1. The “Five Rights” of medication administration include all of the following except: a) Right patient b) Right medication c) Right dose d) Right time e) Right insurance Answer: e) Right insurance 2. The correct method to verify a patient’s identity before administering medication is: a) Checking the patient’s wristband b) Asking the patient’s name c) Using the room number d) Confirming the patient’s date of birth Answer: a) Checking the patient’s wristband 3. Before administering an oral medication, the nurse should: a) Check the patient’s blood pressure b) Confirm the patient can swallow c) Take the patient’s temperature d) Assess the patient’s pain level Answer: b) Confirm the patient can swallow 4. When administering medications via the intravenous (IV) route, the nurse should: a) Ensure the medication is diluted if necessary b) Use a small gauge needle for all medications c) Administer the medication rapidly without checking for compatibility d) Inject the medication into a central line only Answer: a) Ensure the medication is diluted if necessary 5. The term “PRN” in medication orders stands for: a) As needed b) At a specific time c) Immediately d) Once a day Answer: a) As needed 6. Which of the following is an appropriate action for administering insulin? a) Injecting insulin into the deltoid muscle b) Rotating injection sites c) Administering insulin without checking the blood glucose level d) Mixing insulin in a glass vial Answer: b) Rotating injection sites 7. The nurse is administering a medication that is ordered to be given “STAT.” This means: a) Once a day b) Immediately c) Every four hours d) As needed Answer: b) Immediately 8. Which route of medication administration is considered the fastest? a) Intramuscular b) Subcutaneous c) Oral d) Intravenous Answer: d) Intravenous 9. When administering a medication via a nasogastric (NG) tube, the nurse should: a) Crush all medications together b) Flush the tube with water before and after administering medications c) Administer medications directly without checking for placement d) Use a large-bore needle to administer medications Answer: b) Flush the tube with water before and after administering medications 10. The “Right Time” of medication administration refers to: a) Administering the medication within a 30-minute window of the scheduled time b) Giving the medication exactly at the time specified c) Administering the medication at any time during the shift d) Providing the medication as soon as it is available Answer: a) Administering the medication within a 30-minute window of the scheduled time 11. The appropriate technique for administering ear drops to an adult is: a) Pulling the ear downward and backward b) Pulling the ear upward and backward c) Pulling the ear downward and forward d) Pulling the ear upward and forward Answer: b) Pulling the ear upward and backward 12. When preparing to administer a medication, the nurse should: a) Perform hand hygiene before handling the medication b) Check the medication’s expiration date after administration c) Ignore the medication’s label once the medication is prepared d) Skip double-checking the medication against the order Answer: a) Perform hand hygiene before handling the medication 13. The term “eMAR” stands for: a) Electronic Medication Administration Record b) Emergency Medical Administration Record c) Essential Medication Administration Review d) Enhanced Medication Accountability Report Answer: a) Electronic Medication Administration Record 14. When administering a topical medication, the nurse should: a) Apply the medication to clean, dry skin b) Rub the medication vigorously into the skin c) Apply the medication over open wounds d) Wear gloves only if the medication is a cream Answer: a) Apply the medication to clean, dry skin 15. Which of the following is a common route for administering vaccines? a) Intravenous b) Subcutaneous c) Oral d) Intramuscular Answer: d) Intramuscular 16. The nurse is preparing to administer a medication via the subcutaneous route. Which site is commonly used? a) Upper arm b) Abdomen c) Thigh d) Buttock Answer: b) Abdomen 17. The correct procedure for administering an intramuscular (IM) injection is to: a) Use a short needle and insert at a 15-degree angle b) Use a long needle and insert at a 90-degree angle c) Use a thin needle and insert at a 45-degree angle d) Use a small needle and insert at a 30-degree angle Answer: b) Use a long needle and insert at a 90-degree angle 18. The nurse is administering a medication that is labeled “sustained release.” This means: a) The medication is released into the body all at once b) The medication is absorbed quickly c) The medication is designed to release slowly over time d) The medication should be administered multiple times a day Answer: c) The medication is designed to release slowly over time 19. The appropriate action when administering medications via an inhaler is to: a) Have the patient inhale the medication with the mouthpiece in their mouth b) Administer the medication without shaking the inhaler c) Have the patient hold their breath for 5 seconds after inhaling d) Administer the medication with the inhaler held upside down Answer: a) Have the patient inhale the medication with the mouthpiece in their mouth 20. The term “IM” stands for: a) Intramuscular b) Intramucosal c) Immediate d) Intravenous Answer: a) Intramuscular 21. When administering oral medications, the nurse should: a) Crush medications if the patient has difficulty swallowing b) Mix medications with food without checking for interactions c) Ensure the patient is sitting upright d) Administer medications without checking for allergies Answer: c) Ensure the patient is sitting upright 22. The correct angle for subcutaneous injections is: a) 15 degrees b) 30 degrees c) 45 degrees d) 90 degrees Answer: c) 45 degrees 23. The term “diluent” refers to: a) The medication that increases the drug’s effectiveness b) The solution used to dilute a drug for injection c) The vehicle used to administer oral medications d) The amount of time the drug stays in the bloodstream Answer: b) The solution used to dilute a drug for injection 24. When administering medication via a metered-dose inhaler (MDI), the nurse should: a) Instruct the patient to exhale before inhaling the medication b) Have the patient breathe in quickly and deeply c) Administer the medication directly into the nose d) Have the patient hold their breath for 10 seconds after inhaling Answer: d) Have the patient hold their breath for 10 seconds after inhaling 25. The nurse needs to administer a medication that is ordered “bid.” This means: a) Four times a day b) Twice a day c) Once a day d) Every other day Answer: b) Twice a day 26. The purpose of a medication “order” is to: a) Provide a legal and accurate record of medication administration b) Ensure that the patient receives medication at the wrong time c) Document the patient’s refusal to take medication d) Ensure that medication is administered without checking for allergies Answer: a) Provide a legal and accurate record of medication administration 27. The nurse should verify the medication order: a) Once, after preparing the medication b) Before preparing, during preparation, and before administration c) Only after administration d) Only if there is a question about the order Answer: b) Before preparing, during preparation, and before administration 28. The term “subcut” stands for: a) Subcutaneous b) Submucosal c) Sublingual d) Subdermal Answer: a) Subcutaneous 29. When administering medications via a gastrostomy (G-tube) or jejunostomy (J-tube), the nurse should: a) Crush medications unless contraindicated b) Administer all medications at once without flushing the tube c) Use a large-bore syringe for administration d) Administer medications without verifying tube placement Answer: a) Crush medications unless contraindicated 30. The purpose of using a “Medication Administration Record” (MAR) is to: a) Document medication administration and ensure accuracy b) Keep track of patient allergies c) Record the patient’s vital signs d) Monitor the patient’s diet Answer: a) Document medication administration and ensure accuracy 31. The correct technique for administering medications via a rectal route is to: a) Insert the medication with the patient lying on their back b) Insert the medication with the patient lying on their left side c) Administer the medication with the patient standing d) Insert the medication into the rectum for a few seconds and then withdraw Answer: b) Insert the medication with the patient lying on their left side 32. The nurse is administering a medication that is ordered to be given “t.i.d.” This means: a) Three times a day b) Every hour c) Twice a day d) Once a day Answer: a) Three times a day 33. When administering medication via a transdermal patch, the nurse should: a) Apply the patch to a new site each time b) Remove the old patch before applying a new one c) Apply the patch directly over a hairy area d) Use a heating pad to enhance absorption Answer: b) Remove the old patch before applying a new one 34. The term “PR” in medication orders stands for: a) Per rectum b) Per oral c) Per intravenous d) Per subcutaneous Answer: a) Per rectum 35. Which of the following is an appropriate action when administering a medication via a nebulizer? a) Ensure the patient inhales the medication deeply and slowly b) Administer the medication in short, rapid breaths c) Use the nebulizer in a well-ventilated area with high airflow d) Have the patient hold their breath for only 1 second after inhaling Answer: a) Ensure the patient inhales the medication deeply and slowly 36. The nurse is preparing to administer a medication that is ordered “q.d.” This means: a) Every day b) Every hour c) Every other day d) Twice a day Answer: a) Every day 37. The purpose of “double-checking” a medication order is to: a) Prevent medication errors and ensure accuracy b) Confirm the medication’s color and shape c) Check the medication’s expiration date d) Review the patient’s diet Answer: a) Prevent medication errors and ensure accuracy 38. When administering medication via a feeding tube, the nurse should: a) Administer the medication with the patient lying flat b) Flush the tube with water before and after administering medication c) Crush all medications into a fine powder before administration d) Administer medications without checking tube placement Answer: b) Flush the tube with water before and after administering medication 39. The nurse is preparing to administer an oral medication that is labeled as “chewable.” The nurse should: a) Crush the medication before administration b) Instruct the patient to swallow the medication whole c) Ensure the patient chews the medication thoroughly d) Mix the medication with liquid before administration Answer: c) Ensure the patient chews the medication thoroughly 40. The correct procedure for administering eye drops is to: a) Place the drops directly onto the cornea b) Instill the drops into the lower conjunctival sac c) Have the patient close their eyes immediately after administration d) Apply pressure to the patient’s eyelid after administration Answer: b) Instill the drops into the lower conjunctival sac 41. When administering a medication through a central venous catheter, the nurse should: a) Flush the catheter with a small amount of saline before and after administration b) Use a large-bore needle to administer the medication c) Avoid checking for blood return before administering the medication d) Administer medications without monitoring for complications Answer: a) Flush the catheter with a small amount of saline before and after administration 42. The term “QD” in medication orders stands for: a) Every day b) Every week c) Every month d) Every hour Answer: a) Every day 43. The correct action for administering medications to a patient with difficulty swallowing is to: a) Crush the medication and mix it with a small amount of food, if permitted b) Administer the medication in liquid form without checking for alternative forms c) Insert the medication into the patient’s mouth without any aid d) Skip the medication if the patient has difficulty swallowing Answer: a) Crush the medication and mix it with a small amount of food, if permitted 44. The purpose of documenting medication administration is to: a) Provide a legal record and ensure continuity of care b) Keep track of the patient’s vital signs c) Monitor the patient’s dietary intake d) Record the patient’s physical activity Answer: a) Provide a legal record and ensure continuity of care 45. When administering a medication intranasally, the nurse should: a) Use a nasal spray or dropper and instruct the patient to inhale through the nose b) Administer the medication into the mouth and instruct the patient to swallow c) Use a nebulizer for intranasal medication d) Apply the medication directly to the outer nostrils Answer: a) Use a nasal spray or dropper and instruct the patient to inhale through the nose 46. The nurse should verify the medication order and administration details: a) Before preparing the medication b) During medication preparation c) After administering the medication d) All of the above Answer: d) All of the above 47. The term “SL” in medication orders stands for: a) Sublingual b) Subcutaneous c) Submucosal d) Sublingual Answer: a) Sublingual 48. The correct technique for administering a medication via the vaginal route is to: a) Insert the medication with the patient in a sitting position b) Insert the medication with the patient lying on their back c) Apply the medication directly to the vaginal opening d) Insert the medication into the rectum for a few seconds and then withdraw Answer: b) Insert the medication with the patient lying on their back 49. When administering medications via the intrathecal route, the nurse should: a) Inject the medication into the spinal canal b) Inject the medication into the subcutaneous tissue c) Administer the medication into the intravenous line d) Apply the medication directly to the skin Answer: a) Inject the medication into the spinal canal 50. The nurse is administering a medication via the transdermal route. Which action should the nurse take? a) Place the patch on the patient’s chest area b) Ensure the patch is placed on an area of intact skin c) Apply the patch over a site of irritation d) Use a heating pad to increase absorption Answer: b) Ensure the patch is placed on an area of intact skin

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