Question 1
pts
The RN identifies which patient is most at risk for drug toxicity?
A 45-year-old patient with impaired renal function
A 50-year-old patient who has not voided in 12 hours
A 60-year-old patient who took medication on an empty stomach
A 40-year-old patient who has chronic constipation
Student Feedback: Review how medications are excreted from the body in Treas,
pages 781.
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 775-784, 781
Rationale: As kidneys are primary source of excretion for medications, patients with
decreased renal function are at risk for toxicity.
Question 2
pts
What is the RN’s initial action when reviewing a medication order that reads, “Colace,
30cc, by mouth every morning”?
Call the prescriber and ask them to rewrite the order.
Administer the medication to the patient as ordered.
Clarify the desired time with the ordering prescriber.
, Ask the charge nurse what time to administer the medication.
Student Feedback: Review the abbreviations that are dangerous in Treas, page 790
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 790
Rationale: The Joint Commission has a “Do Not Use” list of abbreviations, including “cc”
as unsafe.
Question 3
pts
Which serum drug level is obtained 30 minutes prior to administration of a drug?
Concentration of medication that produces desired effect without toxicity.
Highest concentration of medication in serum.
Lowest concentration of medication in serum.
Toxic concentration levels of the medication.
Student Feedback: Review peak and trough levels of drugs in Treas, page 782 and
Lehne’s pages 39 -40.
Reference: Burchum, J. R., & Rosenthal, L.D. (2019). Lehne’s pharmacology for nursing
care (10th ed.). St Louis, MO: Elsevier. Pg. 39-40
Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing: Thinking, doing,
and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 782
Rationale: The trough level is the lowest concentration of the medication.
Question 4
pts
Which medication order requires clarification with the prescribing physician?
pts
The RN identifies which patient is most at risk for drug toxicity?
A 45-year-old patient with impaired renal function
A 50-year-old patient who has not voided in 12 hours
A 60-year-old patient who took medication on an empty stomach
A 40-year-old patient who has chronic constipation
Student Feedback: Review how medications are excreted from the body in Treas,
pages 781.
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 775-784, 781
Rationale: As kidneys are primary source of excretion for medications, patients with
decreased renal function are at risk for toxicity.
Question 2
pts
What is the RN’s initial action when reviewing a medication order that reads, “Colace,
30cc, by mouth every morning”?
Call the prescriber and ask them to rewrite the order.
Administer the medication to the patient as ordered.
Clarify the desired time with the ordering prescriber.
, Ask the charge nurse what time to administer the medication.
Student Feedback: Review the abbreviations that are dangerous in Treas, page 790
Reference: Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing:
Thinking, doing, and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 790
Rationale: The Joint Commission has a “Do Not Use” list of abbreviations, including “cc”
as unsafe.
Question 3
pts
Which serum drug level is obtained 30 minutes prior to administration of a drug?
Concentration of medication that produces desired effect without toxicity.
Highest concentration of medication in serum.
Lowest concentration of medication in serum.
Toxic concentration levels of the medication.
Student Feedback: Review peak and trough levels of drugs in Treas, page 782 and
Lehne’s pages 39 -40.
Reference: Burchum, J. R., & Rosenthal, L.D. (2019). Lehne’s pharmacology for nursing
care (10th ed.). St Louis, MO: Elsevier. Pg. 39-40
Treas, L., Wilkinson, J., Barnett, K. & Smith, M. (2018). Basic nursing: Thinking, doing,
and caring (2nd ed). Philadelphia, PA: F.A. Davis. Pg. 782
Rationale: The trough level is the lowest concentration of the medication.
Question 4
pts
Which medication order requires clarification with the prescribing physician?
