NRSE 260 Exam 2 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What are the ways to prevent medication errors? - CORRECT ANSWER - Avoid
distractions during med administration
- Prep meds for one pt at a time
- Read labels carefully
- Double-check dosage of high alert medications with colleague
- Check expiration date
- Question multiple tablets or vials for a single dose
- Only give medications you have prepared
- Follow correct procedures for all routes of administration
- Dont leave med at bedside
The Right Client - CORRECT ANSWER Ensuring that the medication is given to the
correct patient. Look at ID band. Confirm the full name and DOB. Use 2 identifiers.
The Right Medication - CORRECT ANSWER focuses on confirming that both the
drug and dose being given are the same as the medication ordered.
- Be careful with look alike, sound alike medications
- check the expiration date
- verifies that the drug is in the correct form
Right Dose - CORRECT ANSWER Is it an appropriate dose for the client (infant,
child, adult, older adult) and their condition?
- Geriatric pts or those with poorly functioning livers and kidneys may require changes in
dosage
Right Route - CORRECT ANSWER The route of medication administration varies
depending on the time needed for the medication to be absorbed, how long it takes to start
working, and the potential for side effects.
,Right Time - CORRECT ANSWER - Half-life—How long it takes for half of the
medication to be eliminated from the body.
- Onset—The amount of time it takes for the medication to produce a therapeutic effect
- Peak - Occurs when absorption is complete, and the medication is distributed throughout the
body.
- Duration - Is the amount of time the medication maintains a therapeutic effect on the body.
Time-Critical vs Non Time-Critical Medications - CORRECT ANSWER Time-Critical
- These are medications that if administered either 30 minutes before or after the scheduled
administration time can cause harm to the client or result in a less effective therapeutic
response.
Non Time-Critical - These are medications that can safely be administered 1-2 hours early or
late without causing harm and still result in the intended therapeutic response.
Right Documentation - CORRECT ANSWER Each time a medication is given, the
nurse should document the administration, after meds were given
- document pain assessment or vitals signs if needed due to type of med
- If care provided is not documented, it is assumed that it was not done.
Right Assessment - CORRECT ANSWER Completes an assessment before
administering medications, including lab values, vital signs, allergies to any medications,
possible medication interactions, and any contraindications for giving the medication.
- Physical assessment data including VS
- Pertinent lab values or diagnostic results
- Allergies to medication
- Possible medication interactions
- Contraindication
, "three checks" of medication administration - CORRECT ANSWER The rights of
medication administration should be addressed a minimum of three times prior to medication
administration.
1. When reviewing the medications in the MAR
2. During obtaining/preparation of the medication
- Client's individual medication drawer
- Automated medication dispensing machines
3. At the client's bedside immediately prior to administering
Oral Medication - CORRECT ANSWER - taken by mouth; absorbed through GI tract
- Tablets, Capsules, Liquids
- Convenient, non-invasive, easy for self-administration
- Assess LOC and ability to swallow medication, sit up at 90 degrees
- Cut only meds that are scored
- Crush cannot be enteric coated or time-release
- medications may be affected by food/other drugs and/or cause nausea/vomiting
Subcutaneous Medication - CORRECT ANSWER - Medication injected into adipose
tissue, beneath skin
- Posterior upper arm, Abdomen, Medial thigh
- Needle Size: 25 - 27 gauge; 3/8 - 5/8"
- Volume: No more than 1.5mL
- Pinch up skin, inject at 45o to 90o angle; obese patients use 90o angle
- Rotate injection sites to avoid tissue damage
- Watch for signs of infection, bruising, or irritation at site
intramuscular medication - CORRECT ANSWER - Medication is injected directly into
muscle mass
- Deltoid, Vastus lateralis, Ventrogluteal
QUESTIONS AND CORRECT ANSWERS
What are the ways to prevent medication errors? - CORRECT ANSWER - Avoid
distractions during med administration
- Prep meds for one pt at a time
- Read labels carefully
- Double-check dosage of high alert medications with colleague
- Check expiration date
- Question multiple tablets or vials for a single dose
- Only give medications you have prepared
- Follow correct procedures for all routes of administration
- Dont leave med at bedside
The Right Client - CORRECT ANSWER Ensuring that the medication is given to the
correct patient. Look at ID band. Confirm the full name and DOB. Use 2 identifiers.
The Right Medication - CORRECT ANSWER focuses on confirming that both the
drug and dose being given are the same as the medication ordered.
- Be careful with look alike, sound alike medications
- check the expiration date
- verifies that the drug is in the correct form
Right Dose - CORRECT ANSWER Is it an appropriate dose for the client (infant,
child, adult, older adult) and their condition?
- Geriatric pts or those with poorly functioning livers and kidneys may require changes in
dosage
Right Route - CORRECT ANSWER The route of medication administration varies
depending on the time needed for the medication to be absorbed, how long it takes to start
working, and the potential for side effects.
,Right Time - CORRECT ANSWER - Half-life—How long it takes for half of the
medication to be eliminated from the body.
- Onset—The amount of time it takes for the medication to produce a therapeutic effect
- Peak - Occurs when absorption is complete, and the medication is distributed throughout the
body.
- Duration - Is the amount of time the medication maintains a therapeutic effect on the body.
Time-Critical vs Non Time-Critical Medications - CORRECT ANSWER Time-Critical
- These are medications that if administered either 30 minutes before or after the scheduled
administration time can cause harm to the client or result in a less effective therapeutic
response.
Non Time-Critical - These are medications that can safely be administered 1-2 hours early or
late without causing harm and still result in the intended therapeutic response.
Right Documentation - CORRECT ANSWER Each time a medication is given, the
nurse should document the administration, after meds were given
- document pain assessment or vitals signs if needed due to type of med
- If care provided is not documented, it is assumed that it was not done.
Right Assessment - CORRECT ANSWER Completes an assessment before
administering medications, including lab values, vital signs, allergies to any medications,
possible medication interactions, and any contraindications for giving the medication.
- Physical assessment data including VS
- Pertinent lab values or diagnostic results
- Allergies to medication
- Possible medication interactions
- Contraindication
, "three checks" of medication administration - CORRECT ANSWER The rights of
medication administration should be addressed a minimum of three times prior to medication
administration.
1. When reviewing the medications in the MAR
2. During obtaining/preparation of the medication
- Client's individual medication drawer
- Automated medication dispensing machines
3. At the client's bedside immediately prior to administering
Oral Medication - CORRECT ANSWER - taken by mouth; absorbed through GI tract
- Tablets, Capsules, Liquids
- Convenient, non-invasive, easy for self-administration
- Assess LOC and ability to swallow medication, sit up at 90 degrees
- Cut only meds that are scored
- Crush cannot be enteric coated or time-release
- medications may be affected by food/other drugs and/or cause nausea/vomiting
Subcutaneous Medication - CORRECT ANSWER - Medication injected into adipose
tissue, beneath skin
- Posterior upper arm, Abdomen, Medial thigh
- Needle Size: 25 - 27 gauge; 3/8 - 5/8"
- Volume: No more than 1.5mL
- Pinch up skin, inject at 45o to 90o angle; obese patients use 90o angle
- Rotate injection sites to avoid tissue damage
- Watch for signs of infection, bruising, or irritation at site
intramuscular medication - CORRECT ANSWER - Medication is injected directly into
muscle mass
- Deltoid, Vastus lateralis, Ventrogluteal
