NURS 344 UPDATED 2026 EXAM SCRIPT QUESTIONS AND
SOLUTIONS SCORED A+
✔✔Nursing interventions for medication reconciliation - ✔✔-Observe for side/adverse
effects
-Collaborate with family
-Verify 6 rights
-Document properly
-Monitor for fall risk
-Right reason
-Three medication checks
-Monitor labs
✔✔Medications that can lead to complications - ✔✔-Benzodiazepines
-Anticoagulants
-Cardiovascular medications
-Insulin
-Narcotics
-Diuretics
-Grapefruit juice
-Antacids
-NSAIDs
✔✔Patient teaching for medications - ✔✔-Carry a medication list
-Good organization of medications
-Taking medications as prescribed
-Reporting side effects to HCP
-Proper administration
-Purpose of drugs
-Inform patient of medication changes and why
✔✔The nurse is caring for a client with a history of COPD and Type II diabetes who had
hip replacement surgery one day ago. Which priority home medication should the nurse
make sure the provider resumes?
-20mEq Potassium PO BID
-Metformin 500mg PO every day
-Vitamin B12 PO every morning
-Simvistatin 20mg PO every day - ✔✔-Metformin 500mg PO every day
✔✔A home care nurse is visiting a patient that has just been discharged from the
hospital for an exacerbation of heart failure (HF) when performing medication
reconciliation, which finding would be most concerning to the nurse?
-Medications were all in bottles on the kitchen table
,-The spouse's medication bottles were mixed in with the patient's medication bottles
-The patient is using a pill organizer
-All the patient's medications were sitting on night stand by the bed - ✔✔-The spouse's
medication bottles were mixed in with the patient's medication bottles
✔✔The nurse offers instruction about medication safety to elderly clients which
instruction is a priority for the nurse to provide?
-Nausea and vomiting are common, harmless drug side effects
-Keep a supply of medications at your bedside for convenience
-Take your daily medications on an empty stomach
-Its important that you understand the purpose of each medication - ✔✔-It is important
that you understand the purpose of each medication
✔✔Which patient care experience listed below would the nurse identify as an adverse
event?
-A patient was given the wrong medication, requiring the patient to remain in the
hospital for another day
-The CNA did not give a patient the dietary tray that came to floor as the patient is NPO
of upcoming surgery later in the day
-Two patients in the hospital have the name Betty Smith. The wrong Betty Smith
received 1 unit of o+ blood and died
-The nurse calls a Time Out before surgery is started to ensure the team has all the
information needed before starting the surgery - ✔✔-A patient was given the wrong
medication, requiring the patient to remain in the hospital for another day
✔✔How would the nurse best explain medication reconciliation to a patient and their
family?
-Formal process in which healthcare provides partner with patients and their families to
ensure accurate and complete medication information transfer at interfaces of care. This
includes admission and discharge form a hospital or changes in care setting, service, or
level of care
-Formal process that is complete upon admission and discharge from any unit in the
hospital or before going home
-Formal process where the pharmacist and the provider compare prescribed
medications with current health care needs. Which includes removing and adding
medications to your medication list.
-Formal process where the nurse, provider, and pharmacist review the patients
medications upon admission and discharge - ✔✔-Formal process in which healthcare
providers partner with patients and their families to ensure accurate and complete
, medication information transfer at interfaces of care. This includes admission and
discharge from a hospital or changes in care setting, service, or level of care
✔✔Five step process of medication reconcilliation - ✔✔1. Develop a comprehensive list
of all current medications
2. Develop a list of medications to be prescribed
3. Compare original and updated medication lists
4. Make clinical decisions pertaining to what medications should be continued
5. Communicate new medication information to the patient and the patient's caregiver
✔✔Medication Reconciliation - ✔✔A process of comparing a patient's medication orders
to all of the other medications that the patient has been or is taking. This includes OTC
meds, herbals, vitamins, prescription meds, etc.
✔✔Discharge steps of medication reconciliation - ✔✔1. Determine postdischarge
medication regimen
2. Develop at home discharge instructions over medications
3. Educate the patient on medications and anything else needed at discharge
4. Send medication list to physician for followup
✔✔Nursing actions to ensure medication reconciliation is an ongoing process - ✔✔-
Make sure patient has an understanding of their medication
-Ensure that patient is talking all medications properly and as prescribed
-Ask patient about any over the counter medications such as herbal or vitamin
supplements
-Inquire about switching, stopping, or starting new or old medications at each visit
(inform provider of any changes)
-Schedule follow up appointment with patients
-Complete medication reconciliation with unit transfers, shift change, admission, and
discharge
-Assess to ensure the medications prescribed are appropriate for patients age and
health conditions
-Supply patient with printed resource(s) regarding medications
-Assess the level of understanding and knowledge of patient and caregiver of
medications and provide appropriate education
-Educate patient and/or family on any medication changes and/or new medications
✔✔A 71 year old patient is scheduled for a total Hip replacement. His medical/surgical
history includes type II diabetes mellitus, COPD, BPH, HTN, cardiac stent placement,
and bilateral knee replacements. He takes the following medications. What medications
should be given in the week leading up to surgery?
-Lantus insulin 70 units every am
-Insulin aspart 10 units with PM meal only
Metformin 1000mg BID
-Tamsulosin 0.4mg once daily
SOLUTIONS SCORED A+
✔✔Nursing interventions for medication reconciliation - ✔✔-Observe for side/adverse
effects
-Collaborate with family
-Verify 6 rights
-Document properly
-Monitor for fall risk
-Right reason
-Three medication checks
-Monitor labs
✔✔Medications that can lead to complications - ✔✔-Benzodiazepines
-Anticoagulants
-Cardiovascular medications
-Insulin
-Narcotics
-Diuretics
-Grapefruit juice
-Antacids
-NSAIDs
✔✔Patient teaching for medications - ✔✔-Carry a medication list
-Good organization of medications
-Taking medications as prescribed
-Reporting side effects to HCP
-Proper administration
-Purpose of drugs
-Inform patient of medication changes and why
✔✔The nurse is caring for a client with a history of COPD and Type II diabetes who had
hip replacement surgery one day ago. Which priority home medication should the nurse
make sure the provider resumes?
-20mEq Potassium PO BID
-Metformin 500mg PO every day
-Vitamin B12 PO every morning
-Simvistatin 20mg PO every day - ✔✔-Metformin 500mg PO every day
✔✔A home care nurse is visiting a patient that has just been discharged from the
hospital for an exacerbation of heart failure (HF) when performing medication
reconciliation, which finding would be most concerning to the nurse?
-Medications were all in bottles on the kitchen table
,-The spouse's medication bottles were mixed in with the patient's medication bottles
-The patient is using a pill organizer
-All the patient's medications were sitting on night stand by the bed - ✔✔-The spouse's
medication bottles were mixed in with the patient's medication bottles
✔✔The nurse offers instruction about medication safety to elderly clients which
instruction is a priority for the nurse to provide?
-Nausea and vomiting are common, harmless drug side effects
-Keep a supply of medications at your bedside for convenience
-Take your daily medications on an empty stomach
-Its important that you understand the purpose of each medication - ✔✔-It is important
that you understand the purpose of each medication
✔✔Which patient care experience listed below would the nurse identify as an adverse
event?
-A patient was given the wrong medication, requiring the patient to remain in the
hospital for another day
-The CNA did not give a patient the dietary tray that came to floor as the patient is NPO
of upcoming surgery later in the day
-Two patients in the hospital have the name Betty Smith. The wrong Betty Smith
received 1 unit of o+ blood and died
-The nurse calls a Time Out before surgery is started to ensure the team has all the
information needed before starting the surgery - ✔✔-A patient was given the wrong
medication, requiring the patient to remain in the hospital for another day
✔✔How would the nurse best explain medication reconciliation to a patient and their
family?
-Formal process in which healthcare provides partner with patients and their families to
ensure accurate and complete medication information transfer at interfaces of care. This
includes admission and discharge form a hospital or changes in care setting, service, or
level of care
-Formal process that is complete upon admission and discharge from any unit in the
hospital or before going home
-Formal process where the pharmacist and the provider compare prescribed
medications with current health care needs. Which includes removing and adding
medications to your medication list.
-Formal process where the nurse, provider, and pharmacist review the patients
medications upon admission and discharge - ✔✔-Formal process in which healthcare
providers partner with patients and their families to ensure accurate and complete
, medication information transfer at interfaces of care. This includes admission and
discharge from a hospital or changes in care setting, service, or level of care
✔✔Five step process of medication reconcilliation - ✔✔1. Develop a comprehensive list
of all current medications
2. Develop a list of medications to be prescribed
3. Compare original and updated medication lists
4. Make clinical decisions pertaining to what medications should be continued
5. Communicate new medication information to the patient and the patient's caregiver
✔✔Medication Reconciliation - ✔✔A process of comparing a patient's medication orders
to all of the other medications that the patient has been or is taking. This includes OTC
meds, herbals, vitamins, prescription meds, etc.
✔✔Discharge steps of medication reconciliation - ✔✔1. Determine postdischarge
medication regimen
2. Develop at home discharge instructions over medications
3. Educate the patient on medications and anything else needed at discharge
4. Send medication list to physician for followup
✔✔Nursing actions to ensure medication reconciliation is an ongoing process - ✔✔-
Make sure patient has an understanding of their medication
-Ensure that patient is talking all medications properly and as prescribed
-Ask patient about any over the counter medications such as herbal or vitamin
supplements
-Inquire about switching, stopping, or starting new or old medications at each visit
(inform provider of any changes)
-Schedule follow up appointment with patients
-Complete medication reconciliation with unit transfers, shift change, admission, and
discharge
-Assess to ensure the medications prescribed are appropriate for patients age and
health conditions
-Supply patient with printed resource(s) regarding medications
-Assess the level of understanding and knowledge of patient and caregiver of
medications and provide appropriate education
-Educate patient and/or family on any medication changes and/or new medications
✔✔A 71 year old patient is scheduled for a total Hip replacement. His medical/surgical
history includes type II diabetes mellitus, COPD, BPH, HTN, cardiac stent placement,
and bilateral knee replacements. He takes the following medications. What medications
should be given in the week leading up to surgery?
-Lantus insulin 70 units every am
-Insulin aspart 10 units with PM meal only
Metformin 1000mg BID
-Tamsulosin 0.4mg once daily
