Medication Quiz - Nursing Diploma Assessment - HLTENN007

This document presents the answers to a medication quiz designed for a nursing diploma assessment, specifically addressing the HLTENN007 unit. The quiz covers a range of topics including legal requirements for enrolled nurses regarding medication administration, drug scheduling, various routes of medication administration (oral, buccal, inhalants, etc.), and key pharmacological concepts such as pharmacodynamics, pharmacokinetics, and pharmacotherapeutics. It also explores the implications of polypharmacy, first-pass effect, drug transportation, bioavailability, receptor interactions, and adverse drug reactions. Additionally, the assignment outlines the "rights" of medication administration and provides detailed descriptions of different medication administration routes. The answers are supported by relevant research and are formatted using APA referencing style.

Running head: MEDICATION QUIZ
MEDICATION QUIZ
Name of Student:
Name of University:
Author’s Note:

1
MEDICATION QUIZ
Answer no 1.
 Enrolled nurse must have completed their medication administration education in order to administer the medicine.
 Nurse should not have notation on their registration mentioning they have not completed their medication education (Cashin et
al., 2017).
 EN who have notation cannot administer intravenous medicine.
 EN must have completed intravenous medication administration education to administer the medicine (Birks et al., 2016).
Answer no 2.
Medicinal drug and poison when not used properly can have harmful impact on health of people. Therefore, legal and
regulatory framework for health regulation limits its exploitation by giving license and permits to health practitioner to use such
medicine in lawful manner in their practice (Small et al., 2016).
Answer no 3.
Drug and poison medicine scheduling is the system for classifying medicine in relation to location and need of prescription of
their sale and purchase respectively. It is also used to classify poison and prohibited drugs (Liew et al., 2017).
Schedule 2- narcotics, methadone, oxycodone
Schedule 3- Ketamine, anabolic steroids, testosterone

2
MEDICATION QUIZ
Schedule 4- Alprazolam, clonazepam, diazepam
Schedule 8- benzodiazepines, midazolam, Duromine
Answer no 4.
(a) Capsules- It is administered orally by swallowing. It should be stored in air tight container and should not be crushed before
administration. Must be stored away from sunlight and hot water/air
(b) Drops- They are oral suspension, medicine should be shake well before each administration, and given orally according to the
power of dose. Must be stored away from light and heat. Must be handled with care, do not touch the bottle of drop with naked to
prevent infection.
c) Inhalants- They are administered through oral passage of air by mouth. Shake well before use and handled it with clean hands. It
must be stored in dark environment.
d) Liquid medication- They are administered orally through mouth according to the dose. It should also be stored in light free
atmosphere.
e) Lotions and creams- It is administered in naked body by massaging in hands, face or affected body part. After using the cap
should be closed tightly to prevent contamination. Store it in dark condition (White & Bradnam, 2015).
f) Ointments- It is applied in clean and dry affected areas. It should store in dark condition.

3
MEDICATION QUIZ
g) Patches- It is administered in affected areas that is clean, hairless and dry skin. It should be handled with clean hand. Store it in
vacuum condition.
h) Powders- It is dusted in skin with light layer. Patient face must be kept away from administration of powder when given near face.
It can be stored in light condition.
i) Tablets- It is administered orally by swallowing the drug. It should be handled by taking care of not being crushed or get open from
seal pack. Must be stored in dark (White & Bradnam, 2015).
j) Wafers- Wear gloves when handling wafers. The open pouches of wafer must be kept for 6 hours in room temperature. They are
kept in mouth and get dissolved in short period of time. They must be stored in dry condition and away from moisture (White &
Bradnam, 2015).
k) Suppositories- The administration is through rectal route. Must wear glove to handled it and store it in dark and dry place (White
& Bradnam, 2015).
Answer no 5.
Pharmacodynamics- It is study of pharmacology related to biochemical and molecular impact of drugs on body and its action
mechanism (Weerink et al., 2017).

4
MEDICATION QUIZ
Pharmacokinetics- It is areas of pharmacology, that study the movement of drug inside the body (Sime et al., 2018).
Pharmaco-therapeutics- It is the science related to pharmacology that focus on therapeutic uses and mechanism of drugs inside the
body (Dey et al., 2017).
Answer no 6.
Polypharmacy- It is the practice of administration of multiple drug than required medically. It is common in older ambulatory
concerns and home patients. Elder people are more prone to side effect of it because of changes in metabolic and reduced drug
clearance. It can cause fatigue, tiredness, constipation, diarrhea and hallucination in people (Scott et al., 2015).
Answer no 7.
The drug is absorbed in gastrointestinal tract when swallowed and then it travels to liver via hepatic portal vein. The first pass
of drug occurs in hepatic when it is absorbed in GI tract. The enzyme presents in the liver, metabolize the drug in great extent that
majority of active agents are not able to exit from liver. Therefore, drug is not transmitted to systemic circulation (Jones et al., 2016).
Answer no 8
Half-life of drug is a phenomenon that refers to the time that would be used for the reduction of the drug to 50% of its original
dose after intake by the body. It is a pharmacokinetic measure that helps the health practitioners to estimate the proper doses of the
drug for an individual and it also estimate the elimination time of the drug from the body accurately (Kajbaf et al., 2016).

5
MEDICATION QUIZ
Answer no 9.
Drug transportation through the body would be depending on the absorption and the solubility limitation of the drug. After the
drug solved in the blood it transported by means of the targeting characteristics of the pharmacokinetic moieties. However, the
electrostatic interaction between positively charged protein moieties of the drug and the negatively charged cell membranes
determines the absorption mediated transport and other type of transport system is peptide delivery in which the peptide of the drug
needed to be conjugated with certain vector moiety. Another way of transport is the receptor mediated transport where the drugs act as
receptor for cell surface attached legends or in the vice versa would be also be seen (Zhu et al., 2017).
Answer no 10.
Bioavailability of a drug refers to the fact that the rate of the active moiety of the drug to be absorbed by the body or the
amount of the active moiety to enter the circulatory system of the body and it depends on the dosage of the drug. However, the
bioequivalence of drugs are generally low due to different biological factors thus the dosage of the drugs needed to be administered by
the health practitioner on the basis of the age, gender, medical history and many other factors. All these factors would be affecting the
bioavailability of the drugs thus depending on these factors the health practitioner would prescribe a drug for a patient (Junyaprasert &
Morakul, 2015).
Answer no 11.

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MEDICATION QUIZ
Receptors play vital roles in the drug transportation and drug action as well. The receptors work as the chemical molecules that
bind with the active moiety of the drug and actives the function of the drug. The receptors also mediate the absorption of the drugs in
the cell by means of electrostatic interactions among the positive and the negative moiety of the cell surface receptors and the active
protein moieties of the drugs. In relation to this the AGONIST could be termed as a chemical that works as the activator of receptors
that means the AGONIST are the chemical that attaches with the receptors and activates the biological action of the receptors. On the
other hand the ANTAGONIST is the chemicals that inhibit the receptor actions or the AGONIST actions as well by means of
attaching with the receptors (Zou, Jiang & Yang, 2017).
Answer no 12.
Drug Toxicology: It refers to the harmful actions of a drug or a chemical compound of a drug on the target body.
Anaphylactic reaction: The life threatening allergic reaction suddenly spread rapidly in the body usually termed as the anaphylactic
reaction.
Adverse reaction: An unexpected and dangerous reaction caused by a drug known in the pharmacological sector as adverse reaction.
Contraindications: It refers to a situation which comprises of an adverse condition to a person by means of any drug reaction or
surgical procedure, thus the drug usage or the surgical procedure would not be used.
Precautions: It refers to the measures taken before any kind of dangerous or adverse medical situation for a person.

7
MEDICATION QUIZ
Side effects: The secondary or negative effect of a drug in a patient’s body is known as the side effect of the drug.
Answer no 13.
Right medication - Recheck before administration (Edwards, & Axe, 2015).
Right dose- Check the dose is appropriate for the concerned patient.
Right route- Before medication check the rout of administration and should meet all the requirement Edwards, & Axe, 2015).
Right time- Two dosage should be stacked up on one another, and given in proper time.
Right person- Ask patient name, check their date of birth and URN
Right expiration date- prior to administration of nay drugs, its expiry date must be checked.
Right to refuse- Patient’s family has right to refuse the medicine, so information must be given to responsible person.
Right prescription- Check proper documentation of medicine mentioning time, route and dosage Edwards, & Axe, 2015).

8
MEDICATION QUIZ
Answer no 14.
Oral: Oral medications found mostly in solid forms, e.g., capsules, tablets and others along with liquid forms, e.g., syrups as well. The
oral medication is taken by mouth and swallowed with water or other fluid and the absorption process take place in the gastrointestinal
tract (Thayer et al. 2015).
Buccal: This kind of medication route is basically part of the oral medication route as well, however, it differs in some aspects. The
buccal route of medication includes placing drug in between the cheek and gum and the absorption process take place in buccal cavity,
e.g., tablets, sprays and others.
Dry Powder inhalers: This type of inhaler depends on the breathing route and delivered to the lungs. This kind of inhaler activated
when the patient takes fast and deep breath. The example of dry powder inhalers is Pulmicort exhale, Asmanex and others.
Metered dose inhalers: This type of inhaler differs from the dry powder inhaler in some process such as it needs to be taken after slow
breathing and after inhaling the medication holding of breath needed and the process needed to be repeated at least 3 times (Chauhan
et al. 2016).
Nebulisers: This is the medication route used for the direct medication of lung. This process needed to be taken for a period of time
and the medication process is prescribed to the asthma and other respiratory distressed patients depending on their age (Gosh.nhs.uk,
2019).

9
MEDICATION QUIZ
Oxygen therapy: This kind of therapy is involved in oxygen gas delivery to the body by inhaling or by nasal tract.
Subcutaneous injections: This injection process done by directly injecting the medicine below the skin in the abdomen, thigh, lower
back, upper arm and other sites of the body. Insulin, morphine like medicines can be given by this process.
Intramuscular injections: This kind of injection process used when a vein could not be found and the injection shots given to the
muscular tissues such as deltoid muscle, ventrogluteal muscle and others.
Z-track injections: This process of administration done by direct injection to the muscular tissues. Iron dextran is a medicine that
injected by this process (Jin et al. 2015).
Enteral administrations: This process works on the stomach, esophagus, small and large intestine by means of oral, sublingual, rectal
and parenteral administration.
Intranasal: In this administration process the medication needed to be taken and absorbed through the nose. In case of cold or allergy
treatment the nasal sprays are used which works on the principles of this process.
Ocular: This process works on the optical medication process and it includes three administrations that are topical, local ocular and
systemic. This process depends on the area of eye needed to be medicated.
Rectal: In this administration process the rectum used as the route of the medication and the rectum blood vessels works as the
transporter of the medicine throughout the body.

10
MEDICATION QUIZ
Sub-cutaneous injection with preloaded syringe: In this administration process the injection given to patient directly to the fat tissue
under the skin with a pre-filled syringe and the medicine taken out from the refrigerator 30 minutes before the process.
Topical: This is an epicutaneous method of administration as the gel, lotion, creams and other kind of medicines used on the layer of
the eye.
Vaginal: This administration process includes the medication through the vagina and the absorption process takes place in vagina
which does affect the gastrointestinal track (Bahamondes, Espejo-Arce & Bahamondes, 2015).
Ventrolateral injection technique: This is the safest intramascular injection technique as the ventrolateral tissue is present far away
from the blood vessels and also thick tissue thus this type of injection could not injure the blood vessels.
Answer no 15.
Chemical name Trade name Generic name
Scientific name of drug based on
its molecular structure.
Example-N-acetyl-p-aminophenol
(Yoldi et al., 2017).
It is the brand name of drug
in pharmaceutical industry.
(Yoldi et al., 2017).
Example- Tylenol.
Term refers to chemical
constitution of drug that is not
advertised by brand name for
selling (Yoldi et al., 2017).
Example-aminophenol.

11
MEDICATION QUIZ
Answer no 16.
Category Administration Rationale Example Side effect Nursing
implication
BETA- BLOCKERS orally or IV reduce the heart
rate and blood
pressure.
Acebutolol, Atenolol. Diarrhea,
stomach pains
and vomiting.
Heart rate is
checked.
Initially low
dose is given
to patient and
they are
monitored
every 1 hours
and BP is
checked in 15

12
MEDICATION QUIZ
every 15 min.
CALCIUM CHANNEL
BLOCKERS
orally responsible for
to relax the
blood vessel
and increase the
blood and
oxygen supply
to heart.
Amlodipine, Bepridil. constipation
and headache
Pulse must be
checked and
patient is lied
in relax
manner,
monitor the
BP half
hourly.
ANTI-HYPERTENSIVE Orally lower the blood
pressure
Thiazide, Labetalol. dizziness and
headache
Nurse need to
check by
blood pressure
and noted. It is
administered
by giving

13
MEDICATION QUIZ
proper food to
patient and
avoid them
taking any
high salt food.
DIURETICS orally or
parentally
remove excess
salt from body
Epitizide, Bumetanide. gastrointestinal
disturbance.
Nurse assess
the fluid status
regularly, and
document
weight, BP
and pulse rate
every hour.
ANTI-CHOLESTOR orally with
water
lower the bad
cholesterol level
Atorvastatin, Fluvastatin. liver damage,
muscle
inflammation.
Nurse give the
medicine two
time per day,
and along diet

14
MEDICATION QUIZ
plan
ANTI-COLTING Orally, trans-
dermally
Prevent
excessive
bleeding
Ibuprofen, Prasugrel,
Naproxen
Lethargy,
fever
Nurse must
clean the
wound, apply
with proper
monitoring the
blood flow.
SEDATIVES intravenously
through
injection
decrease level
of anxiety in
patient.
Benzodiazepines,
Clonazepam
Nausea,
vomiting,
dizziness.
Instruct patient
to stay calm,
maintain its
oxygen level,
Monitor the
BP regularly.
ANTIDEPRESSANTS Orally, IV correct the
balance of
neurotransmitter
in the brain, and
Duloxetine, Venlafaxine nausea,
constipation,
dry mouth
Patient is
instructed to
take the
medicine

15
MEDICATION QUIZ
make the person
calm.
timely. Its
regular record
is maintained
and dose is
adjusted
accordingly.
ANTIPSYCHOTICS Orally or
parentally
(IM)
Treat psychosis,
mental problem
and
Clonapzine, Asenapine,
Cariprazine
Involuntary
movement
disorder,
increase in
weight
Nurse need to
monitor the
behavior of
patient and
recommend
the drug intake
once in a day.
Blood pressure
is regularly

16
MEDICATION QUIZ
monitored.
ANTIBIOTICS Orally or
intravenously
Treat bacterial
infection
Amoxicillin, Cephalexin,
Ciprofloxacin.
Diarrhea,
stomach pain,
vomiting.
Nurse need to
give antibiotic
based on the
level of
infection
either two
time a day.
Instruct the
patient to lie in
bed. Check the
level of
infection to
adjust the dose
of antibiotic.
VITAMINS/
MINERALS
Orally Used to treat
deficiency of
B-Complex Vitamin Capsule,
Cyanocobalamin,
Allergy,
inflammation,
Nurse gives
medicine two

17
MEDICATION QUIZ
vitamin and
mineral as being
external source.
Cholecalciferol difficulty in
breathing
time per day.
Instruct patient
to eat well
before taking
the medicine
ANTI-REFLUX Orally Used to treat
GERD
Lavoltidine, Ilaprazole. Headache,
abdominal
pain
Monitor the
intestinal
function and
maintain diet
of patient
along with
medication.
ANTI-EMETICS Orally Works against
vomiting and
nausea
Lorazepam Spasms in
muscles,
dizziness
Monitor the
behavior of
patient and
give drug once

18
MEDICATION QUIZ
in day
ORAL
HYPOGLACEMICS
Orally Lowering sugar
level
Metformin Dizziness,
motion
sickness, loss
of weight
Give diet plan
along with
medication
and monitor
the BP.
APERIENCES Orally Laxatives Bisacodyl Dizziness,
confusion
Nurse need to
maintain the
drug dose
according to
situation
person.
INHALED
MEDICATIONS
Nasal, Oral
passage
Bronchodilators Albuterol Vomiting,
irritation,
sleeplessness
Nurse instruct
patient to lie
down in bed
while
administration

19
MEDICATION QUIZ
of drug and
maintain the
oxygen level.
ANALGESICS Orally, IV Reducing pain
and used in
chemotherapy
Morphine Constipation Nurse need to
make pain
assessment
and dose is
adjusted
according to
the pain score.
RESPIRATORY
MEDICATIONS
Orally, Nasal COPD Foradil, formoterol Headache,
nausea,
dizziness
Nurse instruct
the patient to
lie in bed
calmly and
maintain
oxygen
saturation

20
MEDICATION QUIZ
level.
ANTI-INFLAMATORY Orally Fever, pain, NSAIDS : Quinolones Ulcer, kidney
problems
Nurse check
the intensity of
inflammation
while giving
drug.
ANESTETICS Orally/ IV Loss of pain
and sensation to
the body
Barbiturates/
Benzodiazepines
Nausea,
dizziness,
Vomiting
Nurse check
the allergic
property in
patient before
giving
anesthetics.
ANTI-VIRAL Orally/ IV Used in case of
Viral infections,
influenza/HIV
AIDS
Acyclovir Kidney
problems, and
dropping of
platelet count
Nurse check
whether the
patient is
allergic to
antiviral drug

21
MEDICATION QUIZ
or not before
administration.
OPHTALMIC Topical, on
eyes /eye
drops
Allergic
reaction/
conjunctivitis
Moxifloxacin Dry eyes, eye
pain
Nurse need to
clean the area
before
administration
of drug
ANTI- PARKINSONS Orally/IV Parkinson’s
disease, shaking
of hands
Levodopa Dizziness,
nausea,
vomiting
Nurse monitor
the blood
pressure, pulse
rate regularly
before giving
drug.
ANTI-EPILEPTIC Orally /IV Epilepsy Diazepam Head,
vomiting
nausea
Nurse monitor
the behavioral
changes.
CONTRACEPTIVE Orally/ To avoid Levlen Breast Nurse instruct

22
MEDICATION QUIZ
MEDICATIONS Transdermal conception/
pregnancy
tenderness,
weight gain
patient to
avoid taking
any extra
hormonal
tablet. Orally
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MEDICATION QUIZ
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MEDICATION QUIZ
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MEDICATION QUIZ
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