ramont2e rev tif ch27

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Ramont, Niedringhous, Comprehensive Nursing Care 2nd Edition Update Test

Bank

Chapter 27Question 1

Type: MCSA

The written direction for the preparation and administration of a drug is called the:

1. Apothecary recording.

2. Prescription.

. Medication.

!. Order.

Corre"t #ns$er: 2

Rationa%e 1: The written direction for the preparation and administration of a drug is called a prescription. A

medication is another name for a drug. An order written on the client's chart y the pro!ider could e for a

medication or a treatment"inter!ention. There is no such thing as an apothecary recording.

Rationa%e 2: The written direction for the preparation and administration of a drug is called a prescription. A

medication is another name for a drug. An order written on the client's chart y the pro!ider could e for a


Rationa%e : The written direction for the preparation and administration of a drug is called a prescription. Amedication is another name for a drug. An order written on the client's chart y the pro!ider could e for a


Rationa%e !: The written direction for the preparation and administration of a drug is called a prescription. A

medication is another name for a drug. An order written on the client's chart y the pro!ider could e for amedication or a treatment"inter!ention. There is no such thing as an apothecary recording.

&%o'a% Rationa%e:

Cogniti(e )e(e%: #ememering

C%ient Need: Safe $ffecti!e Care $n!ironmentC%ient Need *u':

Nursing+ntegrated Con"epts: %ursing Process: &mplementation

)earning -ut"ome: efine selected terms related to the administration of medication.

Question 2

Type: MCSA

#amont( %iedringhous( Comprehensive Nursing Care 2nd $dition )pdate Test *an+

Copyright 2,-2 y Pearson $ducation( &nc.



This drug name is often the same as the official name( and remains the same no matter what drug company

manufactures the medication:

1. The generic name

2. The chemical name

. The rand name

!. The official name

Corre"t #ns$er: -

Rationa%e 1: The generic name is often gi!en to the chemical comination efore it is assigned an official name(

and remains the same no matter who manufactures it. An eample would e iuprofen( which holds rand namesof Motrin or Ad!il.

Rationa%e 2: The generic name is often gi!en to the chemical comination efore it is assigned an official name(

and remains the same no matter who manufactures it. An eample would e iuprofen( which holds rand namesof Motrin or Ad!il.

Rationa%e : The generic name is often gi!en to the chemical comination efore it is assigned an official name(

and remains the same no matter who manufactures it. An eample would e iuprofen( which holds rand names

of Motrin or Ad!il.

Rationa%e !: The generic name is often gi!en to the chemical comination efore it is assigned an official name(and remains the same no matter who manufactures it. An eample would e iuprofen( which holds rand names

of Motrin or Ad!il.

&%o'a% Rationa%e:

Cogniti(e )e(e%: #ememering

C%ient Need:

C%ient Need *u':

Nursing+ntegrated Con"epts:


Question

Type: MCSA

The nurse administering a controlled drug would do which of the following/

1. 0ind the medication in the client's drawer.

2. iscard the unused portion in the trash can.

. Sign for the medication with another licensed nurse.





!. Chec+ the numer of dosages against the documented amount.

Corre"t #ns$er: 1

Rationa%e 1: hen administering a controlled drug( the nurse chec+s the numer the record indicates are

remaining in the stoc+ supply against the actual numer remaining. The medication will e found in a doule3

loc+ed area or computer3controlled dispensing system. )nused portions must e discarded with another nurse

according to facility policy( in a place where the medication cannot e retrie!ed. Another nurse must sign whenwasting( ut is not re4uired when the entire dose is used.

Rationa%e 2: hen administering a controlled drug( the nurse chec+s the numer the record indicates are


loc+ed area or computer3controlled dispensing system. )nused portions must e discarded with another nurseaccording to facility policy( in a place where the medication cannot e retrie!ed. Another nurse must sign when

wasting( ut is not re4uired when the entire dose is used.

Rationa%e : hen administering a controlled drug( the nurse chec+s the numer the record indicates areremaining in the stoc+ supply against the actual numer remaining. The medication will e found in a doule3

loc+ed area or computer3controlled dispensing system. )nused portions must e discarded with another nurseaccording to facility policy( in a place where the medication cannot e retrie!ed. Another nurse must sign when

wasting( ut is not re4uired when the entire dose is used.

Rationa%e !: hen administering a controlled drug( the nurse chec+s the numer the record indicates are


loc+ed area or computer3controlled dispensing system. )nused portions must e discarded with another nurse

according to facility policy( in a place where the medication cannot e retrie!ed. Another nurse must sign whenwasting( ut is not re4uired when the entire dose is used.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Applying

C%ient Need: Safe $ffecti!e Care $n!ironment

C%ient Need *u':


)earning -ut"ome: escrie drug standards and legal aspects of administering drugs.

Question !

Type: MCSA

The nurse administers morphine for pain. hen e!aluating the effecti!eness of the analgesic( the client says(5This time & didn't get the relief &'!e gotten efore.5 The nurse concludes that the client is ehiiting which of the

following/

1. Pain tolerance

2. Pain threshold





. Addiction

!. rug tolerance

Corre"t #ns$er: 1

Rationa%e 1: The client is displaying drug tolerance( which results from the ody's adaptation to repeated dosages

at the same le!el. The nurse will notify the physician( and anticipates an increase in dosage. Pain tolerance is theamount of pain stimuli a client can handle( and is ased on pain threshold( or the le!el of pain re4uired for theclient to feel the stimuli as pain. Addiction in!ol!es a physical and psychological need for the drug.

Rationa%e 2: The client is displaying drug tolerance( which results from the ody's adaptation to repeated dosages

at the same le!el. The nurse will notify the physician( and anticipates an increase in dosage. Pain tolerance is the

amount of pain stimuli a client can handle( and is ased on pain threshold( or the le!el of pain re4uired for theclient to feel the stimuli as pain. Addiction in!ol!es a physical and psychological need for the drug.

Rationa%e : The client is displaying drug tolerance( which results from the ody's adaptation to repeated dosages



Rationa%e !: The client is displaying drug tolerance( which results from the ody's adaptation to repeated dosages



&%o'a% Rationa%e:

Cogniti(e )e(e%: Analy6ing

C%ient Need: Physiological &ntegrityC%ient Need *u':

Nursing+ntegrated Con"epts: %ursing Process: $!aluation


Question

Type: MCSA

The nurse notes an order on the client's record to administer furosemide 78asi9 1, mg orally once daily. The

nurse interprets this order as which of the following/

1. Stat order

2. Single order

. Standing order

!. p.r.n. order





Corre"t #ns$er:

Rationa%e 1: This is a standing order ecause it is supposed to e gi!en e!ery day until canceled or facility policyre4uires a reorder. A STAT order would re4uire the medication e gi!en once now. A single order would indicate

that the order e gi!en only once. A p.r.n. order would order the medication e gi!en as needed.

Rationa%e 2: This is a standing order ecause it is supposed to e gi!en e!ery day until canceled or facility policy

re4uires a reorder. A STAT order would re4uire the medication e gi!en once now. A single order would indicatethat the order e gi!en only once. A p.r.n. order would order the medication e gi!en as needed.

Rationa%e : This is a standing order ecause it is supposed to e gi!en e!ery day until canceled or facility policy

re4uires a reorder. A STAT order would re4uire the medication e gi!en once now. A single order would indicate


Rationa%e !: This is a standing order ecause it is supposed to e gi!en e!ery day until canceled or facility policy

re4uires a reorder. A STAT order would re4uire the medication e gi!en once now. A single order would indicate


&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: %ursing Process: Planning

)earning -ut"ome: &dentify essential parts of medication orders( how to communicate aout them( and how toa!oid common errors.

Question /

Type: MCSA

The nurse administers a medication to sedate the client. hen e!aluating the effecti!eness of the drug( the nurse

finds the client more agitated and anious than efore recei!ing the sedati!e( and concludes the client is

eperiencing what type of effect/

1. Side effect

2. &diosyncratic effect

. Therapeutic effect

!. Toic effect

Corre"t #ns$er: 2

Rationa%e 1: The client is eperiencing an idiosyncratic effect ecause the drug caused the opposite effectanticipated( and was unpredictale. Side effects( or ad!erse effects( are unintended drug actions that may e





tolerated for the therapeutic effect. Toic effects occur when an o!erdosage or cumulati!e effect occurs( and arenormally an intensification of the therapeutic effect.

Rationa%e 2: The client is eperiencing an idiosyncratic effect ecause the drug caused the opposite effect

anticipated( and was unpredictale. Side effects( or ad!erse effects( are unintended drug actions that may e

tolerated for the therapeutic effect. Toic effects occur when an o!erdosage or cumulati!e effect occurs( and arenormally an intensification of the therapeutic effect.

Rationa%e : The client is eperiencing an idiosyncratic effect ecause the drug caused the opposite effect

anticipated( and was unpredictale. Side effects( or ad!erse effects( are unintended drug actions that may etolerated for the therapeutic effect. Toic effects occur when an o!erdosage or cumulati!e effect occurs( and are

normally an intensification of the therapeutic effect.

Rationa%e !: The client is eperiencing an idiosyncratic effect ecause the drug caused the opposite effect

anticipated( and was unpredictale. Side effects( or ad!erse effects( are unintended drug actions that may etolerated for the therapeutic effect. Toic effects occur when an o!erdosage or cumulati!e effect occurs( and are

normally an intensification of the therapeutic effect.

&%o'a% Rationa%e:


C%ient Need: Physiological &ntegrity

C%ient Need *u':

Nursing+ntegrated Con"epts: %ursing Process: $!aluation

)earning -ut"ome: &dentify physiologic actions and effects of drugs( as well as factors affecting medication

action.

Question 7

Type: MCSA

The nurse is caring for a pediatric client who weighs 12 pounds and is ordered furosemide 78asi9 ,.; mg"+g.

hat dosage of medication will the nurse administer/

1. <.; mg

2. -=; mg

. =.2 mg

!. 1>.2 mg

Corre"t #ns$er: -

Rationa%e 1: The child's weight is con!erted to +ilograms y di!iding pounds y 2.2. 12 ? 2.2 @ -< +g. The

dosage for a -<+g child to recei!e ,.; mg"+g is -< ,.; @ <.; mg.





Rationa%e 2: The child's weight is con!erted to +ilograms y di!iding pounds y 2.2. 12 ? 2.2 @ -< +g. Thedosage for a -<+g child to recei!e ,.; mg"+g is -< ,.; @ <.; mg.

Rationa%e : The child's weight is con!erted to +ilograms y di!iding pounds y 2.2. 12 ? 2.2 @ -< +g. The


Rationa%e !: The child's weight is con!erted to +ilograms y di!iding pounds y 2.2. 12 ? 2.2 @ -< +g. The


&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: )tili6e systems of measurement and formulas commonly used in medication orders.

Question 0

Type: MCSA

The physician has ordered -1, mg of ampicillin for an infant to e administered intramuscularly 7&M9. The nurse

reads the !ial and determines that there is ,.2; +g in ; m8. Bow many m8 of medication will the nurse prepare/

1. m8

2. ,., m8

. 2.= m8

!. ,.2= m8

Corre"t #ns$er:

Rationa%e 1: &n order to calculate the proper dosage( ,.2; +g must e con!erted to mg to match the ordered

dosage. ,.2;+g @ 2;, mg. 2;, mg"; m8 @ -1, mg"D cross3multiply( yielding 2;, @ ,,. i!ide oth sides y2;,( yielding @ 2.= m8.

Rationa%e 2: &n order to calculate the proper dosage( ,.2; +g must e con!erted to mg to match the ordered

dosage. ,.2;+g @ 2;, mg. 2;, mg"; m8 @ -1, mg"D cross3multiply( yielding 2;, @ ,,. i!ide oth sides y

2;,( yielding @ 2.= m8.

Rationa%e : &n order to calculate the proper dosage( ,.2; +g must e con!erted to mg to match the ordereddosage. ,.2;+g @ 2;, mg. 2;, mg"; m8 @ -1, mg"D cross3multiply( yielding 2;, @ ,,. i!ide oth sides y

2;,( yielding @ 2.= m8.





Rationa%e !: &n order to calculate the proper dosage( ,.2; +g must e con!erted to mg to match the ordereddosage. ,.2;+g @ 2;, mg. 2;, mg"; m8 @ -1, mg"D cross3multiply( yielding 2;, @ ,,. i!ide oth sides y

2;,( yielding @ 2.= m8.

&%o'a% Rationa%e:





Question

Type: MCSA

The physician orders that -, m8 of cough medicine e gi!en four times a day. The nurse eplains this order to the

mother y pro!iding which of the following instructions/

1. Ei!e one talespoon four times a day.

2. Ei!e two teaspoons four times a day.

. )se a measuring spoon and gi!e two teaspoons four times a day.

!. )se a measuring spoon and gi!e one talespoon four times a day

Corre"t #ns$er:

Rationa%e 1: The mother should e instructed to use a measuring spoon( not a standard teaspoon( to measure outtwo teaspoons four times a day. &t would also e important to tell the mother to spread the four doses out

throughout the day to a!oid ha!ing the mother gi!e the medication too close together.

Rationa%e 2: The mother should e instructed to use a measuring spoon( not a standard teaspoon( to measure out

two teaspoons four times a day. &t would also e important to tell the mother to spread the four doses outthroughout the day to a!oid ha!ing the mother gi!e the medication too close together.

Rationa%e : The mother should e instructed to use a measuring spoon( not a standard teaspoon( to measure out

two teaspoons four times a day. &t would also e important to tell the mother to spread the four doses out


Rationa%e !: The mother should e instructed to use a measuring spoon( not a standard teaspoon( to measure out

two teaspoons four times a day. &t would also e important to tell the mother to spread the four doses out


&%o'a% Rationa%e:







C%ient Need *u':



Question 1

Type: MCSA

The nurse recei!es an order to administer .= m8 of medication intramuscularly. hat si6e syringe would the

nurse use/

1. m8

2. 1 m8

. ; m8

!. -, m8

Corre"t #ns$er:

Rationa%e 1: The nurse would use a ;m8 syringe ecause it is the smallest si6e that would contain .= m8. There

is no such thing as a 1m8 syringe( and a m8 syringe would e two small to hold all of the medication. A -,m8syringe would e larger than needed.

Rationa%e 2: The nurse would use a ;m8 syringe ecause it is the smallest si6e that would contain .= m8. There

is no such thing as a 1m8 syringe( and a m8 syringe would e two small to hold all of the medication. A -,m8

syringe would e larger than needed.

Rationa%e : The nurse would use a ;m8 syringe ecause it is the smallest si6e that would contain .= m8. Thereis no such thing as a 1m8 syringe( and a m8 syringe would e two small to hold all of the medication. A -,m8

syringe would e larger than needed.

Rationa%e !: The nurse would use a ;m8 syringe ecause it is the smallest si6e that would contain .= m8. There

is no such thing as a 1m8 syringe( and a m8 syringe would e two small to hold all of the medication. A -,m8syringe would e larger than needed.

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: Safe $ffecti!e Care $n!ironment

C%ient Need *u':


)earning -ut"ome: &dentify e4uipment re4uired for administering parenteral medications.

Question 11

Type: MCSA





The nurse is preparing to administer a !iscous medication !ia the intramuscular route to a small( thin( elderly

client. hat si6e needle would the nurse use/

1. 23inch -=3gauge

2. - -"23inch 2,3gauge

. - -"23inch -=3gauge

!. 23inch 223gauge

Corre"t #ns$er: 2

Rationa%e 1: *ecause the medication is !iscous( the nurse would use a 2,3gauge needle( and the length would e

- -"2 inches ecause the client is thin. A 23inch needle may e chosen with a larger or oese client. -=3gaugewould e too large to use for intramuscular inFection( and would cause tissue damage.

Rationa%e 2: *ecause the medication is !iscous( the nurse would use a 2,3gauge needle( and the length would e

- -"2 inches ecause the client is thin. A 23inch needle may e chosen with a larger or oese client. -=3gaugewould e too large to use for intramuscular inFection( and would cause tissue damage.

Rationa%e : *ecause the medication is !iscous( the nurse would use a 2,3gauge needle( and the length would e

- -"2 inches ecause the client is thin. A 23inch needle may e chosen with a larger or oese client. -=3gauge

would e too large to use for intramuscular inFection( and would cause tissue damage.

Rationa%e !: *ecause the medication is !iscous( the nurse would use a 2,3gauge needle( and the length would e- -"2 inches ecause the client is thin. A 23inch needle may e chosen with a larger or oese client. -=3gauge

would e too large to use for intramuscular inFection( and would cause tissue damage.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: &dentify e4uipment re4uired for administering parenteral medications.

Question 12

Type: MCSA

The nurse is preparing to administer .= m8 of solution intramuscularly to an adult. hat site would the nurse us

to administer this medication/

1. eltoid site

2. Gentrogluteal site





. Adomen

!. The forearm

Corre"t #ns$er: 2

Rationa%e 1: .= m8 is too much medication to administer into the deltoid muscle( so the medication would e

administered !ia the !entrogluteal site. The adomen is used for sucutaneous inFection( and the forearm is usedfor intradermal inFection.

Rationa%e 2: .= m8 is too much medication to administer into the deltoid muscle( so the medication would eadministered !ia the !entrogluteal site. The adomen is used for sucutaneous inFection( and the forearm is used

for intradermal inFection.

Rationa%e : .= m8 is too much medication to administer into the deltoid muscle( so the medication would e

administered !ia the !entrogluteal site. The adomen is used for sucutaneous inFection( and the forearm is usedfor intradermal inFection.

Rationa%e !: .= m8 is too much medication to administer into the deltoid muscle( so the medication would eadministered !ia the !entrogluteal site. The adomen is used for sucutaneous inFection( and the forearm is used

for intradermal inFection.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: escrie !arious routes of medication administration and drug dispensing systems.

Question 1

Type: MCSA

The nurse transcries a new medication order that eceeds normal dosage recommendations for that medication.

hich of the following is the est nursing action/

1. Consult with the pharmacy aout the dosage.

2. As+ the unit secretary to call the doctor and clarify the order.

. Consult with the hospitalist to correct the order.

!. Clarify the order with the prescriing physician.

Corre"t #ns$er: 1





Rationa%e 1: Only the prescriing physician can clarify the order( and it must e the nurse who calls( not the unitcler+( as !eral orders can e ta+en only y licensed personnel.

Rationa%e 2: Only the prescriing physician can clarify the order( and it must e the nurse who calls( not the unit

cler+( as !eral orders can e ta+en only y licensed personnel.

Rationa%e : Only the prescriing physician can clarify the order( and it must e the nurse who calls( not the unit


Rationa%e !: Only the prescriing physician can clarify the order( and it must e the nurse who calls( not the unit


&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: &dentify essential parts of medication orders( how to communicate aout them( and how toa!oid common errors.

Question 1!

Type: MCSA

The nurse administering a medication for the most rapid response uses which route/

1. Oral

2. &ntradermal

. Sulingual

!. Topical

Corre"t #ns$er:

Rationa%e 1: The sulingual route elicits faster results than do the other options. The intradermal route is used

ecause of the !ery slow rate of asorption. The oral route is relati!ely slow( ta+ing ,3>, minutes for effects to e seen.

Rationa%e 2: The sulingual route elicits faster results than do the other options. The intradermal route is used

ecause of the !ery slow rate of asorption. The oral route is relati!ely slow( ta+ing ,3>, minutes for effects to

e seen.

Rationa%e : The sulingual route elicits faster results than do the other options. The intradermal route is used

ecause of the !ery slow rate of asorption. The oral route is relati!ely slow( ta+ing ,3>, minutes for effects to

e seen.





Rationa%e !: The sulingual route elicits faster results than do the other options. The intradermal route is used ecause of the !ery slow rate of asorption. The oral route is relati!ely slow( ta+ing ,3>, minutes for effects to

e seen.

&%o'a% Rationa%e:




)earning -ut"ome: escrie !arious routes of medication administration and drug dispensing systems.

Question 1

Type: MCSA

The nurse is administering medications( and hands a cup containing se!eral medications to the client. The client

says( 5hat is that yellow pill/ &'!e ne!er ta+en that efore.5 The nurse's est response is which of the following/

1. 5$!ery manufacturer of drugs ma+es it a different color.5

2. 5That is your medication for high lood pressure.5

. 5& doule3chec+ed to ma+e sure that all the medications were ordered y your doctor.5

!. 58et me chec+ it efore you ta+e it and &'ll e right ac+.5

Corre"t #ns$er: 1

Rationa%e 1: hen a client doesn't rememer ta+ing a medication efore( unless it's a new order( it should always e doule3chec+ed efore the client ta+es the medication to pre!ent errors. hile manufacturers of generic drugs

might ma+e a drug that is different in color or appearance( it is important to rechec+ the medication efore the

client ta+es it.

Rationa%e 2: hen a client doesn't rememer ta+ing a medication efore( unless it's a new order( it should always e doule3chec+ed efore the client ta+es the medication to pre!ent errors. hile manufacturers of generic drugs


client ta+es it.

Rationa%e : hen a client doesn't rememer ta+ing a medication efore( unless it's a new order( it should always

e doule3chec+ed efore the client ta+es the medication to pre!ent errors. hile manufacturers of generic drugsmight ma+e a drug that is different in color or appearance( it is important to rechec+ the medication efore the

client ta+es it.

Rationa%e !: hen a client doesn't rememer ta+ing a medication efore( unless it's a new order( it should always

e doule3chec+ed efore the client ta+es the medication to pre!ent errors. hile manufacturers of generic drugs


client ta+es it.





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: $plain important nursing inter!entions in relation to oral medication administration.

Question 1/

Type: MCMA

The nurse is caring for a client with dysphagia who has a nasogastric tue in place. hen preparing to administer

oral medications !ia the nasogastric tue( the nurse would do which of the following/ Select all that apply.

*tandard Te3t: Select all that apply.

1. Open the capsule and pour the contents into ; m8 of water( and mi it well.

2. Crush all of the client's talets to a fine powder( and mi in applesauce.

. 0lush the n"g tue with water after each medication.

!. Chec+ tue placement efore eginning to administer medications.

. 0lush n"g tue with water after last medication is administered.

Corre"t #ns$er: (1(;

Rationa%e 1: The nurse will flush the n"g tue( then egin gi!ing medications and flush with water after eachmedication( and again after the last medication is gi!en efore clamping the tue. Tue placement should echec+ed efore instilling anything into it. Capsules should not e opened( and some medications cannot e

crushed( so it is est to chec+ with the pharmacy for li4uid !ersions of medications that cannot e gi!en !ia n"g

tue.

Rationa%e 2: The nurse will flush the n"g tue( then egin gi!ing medications and flush with water after eachmedication( and again after the last medication is gi!en efore clamping the tue. Tue placement should e

chec+ed efore instilling anything into it. Capsules should not e opened( and some medications cannot e

crushed( so it is est to chec+ with the pharmacy for li4uid !ersions of medications that cannot e gi!en !ia n"g

tue.

Rationa%e : The nurse will flush the n"g tue( then egin gi!ing medications and flush with water after each

medication( and again after the last medication is gi!en efore clamping the tue. Tue placement should e

chec+ed efore instilling anything into it. Capsules should not e opened( and some medications cannot ecrushed( so it is est to chec+ with the pharmacy for li4uid !ersions of medications that cannot e gi!en !ia n"g

tue.





Rationa%e !: The nurse will flush the n"g tue( then egin gi!ing medications and flush with water after eachmedication( and again after the last medication is gi!en efore clamping the tue. Tue placement should e

chec+ed efore instilling anything into it. Capsules should not e opened( and some medications cannot e

crushed( so it is est to chec+ with the pharmacy for li4uid !ersions of medications that cannot e gi!en !ia n"gtue.

Rationa%e : The nurse will flush the n"g tue( then egin gi!ing medications and flush with water after each

medication( and again after the last medication is gi!en efore clamping the tue. Tue placement should echec+ed efore instilling anything into it. Capsules should not e opened( and some medications cannot ecrushed( so it is est to chec+ with the pharmacy for li4uid !ersions of medications that cannot e gi!en !ia n"g

tue.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: Outline steps re4uired for administering nasogastric and gastrostomy tue medication.

Question 17

Type: MCSA

The nurse is preparing medication for parenteral administration that comes in a !ial and must e mied from

powder with sterile saline. The !ial says to mi the medication with 1.= m8D howe!er( the nurse +nows the

medication must e further diluted to 2; m8 efore administering. The nurse will:

1. Add 2<.= m8 of fluid to the !ial.

2. Add 1.= m8 of fluid to the !ial( draw out the medication( and dilute to 2; m8.

. Add 2; m8 to the !ial.

!. Any of these methods would e accurate.

Corre"t #ns$er: 2

Rationa%e 1: The directions on the !ial should e followed( and it is unli+ely the !ial would hold 2; m8 of fluid.

The nurse should add 1.= m8 of fluid( draw out the proper dosage of medication( and then inFect the medication

into a ,m8 syringe holding 2; ml of normal saline.

Rationa%e 2: The directions on the !ial should e followed( and it is unli+ely the !ial would hold 2; m8 of fluid.

The nurse should add 1.= m8 of fluid( draw out the proper dosage of medication( and then inFect the medicationinto a ,m8 syringe holding 2; ml of normal saline.





Rationa%e : The directions on the !ial should e followed( and it is unli+ely the !ial would hold 2; m8 of fluid.The nurse should add 1.= m8 of fluid( draw out the proper dosage of medication( and then inFect the medication

into a ,m8 syringe holding 2; ml of normal saline.

Rationa%e !: The directions on the !ial should e followed( and it is unli+ely the !ial would hold 2; m8 of fluid.

The nurse should add 1.= m8 of fluid( draw out the proper dosage of medication( and then inFect the medicationinto a ,m8 syringe holding 2; ml of normal saline.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: escrie how to mi selected drugs from !ials and ampules.

Question 10

Type: MCSA

The nurse is administering medication !ia the intramuscular route( inserts the needle( draws ac+( and sees lood

enter the syringe. The nurse's net action is to:

1. Pull the needle out slightly and reposition it at a different angle and draw ac+ again.

2. &nFect the medication !ery slowly.

. ithdraw the needle( place a clean needle on the syringe( and choose a new site.

!. ithdraw the needle and discard the syringe( then draw up new medication.

Corre"t #ns$er: 1

Rationa%e 1: The nurse should withdraw the needle( ecause inFecting medication would ris+ &G inFection. The

syringe will e discarded ecause the medication has een contaminated with lood( and new medication should e prepared.

Rationa%e 2: The nurse should withdraw the needle( ecause inFecting medication would ris+ &G inFection. The

syringe will e discarded ecause the medication has een contaminated with lood( and new medication should

e prepared.

Rationa%e : The nurse should withdraw the needle( ecause inFecting medication would ris+ &G inFection. The

syringe will e discarded ecause the medication has een contaminated with lood( and new medication should

e prepared.

Rationa%e !: The nurse should withdraw the needle( ecause inFecting medication would ris+ &G inFection. Thesyringe will e discarded ecause the medication has een contaminated with lood( and new medication should

e prepared.





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome: escrie essential steps for safely administering parenteral medications y intradermal(

sucutaneous( and intramuscular routes.

Question 1

Type: MCSA

The nurse ad!ises which groups of clients to chec+ with the pro!ider efore ta+ing any o!er3the3counter

medications/

1. Parents of small children

2. Adolescents

. $lderly clients

!. Pregnant clients

Corre"t #ns$er: 1

Rationa%e 1: Pregnant clients should not ta+e any medication without first consulting their pro!ider( ecause

medications can ha!e profoundly negati!e effects on the fetus. The remaining clients should +eep their pro!iderinformed of the medications they are ta+ing( ut do not ha!e to consult the physician aout e!ery o!er3the3counte

medication they ta+e

Rationa%e 2: Pregnant clients should not ta+e any medication without first consulting their pro!ider( ecause



Rationa%e : Pregnant clients should not ta+e any medication without first consulting their pro!ider( ecause



Rationa%e !: Pregnant clients should not ta+e any medication without first consulting their pro!ider( ecause



&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome: escrie essential steps in safely administering topical medications.

Question 2

Type: MCSA

The nurse is oser!ing as the client demonstrates the use of his metered3dose inhaler. The nurse identifies that

further instructions are needed when the client does which of the following/

1. The client holds the inhaler upright and sha+es for 3; seconds to mi the medication.

2. The client inhales slowly and deeply through the mouth while pressing down on the medication canister.

. The client holds his reath for seconds after he inhales the drug.

!. The client waits , seconds efore the net inhalation.

Corre"t #ns$er: 1

Rationa%e 1: The client should wait -3 minutes efore ta+ing a second inhalation( if ordered( in order to allow th

first inhalation of medication to e asored. All of the other options demonstrate correct techni4ue.

Rationa%e 2: The client should wait -3 minutes efore ta+ing a second inhalation( if ordered( in order to allow thfirst inhalation of medication to e asored. All of the other options demonstrate correct techni4ue.

Rationa%e : The client should wait -3 minutes efore ta+ing a second inhalation( if ordered( in order to allow thfirst inhalation of medication to e asored. All of the other options demonstrate correct techni4ue.

Rationa%e !: The client should wait -3 minutes efore ta+ing a second inhalation( if ordered( in order to allow th

first inhalation of medication to e asored. All of the other options demonstrate correct techni4ue.

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: %ursing Process: $!aluation)earning -ut"ome: escrie essential steps in safely administering topical medications.

Question 21

Type: MCSA

The client reports confusion aout the name of his medications. The nurse eplains that the generic name of a

medication:





1. &s the name under which it is listed in one of the official pulications

2. The name which descries the drug constituents precisely

. &s the name gi!en efore a drug ecomes official

!. &s the name used y the drug manufacturer

Corre"t #ns$er:

Rationa%e 1: the official name is the name under which a drug is listed in one of the official pulications

Rationa%e 2: The chemical name descries the drug constituents precisely

Rationa%e : The generic 7family9 name is gi!en efore a drug ecomes officialD the generic name is notcapitali6ed

Rationa%e !: The trademar+ or rand name is the name used y the drug manufacturerD the trademar+ name

egins with a capital letter

&%o'a% Rationa%e:

Cogniti(e )e(e%: )nderstanding


C%ient Need *u':


)earning -ut"ome:

Question 22Type: MCSA

A diaetic pediatric client as+s the nurse H where does the insulin come from/I The nurse responds:

1. &nsulin comes from a plant

2. &nsulin comes from natural minerals

. &nsulin has animal sources

!. &nsulin is synthesi6ed in a laoratory

Corre"t #ns$er:

Rationa%e 1: &nsulin is not a plant deri!ed medication

Rationa%e 2: &nsulin is not deri!ed from natural mineral sources





Rationa%e : &nsulin is deri!ed from animal or human sources

Rationa%e !: &nsulin is not synthesi6ed in the laoratory

&%o'a% Rationa%e:




)earning -ut"ome:

Question 2

Type: MCMA

The nurse is re!iewing types of drug preparations with a medication technician. rugs in solid form include:

7Select all that apply9


1. Tinctures

2. Ointments

. Caplets

!. Troche

. Suppository


Rationa%e 1: A tincture is an alcohol or water and alcohol solution prepared from drugs deri!ed from plants

Rationa%e 2: Ointments are semisolid preparations of one or more drugs used for application to the s+in andmucous memrane

Rationa%e : Caplets are a solid form of medication( shaped li+e a capsule( that is coated and easily swallowed

Rationa%e !: A troche is a flat( round or o!al preparation that dissol!es and releases a drug when held in themouth

Rationa%e : A suppository is one or se!eral drugs mied with a firm ase such as gelatin and shaped for insertiointo the odyD the ase dissol!es gradually at ody temperature( releasing the drug

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question 2!

Type: MCMA

The administration of drugs is controlled to protect consumers. The nurse understands the following legal aspects

of drug administration:7Select all that apply9


1. The nurse practice act is a national standard

2. %urses must e ale to recogni6e the limits of their own +nowledge and s+ills

. %urses are responsile for their own actions

!. %urses are responsile for documenting use of controlled sustances

. %urses are responsile for 4uestioning any order that appears unreasonale

Corre"t #ns$er: 2((1(;

Rationa%e 1: The nursing practice acts define and limit the functions of nurses( and !ary from state to state

Rationa%e 2: The nursing practice acts define and limit the functions of nurses( and !ary from state to state

Rationa%e : The nursing practice acts define and limit the functions of nurses( and !ary from state to state

Rationa%e !: The nursing practice acts define and limit the functions of nurses( and !ary from state to state

Rationa%e : The nursing practice acts define and limit the functions of nurses( and !ary from state to state

&%o'a% Rationa%e:




)earning -ut"ome:

Question 2

Type: S$J





The nurse re!iews the characteristics of controlled sustances. Place the following characteristics in order from

Schedule & to Schedule G

*tandard Te3t: Clic+ and drag the options elow to mo!e them up or down.

Choi"e 1. The drug has no currently accepted medical use in treatment in the )nited States

Choi"e 2. The drug is accepted for medical use with se!ere restrictions

Choi"e . The drug has a currently accepte medical use in treatment in the united states

Choi"e !. Ause of the drug may lead to limited physical dependence

Choi"e . The drug has a low potential for ause( has a currently accepted medical use in treatment in the )nitedStates

Corre"t #ns$er: -(2((1(;

Rationa%e 1: A schedule & drug has a high potential for ause and no currently accepted meducal use in treatment

in the united states

Rationa%e 2: The Schedule && drug has a high potential for ause( with currently accepted medical use with se!ere

restrictions

Rationa%e : Schedule &&& drugs ha!e a potential for ause less that the drugs in Schedules & and &&D ause may

lead to moderate of low physical dependence or high psychological dependence

Rationa%e !: Schedule &G drugs ha!e a low potential for ause( has a currently accepted medical useD the drug

may lead to limited physical dependence or psychological dependence

Rationa%e : A schedule G drug has a low potential for ause( a currently accepted medical use in treatment in thunited states( with limited physical or psychological dependence potential

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2/

Type: MCSA

The nurse gi!es the following description of a supporti!e medication:

1. #elie!es the symptoms of a disease ut does not affect the disease





2. Cures the disease

. Assists with ody function until other treatments or the odyKs response can ta+e o!er

!. estroys malignant cells

Corre"t #ns$er:

Rationa%e 1: A palliati!e medication relie!es the symptoms of a disease ut does not affect the disease itself

Rationa%e 2: A curati!e medication cures a disease or condition

Rationa%e : A supporti!e medication supports ody function until other treatments or the odyKs response can

ta+e o!er

Rationa%e !: A chemotherapeutic medication destroys malignant cells

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 27

Type: MCSA

A client reports eing allergic to codeine. The nurse as+s the client aout the specific prolem( and the clientreports that she ecomes nauseous. The nurse eplains that this is not an allergy ut

1. An untoward effect

2. An ad!erse effect

. Acute toic reaction

!. Chronic toicity

Corre"t #ns$er: -

Rationa%e 1: an untoward effect may e tolerated for the sa+e of the therapeutic effect

Rationa%e 2: An ad!erse effect is a more se!ere side effect and may Fustify discontinuing the drug

Rationa%e : An acute toic effect is apparent immediately( and results from o!er dosage( ingestion of a drug

intended for eternal use( and cumulati!e effect





Rationa%e !: Chronic toicity is the result of cumulati!e effect of the drug in the lood

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 20

Type: MCMA

The nurse is re!iewing the common mild reactions to medications with a client( including:7Select all that apply9


1. )rticaria

2. Pruritis

. 8acrimal tearing

!. Anaphylais

. Eastroenteritis

Corre"t #ns$er: -(2((;

Rationa%e 1: )rticaria is a locali6ed rash which is generali6ed o!er the ody

Rationa%e 2: Pruritis is an itching of the s+in with or without a rash

Rationa%e : 8acrimal tearing is ecessi!e watering of the eyes

Rationa%e !: Systemic anaphylais is a potentially life3threatening reaction to an allergen that includes periphera

!asodilation( ronchospasm( and laryngeal edema

Rationa%e : Eastroenteritis is caused y an irritation of the mucosa of the large intestine with a resultant watery(

loose stool

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':






)earning -ut"ome:

Question 2

Type: MCSA

The nurse is re!iewing the pharmaco+inetics of a clientKs medication. The half life of the drug is = hours( which

means that 21 hours after a dose

1. ;,L remains in the ody

2. 2;L remains in the ody

. -2.;L remains in the ody

!. =L remains in the ody

Corre"t #ns$er:

Rationa%e 1: The = hour half life means that ;,L is left in the ody after = hours

Rationa%e 2: The = hour half life means that ;,L is left in the ody after = hours

Rationa%e : The = hour half life means that ;,L is left in the ody after = hours

Rationa%e !: The = hour half life means that ;,L is left in the ody after = hours

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question

Type: MCMA

The nurse is re!iewing a clientKs medication history. The following factors affect the actions of medication:7Selec

all that apply9


1. $thnicity and culture

2. #oute of administration

. $posure to moisture





!. ater ingestion

. Polypharmacy


Rationa%e 1: $thnicity and culture may contriute to differences in responses to medicationsD cultural practices

can affect a drugKs actions( including heral remedies that may counteract prescried medications

Rationa%e 2: The route of administration affects the actions of medicationsD each route has ad!antages and

disad!antages

Rationa%e : Medications eposed to moisture( light( air( or heat may lose potency

Rationa%e !: ater ingestion is not related to the affects of medication

Rationa%e : Polypharmacy( ta+ing se!eral medications daily( increases the possiility of error and drug

interactions

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCSA

The nurse is re!iewing a clientKs chart. The pro!ider has written a standing order for a stool softener. This

medication will e gi!en

1. Once( immediately

2. Once

. On a regular asis until an order is written to cancel it

!. At the nurses discretion

Corre"t #ns$er:

Rationa%e 1: A stat order indicates that the medication is to e gi!en immediately and only once

Rationa%e 2: A stat order indicates that the medication is to e gi!en immediately and only once





Rationa%e : A stat order indicates that the medication is to e gi!en immediately and only once

Rationa%e !: A stat order indicates that the medication is to e gi!en immediately and only once

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCMA

The nurse is re!iewing the clientKs chart for new orders. The essential parts of a drug order include:7Select all that

apply9


1. 0ull name of the client

2. Age of the client

. %ame of the drug

!. Bow the drug is to e administered

. Signature of the pharmacist

Corre"t #ns$er: -((1

Rationa%e 1: The full name of the client is an essential part of a drug order

Rationa%e 2: The age of a client is not an essential part of a drug order

Rationa%e : The name of the medication to e administered is an essential part of a drug order

Rationa%e !: The route of administration is an essential part of a drug order

Rationa%e : The signature of the person writing the order is an essential part of a drug order

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':






)earning -ut"ome:

Question

Type: MCMA

hen the 8P%"8G% determines that a physician ordered medication is inappropriate( which of the following

actions is appropriate/7Select all that apply9


1. Contact the prescrier

2. iscuss the order with another 8P%"8G%

. ocument in the notes notification of the pro!ider( as well as the pro!iderKs response

!. &f the prescrier cannot e reached( administer the medication

. As+ another nurse to administer the medication

Corre"t #ns$er: -(

Rationa%e 1: The nurse should contact the prescrier and discuss the rationale for elie!ing the medication or

dosage to e inappropriate

Rationa%e 2: The nurse should discuss the order with the #%( the nursing super!isor( or oth

Rationa%e : ocument in the notes the following: time the prescrier was notified( y whom( informationcon!eyed to the prescrier( and the response

Rationa%e !: &f the prescrier cannot e reached( document all attempts to contact the prescrier and the reason

for withholding the medication

Rationa%e : The medication should not e administered if the order is amiguous or unusual

&%o'a% Rationa%e:


C%ient Need:C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA





The nurse is caring for se!eral clients who ha!e student nurses assigned to their care. The licensed nurse

understands that omission of ordered medication commonly occurs in the following situations:7Select all that

apply9


1. %onstandard dosage times

2. 8ac+ of accurate prompt documentation

. Pac+aging of medications

!. Preparing drugs for multiple clients

. Changes in laoratory !alues

Corre"t #ns$er: -(2

Rationa%e 1: Many omissions occur when a medication is to e administered at an unusual time( such as early in

the morning

Rationa%e 2: 8ac+ of prompt( accurate documentation is a maFor factor in medication errors that in!ol!e patientassignments in which oth licensed and student nurses are caring for the client

Rationa%e : $rrors can occur when a medication is dispensed in a larger talet or container than neededD the

client is gi!en etra medication

Rationa%e !: hen preparing drugs for more than one clientKs medications at a time( it is possile to group

medications incorrectly and gi!e a medication to the wrong client( rather than omission of medication

Rationa%e : Many medications are meant to e discontinued when laoratory !alues reach normal ranges

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question

Type: MCMA

The nurse is caring for a diaetic client. hen preparing the clientKs insulin dose( the nurse understands that

common insulin errors include:7Select all that apply9






1. Omitting doses

2. $tra doses

. )sing the wrong type of insulin

!. Administering to the wrong client

. Administering the wrong amount

Corre"t #ns$er: -((1(;

Rationa%e 1: Omission of ordered insulin is a common medication error

Rationa%e 2: Administration of etra doses is not a common medication error

Rationa%e : The wrong type of insulin is a common medication error

Rationa%e !: Administering insulin to the wrong client is a common medication error

Rationa%e : Administering the wrong insulin dosage( due to sliding3scale errors or misreading of calirated

syringe9 is a common medication error

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question /

Type: S$J

The nurse understands that the metric system is used for !olume and weight. Arrange the following prefies from

largest to smallest.


Choi"e 1. ilo

Choi"e 2. e+a

Choi"e . eci

Choi"e !. Centi





Choi"e . Milli


Rationa%e 1: ilo @ -(,,, multiples

Rationa%e 2: e+a @ -, multiple

Rationa%e : eci @ -"-, or ,.-

Rationa%e !: Centi @ -"-,, or ,.,-

Rationa%e : Milli @ -"-,,, or ,.,,-

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question 7

Type: MCSA

The nurse understands that the apothecariesK system asic unit of weight is the:

1. Minim

2. Erain

. Milliliter

!. rops

Corre"t #ns$er: 2

Rationa%e 1: The minim is the asic unit of !olume in the apothecariesK system

Rationa%e 2: The asic unit of weight in the apothecariesK system is the grain( li+ened to a grain of wheat

Rationa%e : The milliliter is a unit of !olume in the metric system

Rationa%e !: rops are a unit of measure in the household system

&%o'a% Rationa%e:






C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question 0

Type: 0&*

A prescrier writes a medication order for aspirin grains po prn temperature N -,-0. The nurse con!erts from

the apothecariesK system to the metric system( yielding the correct dose of:

*tandard Te3t:

Corre"t #ns$er: >,, mg" >, mg",, mg", mg

Rationa%e : >, mg @ - gr-, gr >, mg @ >,, mg

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question

Type: 0&*

The nurse is preparing to administer a medication to a pediatric client. The order is for amoicillin ;,, mg. The

medication is supplied in li4uid form containing - gram in ; ml. The nurse calculates the dose and determines the

appropriate dose is:

*tandard Te3t:

Corre"t #ns$er: 2.;ml" 2; ml " .2; ml "; ml

Rationa%e : )sing the following formula: esired dose Juantity on hand ose on hand ;,, mg ; ml -,,,

mg @ 2.; ml

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':






)earning -ut"ome:

Question !

Type: MCMA

The nurse utili6es syringes to administer parenteral medications. The following principles apply to handling and

using a syringe:7Select all that apply9


1. The nurse handles the arrel( plunger handle and the shaft of the plunger

2. The nurse handles the arrel( plunger handle( and the tip of the syringe

. Standard hypodermic syringes are mar+ed with unit designations

!. u3-,, syringes are used for insulin

. T* syringes hold - ml of solution

Corre"t #ns$er: 1(;

Rationa%e 1: The nurse handles the arrel and plunger( and does not touch the shaft of the plunger when handling

a syringe aseptically

Rationa%e 2: The nurse handles the arrel and plunger of the syringe( and a!oids letting any unsterile oFectcontact the tip or inside of the arrel( the shaft of the plunger( or any part of the needle

Rationa%e : Standard hypodermic needles are mar+ed in minims and milliliters

Rationa%e !: )3-,, syringes are used for insulin( and hold - m8 of solution

Rationa%e : T* syringes hold - m8 of solution

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':

Nursing+ntegrated Con"epts: %ursing Process: &mplementation)earning -ut"ome:

Question !1

Type: MCMA

The nurse descries two !ariations on the oral medication route as:7Select all that apply9






1. %asogastric

2. *uccal

. 8ingual

!. Sulingual

. &ntradermal

Corre"t #ns$er: 2(1

Rationa%e 1: The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine

Rationa%e 2: The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine

Rationa%e : The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine

Rationa%e !: The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine

Rationa%e : The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question !2

Type: 0&*

The nurse is administering an intramuscular inFection. The appropriate angle of needle insertion is <, degrees

*tandard Te3t:

Corre"t #ns$er: 1; degrees"2; degrees"-,3-; degrees

Rationa%e : The intramuscular inFection is administered at a <, degree angleThe sucutaneous inFection is

administered at a 1; degree angleThe intra!enous inFection is administered at a 2; degree angleThe intradermal

inFection is administered at a -,3-; degree angle

&%o'a% Rationa%e:






C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA

The nurse understands that topical medications are applied locally to areas such as:7Select all that apply9


1. Geins

2. S+in

. $ye

!. Gagina

. %ose


Rationa%e 1: Geins are a parenteral site for medication administration

Rationa%e 2: Topical application of medications to the s+in may produce a local or systemic effect

Rationa%e : Topical application of medication to mucous memranes such as the eye act locally

Rationa%e !: Topical medications are applied locally to mucous memranes such as the !agina

Rationa%e : Topical medications are applied locally to mucous memranes such as the nose

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':Nursing+ntegrated Con"epts: %ursing Process: &mplementation

)earning -ut"ome:

Question !!

Type: MCSA

The nurse will typically find controlled drugs





1. &n a loc+ed cupoard in the clientKs room

2. &n a stoc+ supply drawer

. &n a doule loc+ed cainet

!. &n a refrigerated area

Corre"t #ns$er:

Rationa%e 1: Controlled drugs are not +ept in a clientKs room

Rationa%e 2: Controlled drugs are not +ept in a stoc+ supply drawer of a medication area

Rationa%e : Controlled drugs are +ept in a doule loc+ed cainet on a medication cart( in a medication room( orin an electroninc"automated drug dispensary system

Rationa%e !: Controlled drugs are not typically +ept in a refrigerated area

&%o'a% Rationa%e:


C%ient Need:

C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA

The nurse eplains to a clientKs family that the following medications ha!e een pac+aged for transdermal release

of medication into the loodstream:7Select all that apply9


1. %itroglycerin

2. $strogen

. Elaucoma medication

!. Tylenol

. Ad!il

Corre"t #ns$er: -(2





Rationa%e 1: %itroglycerin has een pac+aged in a transdermal patch to gradually release a predictale aount ofmedication into the loodstream

Rationa%e 2: $strogen has een pac+aged in a transdermal patch to gradually release a predictale amount of

medication into the loodstream for as long as a wee+

Rationa%e : Elaucoma medication is typically applied as drops to the eye

Rationa%e !: Tylenol is typically administered orally or rectally

Rationa%e : Ad!il is typically administered orally or rectally

&%o'a% Rationa%e:


C%ient Need:

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Question !/

Type: MCMA

The nurse is preparing to administer medications to a group of clients. The chec+s of drug administration include

7Select all that apply9


1. Compare the drug with the MA# when the drug is remo!ed from the drawer

2. Compare the drug with the MA# when pouring the drug into the cup

. $nsure the dose is correct

!. Compare the drug with the MA# when returning the container to the drawer

. Compare the MA# with the clientKs name and

Corre"t #ns$er: -(2(1

Rationa%e 1: The first chec+ is comparing the drug with the MA# when the drug is remo!ed from the drawer

Rationa%e 2: The second chec+ is comparing the drug with the MA# when pouring the drug into the cup

Rationa%e : $nsuring the dose is correct is one of the si rightsK of drug administration

Rationa%e !: The third chec+ is comparing the drug with the MA# when returning the container to the drawer





Rationa%e : $nsuring the medication is eing administered to the correct client is one of the si rightsK ofmedication administration

&%o'a% Rationa%e:


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Question !7

Type: MCMA

There are se!eral rules for medication administration that the nurse must always follow. These include:7Select all

that apply9


1. &nform the client

2. $!aluate the clientKs response to the drug

. &dentifying the client y as+ing him or her what room is theirs

!. Pro!iding client teaching as necessary

. ocumenting

Corre"t #ns$er: -(2(1(;

Rationa%e 1: The client has the right to +now the intended actions as well as any side effects of ad!erse effectsthat might occur

Rationa%e 2: The nurse needs to e aware of the medications that a client is ta+ing and record their effecti!eness

as assessed y the client and the nurse on the clientKs chart

Rationa%e : *efore gi!ing a client any drug( chec+ the & and against the MA#( and as+ the client to state his oher name and irth dateD the Qoint Commission re4uires the use of two identifiers( neither of which can e the

clientKs room numer

Rationa%e !: The client may need teaching aout measures to enhance drug effecti!eness( such as changes in diet

and fluid inta+eD the 8P%"8G% can allay fear through acti!e listening and y offering factual information

Rationa%e : ocumentation must e completed immediately after the administration of a medicationD ne!er prechar medication administration





&%o'a% Rationa%e:


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Question !0

Type: MCMA

The nurse prepares to document medication administration. Appropriate information to record includes:7Select al

that apply9


1. %ame of the drug( dose( method of administration

2. $act time of administration

. ClientKs response to the medication

!. Client teaching

. rug information

Corre"t #ns$er: -(2((1

Rationa%e 1: The name of the drug( dose( route of administration(


Rationa%e : The name of the drug( dose( route of administration(

Rationa%e !: The name of the drug( dose( route of administration(


&%o'a% Rationa%e:


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Question !





Type: MCMA

The nurse is aware of the following priorities in the administration of drugs:7Select all that apply9


1. &dentification of allergies

2. Three rights of medication administration

. nowledge of each drugs use( action( effects( and side effects

!. Appropriate nursing assessments

. Client education


Rationa%e 1: &dentification of any medication allergies is !ital prior to administration of any medication

Rationa%e 2: Medication administration includes si rights

Rationa%e : nowledge of each drugs actions( usage( effects and side effects are important in order to ma+e

complete and accurate assessments efore and after drug administration

Rationa%e !: Appropriate nursing assessment include identification of side effects( ad!erse effects and allergies

Rationa%e : Client education regarding the medications actions( interactions( desired and ad!erse effects areimportant in the process of medication administration

&%o'a% Rationa%e:


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Question

Type: MCMA

The nurse is careful to follow which of the following rightsK of drug administration/7Select all that apply9


1. Compare the MA# with the clientKs name and





2. Compute the dose

. ocument as soon as the medication is prepared

!. )se AM and PM as are!iations

. oule chec+ the drug

Corre"t #ns$er: -(2

Rationa%e 1: The nurse ensures the right client y comparing the MA# with the clientKs name and or as+ing the

client for two identifiers

Rationa%e 2: The drug dose dispensed may not e the same as the orderD some drugs must e doule chec+ed witanother licensed nurse

Rationa%e : ocumentation is done as soon as the dose of medication is ta+en

Rationa%e !: Most facilities use military time to decrease the ris+ of misinterpretation etween AM and PM

Rationa%e : The drug should e triple chec+ed( watching for name discrepancies

&%o'a% Rationa%e:


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Question 1

Type: MCSA

The client reports confusion aout the names of his medications. The nurse eplains that the generic name of a

medication is:

1. The name under which it is listed in one of the official pulications.

2. The name which descries the drug constituents precisely.

. The name gi!en efore a drug ecomes official.

!. The name used y the drug manufacturer.

Corre"t #ns$er:

Rationa%e 1: The official name is the name under which a drug is listed in one of the official pulications.





Rationa%e 2: The chemical name descries the drug constituents precisely.

Rationa%e : The generic 7family9 name is gi!en efore a drug is appro!ed y the 0AD the generic name is not

capitali6ed.

Rationa%e !: The trademar+ or rand name is the name used y the drug manufacturerD the trademar+ name

egins with a capital letter.

&%o'a% Rationa%e:



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Question 2

Type: MCSAA diaetic pediatric client as+s the nurse Hhere does the insulin come from/I The nurse responds:

1. &nsulin comes from a plant.

2. &nsulin comes from natural minerals.

. &nsulin has animal sources.

!. &nsulin is synthesi6ed in a laoratory.

Corre"t #ns$er:

Rationa%e 1: &nsulin is not a plant3deri!ed medication.

Rationa%e 2: &nsulin is not deri!ed from natural mineral sources.

Rationa%e : &nsulin is deri!ed from animal or human sources.

Rationa%e !: &nsulin is not synthesi6ed in the laoratory.

&%o'a% Rationa%e:



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Question





Type: MCMA

The nurse is re!iewing types of drug preparations with a medication technician. rugs in solid form include:


1. Tinctures.

2. Ointments.

. Caplets.

!. Troche.

. Suppository.


Rationa%e 1: A tincture is an alcohol or water3and3alcohol solution prepared from drugs deri!ed from plants.

Rationa%e 2: Ointments are semisolid preparations of one or more drugs used for application to the s+in andmucous memrane.

Rationa%e : Caplets are a solid form of medication( shaped li+e capsules( that are coated and easily swallowed.

Rationa%e !: A troche is a flat( round( or o!al preparation that dissol!es and releases a drug when held in the

mouth.

Rationa%e : A suppository is one or se!eral drugs mied with a firm ase such as gelatin and shaped for insertiointo the odyD the ase dissol!es gradually at ody temperature( releasing the drug.

&%o'a% Rationa%e:



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Question !

Type: MCMAThe administration of drugs is controlled to protect consumers. The nurse understands the following legal aspects

of drug administration:


1. The nurse practice act is a national standard.





2. %urses must e ale to recogni6e the limits of their own +nowledge and s+ills.

. %urses are responsile for their own actions.

!. %urses are responsile for documenting use of controlled sustances.

. %urses are responsile for 4uestioning any order that appears unreasonale.


Rationa%e 1: The nursing practice acts define and limit the functions of nurses( and !ary from state to state.

Rationa%e 2: The nursing practice acts define and limit the functions of nurses( and !ary from state to state.

Rationa%e : The nursing practice acts define and limit the functions of nurses( and !ary from state to state.

Rationa%e !: The nursing practice acts define and limit the functions of nurses( and !ary from state to state.

Rationa%e : The nursing practice acts define and limit the functions of nurses( and !ary from state to state.

&%o'a% Rationa%e:



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Question Type: S$J

The nurse re!iews the characteristics of controlled sustances. Place the following characteristics in order fromschedule & to schedule G:


Choi"e 1. The drug has no currently accepted medical use in treatment in the )nited States.

Choi"e 2. The drug is accepted for medical use with se!ere restrictions.

Choi"e . The drug has a currently accepted medical use in treatment in the )nited States.

Choi"e !. Ause of the drug can lead to limited physical dependence.

Choi"e . The drug has a low potential for ause( and has a currently accepted medical use in treatment in the)nited States.






Rationa%e 1: A schedule & drug has a high potential for ause and no currently accepted medical use in treatmentin the )nited States.

Rationa%e 2: The Schedule && drug has a high potential for ause( with currently accepted medical use with se!ere

restrictions.

Rationa%e : Schedule &&& drugs ha!e less potential for ause than the drugs in schedules & and &&D ause may

could to moderate or low physical dependence or high psychological dependence.

Rationa%e !: Schedule &G drugs ha!e a low potential for ause( and ha!e currently accepted medical usesD the

drug could lead to limited physical dependence or psychological dependence.

Rationa%e : A schedule G drug has a low potential for ause and a currently accepted medical use in treatment in

the )nited States( with limited physical or psychological dependence potential.

&%o'a% Rationa%e:




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Question /

Type: MCSA

The nurse gi!es the following description of a supporti!e medication:

1. #elie!es the symptoms of a disease ut does not affect the disease.

2. Cures the disease.

. Assists with ody function until other treatments or the odyKs response can ta+e o!er.

!. estroys malignant cells.

Corre"t #ns$er:

Rationa%e 1: A palliati!e medication relie!es the symptoms of a disease ut does not affect the disease itself.

Rationa%e 2: A curati!e medication cures a disease or condition.

Rationa%e : A supporti!e medication supports ody function until other treatments or the odyKs response can

ta+e o!er.

Rationa%e !: A chemotherapeutic medication destroys malignant cells.

&%o'a% Rationa%e:







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Question 7

Type: MCSA

A client reports eing allergic to codeine. The nurse as+s the client aout the specific prolem( and the clientreports that she ecomes nauseous. The nurse eplains that this is not an allergy ut:

1. An untoward effect.

2. An ad!erse effect.

. Acute toic reaction.

!. Chronic toicity.

Corre"t #ns$er: -

Rationa%e 1: An untoward effect can e tolerated for the sa+e of the therapeutic effect.

Rationa%e 2: An ad!erse effect is a more se!ere side effect( and might Fustify discontinuing the drug.

Rationa%e : An acute toic effect is apparent immediately( and results from o!erdosage( ingestion of a drugintended for eternal use( and cumulati!e effect.

Rationa%e !: Chronic toicity is the result of cumulati!e effect of the drug in the lood.

&%o'a% Rationa%e:



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Question 0Type: MCMA

The nurse is re!iewing the common mild reactions to medications with a client( including:


1. )rticaria.





2. Pruritus.

. 8acrimal tearing.

!. Anaphylais.

. Eastroenteritis.


Rationa%e 1: )rticaria is a locali6ed rash that is generali6ed o!er the ody.

Rationa%e 2: Pruritus is an itching of the s+in with or without a rash.

Rationa%e : 8acrimal tearing is ecessi!e watering of the eyes.

Rationa%e !: Systemic anaphylais is a potentially life3threatening reaction to an allergen that includes periphera!asodilation( ronchospasm( and laryngeal edema.

Rationa%e : Eastroenteritis is caused y an irritation of the mucosa of the large intestine( with a resultant watery

loose stool.

&%o'a% Rationa%e:



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Question

Type: MCSA

The nurse is re!iewing the pharmaco+inetics of a clientKs medication. The half3life of the drug is = hours( which

means that 21 hours after a dose:

1. ;,L remains in the ody.

2. 2;L remains in the ody.

. -2.;L remains in the ody.

!. =L remains in the ody.

Corre"t #ns$er:

Rationa%e 1: The =3hour half3life means that ;,L is left in the ody after = hours.





Rationa%e 2: The =3hour half3life means that ;,L is left in the ody after = hours.

Rationa%e : The =3hour half3life means that ;,L is left in the ody after = hours.

Rationa%e !: The =3hour half3life means that ;,L is left in the ody after = hours.

&%o'a% Rationa%e:



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Question /

Type: MCMA

The nurse is re!iewing a clientKs medication history. The following factors affect the actions of medication:


1. $thnicity and culture

2. #oute of administration

. $posure to moisture

!. ater ingestion

. Polypharmacy


Rationa%e 1: $thnicity and culture can contriute to differences in responses to medicationsD cultural practices caaffect a drugKs actions( including heral remedies that can counteract prescried medications.

Rationa%e 2: The route of administration affects the actions of medicationsD each route has ad!antages and

disad!antages.

Rationa%e : Medications eposed to moisture( light( air( or heat can lose potency.

Rationa%e !: ater ingestion is not related to the effects of medication.

Rationa%e : Polypharmacy( ta+ing se!eral medications daily( increases the possiility of error and drug

interactions.

&%o'a% Rationa%e:







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Question /1

Type: MCSA

The nurse is re!iewing a clientKs chart. The pro!ider has written a standing order for a stool softener. Thismedication will e gi!en:

1. Once( immediately.

2. Once.

. On a regular asis until an order is written to cancel it.

!. At the nurseKs discretion.

Corre"t #ns$er:

Rationa%e 1: A stat order indicates that the medication is to e gi!en immediately and only once.

Rationa%e 2: A stat order indicates that the medication is to e gi!en immediately and only once.

Rationa%e : A stat order indicates that the medication is to e gi!en immediately and only once.

Rationa%e !: A stat order indicates that the medication is to e gi!en immediately and only once.

&%o'a% Rationa%e:



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Question /2

Type: MCMA

The nurse is re!iewing the clientKs chart for new orders. The essential parts of a drug order include:


1. 0ull name of the client.

2. Age of the client.





. %ame of the drug.

!. Bow the drug is to e administered.

. Signature of the pharmacist.

Corre"t #ns$er: -((1

Rationa%e 1: The full name of the client is an essential part of a drug order.

Rationa%e 2: The age of a client is not an essential part of a drug order.

Rationa%e : The name of the medication to e administered is an essential part of a drug order.

Rationa%e !: The route of administration is an essential part of a drug order.

Rationa%e : The signature of the person writing the order is an essential part of a drug order.

&%o'a% Rationa%e:



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Question /

Type: MCMA

hen the 8P%"8G% determines that a physician3ordered medication is inappropriate( which of the followingactions is appropriate/


1. Contact the prescrier.

2. iscuss the order with another 8P%"8G%.

. ocument notification of the pro!ider( as well as the pro!iderKs response( in the notes.

!. &f the prescrier cannot e reached( administer the medication.

. As+ another nurse to administer the medication.

Corre"t #ns$er: -(

Rationa%e 1: The nurse should contact the prescrier and discuss the rationale for elie!ing the medication ordosage to e inappropriate.





Rationa%e 2: The nurse should discuss the order with the #%( the nursing super!isor( or oth.

Rationa%e : ocument in the notes the following: time the prescrier was notifiedD y whomD information

con!eyed to the prescrierD and the response.

Rationa%e !: &f the prescrier cannot e reached( document all attempts to contact the prescrier and the reason

for withholding the medication.

Rationa%e : The medication should not e administered if the order is amiguous or unusual.

&%o'a% Rationa%e:



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Question /!

Type: MCMA

The nurse is caring for se!eral clients who ha!e student nurses assigned to their care. The licensed nurseunderstands that omission of ordered medication commonly occurs in the following situations:


1. %onstandard dosage times

2. 8ac+ of accurate( prompt documentation

. Pac+aging of medications

!. Preparing drugs for multiple clients

. Changes in laoratory !alues

Corre"t #ns$er: -(2

Rationa%e 1: Many omissions occur when a medication is to e administered at an unusual time( such as early inthe morning.

Rationa%e 2: 8ac+ of prompt( accurate documentation is a maFor factor in medication errors that in!ol!e patient

assignments in which oth licensed and student nurses are caring for the client.

Rationa%e : $rrors can occur when a medication is dispensed in a larger talet or container than neededD theclient is gi!en etra medication.





Rationa%e !: hen preparing drugs for more than one clientKs medications at a time( it is possile to groupmedications incorrectly and gi!e a medication to the wrong client( rather than omission of medication.

Rationa%e : Many medications are meant to e discontinued when laoratory !alues reach normal ranges.

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: Physiological &ntegrity

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Question /

Type: MCMA

The nurse is caring for a diaetic client. hen preparing the clientKs insulin dose( the nurse understands that

common insulin errors include:


1. Omitting doses.

2. $tra doses.

. )sing the wrong type of insulin.

!. Administering to the wrong client.

. Administering the wrong amount.


Rationa%e 1: Omission of ordered insulin is a common medication error.

Rationa%e 2: Administration of etra doses is not a common medication error.

Rationa%e : The wrong type of insulin is a common medication error.

Rationa%e !: Administering insulin to the wrong client is a common medication error.

Rationa%e : Administering the wrong insulin dosage( due to sliding3scale errors or misreading of a caliratedsyringe( is a common medication error.

&%o'a% Rationa%e:







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Question //

Type: S$J

The nurse understands that the metric system is used for !olume and weight. Arrange the following prefies from

largest to smallest:


Choi"e 1. ilo

Choi"e 2. e+a

Choi"e . eci

Choi"e !. Centi

Choi"e . Milli

Corre"t #ns$er: ;(1((2(-

Rationa%e 1: ilo @ -,,, multiples.

Rationa%e 2: e+a @ -, multiple

Rationa%e : eci @ -"-, or ,.-.

Rationa%e !: Centi @ -"-,, or ,.,-.

Rationa%e : Milli @ -"-,,, or ,.,,-.

&%o'a% Rationa%e:



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Question /7

Type: MCSA

The nurse understands that the apothecariesK systemKs asic unit of weight is the:

1. Minim.





2. Erain.

. Milliliter.

!. rops.

Corre"t #ns$er: 2

Rationa%e 1: The minim is the asic unit of !olume in the apothecariesK system.

Rationa%e 2: The asic unit of weight in the apothecariesK system is the grain( li+ened to a grain of wheat.

Rationa%e : The milliliter is a unit of !olume in the metric system.

Rationa%e !: rops are a unit of measure in the household system.

&%o'a% Rationa%e:



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Question /0

Type: 0&*

A prescrier writes a medication order for aspirin grains p.o. p.r.n. temperature N -,-0. The nurse con!erts

from the apothecariesK system to the metric system( yielding the correct dose of:

*tandard Te3t:

Corre"t #ns$er: >,, mg" >, mg",, mg", mg.

Rationa%e : >, mg @ - gr. -, gr >, mg @ >,, mg.

&%o'a% Rationa%e:



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Question /

Type: 0&*





The nurse is preparing to administer a medication to a pediatric client. The order is for amoicillin ;,, mg. Themedication is supplied in li4uid form containing - gram in ; ml. The nurse calculates the dose and determines the

appropriate dose is:

*tandard Te3t:

Corre"t #ns$er: 2.;ml " 2; ml " .2; ml " ; ml.

Rationa%e : )sing the following formula: desired dose 4uantity on hand. ose on hand ;,, mg ; ml -,,,mg @ 2.; ml.

&%o'a% Rationa%e:



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Question 7

Type: MCMA

The nurse utili6es syringes to administer parenteral medications. The following principles apply to handling andusing a syringe:


1. The nurse handles the arrel( plunger handle( and the shaft of the plunger.

2. The nurse handles the arrel( plunger handle( and the tip of the syringe.

. Standard hypodermic syringes are mar+ed with unit designations.

!. u3-,, syringes are used for insulin.

. T* syringes hold - ml of solution.

Corre"t #ns$er: 1(;

Rationa%e 1: The nurse handles the arrel and plunger( and does not touch the shaft of the plunger when handling

a syringe aseptically.

Rationa%e 2: The nurse handles the arrel and plunger of the syringe( and a!oids letting any unsterile oFect

contact the tip or inside of the arrel( the shaft of the plunger( or any part of the needle.

Rationa%e : Standard hypodermic needles are mar+ed in minims and milliliters.

Rationa%e !: )3-,, syringes are used for insulin( and hold - m8 of solution.





Rationa%e : T* syringes hold - m8 of solution.

&%o'a% Rationa%e:



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Question 71

Type: MCMA

The nurse descries the following as two !ariations on the oral medication route:


1. %asogastric

2. *uccal

. 8ingual

!. Sulingual

. &ntradermal

Corre"t #ns$er: 2(1

Rationa%e 1: The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine.

Rationa%e 2: The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine.

Rationa%e : The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine.

Rationa%e !: The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine.

Rationa%e : The nasogastric tue allows medication to e deli!ered directly into the stomach or small intestine.

&%o'a% Rationa%e:



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Question 72





Type: 0&*

The nurse is administering an intramuscular inFection. The appropriate angle of needle insertion is RRRRRRRRR.

*tandard Te3t:

Corre"t #ns$er: 1; degrees"2; degrees"-,-; degrees

Rationa%e : The intramuscular inFection is administered at a <,3degree angle.D The sucutaneous inFection isadministered at a 1;3degree angle.D The intra!enous inFection is administered at a 2;3degree angle.D The

intradermal inFection is administered at a -,-;3degree angle.

&%o'a% Rationa%e:



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Question 7

Type: MCMA

The nurse understands that topical medications are applied locally to areas such as the:


1. Geins.

2. S+in.

. $ye.

!. Gagina.

. %ose.


Rationa%e 1: Geins are a parenteral site for medication administration.

Rationa%e 2: Topical application of medications to the s+in can produce a local or systemic effect.

Rationa%e : Topical application of medication to mucous memranes( such as the eye( acts locally.

Rationa%e !: Topical medications are applied locally to mucous memranes( such as the !agina.

Rationa%e : Topical medications are applied locally to mucous memranes( such as the nose.





&%o'a% Rationa%e:



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Question 7!

Type: MCSA

The nurse will typically find controlled drugs:

1. &n a loc+ed cupoard in the clientKs room.

2. &n a stoc+ supply drawer.

. &n a doule3loc+ed cainet.

!. &n a refrigerated area.

Corre"t #ns$er:

Rationa%e 1: Controlled drugs are not +ept in a clientKs room.

Rationa%e 2: Controlled drugs are not +ept in a stoc+ supply drawer of a medication area.

Rationa%e : Controlled drugs are +ept in a doule3loc+ed cainet on a medication cart( in a medication room( or

in an electronic"automated drug dispensary system.

Rationa%e !: Controlled drugs are not typically +ept in a refrigerated area.

&%o'a% Rationa%e:



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Question 7Type: MCMA

The nurse eplains to a clientKs family that the following medications ha!e een pac+aged for transdermal releaseof medication into the loodstream:


1. %itroglycerin





2. $strogen

. Elaucoma medication

!. Tylenol

. Ad!il

Corre"t #ns$er: -(2

Rationa%e 1: %itroglycerin has een pac+aged in a transdermal patch to gradually release a predictale amount of

medication into the loodstream.

Rationa%e 2: $strogen has een pac+aged in a transdermal patch to gradually release a predictale amount ofmedication into the loodstream for as long as a wee+.

Rationa%e : Elaucoma medication is typically applied !ia drops to the eye.

Rationa%e !: Tylenol is typically administered orally or rectally.

Rationa%e : Ad!il is typically administered orally or rectally.

&%o'a% Rationa%e:



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Question 7/

Type: MCMA

The nurse is preparing to administer medications to a group of clients. The chec+s of drug administration include


1. Compare the drug with the MA# when the drug is remo!ed from the drawer.

2. Compare the drug with the MA# when pouring the drug into the cup.

. $nsure the dose is correct.

!. Compare the drug with the MA# when returning the container to the drawer.

. Compare the MA# with the clientKs name and.

Corre"t #ns$er: -(2(1





Rationa%e 1: The first chec+ is comparing the drug with the MA# when the drug is remo!ed from the drawer.

Rationa%e 2: The second chec+ is comparing the drug with the MA# when pouring the drug into the cup.

Rationa%e : $nsuring the dose is correct is one of the si rightsK of drug administration.

Rationa%e !: The third chec+ is comparing the drug with the MA# when returning the container to the drawer.

Rationa%e : $nsuring the medication is eing administered to the correct client is one of the si rightsK of

medication administration.

&%o'a% Rationa%e:



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Question 77

Type: MCMA

There are se!eral rules for medication administration that the nurse must always follow. These include:


1. &nform the client.

2. $!aluate the clientKs response to the drug.

. &dentify the client y as+ing her which room is hers.

!. Pro!ide client teaching as necessary.

. ocumenting.

Corre"t #ns$er: -(2(1(;

Rationa%e 1: The client has the right to +now the intended actions as well as any side effects of ad!erse effects

that might occur.

Rationa%e 2: The nurse needs to e aware of the medications that a client is ta+ing( and to record theireffecti!eness as assessed y the client and the nurse on the clientKs chart.

Rationa%e : *efore gi!ing a client any drug( chec+ the & and against the MA#( and as+ the client to state her

name and irthdateD the Qoint Commission re4uires the use of two identifiers( neither of which can e the clientKs

room numer.





Rationa%e !: The client might need teaching aout measures to enhance drug effecti!eness( such as changes indiet and fluid inta+e. The 8P%"8G% can allay fear through acti!e listening and y offering factual information

Rationa%e : ocumentation must e completed immediately after the administration of a medicationD ne!er

prechart medication administration.

&%o'a% Rationa%e:



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Question 70

Type: MCMA

The nurse prepares to document medication administration. Appropriate information to record includes:


1. %ame of the drug( dose( and method of administration.

2. $act time of administration.

. The clientKs response to the medication.

!. Client teaching.

. rug information.

Corre"t #ns$er: -(2((1




Rationa%e !: The name of the drug( dose( route of administration(


&%o'a% Rationa%e:



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Question 7

Type: MCMA

The nurse is aware of the following priorities in the administration of drugs:


1. &dentification of allergies

2. Three rights of medication administration

. nowledge of each drugKs use( action( effects( and side effects

!. Appropriate nursing assessments

. Client education


Rationa%e 1: &dentification of any medication allergies is !ital prior to administration of any medication.

Rationa%e 2: Medication administration includes si rights.

Rationa%e : nowledge of each drugKs actions( usage( effects( and side effects is important in order to ma+ecomplete and accurate assessments efore and after drug administration.

Rationa%e !: Appropriate nursing assessment includes identification of side effects( ad!erse effects( and allergies

Rationa%e : Client education regarding the medications actions( interactions( and desired and ad!erse effects is

important in the process of medication administration.

&%o'a% Rationa%e:



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Question 0

Type: MCMA

The nurse is careful to follow which of the following rightsK of drug administration/






1. Compare the MA# with the clientKs name and.

2. Compute the dose.

. ocument as soon as the medication is prepared.

!. )se AM and PM as are!iations.

. oule3chec+ the drug.

Corre"t #ns$er: -(2

Rationa%e 1: The nurse ensures the right client y comparing the MA# with the clientKs name and or as+ing the

client for two identifiers.

Rationa%e 2: The drug dose dispensed might not e the same as the orderD some drugs must e doule3chec+ed

with another licensed nurse.

Rationa%e : ocumentation is done as soon as the dose of medication is ta+en.

Rationa%e !: Most facilities use military time to decrease the ris+ of misinterpretation etween AM and PM.

Rationa%e : The drug should e triple3chec+ed( watching for name discrepancies.

&%o'a% Rationa%e:



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