Rights of Medication Administration Nursing Quiz (NCLEX EXAM 2022)

1. During medication administration how can the nurse properly confirm he or she has the right patient? A. Ask the patient to state their last name and compared this to the patient’s ID arm band. B. Ask the patient to state their full name and compare this information to the medication administration record and the patient’s ID arm band. C. Ask the patient to state their full name along with their date of birth and compare this information to the medication administration record and the patient’s ID arm band. D. Ask the patient to state their full name and compare this to the patient’s ID arm band. The answer is C. To confirm you have the right patient the nurse needs to use at least two patient identifiers. Full name and birthday is sufficient. 2. The nurse notes in the MAR that the patient was ordered to take Acetazolamide 500 mg. The nurse checks the medication packaging on hand and finds it contains Acetohexamide 500 mg. The nurse is assessing which “Rights of Medication Administration”, and what should be the next nursing action? A. Right Route and Right Dosage; hold dose and notify pharmacy B. Right Dosage and Right Time; administer the medication on hand C. Right Medication and Right Dosage; hold dose and notify pharmacy D. Right Medication and Right Dosage; administer the medication on hand The answer is C. The nurse checked the Right Medication and Right Dosage. Due to this safety check of the medication administration rights, the nurse should note that the medication on hand is not the same medication ordered. The medication names are very similar: acetaZOLAMIDE (diuretic) acetoHEXAMIDE (treats diabetes and helps lower blood glucose)