Chapter 2

1. Which of the following reflects a nurse's responsibility when a drug is prescribed for a client? Select all that apply. A) Administering the drug to the client B) Monitoring for therapeutic response C) Checking for drug-drug interactions D) Reporting adverse reactions E) Teaching the client information needed to administer drugs safely at home

Ans: A, B, D, E

17. When administering parenteral drugs, which of the following routes would the nurse use? Select all that apply. A) Subcutaneous B) Intramuscular C) Intradural D) Intravenous E) Intradermal

Ans: A, B, D, E

11. A nurse is preparing a presentation for a group of nurses about actions that nurses can do to help prevent drug errors. Which of the following would the nurse include? Select all that apply. A) Rechecking all calculations B) Always administering the drug before answering any of the client's questions C) Avoiding distractions and concentrating on only one task at a time D) Confirming any questionable orders E) Practicing the five + 1 rights of drug administration

Ans: A, C, D, E

6. When a primary health care provider phones in a medication order for a client, the nurse should do which of the following? Select all that apply. A) Write down the order. B) Record the order as soon as the MAR is retrieved. C) Repeat back the information exactly as written. D) Clarify any unclear information. E) Obtain verbal confirmation that the information is correct.

Ans: A, C, D, E

10. Drug errors are most likely to occur at which time? Select all that apply. A) When transcribing the drug order B) When verifying the client C) When dispensing the drug D) When charting after drug administration E) When administering the drug

Ans: A, C, E

20. A client has an order to receive 10 units of intermediate-acting insulin at bedtime via subcutaneous injection. The nurse would expect to administer the injection at which site? Select all that apply. A) Upper arm B) Inner forearm C) Upper abdomen D) Gluteus maximus E) Upper thigh

Ans: A, C, E

3. Prior to administering a prescribed drug, the nurse correctly identifies the client by which method? Select all that apply. A) Checking a client's name on his or her wristband B) Checking a client's chart C) Asking the client to identify himself or herself and give his or her birth date D) Asking a client if he or she is the correct client E) Using a current picture of the client if available

Ans: A, C, E

19. When administering an intradermal injection, the nurse would use a 1-mL syringe with which gauge of needle? Select all that apply. A) 26 gauge B) 28 gauge C) 29 gauge D) 25 gauge E) 27 gauge

Ans: A, D, E

22. A primary health care provider instructs a nurse to administer a medication to a patient STAT. Which action by the nurse would be most appropriate? A) Insist on obtaining a written report before administering any drug. B) Administer the drug as ordered by the physician. C) Forgo obtaining the physician's order after the drug has been administered. D) Document the administration of the drug only after receiving the physician's order.

Ans: B

23. A nurse has administered an opioid drug to a patient. Which action would be most appropriate for the nurse to do immediately after administering the drug? A) Monitoring the vital signs of the patient B) Documenting administration of the drug C) Informing the patient about the type of drug D) Updating the physician regarding the patient's condition

Ans: B

31. A nursing instructor is observing a nursing student prepare an oral drug for administration. The instructor determines that the student is performing the procedure correctly when the student compares the label of the drug with the MAR how many times? A) 2 B) 3 C) 4 D) 5

Ans: B

32. A patient is prescribed a buccal medication. The nurse would instruct the patient to place the drug at which location? A) Under the tongue B) Against the cheek mucous membrane C) Inside the rectum D) At the back of the tongue

Ans: B

13. When using a bar-code point-of-care medication system, the nurse would scan which of the following prior to drug administration? Select all that apply. A) Client's hospital chart B) Client's identification band C) Drug unit dose package D) Nurse's identification badge E) Client's medication administration record

Ans: B, C, D

16. The nurse is caring for a client who has a nasogastric tube in place. The client is to receive an oral medication through the tube. Which action by the nurse would be most appropriate? Select all that apply. A) Not diluting liquids prior to administration B) Checking the tube for placement C) Dissolving crushed tablets in water prior to administration D) Flushing the tube with water after drugs are administered E) Clearing the tube with air prior to administration

Ans: B, C, D

9. When administering a prescribed drug to a client, which action would be completely inappropriate? Select all that apply. A) Charting immediately on the MAR after drug administration B) Removing a drug from an unlabeled container C) Giving a drug that someone else prepared D) Crushing tablets or opening capsules E) Removing the drug's unit dose wrapper at the client's bedside

Ans: B, C, D

14. Which of the following is considered a unit dose system? Select all that apply. A) Floor stock bottle of aspirin 81 mg B) A prefilled Lovenox syringe C) One Phenergan suppository D) Floor stock bottle of ibuprofen suspension E) Single-dose cup of Maalox

Ans: B, C, E

21. A nurse is required to give an intramuscular (IM) injection to an 18-month-old toddler. The nurse would prepare which site for administration? A) Dorsogluteal site B) Deltoid muscle C) Vastus lateralis D) Ventrogluteal site

Ans: C

25. The physician has asked a nurse to administer a drug intravenously to a patient who is unresponsive. How can the nurse ensure that the drug is administered to the right patient? A) By waking him up to ask him his name B) By identifying the patient's room number C) By checking the patient's wristband D) By asking the nursing assistant for the patient's location

Ans: C

12. When documenting, which of the following would be appropriate for the nurse to use at accredited health care organizations? Select all that apply. A) IU B) QD C) 0.2 mg D) Units E) 2.0 mg

Ans: C, D

26. A patient is ordered to receive a subcutaneous injection of heparin twice a day. When administering this drug to the patient, which of the following would be most important for the nurse to do to minimize tissue damage? A) Insert the needle at the appropriate angle. B) Select the needle length based on the patient's weight. C) Ensure that there is no hair on the injection site. D) Rotate the injection site regularly.

Ans: D

30. The nurse is preparing to administer a prescribed drug to a patient. The patient looks at the tablet and says, "This doesn't look like my usual pill." Which response by the nurse would be most appropriate? A) "This is the same pill your doctor has been ordering." B) "It must be from a different manufacturer." C) "It looks different? Are you sure?" D) "Let me double check with your doctor and the order."

Ans: D

24. A primary health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate? A) Apply next dose to a new site. B) Check the infusion rate. C) Inject only the inner part of the forearm. D) Give small volumes of doses.

Ans: A

27. The nurse is checking the medical record of an assigned patient for medication orders. The nurse is unable to read the primary health care provider's handwriting. Which action would be most appropriate? A) The nurse should question the order with the primary health care provider. B) The nurse should try to interpret the handwriting. C) The nurse should confirm the order with a nearby health care provider. D) The nurse should obtain a verbal order.

Ans: A

28. A nurse is preparing to administer an intramuscular injection to a patient for the first time. Which of the following would be most important for the nurse to do? A) Obtain the patient's allergy history. B) Obtain information about the drug. C) Inquire if the patient has any objections to syringes. D) Discuss the dosage with other nurses.

Ans: A

33. The nurse is preparing to administer an intradermal injection. The nurse would insert the needle at which angle? A) 15 degrees B) 30 degrees C) 45 degrees D) 90 degrees

Ans: A

15. A nurse is preparing to administer a prescribed drug by the oral route. Which of the following would be most important for the nurse to do? Select all that apply. A) Making sure the client is in an upright position prior to administration B) Ensuring that a full glass of water is readily available C) Leaving PRN drugs at the bedside for ready access if needed D) Instructing the client to tilt his or her head back to swallow a capsule E) Having the client refrain from sipping on the water before placing the tablet in the mouth

Ans: A, B

29. After teaching a group of students about the different routes of medication administration, the nursing instructor determines that the teaching was successful when the students identify which of the following as a topical drug? Select all that apply. A) Eyedrops B) Suppository C) Nebulized bronchodilator D) Nicotine patch E) Capsule

Ans: A, B

2. A group of nursing students are reviewing the concept known as the five + 1 rights of drug administration. The group demonstrates understanding of this concept when they identify which of the following as being included? Select all that apply. A) Right documentation B) Right patient C) Right route D) Right drug E) Right prescriber

Ans: A, B, C, D

4. When completing the check to ensure that the right drug is being administered to the client, which of the following should the nurse compare? Select all that apply. A) Medication B) Container label C) Medication record D) MAR E) Nursing notes

Ans: A, B, C, D

5. A nurse is reviewing the order for a medication. Which of the following must be included? Select all that apply. A) Client's name B) Drug name C) Dosage form D) Route of administration E) Frequency of administration

Ans: A, B, C, D, E

7. A nurse is preparing to administer a prescribed drug. Which information about the drug would be most important for the nurse to know? Select all that apply. A) Normal dosage range B) Special precautions in administration C) Drug's most common adverse effects D) Drug's general action E) Reason for use of the drug

Ans: A, B, C, D, E

18. A nurse is preparing to administer a prescribed drug via an intramuscular injection. Which of the following would be most appropriate for the nurse to do? Select all that apply. A) Always wear gloves. B) Cleanse skin at injection site. C) Place pressure on the area after removing the needle. D) Recap the needle before disposal. E) Aspirate after inserting the needle.

Ans: A, B, C, E

8. A nurse is reviewing the medical record of a client and notes the various orders for drug therapy. Which of the following would the nurse most likely expect to find? Select all that apply. A) Standing order B) STAT order C) Single order D) Alternate order E) PRN order

Ans: A, B, C, E