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21) Which of the following is NOT a percutaneous route of medication administration? A) Buccal B) Sublingual C) Transdermal D) Inhalation 22) What is the preferred access site for intraosseous infusion in both pediatric and adult patients? A) Distal tibia B) Proximal humerus C) Distal femur D) Proximal tibia 23) Having a patient swallow a tablet of medication with a drink of water is an example of which route of medication administration? A) Buccal B) Sublingual C) Aural D) Oral 24) Which of the following intravenous solutions would remain in the vascular system the longest? A) Plasmanate B) 5 percent dextrose in water C) 0.9 percent sodium chloride D) Lactated Ringer’s solution 25) Mrs. Bertrand is having a cholecystectomy this evening. To prevent dehydration she is to receive 5 percent dextrose in 0.45 percent saline solution at a rate of 150 ml/hour. Using 20 drops/ml tubing, what is the drip rate in drops/minute? A) 150 B) 75 C) 60 D) 50 26) Ms. Krinkle is experiencing right lower quadrant pain following a syncopal episode. She reports her last menstrual period (LMP) was about six weeks ago. While she is awaiting an abdominal CT, the surgery resident asks that you initiate an IV of lactated Ringer’s solution using a blood set (10 drops/ml) and infuse 1 liter over 1 hour. What drip rate (in drops/minute) will you use to attain this rate of administration? A) 17 B) 600 C) 67 D) 167 27) Shortly after starting an IV on your patient, you note that the IV is not dripping. You have removed the constricting band, and all the clamps on the tubing are open. You note that there is minor swelling around the venipuncture site. There is no discoloration of the site, but it is cool and firm to the touch. Which of the following most likely accounts for your findings? A) The site has become infected.B) The tip of the catheter is occluded by a blood clot.C) Fluids extravasated into the tissue surrounding the IV site.D) The tip of the catheter is occluded by a valve in the vein.Answer: C Diff: 2   Page Ref: 266Standard: Pharmacology (Medication Administration)Objective: 17 28) Which of the following is an advantage of sublingual drug administration? A) Uniform absorption through the conjunctival mucosa B) Rapid absorption due to sublingual vasculature C) Slow rate of drug absorption D) Rapid dissolution of tablets so the medication can be swallowed 29) Which of the following catheters would allow the greatest volume of fluid to be delivered in a given period? A) 16 gauge, 2”B) 14 gauge, 1 ¼” C) 16 gauge, 1 ¼” D) 14 gauge, 2”Answer: BDiff: 2   Page Ref: 261Standard: Pharmacology (Medication Administration)Objective: 11 30) Which of the following is a parenteral route of drug administration? A) Gastric tube B) Oral C) Intramuscular D) Rectal

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