Question 1

The nurse is describing the role of the pharmacist in medication administration.Which of the following are correct? (Select all that apply.)

Accepted Answer

A)   Assess the medication plan.
B)   Review the orders for accuracy and validity.
C)   Prepare the correct medication.
D)   Deliver them to the nursing unit.
E)   Independently adjust incorrect medication errors. A,B,C,D

Question 2

The nurse administers oral medications according to the unit dose system.Which technique should the nurse use for administering the medications?

Accepted Answer

A)   Prepare the medications for several patients at the same time.
B)   Remove the medication from the package and take it to the patient's room.
C)   Compare the packaged medication with the healthcare provider's prescription.
D)   Take the prescribed dose into the patient's room in the packaging. D

Question 3

A male patient looks at the medication in the cup and tells the nurse that he does not take one of the tablets.Which action should the nurse take next?

Accepted Answer

A)   Tell the patient that the medications are correct.
B)   Recheck the medication and the medication order.
C)   Call the pharmacy to bring the correct medication.
D)   Remove the medication and document the incident. B

Question 4

The provider prescribes aluminum hydroxide gel 2 ounces.The nurse has aluminum hydroxide in 30-mL containers in the patient's medication drawer.How many containers does the nurse administer to the patient?

Accepted Answer

A)   1
B)   2
C)   1/2
D)   1 1/2

Question 5

The nurse needs to administer a medication to a toddler who weighs 20 kg.The dosage is 50 mg/kg/day in divided doses,and the medication is available as an elixir at 25 mg/mL.How many milliliters of medication should the nurse administer at each scheduled dose?

Accepted Answer

A)   2
B)   20
C)   8
D)   80

Question 6

A prescription reads,"Aspirin 325 mg 2 tablets orally for pain." What action should the nurse take when the patient has pain?

Accepted Answer

A)   Add "by mouth" to the prescription for clarification.
B)   Clarify the administration frequency and whether the medication should be prn or standing.
C)   Clarify the dose per tablet with the pharmacist.
D)   Administer the dose whenever the patient requests it.

Question 7

The nurse is having difficulty reading a medication order.Which is the best action for the nurse to take to prevent a medication error?

Accepted Answer

A)   Clarify the order with the healthcare provider who wrote it.
B)   Talk with the pharmacist who knows what is usually ordered.
C)   Ask a nurse who knows the healthcare provider to read it.
D)   Have a nurse interpret the written medication order.

Question 8

The nurse discharges a patient from the ambulatory surgical center with a prescription for an opioid analgesic.The patient can take the medication every 4 to 6 hours as needed for pain.What does the nurse include in patient teaching about the prescription before discharging the patient?

Accepted Answer

A)   Take the medication for severe pain.
B)   Use the medication to facilitate healing.
C)   Wait 4 to 6 hours before taking the next dose.
D)   Take every 4 to 6 hours until the bottle is empty.

Question 9

Which schedule would the nurse select to achieve a therapeutic level if the medication is prescribed for administration 4 times a day?

Accepted Answer

A)   8 AM, 10 AM, 2 PM, and 8 PM
B)   10 AM, 2 PM, 6 PM, and 8 PM
C)   10 AM, noon, 4 PM, and 6 PM
D)   8 AM, 2 PM, 8 PM, and 2 AM

Question 10

1. As a part of the American Recovery and Reinvestment Act of 2009,the Health Information Technology for Economic and Clinical Health (HITECH)was developed.One of the requirements of HITECH is the implementation of a _______ _______ ___________ __________ system.

Accepted Answer

The answer of 1. As a part of the American...

Question 11

A patient has been given high doses of an opioid medication for severe pain.Which assessment data indicate the most toxic effect of a medication?

Accepted Answer

A)   Nausea and vomiting
B)   Respiratory depression
C)   Erythema and skin rash
D)   Bloating and constipation

Question 12

The nurse admits a patient who has an acute kidney infection but refuses to take any medication.Which is the best initial nursing intervention to implement the therapeutic regimen?

Accepted Answer

A)   Notify the healthcare provider of the situation.
B)   Inform the patient about the risk of renal failure.
C)   Talk with the patient about taking the antibiotics.
D)   Disguise the medications so the patient takes them.

Question 13

The nurse administers a patient's medication; within 30 minutes the patient has bilateral wheezing and large red blotches on the face and is anxious and dizzy.Which should the nurse implement?

Accepted Answer

A)   Encourage the patient to drink plenty of fluids.
B)   Direct a colleague to contact the provider stat.
C)   Check the medication administration record (MAR)  for an antihistamine as needed.
D)   Document potential patient allergy to medication.

Question 14

The patient is to receive 750 mg of a medication.The pharmacy sent 500-mg scored tablets.How many tablets does the nurse administer?

Accepted Answer

A)   1/2
B)   1
C)   2
D)   1 1/2

Question 15

The nurse prepares to administer a parenteral medication.Which route of administration does the nurse use for the medication?

Accepted Answer

A)   Oral
B)   Topical
C)   Sublingual
D)   Intramuscular

Question 16

The nurse needs to administer 1000 mcg of a medication and has 1-mg tablets.How many tablets does the nurse administer?

Accepted Answer

A)   1
B)   2
C)   3
D)   4

Question 17

The nurse is preparing to administer a controlled substance.Which action must the nurse take first if controlled medication is discarded?

Accepted Answer

A)   Count the amount of medication daily.
B)   Document the amount wasted.
C)   Have a nurse witness the wasting of the drug.
D)   Administer the unused portion on another patient.

Question 18

A patient received a drug that caused an unpredictable and unusual effect.Which term does the nurse use to describe this effect?

Accepted Answer

A)   Toxic
B)   Allergic
C)   Therapeutic
D)   Idiosyncratic

Question 19

The nurse is working with a group of students and asks them to list the common causes of medication errors.Which of the following are among the common causes of medication errors? (Select all that apply.)

Accepted Answer

A)   Distractions
B)   Illegible handwriting
C)   Drug product nomenclature
D)   Labeling errors
E)   Medication unavailableF)  Excessive workloadG)  None of the above

Question 20

The nurse administers sulfamethoxazole and trimethoprim (Bactrim)for a desirable patient response derived from the combination of agents.Which type of medication effect does the nurse anticipate?

Accepted Answer

A)   Tolerance
B)   Synergistic
C)   Dependence
D)   Subtherapeutic

Exam 21: Preparation for Safe Medication Administration