NUR 301 Exam 1 Questions With Correct
Answers
The physician has ordered several medications for the patient. What does the
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nurse recognize as responsibilities regarding administration of medications?
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Select all that apply.
| | | |
1. Knowing whether or not the medication is on the hospital formulary
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2. Knowing the reason the medication was prescribed for this patient
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3. Knowing how the medication is to be administered.
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4. Knowing how the medication is supplied by the pharmacy
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5. Knowing the name of the medication - CORRECT ANSWER✔✔-Correct Answer:
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2,3,4,5
|
How the medication is supplied by the pharmacy, how the medication is to be
| | | | | | | | | | | | | |
administered, the name of the medication, and the reason the medication was
| | | | | | | | | | | |
prescribed for the patient are the responsibilities of the nurse regarding
| | | | | | | | | | |
medication administration. Whether or not a drug is on a hospital formulary list
| | | | | | | | | | | | |
is not a primary responsibility of the nurse.
| | | | | | | |
The nurse is preparing medications prior to administration. To promote patient
| | | | | | | | | |
safety, the nurse uses rights of drug administration. What do these rights
| | | | | | | | | | | |
include? Select all that apply.
| | | | |
1. The right medication
| | |
2. The right time of delivery
| | | | |
3. The right dose
| | |
,4. The right route of administration
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5. The right patient - CORRECT ANSWER✔✔-Correct Answer: 1,2,3,4,5
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The five rights of drug administration are the right patient, the right medication,
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the right dose, the right route of administration, and the right time of delivery.
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The patient is having chest pain. The physician orders sublingual nitroglycerine
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STAT. The nurse obtains the medication from the pharmacy and administers it to
| | | | | | | | | | | | |
the patient 30 minutes later. Which statement best describes the nurses action?
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1. The medication should have been administered immediately.
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2. The physician should have specified the time frame for the medication.
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3. The medication should have been administered within a 5-minute time frame.
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4. The nursing action was correct because the medication was not on the unit. -
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CORRECT ANSWER✔✔-Correct Answer: 3
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For a STAT order, the time frame between writing the order and administering
| | | | | | | | | | | | |
the drug should be 5 minutes or less. Not having a drug on the unit is not an
| | | | | | | | | | | | | | | | | |
excuse, as commonly ordered STAT medications should be kept in stock. Although
| | | | | | | | | | | |
the drug does not need to be administered immediately, it should be done within
| | | | | | | | | | | | | |
5 minutes. It is not the physicians responsibility to specify the time frame.
| | | | | | | | | | | | |
The nurse uses the nursing process prior to administering any medications. Which
| | | | | | | | | | |
step will assure the best patient safety?
| | | | | | |
1. Assess the patients developmental level.
| | | | |
2. Assess the patients medical history.
| | | | |
3. Assess the patients disease process.
| | | | |
4. Assess the patients learning needs. - CORRECT ANSWER✔✔-Correct Answer: 2
| | | | | | | | | |
,An assessment of the patients medical history, which includes allergies, is the
| | | | | | | | | | |
most important assessment prior to administering medications. Assessing the
| | | | | | | | |
patients learning needs is important for medication education, but not for safely
| | | | | | | | | | | |
administering medications. Assessing the patients developmental level is
| | | | | | | |
important for medication education, but not for safely administering
| | | | | | | | |
medications. Assessing the patients disease process is important in evaluating the
| | | | | | | | | | |
effects of the medications, but not for safely administering medications.
| | | | | | | | | |
The physician prescribes an oral medication for the patient. What is the primary
| | | | | | | | | | | |
nursing assessment of the patient prior to receiving this medication?
| | | | | | | | | |
1. The patients understanding of the medication
| | | | | |
2. The patients ability to swallow
| | | | |
3. The patients allergies
| | |
4. The patients eyesight - CORRECT ANSWER✔✔-Correct Answer: 2
| | | | | | | |
The ability of the patient to swallow is a safety issue to prevent aspiration of the
| | | | | | | | | | | | | | |
medication. The patients understanding is important, but not a priority. The
| | | | | | | | | | |
patients eyesight is not significant. The patients allergies are important, but if the
| | | | | | | | | | | | |
patient cannot swallow the medication, then the allergies are not significant.
| | | | | | | | | | |
The physician ordered an oral medication. The nurse incorrectly administered the
| | | | | | | | | |
medication intravenously. What does the best analysis of the nurses action
| | | | | | | | | | |
reveal?
|
1. An antidote cannot be given.
| | | | |
2. The nurse will be terminated from her job.
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3. The medication cannot be retrieved.
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4. A lawsuit by the patient will be impending. - CORRECT ANSWER✔✔-Correct
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Answer: 3
| |
, When a medication is given intravenously, its effects cannot be reversed because
| | | | | | | | | | | |
it is already in the bloodstream. A lawsuit may occur, but this is not the primary
| | | | | | | | | | | | | | | |
concern; patient safety is the primary concern. The nurse may be terminated, but
| | | | | | | | | | | | |
patient safety is the main concern, and the effect of the medication cannot be
| | | | | | | | | | | | | |
reversed. Antidotes may be given, but this must be done very quickly.
| | | | | | | | | | | |
What is the best plan as the nurse prepares to administer a topical medication?
| | | | | | | | | | | | |
1. Check the medication for interactions with other medications.
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2. Take the patients vital signs.
| | | | |
3. Educate the patient to not disturb the patch.
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4. Assess the patients skin where the medication will be applied. - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Correct Answer: 4
| | |
Planning to assess the patients skin is imperative; if it is cracked, dry, or irritated,
| | | | | | | | | | | | | | |
the medication may not be properly absorbed. Patient education is important,
| | | | | | | | | | |
but is not the priority. Vital signs are not always indicated; it depends on the
| | | | | | | | | | | | | | |
medication. Checking for drug interactions is important, but it is not the priority.
| | | | | | | | | | | | |
The physician ordered an intravenous medication for a patient with nausea. The
| | | | | | | | | | |
patient asks the nurse how it will help his nausea. What is the best response by
| | | | | | | | | | | | | | | |
the nurse?
| |
1. We have more intravenous drugs for nausea than we do oral drugs.
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2. If you take an oral medication, you will just vomit it up.
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3. This will work much faster for your nausea.
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4. You cant have anything by mouth, so will receive the medication intravenously.
| | | | | | | | | | | |
- CORRECT ANSWER✔✔-Correct Answer: 3
| | | | |
The intravenous route provides the quickest route of medication absorption.
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Telling the patient that he will vomit the medication is non-therapeutic. Telling
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Answers
The physician has ordered several medications for the patient. What does the
| | | | | | | | | | |
nurse recognize as responsibilities regarding administration of medications?
| | | | | | | |
Select all that apply.
| | | |
1. Knowing whether or not the medication is on the hospital formulary
| | | | | | | | | | |
2. Knowing the reason the medication was prescribed for this patient
| | | | | | | | | |
3. Knowing how the medication is to be administered.
| | | | | | | |
4. Knowing how the medication is supplied by the pharmacy
| | | | | | | | |
5. Knowing the name of the medication - CORRECT ANSWER✔✔-Correct Answer:
| | | | | | | | | |
2,3,4,5
|
How the medication is supplied by the pharmacy, how the medication is to be
| | | | | | | | | | | | | |
administered, the name of the medication, and the reason the medication was
| | | | | | | | | | | |
prescribed for the patient are the responsibilities of the nurse regarding
| | | | | | | | | | |
medication administration. Whether or not a drug is on a hospital formulary list
| | | | | | | | | | | | |
is not a primary responsibility of the nurse.
| | | | | | | |
The nurse is preparing medications prior to administration. To promote patient
| | | | | | | | | |
safety, the nurse uses rights of drug administration. What do these rights
| | | | | | | | | | | |
include? Select all that apply.
| | | | |
1. The right medication
| | |
2. The right time of delivery
| | | | |
3. The right dose
| | |
,4. The right route of administration
| | | | |
5. The right patient - CORRECT ANSWER✔✔-Correct Answer: 1,2,3,4,5
| | | | | | | |
The five rights of drug administration are the right patient, the right medication,
| | | | | | | | | | | |
the right dose, the right route of administration, and the right time of delivery.
| | | | | | | | | | | | | |
The patient is having chest pain. The physician orders sublingual nitroglycerine
| | | | | | | | | |
STAT. The nurse obtains the medication from the pharmacy and administers it to
| | | | | | | | | | | | |
the patient 30 minutes later. Which statement best describes the nurses action?
| | | | | | | | | | | |
1. The medication should have been administered immediately.
| | | | | | |
2. The physician should have specified the time frame for the medication.
| | | | | | | | | | |
3. The medication should have been administered within a 5-minute time frame.
| | | | | | | | | | |
4. The nursing action was correct because the medication was not on the unit. -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-Correct Answer: 3
| | | |
For a STAT order, the time frame between writing the order and administering
| | | | | | | | | | | | |
the drug should be 5 minutes or less. Not having a drug on the unit is not an
| | | | | | | | | | | | | | | | | |
excuse, as commonly ordered STAT medications should be kept in stock. Although
| | | | | | | | | | | |
the drug does not need to be administered immediately, it should be done within
| | | | | | | | | | | | | |
5 minutes. It is not the physicians responsibility to specify the time frame.
| | | | | | | | | | | | |
The nurse uses the nursing process prior to administering any medications. Which
| | | | | | | | | | |
step will assure the best patient safety?
| | | | | | |
1. Assess the patients developmental level.
| | | | |
2. Assess the patients medical history.
| | | | |
3. Assess the patients disease process.
| | | | |
4. Assess the patients learning needs. - CORRECT ANSWER✔✔-Correct Answer: 2
| | | | | | | | | |
,An assessment of the patients medical history, which includes allergies, is the
| | | | | | | | | | |
most important assessment prior to administering medications. Assessing the
| | | | | | | | |
patients learning needs is important for medication education, but not for safely
| | | | | | | | | | | |
administering medications. Assessing the patients developmental level is
| | | | | | | |
important for medication education, but not for safely administering
| | | | | | | | |
medications. Assessing the patients disease process is important in evaluating the
| | | | | | | | | | |
effects of the medications, but not for safely administering medications.
| | | | | | | | | |
The physician prescribes an oral medication for the patient. What is the primary
| | | | | | | | | | | |
nursing assessment of the patient prior to receiving this medication?
| | | | | | | | | |
1. The patients understanding of the medication
| | | | | |
2. The patients ability to swallow
| | | | |
3. The patients allergies
| | |
4. The patients eyesight - CORRECT ANSWER✔✔-Correct Answer: 2
| | | | | | | |
The ability of the patient to swallow is a safety issue to prevent aspiration of the
| | | | | | | | | | | | | | |
medication. The patients understanding is important, but not a priority. The
| | | | | | | | | | |
patients eyesight is not significant. The patients allergies are important, but if the
| | | | | | | | | | | | |
patient cannot swallow the medication, then the allergies are not significant.
| | | | | | | | | | |
The physician ordered an oral medication. The nurse incorrectly administered the
| | | | | | | | | |
medication intravenously. What does the best analysis of the nurses action
| | | | | | | | | | |
reveal?
|
1. An antidote cannot be given.
| | | | |
2. The nurse will be terminated from her job.
| | | | | | | |
3. The medication cannot be retrieved.
| | | | |
4. A lawsuit by the patient will be impending. - CORRECT ANSWER✔✔-Correct
| | | | | | | | | | |
Answer: 3
| |
, When a medication is given intravenously, its effects cannot be reversed because
| | | | | | | | | | | |
it is already in the bloodstream. A lawsuit may occur, but this is not the primary
| | | | | | | | | | | | | | | |
concern; patient safety is the primary concern. The nurse may be terminated, but
| | | | | | | | | | | | |
patient safety is the main concern, and the effect of the medication cannot be
| | | | | | | | | | | | | |
reversed. Antidotes may be given, but this must be done very quickly.
| | | | | | | | | | | |
What is the best plan as the nurse prepares to administer a topical medication?
| | | | | | | | | | | | |
1. Check the medication for interactions with other medications.
| | | | | | | |
2. Take the patients vital signs.
| | | | |
3. Educate the patient to not disturb the patch.
| | | | | | | |
4. Assess the patients skin where the medication will be applied. - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Correct Answer: 4
| | |
Planning to assess the patients skin is imperative; if it is cracked, dry, or irritated,
| | | | | | | | | | | | | | |
the medication may not be properly absorbed. Patient education is important,
| | | | | | | | | | |
but is not the priority. Vital signs are not always indicated; it depends on the
| | | | | | | | | | | | | | |
medication. Checking for drug interactions is important, but it is not the priority.
| | | | | | | | | | | | |
The physician ordered an intravenous medication for a patient with nausea. The
| | | | | | | | | | |
patient asks the nurse how it will help his nausea. What is the best response by
| | | | | | | | | | | | | | | |
the nurse?
| |
1. We have more intravenous drugs for nausea than we do oral drugs.
| | | | | | | | | | | |
2. If you take an oral medication, you will just vomit it up.
| | | | | | | | | | | |
3. This will work much faster for your nausea.
| | | | | | | |
4. You cant have anything by mouth, so will receive the medication intravenously.
| | | | | | | | | | | |
- CORRECT ANSWER✔✔-Correct Answer: 3
| | | | |
The intravenous route provides the quickest route of medication absorption.
| | | | | | | | | |
Telling the patient that he will vomit the medication is non-therapeutic. Telling
| | | | | | | | | | | |
