CHAPTER 55Administering Medications
True/False:
1. ________ The subcutaneous injection is given in the arms, abdomen, or thighs.
Answer:
Page: 1297
Objective #1
2. ________ Hepatitis B is caused by the hepatitis B virus (HBV) and is transmitted
by contaminated serum in blood transfusions or through the use of contaminated
needles or instruments.
Answer:
Page: 1312
Objective #1
3. ________ Polio is caused by a virus and is spread through contact with the feces
of an infected person.
Answer:
Page: 1313
Objective #1
4. ________ Pertussis is a disease of the nervous system and is caused by a
bacterium that enters into the body through a break in the skin.
Answer:
Page: 1311
Objective #1
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5. ________ Although the Hib disease is NOT well known, a recent statistic from
the Centers for Disease Control and Prevention (CDC) indicated that one out of
every 200 children in the United States under the age of 5 contracts Hib.
Answer:
Page: 1312
Objective #1
6. ________ There are two types of polio vaccines: inactivated polio vaccine (IPV)
and live oral polio vaccine (OPV).
Answer:
Page: 1313
Objective #1
7. ________ Hepatitis B, which is caused by a virus, is the most common type of
hepatitis in the United States.
Answer:
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Objective #1
8. ________ The pneumococcal vaccine was NOT, until very recently, licensed for
children under the age of 12.
Answer:
Page: 1312
Objective #1
9. ________ The polio vaccine has been available since 1955, which has resulted in
the disappearance of the disease in the United States.
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Answer:
Page: 1313
Objective #1
10. ________ The intradermal injection, in which a minute amount of material is
injected within the top layer of skin to determine a patient’s sensitivity to it, is
commonly used for allergy testing.
Answer:
Page: 1297
Objective #3
11. ________ Portabella, also called chickenpox, is probably one of the most
common childhood diseases.
Answer:
Page: 1310
Objective #1
12. ________ Once a child is given the measles, mumps, and rubella (MMR) vaccine,
he or she is protected from those diseases for life.
Answer:
Page: 1312
Objective #1
13. ________ Antibodies are fatty substances produced by white blood cells in the
bone marrow.
Answer:
Page: 1308
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Objective #1
14. ________ Tetanus, also known as whooping cough, is a respiratory disease that is
most common in children under the age 4.
Answer:
Page: 1311
Objective #1
15. ________ The Q-track method is used when a medication is irritating to the
subcutaneous tissues or the medication may discolor the skin.
Answer:
Page: 1296
Objective #7
16. ________ The tuberculin skin test is administered intradermally.
Answer:
Page: 1300
Objective #3
17. ________ Redness at the skin test is a positive reaction to the tuberculin skin test.
Answer:
Page: 1302
Objective #3
18. ________ Utilizing outpatient centers may allow for patients to be discharged
earlier from hospitals.
Answer:
Page: 1305
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Objective #1
19. ________ In some states, the medical assistant may start IV fluid therapy with
advanced training and physician supervision.
Answer:
Page: 1305
Objective #1
20. ________ Chemotherapy medications are NOT administered using IV therapy.
Answer:
Page: 1305
Objective #1
21. ________ An IV is generally started in the thigh.
Answer:
Page: 1306
Objective #1
22. ________ Patients who have the bleeding disorder hemophilia are lacking clotting
factors that are required for proper coagulation.
Answer:
Page: 1306
Objective #1
Multiple Choice:
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1. Intramuscular injections (IM) are given in one of four sites. These sites include all
of the following muscles EXCEPT the _______.
a. deltoid
b. biceps
c. vastus lateralis
d. dorsogluteal
Answer:
Page: 1294
Objective #6
2. Medications may be administered in which of the following ways?
a. Rectally
b. By inhalation
c. Topically
d. All of the above
Answer:
Page: 1284
Objective #1
3. Medical assistants do NOT administer _______.
a. medications by intravenous fluids
b. chemotherapy drugs
c. narcotics
d. any of the above
Answer:
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Page: 1285
Objective #1
4. Which of the following are topical drug forms for skin conditions that require
treatment?
a. Creams and ointments
b. Lotions
c. Skin patches
d. All of the above
Answer:
Page: 1288
Objective #1
5. Which of the following is NOT a type of liquid medication?
a. Emulsion
b. Powder
c. Solution
d. Elixir
Answer:
Page: 1285
Objective #2
6. Medication must be checked ______ times before administration.
a. two
b. four
c. five
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d. three
Answer:
Page: 1285
Objective #2, #3, and #8
7. Equipment used for the dispensing of liquid medication includes all of the
following EXCEPT ________.
a. calibrated cups
b. spoons
c. spatulas
d. droppers
Answer:
Page: 1285
Objective #2
8. Parenteral medication administration means administering a medication through
injection, through all of the following routes EXCEPT _______.
a. intramural
b. intramuscular
c. intravenous
d. subdermal
Answer:
Page: 1288
Objective #3
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9. Insulin injections are typically done in all of the following areas EXCEPT the
_______.
a. arms
b. abdomen
c. feet
d. thighs
Answer:
Page: 1290
Objective #3
10. Larger syringes are calibrated in 2 mL, 3 mL, 5 mL, 10 mL, and larger, up to 60
mL. The most commonly used size is the ________ mL syringe, because it is the
most accurate with small doses of medication.
a. 2
b. 3
c. 5
d. 10
Answer:
Page: 1290
Objective #4
11. Needle length is very important and varies from ⅜ inch to ________ inches in
length.
a. 2
b. 3
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c. 4
d. 5
Answer:
Page: 1290
Objective #4
12. All needles and syringes should be placed in a ________ Sharps container, needle
down, as soon as they are used.
a. blue
b. green
c. white
d. red
Answer:
Page: 1291
Objective #5
13. Because Occupational Safety and Health Administration (OSHA) standards have
become very strict, there are a variety of safety devices to _______ or withdraw
contaminated needles.
a. sterilize
b. cover
c. remove
d. contain
Answer:
Page: 1290
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Objective #5
14. No needle should be disposed of in any receptacle EXCEPT a ________
container.
a. shots
b. meads
c. Sharps
d. shapes
Answer:
Page: 1291
Objective #5
15. Intramuscular injections (IM) are given in one of four sites. These sites or muscles
include all of the following EXCEPT the _______.
a. deltoid
b. vastus lateralis
c. dorsogluteal
d. triceps
Answer:
Page: 1294
Objective #6
16. Intramuscular injections are always given at a ________-degree angle.
a. 30
b. 45
c. 90
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d. 120
Answer:
Page: 1294
Objective #6
17. The subcutaneous injection is given just under the skin in the fat (adipose) tissue.
This method is used for small doses of non-irritating medications for all of the
following EXCEPT _______.
a. immunizations
b. antibiotics
c. insulin
d. analgesics
Answer:
Page: 1297
Objective #3
18. The subcutaneous injection is usually given at a ________-degree angle to the
skin surface.
a. 30
b. 45
c. 60
d. 90
Answer:
Page: 1297
Objective #3
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19. Patients receiving allergy injections should remain in the office after their
injection per the office protocol, usually ________, to ensure that the patient is
not having any type of allergic reaction.
a. 2 to 3 minutes
b. 20 to 30 minutes
c. 2 to 3 hours
d. 5 to 6 hours
Answer:
Page: 1297
Objective #3
20. When giving a medication using the ________-track method, you need to pull the
skin to the side before inserting the needle.
a. P
b. T
c. C
d. Z
Answer:
Page: 1296
Objective #7
21. Antibodies are ________ substances and are produced by lymphocytes in the
spleen, lymph nodes and tissues, and the bone marrow.
a. protein
b. fatty
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c. liquid
d. bone
Answer:
Page: 1308
Objective #1
22. ________ acquired active immunity is the result of receiving vaccinations with
inactive (dead) or attenuated (weakened) organisms.
a. Passively
b. Artificially
c. Reactively
d. Genetically
Answer:
Page: 1308
Objective #1
23. Each year, the Centers for Disease Control and Prevention (CDC) recommends
that certain individuals receive the influenza vaccination. These individuals
usually include all of the following EXCEPT _______.
a. persons 65 years or older with comorbid conditions
b. residents of long-term-care facilities
c. children younger than 6 months
d. pregnant women
Answer:
Page: 1308
Objective #114©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.
24. Immunizations or vaccines are produced by taking a ________ or weakened
infectious agent of a disease and injecting it into the human body.
a. hibernating
b. live
c. dead
d. toxic
Answer:
Page: 1308
Objective #1
25. A(n) ________ recommended childhood and adolescent immunization schedule is
issued by the American Academy of Pediatrics, the Advisory Committee on
Immunization Practices of the CDC, and the American Academy of Family
Physicians.
a. weekly
b. monthly
c. quarterly
d. annual
Answer:
Page: 1309
Objective #1
26. Hepatitis B is a form of viral hepatitis, is ________ contagious, and can be fatal.
a. not
b. slightly
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c. highly
d. mildly
Answer:
Page: 1312
Objective #1
27. A child should receive a total of ________ doses of the hepatitis B vaccine.
a. two
b. four
c. six
d. eight
Answer:
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Objective #1
28. The fifth dose of diphtheria vaccine is given to children between the ages of
________.
a. 2 and 4
b. 4 and 6
c. 6 and 8
d. 8 and 10
Answer:
Page: 1310
Objective #1
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29. Transmission of diphtheria is by direct and indirect contact and is diagnosed by
obtaining a(n) ________ culture.
a. skin
b. eye
c. anal
d. throat
Answer:
Page: 1310
Objective #1
30. Pertussis is caused by ________ and is transmitted by direct and indirect contact.
a. virus
b. bacteria
c. fungi
d. injury
Answer:
Page: 1311
Objective #1
31. Tetanus is ________ contagious and rarely occurs in individuals living in the
United States.
a. slightly
b. moderately
c. extremely
d. not
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Answer:
Page: 1311
Objective #1
32. When children receive a vaccine for tetanus, it is usually given in combination
with a vaccine for _______ (also known as the DTaP vaccine).
a. tetanus
b. pertussis
c. diphtheria
d. all of the above
Answer:
Page: 1311
Objective #1
33. Rubella, also known as ________ measles or three-day measles, is typically a
mild disease that affects an individual for about 24 hours.
a. American
b. French
c. Greek
d. German
Answer:
Page: 1312
Objective #1
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34. Chickenpox, so named because the blisters that accompany it look like ________,
is caused by a virus and is spread through the air. Chickenpox, although an
uncomfortable disease, is usually NOT serious.
a. fried chicken
b. frozen peas
c. chickpeas
d. raw chicken
Answer:
Page: 1312
Objective #1
35. According to the CDC, the ________ bacteria kills more people in the United
States each year than any other vaccine-preventable disease.
a. hepatitis A
b. AIDS
c. pneumococcal
d. hepatitis B
Answer:
Page: 1312
Objective #1
36. Polio is caused by a virus and is spread through contact with the ________ of an
infected person.
a. saliva
b. air
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c. feces
d. blood
Answer:
Page: 1312
Objective #1
37. In addition to the influenza vaccination, adults ________ years of age and older
should receive the pneumococcal polysaccharide vaccine (PPV).
a. 35
b. 45
c. 55
d. 65
Answer:
Page: 1313
Objective #1
38. The medical assistant and the physician are ________ for all medications that are
administered to the patient.
a. released
b. unanswerable
c. irresponsible
d. liable
Answer:
Page: 1285
Objective #1
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39. Never give medications to a pediatric patient without permission from ________.
a. the patient
b. an adult
c. the next-of-kin
d. a parent or guardian
Answer:
Page: 1305
Objective #8
40. Elderly patients typically take ________ medications than younger patients do.
a. the same
b. less
c. more
d. different
Answer:
Page: 1305
Objective #1
41. When giving injections to elderly patients, keep in mind that they may have
________ skin and smaller muscles. Use a smaller needle, and take care to NOT
tear the skin or damage the muscle.
a. rougher
b. thicker
c. thinner
d. more elastic
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Answer:
Page: 1305
Objective #4
42. The first step in the method for correctly withdrawing medication from a single-
dose and a multiple-dose vial should be which of the following?
a. Select the syringe and needle based on the type of medication and location for the
injection site.
b. Compare the medication vial (bottle) against the physician’s order.
c. Thoroughly wash hands with soap and running water.
d. Remove needle from vial.
Answer:
Page: 1292
Objective #3
43. A virus causes _______, which is extremely serious and can result in brain
damage, deafness, or death.
a. mumps
b. chickenpox
c. measles
d. scarlet fever
Answer:
Page: 1312
Objective #1
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44. A recent statistic from the CDC indicated that one out of every 200 children in the
United States under the age of 5 years contracts _______ disease.
a. Crohn’s
b. Hib
c. Fifth’s
d. Edison’s
Answer:
Page: 1312
Objective #1
45. Measles is extremely serious and can result in all of the following conditions
EXCEPT
a. liver disease.
b. brain damage.
c. deafness.
d. death.
Answer:
Page: 1312
Objective #1
46. Hib is caused by a bacterium, is spread through ________, and enters into the
lungs or bloodstream.
a. the air
b. bodily waste
c. drinking water
d. spoiled food
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Answer:
Page: 1312
Objective #1
47. Meningitis, which is a result of Hib, affects about ________ children a year.
a. 12
b. 120
c. 1200
d. 12,000
Answer:
Page: 1312
Objective #1
48. ________ DTaP shots are required to fully protect a child. The last booster is
given to children between the ages of 4 and 6.
a. Three
b. Five
c. Seven
d. Nine
Answer:
Page: 1311
Objective #1
49. Individuals with diphtheria typically experience symptoms such as all of the
following EXCEPT _______.
a. red eyes
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b. headache
c. fever
d. sore throat
Answer:
Page: 1310
Objective #1
50. All of the following are topical medications that can be applied to mucosal
membranes EXCEPT _______.
a. eye drops
b. ear drops
c. skin patches
d. buccal tablets
Answer:
Page: 1288
Objective #1
51. When giving elderly patients injections, ________.
a. use a larger needle
b. obtain permission from their caregiver first
c. use a smaller needle
d. use a bandage with adhesive tape
Answer:
Page: 1305
Objective #4
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52. Which of the following is NOT a benefit of outpatient IV therapy?
a. It helps increase hospital admissions.
b. It helps reduce medical costs.
c. It allows patients to spend more time with their family.
d. It is more cost-effective for patients without health insurance.
Answer:
Page: 1305
Objective #1
53. IV therapy is indicated for all of the following EXCEPT _______.
a. administering blood
b. replacing lost fluids
c. administering an enema
d. medication administration
Answer:
Page: 1305
Objective #1
54. Bolus, IV push, and scheduled intermittent administration are all examples
of ________ dosage.
a. analgesic
b. unit
c. port
d. sublingual
Answer:
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Page: 1306
Objective #1
55. The most common side effect of intravenous therapy is ________.
a. infection at the site of the needle
b. phlebitis
c. infiltration
d. rejection
Answer:
Page: 1307
Objective #1
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