NRS 2313 (Nursing Practice Concepts) Exam 3
Questions With Verified Answers
Which example reflects effective documentation of medication administration by
a nurse?
a) Comparing the written order with the medication administration record (MAR)
three times
b)providing patient education regarding a medication
c)Obtaining a BP before giving a blood pressure medication
d)Including the location of an injection site on the medication administration
record - ANSWER d)Including the location of an injection site on the medication
administration record
What is the best way for the nurse to ensure that a patient receives the correct
dose of a medication?
a)compare the prescriber's order with the medication administration record
before dispensing the medication
b)ask the patient if he would like a larger dose of pain medication
c)assess the patient's ability to swallow oral medication without difficulty.
d)check the name of the medication three times against the medication
administration record - ANSWER a)compare the prescriber's order with the
medication administration record before dispensing the medication
While reviewing a new medication order, the nurse notes that the frequency of
administration has been omitted. What is the nurse's best response?
a)immediately contact the prescriber to complete the order
b)refer to a current drug book for the most commonly prescribed dosage
c)call the pharmacy to determine the frequency.
,d)ask a registered nurse who is familiar with the prescriber to identify the usual
frequency ordered. - ANSWER a)immediately contact the prescriber to complete
the order
When is a patient at a higher risk for a medication administration error?
a)During a care transition point, such as transfer to another unit.
b)while on a hospital unit for an extended length of time
c)On the third postoperative day
d) When taking an active role in self administration of insulin - ANSWER a)During
a care transition point, such as transfer to another unit.
As the nurse is giving a patient his medications, he remarks, "I've never seen
this blue pill before." What is the nurse's correct response?
a)"I'm sure the doctor knows what he's doing. Don't worry.
b)"Our pharmacy probably sent a generic form of what you're used to taking.
c)"What color pill are you used to seeing"
d) "Don't take it. Let me double-check the doctor's order to make sure this is the
correct medication for you." - ANSWER d) "Don't take it. Let me double-check
the doctor's order to make sure this is the correct medication for you."
What is the best way for the nurse to ensure that the patient does not receive the
wrong dose because of a calculation error.
a) Ask the pharmacy to calculate the correct dosage.
b) Consult a current drug book to determine the new dosage.
c) Defer the calculation process to the provider
d)Ask another registered nurse to verify the calculation. - ANSWER d)Ask
another registered nurse to verify the calculation.
Which of the following nursing actions will reduce the risk of "wrong route"
when administering a medication?
a)Only splitting pills or tablets that have been prescored by the manufacturer.
b)Using an oral dosing syringe when administering oral liquid medication
, c)Transcribing a fractional dose of less than one with a leading zero (e.g.,
0.5mg)
d)Crushing an oral medication that is difficult to swallow. - ANSWER b)Using an
oral dosing syringe when administering oral liquid medication
What is the most appropriate way for the nurse to split an unscored tablet?
a) Use a pill splitting device to split the unscored pill in half
b)Ask the pharmacy if it is appropriate to split the pill and if so, ask them to split
and repackage it with the adjusted dose given on the label.
c)Use scissors to cut the pill in half
d) Administer a whole pill every other day instead of every day. - ANSWER b)Ask
the pharmacy if it is appropriate to split the pill and if so, ask them to split and
repackage it with the adjusted dose given on the label.
The nurse is preparing to apply a topical oil-based medication to a patient's
forearms. What should the nurse do to minimize the risk of contamination during
the application?
a)Encourage the patient to self-apply the medication.
b)Wear treatment gloves during the entire application process.
c)change gloves between prepping the skin and applying the medication.
d)Perform effective hand hygiene before and after applying the medication. -
ANSWER c)change gloves between prepping the skin and applying the
medication.
The nurse is preparing to administer several oral medications when the patient
says he would like to take his pills with orange juice. What is the nurse's best
response?
a)determine whether the patient's prescribed diet includes orange juice
b)Establish whether the medications may be taken with orange juice.
c)Ask the dietary aide to order extra orange juice for the unit.
d)Administer the pills with orange juice - ANSWER b)Establish whether the
medications may be taken with orange juice.
Questions With Verified Answers
Which example reflects effective documentation of medication administration by
a nurse?
a) Comparing the written order with the medication administration record (MAR)
three times
b)providing patient education regarding a medication
c)Obtaining a BP before giving a blood pressure medication
d)Including the location of an injection site on the medication administration
record - ANSWER d)Including the location of an injection site on the medication
administration record
What is the best way for the nurse to ensure that a patient receives the correct
dose of a medication?
a)compare the prescriber's order with the medication administration record
before dispensing the medication
b)ask the patient if he would like a larger dose of pain medication
c)assess the patient's ability to swallow oral medication without difficulty.
d)check the name of the medication three times against the medication
administration record - ANSWER a)compare the prescriber's order with the
medication administration record before dispensing the medication
While reviewing a new medication order, the nurse notes that the frequency of
administration has been omitted. What is the nurse's best response?
a)immediately contact the prescriber to complete the order
b)refer to a current drug book for the most commonly prescribed dosage
c)call the pharmacy to determine the frequency.
,d)ask a registered nurse who is familiar with the prescriber to identify the usual
frequency ordered. - ANSWER a)immediately contact the prescriber to complete
the order
When is a patient at a higher risk for a medication administration error?
a)During a care transition point, such as transfer to another unit.
b)while on a hospital unit for an extended length of time
c)On the third postoperative day
d) When taking an active role in self administration of insulin - ANSWER a)During
a care transition point, such as transfer to another unit.
As the nurse is giving a patient his medications, he remarks, "I've never seen
this blue pill before." What is the nurse's correct response?
a)"I'm sure the doctor knows what he's doing. Don't worry.
b)"Our pharmacy probably sent a generic form of what you're used to taking.
c)"What color pill are you used to seeing"
d) "Don't take it. Let me double-check the doctor's order to make sure this is the
correct medication for you." - ANSWER d) "Don't take it. Let me double-check
the doctor's order to make sure this is the correct medication for you."
What is the best way for the nurse to ensure that the patient does not receive the
wrong dose because of a calculation error.
a) Ask the pharmacy to calculate the correct dosage.
b) Consult a current drug book to determine the new dosage.
c) Defer the calculation process to the provider
d)Ask another registered nurse to verify the calculation. - ANSWER d)Ask
another registered nurse to verify the calculation.
Which of the following nursing actions will reduce the risk of "wrong route"
when administering a medication?
a)Only splitting pills or tablets that have been prescored by the manufacturer.
b)Using an oral dosing syringe when administering oral liquid medication
, c)Transcribing a fractional dose of less than one with a leading zero (e.g.,
0.5mg)
d)Crushing an oral medication that is difficult to swallow. - ANSWER b)Using an
oral dosing syringe when administering oral liquid medication
What is the most appropriate way for the nurse to split an unscored tablet?
a) Use a pill splitting device to split the unscored pill in half
b)Ask the pharmacy if it is appropriate to split the pill and if so, ask them to split
and repackage it with the adjusted dose given on the label.
c)Use scissors to cut the pill in half
d) Administer a whole pill every other day instead of every day. - ANSWER b)Ask
the pharmacy if it is appropriate to split the pill and if so, ask them to split and
repackage it with the adjusted dose given on the label.
The nurse is preparing to apply a topical oil-based medication to a patient's
forearms. What should the nurse do to minimize the risk of contamination during
the application?
a)Encourage the patient to self-apply the medication.
b)Wear treatment gloves during the entire application process.
c)change gloves between prepping the skin and applying the medication.
d)Perform effective hand hygiene before and after applying the medication. -
ANSWER c)change gloves between prepping the skin and applying the
medication.
The nurse is preparing to administer several oral medications when the patient
says he would like to take his pills with orange juice. What is the nurse's best
response?
a)determine whether the patient's prescribed diet includes orange juice
b)Establish whether the medications may be taken with orange juice.
c)Ask the dietary aide to order extra orange juice for the unit.
d)Administer the pills with orange juice - ANSWER b)Establish whether the
medications may be taken with orange juice.
