Medication Safety And Pharmacology Exam!

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Medication Safety And Pharmacology Exam! - Quiz

Are you searching for nursing pharmacology questions and a nursing quiz? Take this medication safety and pharmacology exam and see how competent you are as a professional. When you fall sick, you may be given some medication you need to take so that you can get back to being healthy. A pharmacologist is given the role of understanding medications given to a client and ensuring that they are taken correctly. Let's begin the quiz, then! All the very best to you!


Questions and Answers
  • 1. 

    It is necessary to aspirate for blood prior to injecting an intramuscular injection.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Aspirating for blood prior to injecting an intramuscular injection is necessary because it helps to ensure that the needle is not in a blood vessel. If blood is aspirated, it indicates that the needle has entered a blood vessel, and injecting the medication in this case could lead to complications. Therefore, aspirating for blood is a safety measure to avoid injecting medication into a blood vessel and to ensure accurate administration of the injection into the muscle.

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  • 2. 

    All medication errors, “near misses”, and severe adverse reactions to a medication or vaccine while still in the clinic are reported using the on-line LSCC Patient/Visitor Adverse Incident Report located under the “LSCC Forms”.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Medication errors, near misses, and severe adverse reactions to medication or vaccines that occur in the clinic are reported using the on-line LSCC Patient/Visitor Adverse Incident Report. This indicates that the statement "All medication errors, 'near misses', and severe adverse reactions to a medication or vaccine while still in the clinic are reported using the on-line LSCC Patient/Visitor Adverse Incident Report located under the 'LSCC Forms'" is true.

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  • 3. 

    Which of the following responsibilities may be assigned to MAs?

    • A.

      Administer appropriate medications only after confirming patient identification, using 2 identifiers

    • B.

      Independently refill a prescription for routine medications for a regular patient in the practice

    • C.

      Administer continuous IV medicated and filtered infusions to patients requiring fluids or IV drips

    • D.

      All of the above

    Correct Answer
    A. Administer appropriate medications only after confirming patient identification, using 2 identifiers
    Explanation
    MAs may be assigned the responsibility of administering appropriate medications only after confirming patient identification using 2 identifiers. This means that MAs must ensure they are giving the correct medication to the correct patient by verifying their identity with two separate identifiers. This is an important safety measure to prevent medication errors and ensure patient safety.

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  • 4. 

    A nurse draws up several vaccines for her patient and then is called away for an emergency and will be unable to return.  She asks the MA to give the vaccines to the patient for her.  The MA should:

    • A.

      Accept the delegated task from the RN, and administer the pre-filled syringes to the patient

    • B.

      Discard the pre-drawn syringes, re-draw and administer the vaccines herself, practicing the 5 rights of safe medication administration

    • C.

      Tell the patient the nurse will be gone indefinitely and they will have to wait for her return

    • D.

      Tell her supervisor

    Correct Answer
    B. Discard the pre-drawn syringes, re-draw and administer the vaccines herself, practicing the 5 rights of safe medication administration
    Explanation
    The MA should discard the pre-drawn syringes and re-draw and administer the vaccines herself, practicing the 5 rights of safe medication administration. This is because the nurse asked the MA to give the vaccines to the patient in her absence, indicating that she trusts the MA to perform the task. To ensure patient safety, it is important for the MA to follow proper medication administration protocols, including verifying the right patient, right medication, right dose, right route, and right time.

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  • 5. 

    The most common causes of medication errors are: distractions and interruptions during medication administration, inadequate staffing and high nurse - patient ratios, illegible medication orders, incorrect dosage calculations, sound alike drug names and look alike packaging.  To minimize the potential for an error to occur the nurse must do which of the following:

    • A.

      Check the five rights before administering the drug

    • B.

      Ensure the patient’s identity, and check allergy status prior to administration of the medication.

    • C.

      Have the patient state his/her full name and date of birth. Compare to the medical record and physician order.

    • D.

      All of the above are correct.

    Correct Answer
    D. All of the above are correct.
    Explanation
    The most common causes of medication errors are distractions and interruptions during medication administration, inadequate staffing and high nurse-patient ratios, illegible medication orders, incorrect dosage calculations, sound alike drug names, and look-alike packaging. To minimize the potential for an error to occur, the nurse must check the five rights before administering the drug, ensure the patient's identity, and check allergy status prior to administration of the medication, and have the patient state his/her full name and date of birth and compare it to the medical record and physician order. All of these actions are correct and necessary to reduce medication errors.

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  • 6. 

    Medication Reconciliation is a process which includes:

    • A.

      Updating information on the medications the patient is currently taking and documenting this information on a list.

    • B.

      Giving the patient or family member a complete updated list of their medications at the end of the clinic visit

    • C.

      Updating the information when the patient’s medication changes

    • D.

      Comparing the medication information the patient brought to the clinic with the medications ordered for the patient by the Provider in order to identify and resolve discrepancies

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    The correct answer is "All of the above" because medication reconciliation is a comprehensive process that involves updating and documenting the patient's current medications, providing them with an updated list, updating information when there are changes in medication, and comparing the patient's medication information with the medications ordered by the provider to identify and resolve any discrepancies.

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  • 7. 

    Which of the following must be included in the documentation in the patient’s medical record after administering Tetanus, Influenza, and Pneumococcal vaccinations?

    • A.

      Lot number and expiration date

    • B.

      Dosage administered, Route of administration and Administration site

    • C.

      Educational literature given to the patient and the date it was updated (VIS)

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    After administering Tetanus, Influenza, and Pneumococcal vaccinations, it is necessary to include the lot number and expiration date of the vaccines in the patient's medical record. Additionally, the dosage administered, route of administration, and administration site should be documented. Furthermore, the educational literature given to the patient, along with the date it was updated (VIS), should also be included in the documentation.

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  • 8. 

    An order is written for an adult patient to receive a Hepatitis B vaccine IM.  This injection may be given in the following places:

    • A.

      Anterolateral upper thigh (vastus lateralis) or outer upper arm (Deltoid)

    • B.

      Abdomen

    • C.

      Back of the upper outer arm

    • D.

      Antecubital vein

    Correct Answer
    A. Anterolateral upper thigh (vastus lateralis) or outer upper arm (Deltoid)
    Explanation
    The correct answer states that the Hepatitis B vaccine can be given in either the anterolateral upper thigh (vastus lateralis) or the outer upper arm (deltoid). These are the recommended injection sites for the vaccine administration. The abdomen, back of the upper outer arm, and antecubital vein are not appropriate sites for administering the Hepatitis B vaccine.

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  • 9. 

    A subcutaneous injection may be given in the:

    • A.

      Back of the upper outer arm

    • B.

      Outer aspect of the upper thigh

    • C.

      Abdomen

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    A subcutaneous injection may be given in various areas of the body, including the back of the upper outer arm, the outer aspect of the upper thigh, and the abdomen. This means that all of the given options are correct. Subcutaneous injections involve injecting medication into the layer of tissue just beneath the skin. The choice of injection site depends on factors such as the type of medication being administered and the individual's preference or comfort.

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  • 10. 

    Multi dose vials must:

    • A.

      Be labeled with the date and time opened

    • B.

      Be labeled with your initials

    • C.

      Be discarded after 28 days

    • D.

      Be labeled with expiration date label and your initials

    • E.

      C and D

    Correct Answer
    E. C and D
    Explanation
    Multi dose vials must be discarded after 28 days and be labeled with an expiration date label and your initials. This ensures that the medication remains safe and effective for use and helps to prevent the administration of expired or contaminated medication. Labeling with the expiration date and initials helps to track the usage and ensure proper rotation of stock.

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  • 11. 

    Which of the following diluents may be used when preparing Rocephin?

    • A.

      Normal Saline

    • B.

      D5W

    • C.

      1% Lidocaine

    • D.

      All of the above

    • E.

      C only

    Correct Answer
    D. All of the above
    Explanation
    All of the above diluents may be used when preparing Rocephin. Normal saline, D5W, and 1% Lidocaine are all commonly used diluents for Rocephin.

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  • 12. 

    A patient is to receive Benadryl (Diphenhydramine) 50 mg PO x 1 for an allergic rash.  The tablets you have on hand are 25 mg per 1 tablet.  How much Benadryl do you give the patient?  (Select the best answer from the choices listed. Please show your work on a separate piece of paper and submit to your site manager.)

    • A.

      1 tablet

    • B.

      100 mg

    • C.

      2 tablets

    • D.

      4 tablets

    Correct Answer
    C. 2 tablets
    Explanation
    The patient is prescribed 50 mg of Benadryl, and each tablet contains 25 mg. To calculate the number of tablets needed, divide the prescribed dose by the dose per tablet: 50 mg / 25 mg = 2 tablets. Therefore, the patient should be given 2 tablets of Benadryl.

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  • 13. 

    A small boy weighs 35 lbs.  What is his weight in kilograms?  (Select the best answer from the choices listed. Please show your work on a separate piece of paper and submit to your site manager.) 

    • A.

      15.9 kg

    • B.

      77 kg

    • C.

      35 kg

    • D.

      10 kg

    Correct Answer
    A. 15.9 kg
    Explanation
    To convert pounds to kilograms, we need to divide the weight in pounds by 2.2046. In this case, dividing 35 pounds by 2.2046 gives us approximately 15.9 kilograms. Therefore, the correct answer is 15.9 kg.

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  • 14. 

    One tsp (teaspoon) is equal to (Select the best answer from the choices listed. Please show your work on a separate piece of paper and submit to your site manager.)

    • A.

      15 ml

    • B.

      5 ml

    • C.

      1 ounce

    • D.

      10 ml

    Correct Answer
    B. 5 ml
    Explanation
    One teaspoon is equal to 5 ml. This is a standard conversion used in cooking and measuring liquids.

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  • 15. 

    The physician orders a teenager to receive Motrin 100 mg PO x 1 for an earache.  You administer the following:  (Select the best answer from the choices listed. Please show your work on a separate piece of paper and submit to your site manager.)

    • A.

      10 ml Ibuprofen oral suspension (100 mg/5ml)

    • B.

      Three Ibuprofen tablets (100 mg/chewable tablet)

    • C.

      One Ibuprofen tablet (100 mg/chewable tablet)

    • D.

      Either A or C are both correct

    Correct Answer
    C. One Ibuprofen tablet (100 mg/chewable tablet)
    Explanation
    The correct answer is One Ibuprofen tablet (100 mg/chewable tablet). The physician ordered Motrin 100 mg PO x 1 for the teenager. The oral suspension contains 100 mg/5ml, so the teenager would need 10 ml of the suspension to receive 100 mg. However, the available options do not include a dosage of 10 ml. The tablets, on the other hand, are 100 mg each. Therefore, giving one Ibuprofen tablet (100 mg/chewable tablet) would provide the correct dosage of 100 mg.

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  • 16. 

    What is the generic name for Benadryl?

    • A.

      Ibuprofen

    • B.

      Ceftriaxone

    • C.

      Diphenhydramine Hydrochloride

    • D.

      Acetaminophen

    • E.

      Vaccinate against Diptheria, Tetanus, and Pertussis

    Correct Answer
    C. Diphenhydramine Hydrochloride
    Explanation
    Diphenhydramine Hydrochloride is the generic name for Benadryl. This is because Diphenhydramine Hydrochloride is the active ingredient in Benadryl, which is an antihistamine medication used to relieve symptoms of allergies and hay fever.

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  • 17. 

    What is the generic name for Tylenol?

    • A.

      Ibuprofen

    • B.

      Ceftriaxone

    • C.

      Diphenhydramine Hydrochloride

    • D.

      Acetaminophen

    • E.

      Vaccinate against Diptheria, Tetanus, and Pertussis

    Correct Answer
    D. Acetaminophen
    Explanation
    Acetaminophen is the generic name for Tylenol.

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  • 18. 

    What is the generic name for Motrin?

    • A.

      Ibuprofen

    • B.

      Ceftriaxone

    • C.

      Diphenhydramine Hydrochloride

    • D.

      Acetaminophen

    • E.

      Vaccinate against Diptheria, Tetanus, and Pertussis

    Correct Answer
    A. Ibuprofen
    Explanation
    Ibuprofen is the generic name for Motrin.

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  • 19. 

    What is the generic name for Rocephin?

    • A.

      Ibuprofen

    • B.

      Ceftriaxone

    • C.

      Diphenhydramine Hydrochloride

    • D.

      Acetaminophen

    • E.

      Vaccinate against Diptheria, Tetanus, and Pertussis

    Correct Answer
    B. Ceftriaxone
    Explanation
    Ceftriaxone is the generic name for Rocephin.

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  • 20. 

    What is the generic name for DtaP?

    • A.

      Ibuprofen

    • B.

      Ceftriaxone

    • C.

      Diphenhydramine Hydrochloride

    • D.

      Acetaminophen

    • E.

      Vaccinate against Diptheria, Tetanus, and Pertussis

    Correct Answer
    E. Vaccinate against Diptheria, Tetanus, and Pertussis
    Explanation
    The generic name for DtaP is "Vaccinate against Diptheria, Tetanus, and Pertussis." This answer correctly identifies DtaP as a vaccine used to immunize against these three diseases.

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