Chapter 5
The medical abbreviation BID means times per day.
2
Before a shift ends, which task should be completed? Multiple choice question. Notification to pharmacy Inventory of supplies Notification to the house supervisor Controlled substance count
Controlled substance count
Where would you find the list of medications that the patients on your unit are scheduled to receive? Multiple choice question. In the MAR At the bedside In the front of the chart At the nurses' station
In the MAR
What type of solution appears milky? Multiple choice question. Emulsion Syrup Magma Liniment
Magma
in a long-term care facility, which of the following is used to help dispense medications? Multiple choice question. Syringe Medicine closet Medication cart Needleless system
Medication cart
Which of the following is a self-terminating drug order? Multiple choice question. One tablet PO until 10/06/2013 One tablet PO every other day One tablet PO twice daily One tablet PO every morning
One tablet PO until 10/06/2013
Which of the following forms of medication is a solid? Multiple choice question. Powder Gel Liniment Aerosol
Powder
You are a new nurse giving medications for a group of patients in a semi-private room. You approach the patient in your assigned bed and ask if he is Mr. Smith. He happily says yes and takes the pills you offer. A man comes in from the restroom, tells Jones to get out of his bed, and tells you he is Mr. Smith. What would have prevented this error? Multiple choice question. Reading the patient's arm bracelet Reading the name on the bed Asking for a date of birth Matching the height and weight of the patient to the record
Reading the patient's arm bracelet
You notice a patch on your patient's skin and he tells you it is nicotine. This is an example of what administration route? Multiple choice question. Buccal Topical Sublingual Oral
Topical
To reduce errors, some organizations have: Multiple choice question. total verbal order systems no written orders extensive abbreviations approved abbreviations
approved abbreviations
The spouse of your patient gives you a bottle of liquid medication with no label and tells you to give a teaspoon to his wife at bedtime. You should: Multiple choice question. take the medication and store it in the unit refrigerator give the medication and make a note on the medication administration record give the medication and leave a message for the patient's provider explain all medications given require an order and should come from the pharmacy
explain all medications given require an order and should come from the pharmacy
If a medication error occurs you must complete a(n) Multiple Choice medication administration form Food and Drug Administration report incident report Drug Enforcement Administration report
incident report
You are giving a patient medication by the buccal administration route, and the patient asks for water to swallow it. You instruct the patient to: Multiple choice question. take the medication with juice instead swallow the medication with water let the medication to dissolve in the cheek before drinking chew the medication thoroughly before drinking
let the medication to dissolve in the cheek before drinking
Which statement describes classifications of medication forms? Multiple Choice solutions; suspensions; emulsions; preparations liquids; semiliquids; semisolids; solids mixtures; combinations; assortments; varieties capsules; tablets; time released; gel caps
liquids; semiliquids; semisolids; solids
Computerized charting has the potential to improve: Multiple choice question. lab results patient safety time management patient skills
patient safety
You are giving a patient a sublingual medication. You tell the patient to: Multiple choice question. apply it to dry skin place it under the tongue take it with orange juice mix it in water
place it under the tongue
When giving medications, every nurse should stop and consider: Multiple choice question. the fastest method the time of shift change the seven rights the alphabetical order of patients
the seven rights
Where would you find the list of medications that the patients on your unit are scheduled to receive? Multiple choice question. In the MAR In the front of the chart At the nurses' station At the bedside
In the MAR
An injury to the sciatic nerve was caused when giving an injection. Which rule of medication administration was violated? Multiple choice question. Right route Right technique Right documentation Right patient
Right technique
An experienced nurse tells you to give your 9am and 11am doses at noon to save time. This is a violation of which rule? Multiple choice question. Right patent Right route Right medication Right time
Right time
An order is written to give morphine 10 mg as needed for pain. What item is missing from this order? Multiple choice question. Drug Route Dose Time
Route
What is the most common type of drug order? Multiple choice question. Routine order As needed order Standing order Verbal order
Routine order
What is the most common type of drug order? Multiple choice question. Verbal order Standing order As needed order Routine order
Routine order
Your patient has an order for two different diuretics written by different providers. You should: Multiple choice question. give the medications give the medications with food verify with the providers give the medications with juice
verify with the providers
You are orienting a new nurse and notice a container of pills and an empty liquid dose container at the bedside of one of his patients. You explain to the nurse that: Multiple choice question. you need to remind the patient to take the pills you must watch the patient take the medications you should mark the date on the medicine cup you should discard the used containers
you must watch the patient take the medications
The medical abbreviation QID means times per day.
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What is a quick and convenient tool for documenting in a medical record? Multiple choice question. Dictation Typing Abbreviations Shorthand
Abbreviations
Your patient is using an inhaler for asthma. What type of solution is this? Multiple choice question. Liniment Magma Gel Aerosol
Aerosol
You are helping a student nurse during medication administration. She is preparing to give a patient's medications and stops to talk about her weekend plans with another student. What should you do? Multiple choice question. Ask the students about their plans for the weekend Place the medications in a drawer for later Ask the other student to leave the area and help the student start over Ask the other student to step in and take over
Ask the other student to leave the area and help the student start over
When should a patient be assessed to determine if they have experienced a reaction to a specific medication? Multiple Choice Assess after 15 minutes. Assess after 30 minutes. Assess after 45 minutes. Assess after 60 minutes.
Assess after 30 minutes.
You notice some of the tablets ordered for your patient have a line down the middle. What is this used for? Multiple choice question. Visual identification Identification by touch Easy absorption Breaking the tablet
Breaking the tablet
You are a very busy nurse in a long-term care unit. Your nursing assistant asks for urgent help while you are preparing your medications. When you return you are not sure if you gave two of the medications. What will help to avoid such confusion? Multiple choice question. Avoiding the nursing assistant Careful documentation of medication administration Ignoring urgent calls for help during medication administration Leaving the medication with the patient
Careful documentation of medication administration
A student nurse is giving medications with her instructor. She asks the patient's name and date of birth, then gives the medication. What step did she miss? Multiple choice question. Checking the room number Asking for place of birth Checking the identification bracelet Checking for allergies
Checking the identification bracelet
Failure to use which of the following results in a medication error? Multiple choice question. Correct form Standard Precautions Bedside charting Multiple references
Correct form
You are orienting a new nurse during medication administration. You see one of the medications is a 100 mg scored tablet but the order is for 50 mg. What will the nurse need to do? Multiple choice question. Cut the pill in half Crush the tablet and give half Call the ordering provider Call the pharmacy for the correct dose
Cut the pill in half
You pour a patient's medication dose from a multiple-dose bottle into a dispensing cup. The patient refuses the cough syrup. What should you do with the medication? Multiple choice question. Leave it with the patient Pour it back into the bottle Cover it and save it for later Discard the dose
Discard the dose
Your patient refuses a dose of an antibiotic tablet that you have opened and brought to the room. What should you do with the tablet? Multiple choice question. Dispose according to policy Save it for later use Put it in the needle box Crush it and flush the powder
Dispose according to policy
What is the purpose of the medication administration record? Multiple choice question. Adverse events Documentation Tracking Pharmacy notifications
Documentation
What is a difficulty of inhaled medications? Multiple choice question. Dosage regulation Patient compliance Dependence Frequent allergic reactions
Dosage regulation
In addition to a drug's trade name, which of the following is included on a medication label? Multiple choice question. Location of distributor Generic name Preferred name Price of medication
Generic name
Which of the following is a medication error? Multiple choice question. Giving a timely dose Giving the correct medication Giving an incorrect dose Giving a medication by the ordered route
Giving an incorrect dose
Which of the following is NOT true of an incident report? Multiple choice question. It is objective and factual. It becomes part of the patient chart. Agencies use incident reports to monitor and improve quality. It is the health care professional's legal duty to report and error.
It becomes part of the patient chart.
You are excited about your new position in a long-term care facility. You note a patient's medication needs to be crushed. You carefully crush and pour the contents into the elderly man's mouth. He makes a distasteful face and spits the medication onto his shirt. What approach might have helped? Multiple choice question. Giving him nausea medication first Waiting until he was sleepy Giving one pill at a time Mixing the medication with applesauce
Mixing the medication with applesauce
What type of drug would be kept in a locked cabinet? Antibiotic Tetanus vaccine Narcotic Stock drugs
Narcotic
You are a new nurse about to give an elderly woman her medications. You have placed the tablets in a pill cup for easy administration. You check her blood pressure and it is low at 90/52, so she can't take her blood pressure medication. What mistake have you made? Multiple choice question. Forgetting to bring juice to give with the medications Taking the blood pressure before administering the medication Taking the blood pressure with the patient lying down Opening the seals of the medications before taking patient's blood pressure
Opening the seals of the medications before taking patient's blood pressure
Which term describes a system of documenting that involves the chart being organized according to a numbered list of problems? Multiple Choice SOAP PIE POMR MAR
POMR
Your patient is having an allergic reaction. Which route is preferred in emergency situations? Multiple choice question. Rectal Topical Parenteral Oral
Parenteral
A medication for your patient is missing from the cart. Who should you notify? Multiple choice question. Maintenance Pharmacy Housekeeping Medical assistant
Pharmacy
Which section of a SOAP note would the statement, "The patient was provided material about his surgery scheduled for tomorrow and future diet needs," belong under? Multiple choice question. Plan Subjective Objective Assessment
Plan
The acronym PIE in PIE charting refers to: Multiple choice question. Problem, Intervention, Example Problem, Interview, Evaluation Problem, Intervention, Evaluation Person, Intake, Evaluation
Problem, Intervention, Evaluation
Which of the following is a common automated medication dispensing system? Multiple choice question. ADT Medication cart Pyxis Automed Pisces
Pyxis
A patient is having pain, so a PRN dose of pain medication is administered p.o. The administration, date, time, and reason are documented in the nurses' note. What further documentation is needed? Multiple choice question. Patient's dietary needs Ordering provider Observations about the patient faking their pain Reassessment in 30 minutes
Reassessment in 30 minutes
What route is used to administer an enema? Multiple choice question. Topical Rectal Sublingual Oral
Rectal
A medicine room usually contains which of the following? Multiple choice question. Cleaning supplies Stretcher Refrigerator Defibrillator
Refrigerator
Which of the following is an automatic stop order? Multiple choice question. Hold dose if blood pressure is less than 110/60 Give one tablet PO daily Tylenol 650 mg PO for temp greater than 100.5 Repeat dose until blood pressure is less than 130/80
Repeat dose until blood pressure is less than 130/80
A medication error occurred due to an illegible order that you interpreted incorrectly. What is your legal responsibility in this situation? Multiple choice question. Google the correct dose. Try to get the original order amended to the dose given. Report the error and follow facility policy for incident reporting. Speak with the provider who wrote the order.
Report the error and follow facility policy for incident reporting.
Your patient was discharged. What should you do with the remaining, unopened single-dose vials? Multiple choice question. Send them with the family Discard them Crush them Return to the pharmacy
Return to the pharmacy
A nurse gives an intravenous injection, and the patient complains of severe burning in the arm. The nurse goes back to the record and finds the medication was to be given by intramuscular injection. Which rule was violated? Multiple choice question. Right route Right medication Right time Right dose
Right route
You are checking your patient's chart and see a new order for medications. How will you ensure the medications are delivered? Multiple choice question. Wait for the pharmacy to deliver the medications Call to verify the orders Call the local pharmacy for delivery Send a request with the orders to the pharmacy
Send a request with the orders to the pharmacy
Which solution is made from oils that evaporate? Multiple choice question. Extracts Tinctures Spirits Elixirs
Spirits
There is an order to administer medication if a patient's blood pressure exceeds a stated amount. What is this type of order called? Multiple choice question. Patient order As needed order Routine order Standing order
Standing order
Which of the following drug categories is designated as a controlled substance? Multiple choice question. Antibiotics Antihistamines Emetics Stimulants
Stimulants
Which of the following would be considered a medication error? Multiple choice question. The dose was not documented The dose did not lower the patient's temperature The dose caused nausea 30 minutes later The documented dose was corrected by drawing a line through it, writing "error," and initialing
The dose was not documented
You are orienting a new nurse in medication administration. She will be administering medications to 20 patients on the long-term care unit. What will help to keep the medication administration organized and safe? Multiple choice question. Do not answer call lights Allowing the patients to keep the medications The medication administration record Always having a second nurse present
The medication administration record
You are orienting a new nurse and note problems with her documentation. Which statement would require you to speak with her about documentation? Multiple choice question. The patient reports their pain is 2/10 The patient's skin appears warm and dry The wound has purulent drainage The patient is faking
The patient is faking
Which of the following is an example of inappropriate charting? Multiple choice question. The patient looks like a drug addict The patient ate 100% of his meal The patient reports no pain The patient tells me he is having nausea
The patient looks like a drug addict
What type of liquid solution is highly concentrated? Multiple choice question. Tincture Dilution Mixture Solute
Tincture
What does the acronym USP stand for on a medication label? Multiple choice question. United States Pharmacopeia United States Physicians United States Patent United States Pharmacy
United States Pharmacopeia
When requesting drugs for a new order, what action will decrease the risk for errors? Multiple choice question. Fax a new requisition form Call the order to the pharmacy Copy the order onto a requisition Use the original order
Use the original order
What is the preferred method for a medication order? Multiple choice question. Verbal Written Transcribed Telephonic
Written
You tell your patient to take their pills on an empty stomach because food may affect ______. Multiple choice question. gastritis nausea intestinal obstruction absorption
absorption
A medication preparation that is commonly delivered by oral inhaler, allowing for rapid absorption into the bloodstream, is a(n) Multiple Choice spray. aerosol. powder. emulsions.
aerosol
Your patient is taking a medication administered by the buccal route. He tells you his left cheek is tender where takes the medication. You tell him to: Multiple choice question. hold it under the tongue swallow the tablet refuse the next dose alternate cheeks
alternate cheeks
The key ingredient in a drug that produces a therapeutic effect is referred to as Multiple Choice an active ingredient. an inert ingredient. a therapeutic ingredient. a chemical ingredient.
an active ingredient.
A PRN order is given only Multiple choice question. as needed at night when the patient has a fever in the morning
as needed
The nurse gives a patient a medication that he has never had before. The nurse should: Multiple choice question. leave a Benadryl tablet at the bedside assess for a reaction and document call the family to sit with the patient tell the patient they will be fine
assess for a reaction and document
An order is written for your patient to receive a dose of penicillin. You review her list of allergies and find an allergy to penicillin. You should: Multiple choice question. give the medication with food consider the allergy an error give the medication call the ordering provider
call the ordering provider
The medical abbreviation c/o means Multiple choice question. complains of coordinated only constantly on care of
complains of
Which of the following types of orders promotes medication safety at the point of administration by using bar code scanning? Multiple choice question. verbal order computerized order phone order PRN order
computerized order
A problem oriented medical record: Multiple choice question. is dependent on the number of illnesses in the patient history contains a numbered list of problems is used exclusively by nurses is arranged by chronological disease progression
contains a numbered list of problems
After use, a single-dose vial should be: Multiple choice question. labeled refrigerated recapped discarded
discarded
If a medication has been d/c'd, it means that it has been Multiple choice question. discontinued diagnosed correctly dosage confirmed documented correctly
discontinued
You are administering medications and see that your patient was taken to radiology for a test when his dose was due. You should: Multiple choice question. document the time and reason for the missed dose call radiology and tell them to send someone to pick up the medication immediately notify the prescribing provider that the dose was missed give the dose when he returns and mark it as given
document the time and reason for the missed dose
Your patient refuses her morning medications. You should: Multiple choice question. call for help to give her the medication document the time and reason medications were not given notify the pharmacy to pick up the medication tell the patient she has no choice
document the time and reason medications were not given
When accepting a position in a long-term care facility, be aware of possible: Multiple choice question. medication differences documentation differences adverse medication events shift variances
documentation differences
Drugs to be inhaled are in the form of gases or fine: Multiple choice question. liquids caplets droplets tablets
droplets
When preparing to administer a medication, it is important to verify the route and: Multiple choice question. drug form manufacturer color cost report
drug form
In many facilities, documentation has moved from paper to: Multiple choice question. electronic recorded scanned verbal
electronic
You are preparing to give a liquid medication and notice there are no measured dose cups. You should: Multiple choice question. estimate the correct amount use a plastic water cup skip this medication until the next scheduled dose find measured dose cups before continuing
find measured dose cups before continuing
When disposing of controlled substances, such as narcotics, it is important for the provider to Multiple choice question. return the drug to Pyxis machine have disposal witnessed by another staff member return to multi-dose vial save the drug for the patient's next dose
have disposal witnessed by another staff member
You see an order for a medication in the elixir form. You understand this medication will be: Multiple choice question. very diluted highly concentrated long lasting bitter tasting
highly concentrated
Your patient's pain medication was changed from the injection route to pill form. You know this will: Multiple choice question. increase the time before the medication takes effect cause an allergic reaction cause more side effects decrease the time before the pain is relieved
increase the time before the medication takes effect
The vaginal route of administration may be used to treat: Multiple choice question. infection hypercholesterolemia hypertension seasonal allergies
infection
You notice your patient very quickly becomes drowsy after a parenteral dose of pain medication. This is because the medication was: Multiple choice question. given with water crushed before administration new to the patient injected into the vein
injected into the vein
A suppository is administered by Multiple Choice irrigation. insertion. instillation. placing.
insertion
A patient presents to your clinic with pain related to a dislocated joint. You immobilize the limb while awaiting X-ray. You action is documented in the ______ part of the PIE note. Multiple choice question. problem evaluation patient response intervention
intervention
Medications given vaginally are usually for ______. Multiple choice question. parenteral treatment long term treatment systemic effect local effect
local effect
Multiple-dose containers for medications increase the risk for: Multiple choice question. compliance name confusion medication errors safe administration
medication errors
Which of the following drugs require a witness when disposal is necessary? Multiple choice question. amoxicillin insulin Lasix morphine`
morphine
Sublingual medications are absorbed through: Multiple choice question. mucous membranes in the intestine mucous membranes in the mouth mucous membranes in the stomach mucous membranes in the nose
mucous membranes in the mouth
You are giving your patient insulin and place the vial back in the refrigerator after drawing up your dose. This vial is designed for: Multiple choice question. shatter resistance long-term storage multiple use ease of use
multiple use
A patient tells you he is in pain. You obtain vitals, give the medication, and: Multiple choice question. call the house supervisor for advice go to lunch while you have a chance call the family to let them know note the pain and intervention in the nurses' note
note the pain and intervention in the nurses' note
Select all that apply Which of the following may be allowed to prescribe medication (under the supervision of a physician)? Multiple select question. nurse practitioners certified nursing assistants physician assistants pharmacists
nurse practitioners physician assistants pharmacists
When using the SOAP method of charting, a patient's blood pressure belongs in the: Multiple choice question. objective section subjective section plan section assessment section
objective section
Your patient refuses to take her antihypertensive medication. You should: Multiple choice question. return the medication and try again later call the family for help record the information in the nurses' note call the nursing supervisor
record the information in the nurses' note
Another nurse hands you a cup of pills and asks you to give them to her patient so that she may go to lunch with her friends. You should: Multiple choice question. refuse since this violates the right drug rule check the medication administration record before giving them check the patient's allergies before administering the medications give the medications after you are finished with your patients
refuse since this violates the right drug rule
Which describes a drug order where the ordered drug is administered until a discontinuation order is written or until a specified termination date is reached? Multiple Choice standing order routine order prn order verbal order
routine order
A set of rules used to ensure medications are administered safely is called the: Multiple choice question. seven rights bill of rights Patient Rights Act Medication Rights Act
seven rights
You are administering a liquid medication dose and notice it is in suspension form. You know the medication will need to be: Multiple choice question. crushed injected concentrated shaken
shaken
Medication absorption through the lining of the rectum is: Multiple choice question. rapid and irregular rapid and uniform slow and irregular slow and uniform
slow and irregular
A drug placed under the tongue where it dissolves in saliva is given via the __________ route. Multiple Choice buccal sublingual topical oral
sublingual
You are preparing to administer a medication dose in solution form and notice that there are particles and clouding in the bottom of the container. The most likely cause is: Multiple choice question. a normal settling the medication needs to be shaken the medication is too cold the expiration date has passed insoluble particles
the expiration date has passed
You have decided to work part-time in a long-term care facility. You notice the medication administration is done primarily on: Multiple choice question. the front section the history sheet the orders sheet the progress notes
the history sheet
You need to give a medication by intramuscular injection but have never done this before. You review the policy to avoid violating: Multiple choice question. the right technique rule the right route rule the right documentation rule the right medication rule
the right technique rule
A new nurse places medications for 9am and 2pm in cups and labels them. He instructs the patient to take them at the labeled times and leaves them at the bedside. This violates: Multiple choice question. the right time rule the right patient rule the right technique rule the right documentation rule
the right time rule
You are giving a patient her dose of estrogen when she asks about alternate options. You know the medication is available as a patch using the: Multiple choice question. sublingual route rectal route topical route buccal route
topical route
What does the abbreviation written as BID or b.i.d. mean? Multiple Choice before bedtime two tablets per day before meals twice a day
twice a day
Before an automated medication system will dispense medications, the nurse must: Multiple choice question. use a secure access method notify the pharmacy use standard precautions notify the nursing supervisor
use a secure access method
