Medication Administration Safety Quiz!

30 Questions | Total Attempts: 235

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Medication Administration Safety Quiz!

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Questions and Answers
  • 1. 
    Mr. Smith is to receive 0.25 mgms of Digoxin once daily for a heart rate greater that 50 beats per minute.  It is supplied to you from the pharmacy in .50 mgm tablets.  How will you proceed to administer this medication? 
    • A. 

      Break the tablet in half and administer to Mr. Smith.

    • B. 

      Ensure the tablet is scored, break it in half, take Mr. Smiths pulse to ensure it is greater than 50, check the dose with another nurse and then administer drug, staying with Mr. Smith until he has swallowed the pill.

    • C. 

      Call the pharmacy and ask them to supply the right dose

    • D. 

      Call the physician to see if the dose can be increased to 0.50 mgms so that it will be easier to administer.

  • 2. 
    Mrs. Jay receives Fentanyl 50 mgms patch every 72 hours.  You are washing Mrs. Jay and notice the patch is not adhering to the skin.  What should you do?  
    • A. 

      Put some adhesive tape on it and carry on with the bath.

    • B. 

      Document this when you are charting later.

    • C. 

      Place some tape over the patch to ensure it stays on. Determine if Mrs. Jay is having any pain as poor contact can lead to poor absorption of the drug. Document your findings. You will follow up throughout your shift to ensure that Mrs. Jay is receiving full benefit from her drug.

    • D. 

      Remove the patch and have replace it with a new one and change the dates it is to be administered. The three day cycle will now be different.

  • 3. 
    Mr. Smith wants to know more about his drug.  You will tell him what regarding his daily Digoxin dose?  
    • A. 

      He should take it regularly once a day. He should never skip a dose.

    • B. 

      Digoxin slows and strengthens the beat of his heart, he should take his pulse daily and inform his doctor if he finds it lower that 50 beats per minute.

    • C. 

      Digoxin slows and strengthens the beat of his heart, he should take his pulse daily and inform his doctor if he finds it lower that 50 beats per minute. Any dizziness or lightheadedness should be reported right away. He should take his dose every day at approximately the same time.

    • D. 

      You don't know much about this drug but you will ask the doctor to talk to him.

  • 4. 
    Who are the people you should clarify an order with if you are unsure of how to proceed? 
    • A. 

      The person ordering the drug, the pharmacist or your supervisor.

    • B. 

      Your co-worker or team member

    • C. 

      Your nursing instructor as you are still a student.

    • D. 

      No one, you think you have the right dose.

  • 5. 
    Mrs. Jackson is taking Amoxil 500 mgms, three times per day.  The bottle she receives from her pharmacists says she must complete the entire course of treatment.  She is your neighbor.  She tells you she feels so much better and after three days has stopped taking her medication because she does not need it anymore.  What will you tell her regarding this?
    • A. 

      She is right, if she feels better she can stop. She can save for the next time she feels unwell.

    • B. 

      Medication should be taken as directed and if she does not finish the entire course of medication she is likely to have a recurrence and the drug will become ineffective. You can warn her that "superbugs" that are resistant to antibiotics were created in part by incorrect use of antibiotics.

    • C. 

      Three days is never long enough for a treatment. She should use it for at least seven days.

    • D. 

      You should not comment on this as Mrs. Jackson is only your neighbour, not a friend and you don't want to interfere.

  • 6. 
    Prescription errors can be minimized by observing all of the following practices, EXCEPT for:
    • A. 

      Specifying concentration

    • B. 

      Using abbreviations

    • C. 

      Noting the patient's age and, when appropriate, weight

    • D. 

      Writing legibly

  • 7. 
    Prescriptions should include the full names of drugs, both brand-name and generic.
    • A. 

      True

    • B. 

      False

  • 8. 
    Regarding prescription instructions, nurses should:
    • A. 

      Give the patient website addresses where he or she can learn more about the drug

    • B. 

      Explain what the medication is and does, as well as its potential side effects

    • C. 

      Tell the patient to read the detailed sheet that accompanies the medication

    • D. 

      Do nothing, it just confuses the patient

  • 9. 
    Why should numbers / quantities for controlled substances be fully written?
    • A. 

      To prevent alterations by the patient

    • B. 

      To use up more space on the prescription form

    • C. 

      Numbers written out are more legible

    • D. 

      To help the pharmacist understand the prescription

  • 10. 
    Since the dosage amounts "5 mg" and "5.0 mg" mean the same thing, nurses can use them interchangeably.
    • A. 

      True

    • B. 

      False

  • 11. 
    What should a nurse do if she thinks that the prescribed medication may be wrong for a particular patient?
    • A. 

      Challenge it – get clarification and confirmation from her supervisor and/ or the doctor

    • B. 

      Administer it since it is unlikely that the doctor and/or pharmacist made a mistake

    • C. 

      Administer it as there likely won’t be any adverse side effects

    • D. 

      Don’t administer it and make a note in the patient’s chart as to reasons why

  • 12. 
    Which of the following is most important to check prior to administering a medication to a patient?
    • A. 

      Medical condition

    • B. 

      Vital signs

    • C. 

      Other prescription medications

    • D. 

      Allergy status

  • 13. 
    1. If a nurse is really busy, it is acceptable for her to prepare the medication in advance, and leave it for the patient to take, or for another professional to administer.
    • A. 

      True

    • B. 

      False

  • 14. 
    A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-nausea) medication. Which of the following is accurate?
    • A. 

      An enteric-coated medication should be given.

    • B. 

      Any medication will not be absorbed as easily because of the nausea problem.

    • C. 

      A parenteral route is the route of choice.

    • D. 

      A rectal suppository must be administered.

  • 15. 
    1. A 76-year-old client lives alone and takes medication without supervision. Which of the following is the most appropriate question for his home health nurse to ask in regard to his medication regimen?
    • A. 

      “How much do you weigh?”

    • B. 

      “What medication are you currently taking?”

    • C. 

      “We’ll have to take away your sedatives if you keep taking them during the day”

    • D. 

      “Have you been taking other substances than those ordered by the physician?”

  • 16. 
    A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse In-charge knows the purpose of this therapy is to:
    • A. 

      Prevent stress ulcer

    • B. 

      Block prostaglandin synthesis

    • C. 

      Facilitate protein synthesis.

    • D. 

      Enhance gas exchange

  • 17. 
    The physician orders penicillin for a patient with streptococcal pharyngitis. The nurse administers the drug as ordered, and the patient has an allergic reaction. The nurse checks the medication order sheet and finds that the patient is allergic to penicillin. Legal responsibility for the error is:
    • A. 

      Only the nurse’s—she should have checked the allergies before administering the medication.

    • B. 

      Only the physician’s—she gave the order, the nurse is obligated to follow it.

    • C. 

      Only the pharmacist’s—he should alert the floor to possible allergic reactions.

    • D. 

      The pharmacist, physician, and nurse are all liable for the mistake

  • 18. 
    James Oamil Movilla, a nurse on a geriatric floor, is administering a dose of digoxin to one of his patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. James replies that as people get older, liver and kidney function decline, and if the dose is as high as her niece’s, the drug will tend to:
    • A. 

      Have a shorter half-life.

    • B. 

      Accumulate.

    • C. 

      Have decreased distribution.

    • D. 

      Have increased absorption.

  • 19. 
    The most important instructions a nurse can give a patient regarding the use of the antibiotic ampicillin prescribed for her are to:
    • A. 

      Call the physician if she has any breathing difficulties

    • B. 

      Take it with meals so it doesn’t cause an upset stomach

    • C. 

      Take all of the medication prescribed even if the symptoms stop sooner

    • D. 

      Not share the pills with anyone else

  • 20. 
    Mrs. Aisha has been dealing with uterine cancer for several months. Pain management is the primary focus of her current admission to your oncology unit. Her vital signs on admission are BP 110/64, pulse 78, respirations 18, and temperature 99.2 F. Morphine sulfate 6mg IV, q 4 hours, prn has been ordered. During your assessment after lunch, your findings are: BP 92/60, pulse 66, respirations 10, and temperature 98.8. Mrs. Gately is crying and tells you she is still experiencing severe pain. Your action should be to:
    • A. 

      Give her the next ordered dose of MS.

    • B. 

      Give her a back rub, put on some light music, and dim the lights in the room.

    • C. 

      Report your findings to the MD, requesting an alternate medication order

    • D. 

      Be obtained from the physician.

    • E. 

      call her daughter to come and sit with her.

  • 21. 
    A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should:
    • A. 

      Draw up and administer the dose

    • B. 

      Shake the vial in an attempt to disperse the clumps

    • C. 

      Draw the dose from a new vial

    • D. 

      Warm the bottle under running water to dissolve the clump

  • 22. 
    A client with histoplasmosis has an order for ketoconazole (Nizoral). The nurse teaches the client to do which of the following while taking this medication?
    • A. 

      Take the medication on an empty stomach

    • B. 

      Take the medication with an antacid

    • C. 

      Avoid exposure to sunlight

    • D. 

      Limit alcohol to 2 ounces per day

  • 23. 
    A nurse has taught a client taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu?
    • A. 

      Chocolate milk

    • B. 

      Cranberry juice

    • C. 

      Coffee

    • D. 

      Cola

  • 24. 
    A client is taking famotidine (Pepcid) asks the home care nurse what would be the best medication to take for a headache. The nurse tells the client that it would be best to take:
    • A. 

      Aspirin (acetylsalicylic acid, ASA)

    • B. 

      Ibuprofen (Motrin)

    • C. 

      Acetaminophen (Tylenol)

    • D. 

      Naproxen (Naprosyn)

  • 25. 
    A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client:
    • A. 

      To take the medication with food only

    • B. 

      To rise slowly from a lying to a sitting position

    • C. 

      To discontinue the medication if nausea occurs

    • D. 

      That a therapeutic effect will be noted immediately

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