Chapter 35: Researching and Preparing Medications
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. While providing care and medications to a number of clients during the shift, the nurse correctly recognizes
that which of the following clients has the greatest risk for an adverse drug reaction?
1. A 29-year-old man with a history of asthma
2. A 55-year-old man with a liver infection
3. A 41-year-old woman being treated for pneumonia
4. A 68-year-old woman with a cerebral vascular accident (CVA)
____ 2. While caring for a client who recently took a new anticonvulsant medication, the nurse correctly contacts the
physician immediately if the client reports which of the following?
1. A rash across the abdomen
2. Nausea
3. Itching across the chest and neck
4. Feeling short of breath
____ 3. The nurse is called to the room of a client who is receiving an IV antibiotic. The client is flushed, anxious,
and short of breath. Which should the nurse do first?
1. Determine the client’s blood pressure.
2. Contact the physician.
3. Listen to the client’s breath sounds.
4. Stop the IV infusion.
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____ 4. Which medication will require that the nurse open two separate layers of locks?
1. Codeine
2. Diazepam
3. Phenobarbital
4. Anabolic steroids
____ 5. The nurse is caring for a client who has been diagnosed with a severe, systemic fungal infection. Which route
of administration does the nurse anticipate the health-care provider will order?
1. Capsule
2. Ointment
3. IV
4. Inhalants
____ 6. The nurse is preparing to administer medication to treat a client’s irregular heartbeat. Which of the following
would require that the nurse withhold the medication?
1. High blood pressure
2. Low pulse
3. Distended abdomen
4. Liquid stools
____ 7. The nurse verifies the client, medication, dose, and route several times when preparing medications for
administration. These required safety checks occur:
1. At the beginning of each shift.
2. When the nurse removes the medication from the cart.
3. After documenting the medication on the medication administration record (MAR).
4. After placing the medication in the cup.
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____ 8. A physician has ordered 5 grains of aspirin. Aspirin is available in 300-mg tablets. How many tablets should
the nurse give?
1. 1
2. 2
3. 5
4. 6
____ 9. The nurse administers a liquid medication via the oral route. While documenting that the medication was
administered, the nurse realizes it was ordered to be administered via the parenteral route. Which action
should the nurse take?
1. Report it as a medication error.
2. Take no special action because a liquid medication can be administered either way.
3. Log it on the client’s chart and inform the health-care provider.
4. Document how medication was administered and give the next dose via the parenteral
route.
____ 10. A nurse has his or her license suspended for personally taking medications that were prescribed for clients.
This is an example of:
1. A medication error
2. Toxicity.
3. Drug diversion.
4. An adverse effect.
____ 11. The nurse is caring for a client who has been prescribed morphine to help manage postoperative pain. Which
of the following statements made by the nurse is true?
1. “This is classified in the same
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2. “You are more likely to become addictive to atropine than this medication.”
3. “This is a Schedule IV medication.”
4. “We must monitor your intake of this medication closely because it is highly addictive.”
____ 12. While being admitted to the unit, a client reports, “I’m allergic to Vicodin; it makes me sick to my stomach.”
Which is the best action for the nurse to take?
1. Record Vicodin under allergies, along with the client’s reported symptoms.
2. Inform the client this is not a true allergy.
3. Make a note on the chart that the client cannot take Vicodin.
4. Contact the physician to report the client’s allergies.
____ 13. While reviewing laboratory values, the student notes a client’s digoxin level is increased. Which of the
following actions should the nurse take regarding the client’s scheduled dose of digoxin?
1. The nurse should continue with digoxin until the physician changes the order.
2. The nurse should hold the client’s digoxin.
3. The nurse should continue with digoxin but notify the physician of the level.
4. The nurse should check the client’s pulse and blood pressure before administration.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 14. The nurse correctly recognizes that which of the following medications may cause toxicity? Select all that
apply.
1. Acetaminophen
2. Valproic acid
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3. Gentamicin
4. Penicillin
5. Metoprolol
____ 15. While caring for a client taking tetracycline, the nurse recognizes that teaching has been effective if the client
avoids which of the following? Select all that apply.
1. Milk
2. Grapefruit juice
3. Cranberry juice
4. Cottage cheese
5. Ice cream
____ 16. While reviewing new orders for client medications, the nurse recognizes that the order is complete if which of
the following is included? Select all that apply.
1. Name of the medication
2. Route of administration
3. Physician signature
4. Client name
5. Name of hospital or facility where medication was prescribed
____ 17. While preparing to provide medications, the nursing student correctly recognizes that which of the following
safety checks are part of the Six Rights of Medication Administration? Select all that apply.
1. Right dose
2. Right time
3. Right room
4. Right medication
5. Right documentation NURSINGTB.COM
____ 18. The nurse is reviewing medication orders for a client. Which routes would indicate medications that should be
administered by mouth? Select all that apply.
1. Sublingual route
2. Parenteral route
3. Mucosal route
4. Topical route
5. Buccal route
____ 19. The nurse is checking to be sure the medication that is being administered is correct. Which actions will help
the nurse determine this? Select all that apply.
1. Examine the size of the pill.
2. Examine the shape the pill.
3. Read the original prescriber’s order.
4. Ask the client to confirm his or her name.
5. Read the label on the medication and compare it with the MAR.
____ 20. The nursing instructor is teaching a student nurse appropriate medication administration procedure. Which
actions indicate that teaching has been successful? Select all that apply.
1. Prior to administration, the student asks the client “When is your birthday?”
2. While at the medication cart, the student opens the medication and places them in a
medicine cup.
3. The student reads the original prescriber’s orders to confirm route, dosage, and medication
prior to administration.
4. The student reads the client’s armband before administration.
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