Questions and Answers
Which type of medication is primarily used for blood thinning?
What is the angle of insertion for subcutaneous injections?
Which of the following substances is classified as a hormonal agent?
Which vaccine is listed under immunizations?
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What common route of administration involves placing a drug under the tongue?
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Which medication is typically used for pain management in palliative care?
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Which type of antibiotic is specifically used for treating bacterial infections?
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What is the primary function of vaccines and toxoids in medicine?
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Which of the following is NOT considered a home-administered drug?
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What is the duration of effect primarily associated with long-acting insulin?
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What is the primary reason for rinsing each part of the nebulizer in sterile water?
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What method is recommended for providing patient teaching?
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Which action enhances patient safety after completing care?
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What is a key aspect of administering subcutaneous injections?
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What influences the rate of absorption for subcutaneous injections?
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Where is the most frequently recommended site for administering heparin injections?
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What is the appropriate action for used supplies after patient care?
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Which condition is least likely to affect the absorption rate of subcutaneous injections?
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After cleaning the nebulizer, how should the parts be stored until the next use?
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What is the main characteristic of subcutaneous injections compared to IM injections?
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What is the purpose of applying the Six Rights of Medication Administration?
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Which step should be performed immediately before administering nebulized medication?
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When is it appropriate to use a face mask for nebulizer administration?
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What should be done with the nebulizer cup during treatment?
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What is essential to do if steroids are nebulized?
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Which assessment is required after nebulizer treatment?
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Before beginning to assemble the nebulizer, which step is crucial?
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What is the recommended position for a patient before starting nebulization?
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Which of the following is NOT one of the Six Rights of Medication Administration?
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What should be added to the nebulizer cup if prescribed by the doctor?
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What is the primary difference between nociceptive pain and neuropathic pain?
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Which of the following statements regarding opioid toxicity is accurate?
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How can acute and chronic pain be differentiated effectively?
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What does the 'PQRSTU' framework stand for in pain assessment?
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Which of the following is a recommended action when a patient expresses concerns about a medication?
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What vital signs should be reviewed for clinical skills mini tests?
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When administering nebulized medications, what should be done immediately if severe bronchospasm occurs?
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Which measurement conversion is NOT commonly required in medical calculations?
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Which of the following best describes orthostatic hypotension?
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What is the primary focus when providing education on pain medication?
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Study Notes
Exam Preparation Tips
- Read all assigned chapters thoroughly to gain confidence in the material.
- Complete all Essential Skills tests for Weeks 3 & 4.
- Engage with ATI videos on vital signs, pain, and medication administration.
- Review PowerPoints for Week 3 & 4.
- Start studying at least a week and a half in advance to avoid last-minute cramming.
- The exam consists of 61 questions worth a total of 100 points, including various question formats (select all that apply, drop-down, multiple choice).
Pain Types
- Acute pain is temporary and usually associated with injury or illness, while chronic pain persists long after the injury has healed, often due to underlying health issues.
- Cancer pain is generally associated with cancer progression or treatment, while neuropathic pain results from nerve damage, often described as burning or tingling.
- Phantom limb pain is a type of neuropathic pain experienced after amputation but can also manifest as phantom sensations in the absent limb.
Pain Management Education
- Opioid medications are powerful pain relievers but come with risks of dependency and side effects; non-opioid medications include NSAIDs and acetaminophen.
- Signs of opioid toxicity include respiratory depression, altered mental status, and pinpoint pupils.
Vital Signs & Clinical Skills
- Understand normal ranges for vital signs, and review the clinical skills mini-test.
- Practice medication calculations converting milligrams to grams, and familiarize with liquid measurements like teaspoons, ounces, liters, and quarts.
Safe Medication Administration
- Verify the healthcare provider’s orders and check for allergies before administering any medication.
- Follow the Six Rights of Medication Administration: right patient, right drug, right dose, right route, right time, and right documentation.
- Assess the patient prior to medication administration and ensure privacy and hygiene throughout the process.
Nebulizer Administration Steps
- A nebulizer converts liquid medication into a mist for inhalation, ensuring proper setup and patient positioning is essential.
- Monitor the patient, particularly their pulse, during nebulization, especially if a beta-adrenergic bronchodilator is used.
- If steroids are nebulized, instruct patients to rinse their mouths post-treatment to prevent irritation.
Subcutaneous Injections
- Medications are injected into loose connective tissue, ensuring slower absorption compared to intramuscular injections due to lower blood supply.
- Common medications administered subcutaneously include insulin and heparin, typically injected into the abdomen.
- Select injection sites avoiding lesions, bony prominences, or regions with large underlying muscles or nerves.
Insulin Types
- Different types of insulin are categorized by onset, peak, duration, and role in blood sugar management, including rapid, short, and long-acting insulins.
Sublingual vs Buccal Administration
- Sublingual administration involves placing medication under the tongue for absorption, while buccal administration places medication between the gum and cheek for absorption through the mucous membrane.
Patient Education and Safety
- Employ the Teach Back method for effective patient education on medication use.
- Ensure the patient's comfort and safety, including easy access to personal items and assistance devices.
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Description
Prepare effectively for Exam 2 by reviewing all assigned chapters thoroughly. Complete Essential Skills tests for Weeks 3 & 4 and engage with ATI videos on vital signs, pain, and medication administration. Reviewing the PowerPoints will also help boost your confidence and knowledge.
