Unit 3 Quiz Assisting with Nonparenteral Medications

1. Nonparenteral medications enter the body through any route other than: a. Sublingual b. Injection c. Rectal d. Oral

2. Medications are most commonly administered by which of the following routes?: a. Sublingual b. Injection c. Rectal d. Oral

3. Disadvantages of oral medications include: a. They may cause nausea b. They may be difficult to swallow c. They may have a bad taste d. All of the above

4. The steps for assisting with oral medications include all of the following, except: a. Preparation b. Pouring the medication c. Administration d. Description

5. When measuring liquid medications: a. It is acceptable to pour excess medication back into the bottle b. Pour all liquid medications for a resident into the same cup c. Place the medicine cup at eye level and measure at the meniscus d. All of the above

6. When giving a crushed medication mixed with food: a. The medication CNA may crush it with the bottom of a drinking glass b. The medication CNA must tell the resident that there is medicine in the food and that all of the food must be consumed c. The medication CNA may mix any medication with food or drink, depending on the resident’s preference d. It does not matter if a puff of medication is lost while crushing it

7. Sublingual medications are given by: a. Placing the medication under the tongue b. Crushing the medication and then placing it under the tongue c. Swallowing the medication whole d. Using a dropper to administer the medication 8. Topical medications: a. Are applied to and have an effect on a local area of the body b. Are applied to the skin and have an effect on a different area c. Are only applied to mucous membranes d. Are layered on top of another medication or ointment

9. When giving ophthalmic medications: a. It may be acceptable to share medications between residents with the same diagnosis and orders b. It is acceptable for the medication to run from one eye to the other c. All ophthalmic medications must have ‘ophthalmic’ or ‘eye’ on the label d. The medications should be administered directly on the resident’s eyeball

10. The proper method of assisting with otic drops includes all of the following, except: a. Straighten out the ear canal by gently pulling the ear up and outward b. Drop the medication onto the outer ear canal and allow it to gently roll into the ear canal c. Apply otic drops directly into the inner ear d. Avoid touching the dropper to the ear canal

11. When assisting with otic drops, it is acceptable to: a. Force air into the ear when giving otic medications b. Apply petroleum jelly to the outer ear in order to protect the skin c. Liberally apply heat to the affected ear d. Frequently clean the inner ear with sterile cotton swabs

12. When assisting the resident with nasal medications, it is important to: a. Instruct the resident to clear the nose before taking any nasal medication b. Alternate which nostril receives the medication, unless otherwise indicated c. Avoid allowing the tip of the medication dropper to enter the nose d. All of the above

13. When using a dropper to give medications: a. Hold the rubber tip up so that it serves as a reservoir for the medication b. Do not touch the tip to the eye, nose, or ear c. If too much medication is drawn into the dropper, squeeze the excess medication back into the bottle d. All of the above

14. When applying a transdermal patch: a. It is acceptable to change a transdermal patch at any time during the shift b. If skin irritation is noticed, it is advisable to observe the area for 24 hours before notifying the nurse c. If the patch comes off, it should be left off for the remainder of the shift d. Do not get the medication on your hands while applying the patch 15. Medicated shampoos that have been obtained from a prescription should be: a. Stored in the resident’s bathroom b. Stored in the medication cart c. Applied three times per week d. Applied using a sterile cotton applicator

16. Transdermal patches may be applied to all of the following areas, except: a. The back b. The upper arm c. The abdomen d. All of the above are acceptable sites

17. Rectal suppositories should be administered using: a. Water soluble lubricant b. Petroleum jelly c. Normal saline solution d. The lubricant ordered by the attending physician

18. Which of the following is not a type of inhaler? a. Handheld b. Nebulizer c. Systemic airway appliance d. Intermittent positive-pressure machine

19. A nebulizer would be used instead of a handheld inhaler when: a. The resident does not understand how to use an inhaler b. A larger amount of medication needs to be delivered to the lungs c. A spacer is not available d. The resident has an allergy to latex materials

20. Some of thee equipment needed when a resident receives a medication via nebulizer includes: a. Face mask or mouthpiece, tubing, and compressor b. Face mask, tubing, and spacer c. Compressor, spacer, nebulizer cup d. IPPB machine, compressor, face mask or mouthpiece

21. Which of the following is not a component for an order to give oxygen? a. Oxygen flow rate, concentration, supplier company, and method of delivery b. Concentration, manufacturer, method of delivery, and length of administration time c. Method of delivery, length of tubing, length of administration time, oxygen flow rate d. Oxygen flow rate, concentration, method of delivery, and length of administration time 22. Symptoms of oxygen toxicity include: a. Chest pain beneath the sternum b. Nausea and vomiting c. Numbness or tingling in extremities d. All of the above

23. Describe the proper procedure for assisting with oral medications:

24. Describe the proper procedure for assisting with nasal spray:

25. Describe the proper procedure for assisting with ophthalmic medications:

26. Describe the proper procedure for assisting with rectal suppositories:

27. Describe the proper procedure for assisting with medication from a handheld inhaler:

28. Describe the proper procedure for assisting with medication via a nebulizer: