2023;verified
A patient with a history of nighttime confusion is to receive several oral medications at
bedtime. What is the best way for the nurse to ensure that the patient has swallowed
the medication?
a. Administer each tablet individually.
b. Observe the patient closely as he swallows the tablets.
c. Ask the patient to open his mouth after swallowing each tablet.
d. Ask the patient to swallow a full glass of water with the tablets.
c. Ask the patient to open his mouth after swallowing each tablet.
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 medications without difficulty
d. Check the name of the medication three times against the medication administration
record
a. Compare the prescriber's order with the medication administration record before
dispensing the medication
What is the nurse's first step in preparing to administer a prescribed medication using
an automated medication dispensing system?
a. Establish the patient's ID using two identifiers
b. Review the medication administration record (MAR)
c. Provide patient education
d. Review applicable nursing considerations
b. Review the medication administration record (MAR)
How might the nurse safely administer an extended-release capsule to a patient with
dysphagia?
a. Encourage the patient to drink plenty of water when swallowing the capsule.
b. Open the capsule, and place the contents into 90 mL (3 fl. oz.) of juice.
c. Place the capsule in a spoonful of the patient's applesauce.
d. Save the capsule to be administered last.
c. Place the capsule in a spoonful of the patient's applesauce.
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.
d. Ask another registered nurse to verify the calculation.
As the nurse is administering medication to a patient, the patient states, "I've never
seen that pill before." What is the nurse's most appropriate response?
a. Reassure the patient that the pharmacy sent the right medication.
b. Tell the patient that it is probably a different brand than what he takes at home and
not to worry.
c. Tell the patient that you will review the physician's order to clarify any discrepancies.
d. Tell the patient that the doctor probably ordered a new medication.
c. Tell the patient that you will review the physician's order to clarify any discrepancies.
After requesting a narcotic pain medication, the patient refuses it after the nurse
prepares the injection. What is the nurse's best initial response?
a. Ask the patient the reason for his refusal
b. Notify the physician and asking for a different type of pain medication
c. Have another registered nurse witness the proper discarding of the drug
d. Explain to the patient the need to manage pain effectively
a. Ask the patient the reason for his refusal
While preparing a patient's oral medication dispensed from an automatic system, the
nurse realizes that the pill dispensed is twice the required dose. What is the nurse's best
response?
a. Notify the health care provider and ask if the higher dose could be given
b. Access the dispenser again for the appropriate dose
c. Notify the pharmacy to determine if the accurate dose is available
d. Splitting the pill in half
c. Notify the pharmacy to determine if the accurate dose is available
As the nurse prepares to administer oral acetaminophen, the patient refuses to accept
the drug because it doesn't look like the Tylenol she takes at home. After verifying that
the medication and dosage are correct, what is the nurse's best response?
a. Informing the patient that the medication is a form of Tylenol
b. Explaining that she will probably have increased pain if she refuses the medication
c. Showing the patient a picture of the medication
d. Explaining that drugs often come in different physical forms, depending on the
manufacturer
d. Explaining that drugs often come in different physical forms, depending on the
manufacturer
Which statement or question best illustrates the nurse's understanding of the role of
nursing assistive personnel (NAP) in using medication dispensing systems?
a. "Does the patient need her pain medication?"
b. "Let me know if she complains of any nausea."