)
Correct Answer: B,E,F
Rationale: For IM injections in adults, use a 20- to 25-gauge, 1- to 1 1/2-inch needle, insert at a 90-degree angle, and check for blood return to avoid intravascular injection. The dorsogluteal site is not preferred due to nerve risks; the ventrogluteal site is recommended. A 26- or 27-gauge needle is too small, and a 45-degree angle is for subcutaneous injections.
Question 4 of 5
A patient is to receive hydromorphone 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. Identify how many milliliters the nurse will administer for this dose.
Correct Answer: 0.75 mL
Rationale:
To calculate: 2 mg/1 mL = 1.5 mg/x mL. Cross-multiply: (2 * x) = (1 * 1.5); 2x = 1.5; x = 1.5/2 = 0.75 mL.
Question 5 of 5
The nurse is giving an intradermal (ID) injection and will choose which syringe for this injection?
Correct Answer: B
Rationale: The proper size syringe for ID injection is a 1-mL tuberculin. The other syringes pictured are incorrect. Insulin syringes (marked in units) are not used for intradermal injections.