Sherpath Medication Administration - Online Questions

A patient with a history of hypertension is prescribed atenolol, 25 mg once a day. The drug is dispensed as 50 mg per scored tablet. How many tablet(s) will the nurse administer? Include a leading zero if applicable. Record your answer using one decimal place. ___ tab(s)

0.5 Tabs

What is the route for administration of an otic solution? A. Insertion B. Percutaneous C. Buccal D. Parenteral

B. Percutaneous

The physician has prescribed phenobarbital 30 mg for a patient with a history of seizures. The drug is dispensed as 15 mg per tablet. How many tablet(s) will the nurse administer? Record your answer using a whole number. ___ tab(s)

2 Tabs

What actions does the nurse take during the implementation phase of the nursing process related to drug therapy? Select all that apply. A. Administration of the medication to the patient B. Documenting the administration of the medication to the patient C. Analyzing vital signs and laboratory work related to the drug therapy D. Determining if the patient is experiencing adverse effects of the medication E. Collecting an over-the-counter and prescription medication history from the patient

A, B

Patient safety is of the utmost importance in the clinical setting. Which are the "rights" of patient safety? Select all that apply. Select all that apply A. Right patient B. Right drug C. Right physician D. Right time E. Right documentation

A, B, D, E

Which practices does the nurse recognize that are implemented to reduce medication errors and increase patient safety? Select all that apply. A. Use of safety syringes B. Use of tall man letters C. Delegation to unlicensed assistive personnel D. Patient administration of home medications E. Automated medication dispensing systems

A, B, E

A nurse in a long-term care facility is reviewing a resident's medication administration record, which is four pages in length. The nurse knows that polypharmacy carries which of the following risks for older adults? Select all that apply. A. Increased risk of complications B. Decreased continuation of care C. Decreased cognition D. Increased medication adherence E. Decreased cost of medical care

A, C

A nurse is preparing to administer medications to an older adult patient who is confused. To ensure that the six "rights" of medication are followed, the nurse will identify the patient with which actions? Select all that apply. A. Reviewing the patient's identification (ID) band B. Asking the roommate to identify the patient C. Using the patient's personal belongings D. Asking a family member the patient's name and date of birth E. Asking another nurse to check the patient's identification band

A, D

Which route of administration is most appropriate for delivery of drugs directly to the lungs? A. Inhalation B. Sublingual C. Epidural D. Transdermal

A. Inhalation

The nurse reads an order for hydromorphone 1.5 mg subcutaneous every 3 hours prn pain. What route of administration should the nurse use? A. Parenteral B. Topical C. Enteral D. Percutaneous

A. Parenteral

The nurse provides the patient with a new medication. The patient refuses the medication, stating that he or she does not know what the medication is for. What is an important note in the documentation of this incidence? A. Patient's mental status B. Patient's age C. Patient's other medications D. Patient's admission status

A. Patient's mental status

What type of medication can be applied to the mucous membranes? A. Percutaneous B. Transdermal C. Intradermal D. Topical

A. Percutaneous

The nurse assesses for signs of drug toxicity in older adults because of which physiological change? A. Reduced glomerular filtration rate B. Decreased blood albumin levels C. Decreased gastric peristalsis D. Decrease in cognitive function

A. Reduced glomerular filtration rate

A nurse withdraws a narcotic from the medication dispenser. When double checking the medication record, the order for the narcotic is expired. What is the nurse's priority nursing action? A. Return the medication to the medication dispenser according to protocol. B. Call the nurse manager to document and report the medication error. C. Assess the patient and determine if the medication is needed, and if so, administer as ordered. D. Call the pharmacy and initiate a root cause analysis for the medication error.

A. Return the medication to the medication dispenser according to protocol. Rationale The nurse should follow protocol and return the medication to its dispenser. There is no need to call the nurse manager because no error has yet occurred. Giving this medication to a patient is a violation of the six rights of medication administration. Calling the pharmacy may be necessary in some institutions, but a root cause analysis is not necessary.

A patient is prescribed a medication with the abbreviation "IN" behind its name. For which other terms is this abbreviation mostlikely to be mistaken? Select all that apply. A. Injection B. Intramuscular C. International unit D. Intravenous E. Intrajugular

B, D

A nurse is tasked with providing documentation for a patient who has a new prescription of insulin, to be administered in international units (IU) subcutaneously. How is this measurement abbreviation most likely to be mistaken? A. Unit B. 10 C. Morphine D. Magnesium sulfate

B. 10 Rationale The abbreviation for "international unit" is most likely to be confused with the abbreviation for intravenous (IV) or the number 10, especially if handwritten. The abbreviation for unit (u) can be confused for 0. Morphine (MS) and magnesium sulfate (MgSO 4) are often confused with each other.

When caring for a patient who is transferred between units, which action is most useful in preventing medication errors? A. Informing nurses on previous unit of the transfer B. Completing a medication reconciliation between units C. Bringing the patient's belongings to the new unit D. Notifying the family of the transfer

B. Completing a medication reconciliation between units

What should the nurse understand about administering a parenteral medication? A. It can be administered via a nasogastric tube. B. It may be administered intravenously. C. It acts slower than oral medications. D. It may be administered in a calibrated dropper.

B. It may be administered intravenously.

How should enteric-coated tablets be administered in the gastrointestinal system? A. Buccally B. Orally C. Percutaneous gastrostomy tube (PEG) D. Sublingually

B. Orally

When admitting an older adult patient to an acute care setting, which nursing strategy is most appropriate in preventing medication errors? A. Make sure the patient has applesauce to take with his or her medications. B. Ask the patient what medications he or she takes. C. Ask the patient and/or family to bring in all medications the patient was taking at home. D. Ask the patient's family what medications he or she takes.

C. Ask the patient and/or family to bring in all medications the patient was taking at home.

A patient experiences stomach pain after taking a medication and the nurse advises to provide a different dosage form of the same medication. Which dosage form is likely to be recommended? A. Capsules B. Liquid suspension C. Enteric-coated tablets D. Scored tablets

C. Enteric-coated tablets Rationale Enteric-coated tablets are often used when a medication causes gastric irritation because the delayed release of the medication is easier on the intestines. Capsules, liquid suspensions, and scored tablets do not necessarily limit gastric irritation.

Which route is most appropriate for medications to be delivered to the respiratory tract? A. Insertion B. Buccal C. Inhalation D. Parenteral

C. Inhalation

The primary care provider has ordered a medication to be given STAT. If all routes are possible for this medication, which is the nurse's best choice? A. Intramuscular (IM) B. Subcutaneous (SQ) C. Intravenous (IV) D. By Mouth (po)

C. Intravenous (IV)

The nurse recognizes many factors contributing to medication errors in older adults. Which of the following is a priority for home care nurses in minimizing the risk for error? A. Explaining the purposes of each medication B. Providing the patient with a list to keep in the wallet C. Providing detailed directions, including the time of administration D. Ensuring that childproof containers are provided by the pharmacy

C. Providing detailed directions, including the time of administration

A nurse is preparing a medication for a patient, and the dosage varies each day; every other day, the patient is supposed to take half a pill. Which form of oral medication is most appropriate for this patient? A. Capsules B. Plain tablets C. Scored tablets D. Enteric-coated tablets

C. Scored Tablets

A nurse reads an order for 25 mg of a medication. After administering 25 mg of the medication to the patient, the nurse discovers that the order actually reads 2.5 mg. What is the nurse's priority action? A. Call the health care provider. B. Initiate a rapid response. C. Contact poison control. D. Assess the patient.

D. Assess the patient.

What three steps are in the medication reconciliation process? A. Planning, implementation, evaluation B. Assessing, planning, implementation C. Reconciliation, implementation, clarification D. Reconciliation, verification, clarification

D. Reconciliation, verification, clarification

The nurse understands that caring for two patients with the same last name can lead to a medication error involving which "right" of medication administration? A. Right medication B. Right route C. Right dose D. Right patient

D. Right Patient

Which is not a "right" of medication administration? A. Right patient B. Right route C. Right drug D. Right circumstance

D. Right circumstance

A patient is prescribed a specific oral medication that is not available in the hospital. The nurse gives the patient the same drug but in a different form that needs to be given intravenously. To which patient "right" is the nurse failing to adhere? A. Right patient B. Right drug C. Right time D. Right route

D. Right route

Why would a specific medication be classified as a "high-alert" medication? A. The medication has no potential harm for the patient. B. The medication is expired. C. The medication is no longer available. D. The medication presents a higher risk for patient harm.

D. The medication presents a higher risk for patient harm.

Applying paste, lotion, or an ointment to the skin is an example of which medication administration route? A. Parenteral B. Buccal C. Oral D. Topical

D. Topical

The student nurse is explaining parenteral therapy to the nursing instructor. The student nurse requires further teaching when listing which route as parenteral? A. Intradermal B. Epidural C. Intravenous D. Transdermal

D. Transdermal

The registered nurse is preparing to administer a medication to a pediatric patient. To ensure the proper dosage has been ordered, which should be the nurse's priority in the plan of care? A. Referencing the drug handbook B. Calling the pharmacist C. Reviewing the laboratory tests D. Weighing the patient

D. Weighing the patient