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Carrington College
[Pheonix]
MAPE101 Medication Administration
Proficiency
MAPE101 Exam
Course Title and Number: MAPE101 Exam Exam Title: MAPE101 Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
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MAPE101 Medication Administration
Proficiency 2024-
Medication Administration Proficiency
MAPE101 Exam Chapter 31 Review
Questions and Answers | 100% Pass
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Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: -
- The nurse is giving an IM injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do? a. Administer the injection at a slower rate b. Withdraw the needle and prepare the injection again. c. Pull the needle back slightly and inject the medication. d. Give the injection and hold pressure over the site for 3 minutes. - =Answer>> b. Withdraw the needle and prepare the injection again. ANS : B Blood return upon aspiration indicates improper placement, and the injection should not be given. Instead withdraw the needle, dispose of the syringe and needle properly, and prepare the medication again. Administering the medication into a blood vessel could have dangerous adverse effects, and the medication will be absorbed faster than intended owing to Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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c. Decreased gastric peristalsis d. Decreased cognitive function - =Answer>> a. Reduced glomerular filtration ANS : A All of the options are signs of aging; however, the glomerular filtration rate affects metabolism and medication clearance. The buildup of medication can cause toxicity in older patients.
- A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient, and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error? a. Physician b. Pharmacist c. Nurse d. No fault - =Answer>> c. Nurse ANS : C Ultimately, the person administering the medication is responsible for ensuring that it is correct. The nurse Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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administered the medication, so in this case it is the nurse. This is the importance of verifying the Six Rights of Medication Administration.
- A patient is to receive medication through a nasogastric tube. What is the most important nursing action to ensure effective absorption? a. Thoroughly shake the medication before administering. b. After all medications are administered, flush tube with 15 to 30 mL of water. c. Position patient in the supine position for 30 minutes. d. Clamp suction for 30 to 60 minutes after medication administration. - =Answer>> d. Clamp suction for 30 to 60 minutes after medication administration. ANS : D Absorption time for a medication administered through a nasogastric (NG) tube is the same as for an oral medication: 30 to 60 minutes. Therefore, the nurse would need to hold the suction for that amount of time to let the medication absorb. Thoroughly shaking the medication mixes the medication before administration but does not affect absorption. Flushing the medications ensures that all were administered. Patients with NG tubes should never be positioned supine but instead should be positioned at a 30- to 90- degree angle to prevent aspiration, provided no contraindication condition is known. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Ketorolac (Toradol) 8 mg IM d. Hydromorphone (Dilaudid) 4 mg IV - =Answer>> d. Hydromorphone (Dilaudid) 4 mg IV ANS : D IV is the fastest route for absorption owing to the increase in blood flow. Oral, subcutaneous (SQ), and intramuscular (IM) are others ways to deliver medication but with less blood flow.
- A drug requires a low pH to be metabolized. Knowing this, the nurse anticipates that the medication will be administered by which route? a. Oral b. Parenteral c. Buccal d. Inhalation - =Answer>> a. Oral ANS : A An oral medication would pass through to the stomachan area of low pH. The nurse would question an order for a medication that required an acidic environment to be metabolized. Buccal, inhalation, and parenteral routes provide neutral or alkaline environments Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- The nurse knows that an idiosyncratic event with the stimulant pseudoephedrine (Sudafed) is occurring when the patient a. Experiences blurred vision while driving. b. Falls asleep during daily activities. c. Presents with a pruritus rash. d. Develops xerostomia. - =Answer>> b. Falls asleep during daily activities. ANS : B An idiosyncratic event is a reaction opposite to what the side effects of the medication normally are, or the patient overreacts or underreacts to the medication. Blurred vision is a toxic effect. A rash could indicate an allergic reaction. Dry mouth is a typical response to a stimulant.
- An order is written for (phenytoin) Dilantin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the prescriber meant to write for hydromorphone (Dilaudid). What should the nurse do? a. Give the patient Dilaudid, as it was meant to be written. b. Call the prescriber to clarify and justify the order. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Encourage the patient to cough and deep-breathe. ANS : A Gaseous and volatile medications are excreted through gas exchange. Deep breathing and coughing will assist in clearing the medication more quickly.
- A nurse has withdrawn a narcotic from the medication dispenser. Upon checking the drug against the medication administration record, the nurse notices that the narcotic order has expired. What should be the nurses first action? a. Return the medication to the medication dispenser according to protocol. b. Exit the medication room to call the physician to request a reorder of the narcotic. c. Assess the patient to see if the narcotic is still needed; if so, administer the medication. d. Call the pharmacy and request that the narcotic be removed from the patient profile. - =Answer>> a. Return the medication to the medication dispenser according to protocol. ANS : A The nurse should follow Nurse Practice Acts and safe narcotic administration guidelines by safely returning the medication to the secure medication dispenser. This allows for an accurate narcotic count. The nurse should not leave the medication room with a Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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nonprescribed medication; the physician can be contacted once the medication is replaced safely. The nurse cannot administer a medication when there is no current order; this is a violation of the Six Rights of Medication Administration. The nurse should notify the pharmacist after safely returning the narcotic to the medication dispenser; removing the medication from the patient profile will reduce further medication errors.
- The nurse knows that patient education about a buccal medication has been effective when the patient states a. I should let the medication dissolve completely. b. I can only drink water, not juice, with this medication. c. For faster distribution, I should chew my medication first. d. I should place the medication in the same location. - =Answer>> a. I should let the medication dissolve completely. ANS : A Buccal medications should be placed in the side of the cheek and allowed to dissolve completely. Buccal medications act with the patients saliva and mucosa. The patient should not chew or swallow the medication. Gastric secretions may destroy some medications. The patient should rotate sides of the check to avoid irritating the mucosal lining. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- The patient is in severe pain and is requesting a prn medication before the prn time interval has elapsed. The nurses priority is to a. Give the medication early for any pain score greater than 8. b. Call the prescriber and request a stat order. c. Explain to the patient why he will have to wait for the medication. d. Document the patients request and pain score. - =Answer>> b. Call the prescriber and request a stat order. ANS : B The nurse should utilize clinical judgment to advocate for the patient by requesting a stat order for the patients breakthrough pain. The nurse cannot give a medication without an order because this violates the Right Time portion of the Six Rights of Medication Administration. If a nurse assesses that a patient is in severe pain, she must use clinical judgment to find that patient a me ans of pain relief. Although the nurse should document the patients request and pain score, this is not the priority.
- A patient is at risk for aspiration. What nursing action is most appropriate? a. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Hold the patients cup for him so he can concentrate on taking pills. b. Thin out liquids so they are easier to swallow. c. Give the patient a straw to control the flow of liquids. d. Have the patient self-administer the medication. - =Answer>> d. Have the patient self-administer the medication. ANS : D Aspiration occurs when food, fluid, or medication intended for GI administration inadvertently enters the respiratory tract. To minimize aspiration risk, allow the patient, if capable, to self-administer medication. Patients should also hold their own cup to control how quickly they take in fluid. Liquids should be thickened to reduce the risk of aspiration. Patients at risk for aspiration should not be given straws because use of a straw decreases the control the patient has over volume intake.
- A confused patient refuses his medication. What is the nurses first response? a. Agrees with the patients decision and documents it in his chart b. Educates the patient about the importance of the medication Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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6 weeks from the start of using the inhaler ANS : C The inhaler should last the patient 50 days; the nurse should advise the patient to refill the prescription when he has 7 to 10 days of medication remaining. Refilling it as soon as he leaves the hospital or when the inhaler is half empty is too early. If the patient waits 50 days, the patient will run out of medication before it can be refilled.
- The nurse knows that a subcutaneous injection takes longer to absorb because a. Fewer blood vessels are found under the subcutaneous level. b. Adipose tissue takes longer to metabolize medication. c. Connective tissue holds medication in place longer. d. Some medication leaks out after instillation. - =Answer>> a. Fewer blood vessels are found under the subcutaneous level. ANS : A How quickly a medication is absorbed is dependent on blood flow to the site. Locations with less blood supply take longer to absorb. Absorption is not based on adipose tissue; however, excessive adipose tissue may cause the medication to take longer before reaching the blood supply. The connective tissue is not part of Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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medication absorption. If a medication is properly administered, none of it should be wasted.
- The nurse realizes which patient is at greatest risk for an unintended synergistic effect? a. 72-year-old who is seeing four different specialists b. 4-year-old who has mistakenly taken the entire packet of his mothers birth control pills c. 50-year-old who was prescribed a second blood pressure medication d. 35-year-old drug addict who has ingested meth mixed with several household chemicals - =Answer>> a. 72-year-old who is seeing four different specialists ANS : A A synergistic effect occurs when two medications potentiate each other, creating a greater effect than a single medication on its own. The 72-year-old seeing four different providers is likely to experience polypharmacy. Polypharmacy places the patient at risk for unintended mixing of medications that potentiate each other. The child taking too much of a medication by mistake could experience overdose or toxicity. The 50-year-old is prescribed two different blood pressure medications for their synergistic effect, but this is a desired event. A drug addict mixing chemicals can be toxic. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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b. Notify the physician that the prescribed dose is in the toxic range. c. Notify the physician that the prescribed dose is below the therapeutic range. d. Change the dose to one that is within range. - =Answer>> c. Notify the physician that the prescribed dose is below the therapeutic range. ANS : C The dosage range is 200 to 400 mg a day. The prescribed dose is 100 mg/day, which is below therapeutic range. The nurse should notify the physician first and ask for clarification on the order. The dose is not above the therapeutic range and is not at a toxic level. The nurse should never alter an order without the prescribers approval and consent.
- The nurse is administering an intravenous medication that is to be administered over 10 minutes. Which method should the nurse choose to efficiently administer the medication? a. Place the medication in a large-volume cath-tipped syringe. b. Mix the medication into the patients maintenance fluids. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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c. Attach separate tubing and set the medication syringe in a mini-infusion pump. d. Stand at the patients bedside and carefully watch the clock while pushing the medication. - =Answer>> c. Attach separate tubing and set the medication syringe in a mini-infusion pump. ANS : C To administer this medication efficiently, the nurse should use an infusion pump to run the medication in over a prolonged time. This method is more accurate and is more time efficient than other methods because the nurse can leave the room. The nurse should not mix medication into the maintenance bag without pharmacist and physician approval. Pushing the medication is not a time-efficient method for the nurse. A cath-tipped syringe is an inappropriate device for administration of a medication.
- A nurse is caring for a patient who is in hypertensive crisis. When the nurse is flushing the patients peripheral IV, the patient complains of pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurses initial action? a. Notify the physician. b. Administer pain medication. c. Discontinue the IV. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
