1) A nurse is caring for a client who is 1 day postoperative and reports a pain level of 10 on a scale of 0 to 10. After reviewing the client’s medication administration record, which of the following medications should the nurse administer? a) Meperidine 75 mg IM b) Fentanyl 50 mcg/hr transdermal patch c) Morphine 2 mg IV d) Oxycodone 10 mg PO 2) A nurse is teaching a client about medications at discharge. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a) “I can open the time-release capsule with the beads in it and sprinkle them on my oatmeal.” b) “If I am having difficulty swallowing, I will add the liquid medication to a prepared package of pudding.” c) “I can crush the enteric coated pill, if needed.” d) “I will eat two crackers with the pain pills.” 3) A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? a) “Flush the tube before and after each medication.” b) “Mix your medications with your enteral feeding.” c) “Push tablets through the tube slowly.” d) “Mix all the crushed medications prior to dissolving them in water.” 4) A nurse is teaching an adult client how to administer ear drops. Which of the following statements should the nurse identify as an indication that the client understands? a) “I will straighten my ear canal by pulling my ear down and back.” b) “I will gently apply pressure with my finger to the front part of my ear after putting in the drops.” c) “I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops in.” d) “After the drops are in, I will place a cotton ball all the way into my ear canal.” 5) A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take? a) Use a 22‑gauge needle. b) Select a site on the client’s abdomen. c) Use the Z-track technique to displace the skin on the injection site. d) Observe for bleb formation to confirm proper placement. 6) A nurse is teaching an adult client how to administer eye drops. Which of the following statements should the nurse identify as an indication that the need further teaching?? a) " I will sit upright and tilt my head slightly." b) " I will wait for 5 minutes before I instill another medication." c) " I will avoid placing medication directly on the cornea." d) " I will use sterile technique when instilling eye drops." 7) A nurse is preparing to administering pain medication for abdominal pain for a client with dysphagia who has not IV access and refuses to be injected with any medication. Which route is an option to consider? a) Bio free spray b) Tramadol 50mg IM c) Oxycodone 5mg, Rectal suppository d) Morphine 2 mg PO 8) A nurse is taking care of 5 clients and is working with an LPN/LVN. Which of the following medication can be delegated to an LPN/LVN? Select al l that apply. a) Morphine 5mg IV Push b) Albuterol, Metered Dose inhaler c) Lisinopril 10mg, PO d) Insulin drip with dose adjustment q1hr  9) A nurse working in a busy medical surgical unit. Which of the following clients can be delegated to an LPN/LVN? a) A client with an order of antibiotic infusing through a PICC line. b) A client who just go the unit and need admission. c) A client with an open heart surgery post operative day 1 d) A client day five post carpel tunnel repair who needs PO pain medication.  10) A nurse is taking care of a client admitted in the morning with complain of abdominal pain, the nurse entered the room and finds the client on the floor. What is the nurse priority response? a) Help the client to bed b) Assess the area to ensure safety c) Call for help d) Ask the client what happened

Medication Administration 1

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