NUR 301 Exam 1 TestBank – Questions With Expert
Solutions
Save
Terms in this set (243)
The physician has ordered several Correct Answer: 2,3,4,5
medications for the patient. What does How the medication is supplied by the pharmacy,
the nurse recognize as responsibilities how the medication is to be administered, the name
regarding administration of of the medication, and the reason the medication
medications? Select all that apply. was prescribed for the patient are the responsibilities
1. Knowing whether or not the of the nurse regarding medication administration.
medication is on the hospital Whether or not a drug is on a hospital formulary list is
formulary not a primary responsibility of the nurse.
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
The nurse is preparing medications Correct Answer: 1,2,3,4,5
prior to administration. To promote The five rights of drug administration are the right
patient safety, the nurse uses rights of patient, the right medication, the right dose, the right
drug administration. What do these route of administration, and the right time of delivery.
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
,The patient is having chest pain. The Correct Answer: 3
physician orders sublingual For a STAT order, the time frame between writing the
nitroglycerine STAT. The nurse obtains order and administering the drug should be 5
the medication from the pharmacy minutes or less. Not having a drug on the unit is not
and administers it to the patient 30 an excuse, as commonly ordered STAT medications
minutes later. Which statement best should be kept in stock. Although the drug does not
describes the nurses action? need to be administered immediately, it should be
1. The medication should have been done within 5 minutes. It is not the physicians
administered immediately. responsibility to specify the time frame.
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.
The nurse uses the nursing process Correct Answer: 2
prior to administering any An assessment of the patients medical history, which
medications. Which step will assure includes allergies, is the most important assessment
the best patient safety? prior to administering medications. Assessing the
1. Assess the patients developmental patients learning needs is important for medication
level. education, but not for safely administering
2. Assess the patients medical history. medications. Assessing the patients developmental
3. Assess the patients disease process. level is important for medication education, but not
4. Assess the patients learning needs. 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 Correct Answer: 2
medication for the patient. What is the The ability of the patient to swallow is a safety issue
primary nursing assessment of the to prevent aspiration of the medication. The patients
patient prior to receiving this understanding is important, but not a priority. The
medication? patients eyesight is not significant. The patients
1. The patients understanding of the allergies are important, but if the patient cannot
medication swallow the medication, then the allergies are not
2. The patients ability to swallow significant.
3. The patients allergies
4. The patients eyesight
,The physician ordered an oral Correct Answer: 3
medication. The nurse incorrectly When a medication is given intravenously, its effects
administered the medication cannot be reversed because it is already in the
intravenously. What does the best bloodstream. A lawsuit may occur, but this is not the
analysis of the nurses action reveal? primary concern; patient safety is the primary
1. An antidote cannot be given. concern. The nurse may be terminated, but patient
2. The nurse will be terminated from safety is the main concern, and the effect of the
her job. medication cannot be reversed. Antidotes may be
3. The medication cannot be retrieved. given, but this must be done very quickly.
4. A lawsuit by the patient will be
impending.
What is the best plan as the nurse Correct Answer: 4
prepares to administer a topical Planning to assess the patients skin is imperative; if it
medication? is cracked, dry, or irritated, the medication may not
1. Check the medication for be properly absorbed. Patient education is
interactions with other medications. important, but is not the priority. Vital signs are not
2. Take the patients vital signs. always indicated; it depends on the medication.
3. Educate the patient to not disturb Checking for drug interactions is important, but it is
the patch. not the priority.
4. Assess the patients skin where the
medication will be applied.
The physician ordered an intravenous Correct Answer: 3
medication for a patient with nausea. The intravenous route provides the quickest route of
The patient asks the nurse how it will medication absorption. Telling the patient that he will
help his nausea. What is the best vomit the medication is non-therapeutic. Telling the
response by the nurse? patient that the nurse has more intravenous drugs
1. We have more intravenous drugs for than oral drugs does not answer the patients
nausea than we do oral drugs. question. There is no evidence that the patient
2. If you take an oral medication, you cannot have anything by mouth.
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.
, The physician orders enteric-coated Correct Answer: 3
aspirin, 300 mg every day, for the The only option is to withhold the medication and
patient with a nasogastric tube. What contact the physician. Crushing the tablet destroys
is the priority action by the nurse? the enteric coating. Putting the tablet in the tube will
1. Crush the tablet, dissolve it in 30 mL result in clogging of the tube. The nurse cannot
of water, and administer through the substitute plain aspirin; this requires a physicians
tube. order.
2. Put the tablet in the tube, milk it
down the tube, and then flush the
tube with 60 mL of water.
3. Withhold the medication and
contact the physician.
4. Substitute plain aspirin, dissolve it in
30 mL of water, and administer
through the tube.
The patient is receiving a sustained- Correct Answer: 1
release capsule for his cardiac The only option is to contact the physician. Several
condition. The patient tells the nurse sustained-release medications cannot be opened
there is no way he can swallow such a and sprinkled on food. Placing the capsule on the
large pill. What is the best response back of the patients tongue and having him drink a
by the nurse? full glass of water may cause the patient to aspirate
1. Withhold the medication and the capsule and/or the water. Encouraging the
contact the physician. patient to try to swallow the capsule is coercive, and
2. Place the capsule on the back of may result in the patient choking on the medication.
the patients tongue, and have him
drink a full glass of water.
3. Open the capsule and sprinkle the
contents over applesauce.
4. Encourage the patient to try and
swallow the capsule because it is the
best medication for his heart
condition.
Solutions
Save
Terms in this set (243)
The physician has ordered several Correct Answer: 2,3,4,5
medications for the patient. What does How the medication is supplied by the pharmacy,
the nurse recognize as responsibilities how the medication is to be administered, the name
regarding administration of of the medication, and the reason the medication
medications? Select all that apply. was prescribed for the patient are the responsibilities
1. Knowing whether or not the of the nurse regarding medication administration.
medication is on the hospital Whether or not a drug is on a hospital formulary list is
formulary not a primary responsibility of the nurse.
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
The nurse is preparing medications Correct Answer: 1,2,3,4,5
prior to administration. To promote The five rights of drug administration are the right
patient safety, the nurse uses rights of patient, the right medication, the right dose, the right
drug administration. What do these route of administration, and the right time of delivery.
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
,The patient is having chest pain. The Correct Answer: 3
physician orders sublingual For a STAT order, the time frame between writing the
nitroglycerine STAT. The nurse obtains order and administering the drug should be 5
the medication from the pharmacy minutes or less. Not having a drug on the unit is not
and administers it to the patient 30 an excuse, as commonly ordered STAT medications
minutes later. Which statement best should be kept in stock. Although the drug does not
describes the nurses action? need to be administered immediately, it should be
1. The medication should have been done within 5 minutes. It is not the physicians
administered immediately. responsibility to specify the time frame.
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.
The nurse uses the nursing process Correct Answer: 2
prior to administering any An assessment of the patients medical history, which
medications. Which step will assure includes allergies, is the most important assessment
the best patient safety? prior to administering medications. Assessing the
1. Assess the patients developmental patients learning needs is important for medication
level. education, but not for safely administering
2. Assess the patients medical history. medications. Assessing the patients developmental
3. Assess the patients disease process. level is important for medication education, but not
4. Assess the patients learning needs. 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 Correct Answer: 2
medication for the patient. What is the The ability of the patient to swallow is a safety issue
primary nursing assessment of the to prevent aspiration of the medication. The patients
patient prior to receiving this understanding is important, but not a priority. The
medication? patients eyesight is not significant. The patients
1. The patients understanding of the allergies are important, but if the patient cannot
medication swallow the medication, then the allergies are not
2. The patients ability to swallow significant.
3. The patients allergies
4. The patients eyesight
,The physician ordered an oral Correct Answer: 3
medication. The nurse incorrectly When a medication is given intravenously, its effects
administered the medication cannot be reversed because it is already in the
intravenously. What does the best bloodstream. A lawsuit may occur, but this is not the
analysis of the nurses action reveal? primary concern; patient safety is the primary
1. An antidote cannot be given. concern. The nurse may be terminated, but patient
2. The nurse will be terminated from safety is the main concern, and the effect of the
her job. medication cannot be reversed. Antidotes may be
3. The medication cannot be retrieved. given, but this must be done very quickly.
4. A lawsuit by the patient will be
impending.
What is the best plan as the nurse Correct Answer: 4
prepares to administer a topical Planning to assess the patients skin is imperative; if it
medication? is cracked, dry, or irritated, the medication may not
1. Check the medication for be properly absorbed. Patient education is
interactions with other medications. important, but is not the priority. Vital signs are not
2. Take the patients vital signs. always indicated; it depends on the medication.
3. Educate the patient to not disturb Checking for drug interactions is important, but it is
the patch. not the priority.
4. Assess the patients skin where the
medication will be applied.
The physician ordered an intravenous Correct Answer: 3
medication for a patient with nausea. The intravenous route provides the quickest route of
The patient asks the nurse how it will medication absorption. Telling the patient that he will
help his nausea. What is the best vomit the medication is non-therapeutic. Telling the
response by the nurse? patient that the nurse has more intravenous drugs
1. We have more intravenous drugs for than oral drugs does not answer the patients
nausea than we do oral drugs. question. There is no evidence that the patient
2. If you take an oral medication, you cannot have anything by mouth.
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.
, The physician orders enteric-coated Correct Answer: 3
aspirin, 300 mg every day, for the The only option is to withhold the medication and
patient with a nasogastric tube. What contact the physician. Crushing the tablet destroys
is the priority action by the nurse? the enteric coating. Putting the tablet in the tube will
1. Crush the tablet, dissolve it in 30 mL result in clogging of the tube. The nurse cannot
of water, and administer through the substitute plain aspirin; this requires a physicians
tube. order.
2. Put the tablet in the tube, milk it
down the tube, and then flush the
tube with 60 mL of water.
3. Withhold the medication and
contact the physician.
4. Substitute plain aspirin, dissolve it in
30 mL of water, and administer
through the tube.
The patient is receiving a sustained- Correct Answer: 1
release capsule for his cardiac The only option is to contact the physician. Several
condition. The patient tells the nurse sustained-release medications cannot be opened
there is no way he can swallow such a and sprinkled on food. Placing the capsule on the
large pill. What is the best response back of the patients tongue and having him drink a
by the nurse? full glass of water may cause the patient to aspirate
1. Withhold the medication and the capsule and/or the water. Encouraging the
contact the physician. patient to try to swallow the capsule is coercive, and
2. Place the capsule on the back of may result in the patient choking on the medication.
the patients tongue, and have him
drink a full glass of water.
3. Open the capsule and sprinkle the
contents over applesauce.
4. Encourage the patient to try and
swallow the capsule because it is the
best medication for his heart
condition.
