HENRY FORD PHARM TEST QUESTIONS AND ANSWERS
6 rights of medication administration - CORRECT ANSWER✅✅✅Right drug
Right dose
Right patient
Right route
Right time
Right documentation
Right Drug - CORRECT ANSWER✅✅✅Proper identification of the ordered drug is required. Check
medication against the physicians order form. As a Registered Nurse, you have the responsibility before
administering any medication, to ensure that the dose and drug is appropriate for the patient. You also
have the responsibility to clarify orders, which are unclear or seem inappropriate for the clinical
condition of the patient.
Right Dose - CORRECT ANSWER✅✅✅The RN is responsible for checking the dosage of the drug,
doing the appropriate calculations or conversions, and knowing the usual dosage.
Right Patient - CORRECT ANSWER✅✅✅Proper identification of the patient is required before
medication is administered. HFHS acceptable method for confirming identification consists of checking
the patients first and last name and medical record number (MRN) on the identification band with the
name and MRN on the Medication Administration Record (MAR).
Right Route - CORRECT ANSWER✅✅✅Route of administration should be part of the physicians
order. The RN is responsible for preparing and administering medications correctly by consulting the
accompanying instructions from the pharmacy or drug company.
Right Time - CORRECT ANSWER✅✅✅The RN is responsible for administering medications according
to scheduled times if that is how the order is written. Instructing patients on the timing of self-
administered drugs at home is also an important function for nurses. Instruct using exact times such as
"take at 8:00 in the morning with food and 5:00 in the evening with food" rather than "take at meal
times" since meal times can vary with different cultural groups.
,Right Documentation - CORRECT ANSWER✅✅✅The RN is responsible for documenting the
administration of the prescribed medication with the information required in the appropriate location
such as the Medication Administration Record (MAR) within the Electronic Health Record.
In addition to the 6 rights there are some additional steps which include: - CORRECT
ANSWER✅✅✅Drug information
Patient information
Distraction
Communication
Patient education - CORRECT ANSWER✅✅✅-the names of medications and how to pronounce them
-what the medications do
-what they look like
-how and when medications should be taken
-possible side effects and food/drug interactions
Who may issue a verbal order? - CORRECT ANSWER✅✅✅-Licensed independent provider (MD, DO,
NP, or DDS)
-Other licensed healthcare professional (physician assistant) as a delegated act of a licensed
independent prescriber
When is a verbal order used? - CORRECT ANSWER✅✅✅-true emergencies
-when issuing a written or electronic order is no feasible (e.g. during sterile procedures)
Who is permitted to receive a verbal order? - CORRECT ANSWER✅✅✅Physician
Registered Nurse
Physician Assistant
Pharmacist
Respiratory Therapist
, Verbal orders are not to be used under any circumstances for the prescription of: - CORRECT
ANSWER✅✅✅antineoplastic agents
Only the following categories of medications are acceptable as range orders: - CORRECT
ANSWER✅✅✅Opioids and other analgesics
Antitussives
Antiemetics
Antihypertensive's
Antihistamines
Anxiolytics
Penicillin(s) - CORRECT ANSWER✅✅✅Amoxicillin, ampicillin, augmentin, nafcillin sodium, pipercillin
sodium, penicillin G (aqueous), penicillin VK, trimox, unasyn
Indications: penicillins are antibiotics used to treat many different types of infections, such as tonsillitis,
pneumonia, ear infections, bronchitis, urinary tract infections, gonorrhea, and infections of the skin, just
to name a few.
Serious Adverse Effects: Anaphylaxis, neutropenia, leukopenia, thrombocytopenia, hepatotoxicity
Nursing Considerations: Give with a full glass of water on empty stomach and do not give with acidic
fruit juice - it decompresses PCN
Patient Education:
-Seek emergency medical treatment if they experience signs and symptoms of an allergic reaction such
as: shortness of breath, hives, swelling of the lips, face or tongue, rash or fainting.
-Contact your physician if they experience severe or bloody diarrhea and abdominal cramping if being
discharged on penicillin.
-Penicillin may decrease the effectiveness of birth control pills and a second method of birth control
while taking penicillin may be necessary to ensure protecting unintentional pregnancy.
Tetracyclines - CORRECT ANSWER✅✅✅Doxycycline(vibramycin), Minocycline, and tetracycline
Indications: tetracyclines are antibiotics that are used for different types of bacterial infections including
urinary tract infections, acne, gonorrhea, and chlamydia
Serious Adverse Reactions: Neutropenia, thrombocytopenia, hepatotoxicity, superinfection, hemolytic
anemia, anaphylaxis.
6 rights of medication administration - CORRECT ANSWER✅✅✅Right drug
Right dose
Right patient
Right route
Right time
Right documentation
Right Drug - CORRECT ANSWER✅✅✅Proper identification of the ordered drug is required. Check
medication against the physicians order form. As a Registered Nurse, you have the responsibility before
administering any medication, to ensure that the dose and drug is appropriate for the patient. You also
have the responsibility to clarify orders, which are unclear or seem inappropriate for the clinical
condition of the patient.
Right Dose - CORRECT ANSWER✅✅✅The RN is responsible for checking the dosage of the drug,
doing the appropriate calculations or conversions, and knowing the usual dosage.
Right Patient - CORRECT ANSWER✅✅✅Proper identification of the patient is required before
medication is administered. HFHS acceptable method for confirming identification consists of checking
the patients first and last name and medical record number (MRN) on the identification band with the
name and MRN on the Medication Administration Record (MAR).
Right Route - CORRECT ANSWER✅✅✅Route of administration should be part of the physicians
order. The RN is responsible for preparing and administering medications correctly by consulting the
accompanying instructions from the pharmacy or drug company.
Right Time - CORRECT ANSWER✅✅✅The RN is responsible for administering medications according
to scheduled times if that is how the order is written. Instructing patients on the timing of self-
administered drugs at home is also an important function for nurses. Instruct using exact times such as
"take at 8:00 in the morning with food and 5:00 in the evening with food" rather than "take at meal
times" since meal times can vary with different cultural groups.
,Right Documentation - CORRECT ANSWER✅✅✅The RN is responsible for documenting the
administration of the prescribed medication with the information required in the appropriate location
such as the Medication Administration Record (MAR) within the Electronic Health Record.
In addition to the 6 rights there are some additional steps which include: - CORRECT
ANSWER✅✅✅Drug information
Patient information
Distraction
Communication
Patient education - CORRECT ANSWER✅✅✅-the names of medications and how to pronounce them
-what the medications do
-what they look like
-how and when medications should be taken
-possible side effects and food/drug interactions
Who may issue a verbal order? - CORRECT ANSWER✅✅✅-Licensed independent provider (MD, DO,
NP, or DDS)
-Other licensed healthcare professional (physician assistant) as a delegated act of a licensed
independent prescriber
When is a verbal order used? - CORRECT ANSWER✅✅✅-true emergencies
-when issuing a written or electronic order is no feasible (e.g. during sterile procedures)
Who is permitted to receive a verbal order? - CORRECT ANSWER✅✅✅Physician
Registered Nurse
Physician Assistant
Pharmacist
Respiratory Therapist
, Verbal orders are not to be used under any circumstances for the prescription of: - CORRECT
ANSWER✅✅✅antineoplastic agents
Only the following categories of medications are acceptable as range orders: - CORRECT
ANSWER✅✅✅Opioids and other analgesics
Antitussives
Antiemetics
Antihypertensive's
Antihistamines
Anxiolytics
Penicillin(s) - CORRECT ANSWER✅✅✅Amoxicillin, ampicillin, augmentin, nafcillin sodium, pipercillin
sodium, penicillin G (aqueous), penicillin VK, trimox, unasyn
Indications: penicillins are antibiotics used to treat many different types of infections, such as tonsillitis,
pneumonia, ear infections, bronchitis, urinary tract infections, gonorrhea, and infections of the skin, just
to name a few.
Serious Adverse Effects: Anaphylaxis, neutropenia, leukopenia, thrombocytopenia, hepatotoxicity
Nursing Considerations: Give with a full glass of water on empty stomach and do not give with acidic
fruit juice - it decompresses PCN
Patient Education:
-Seek emergency medical treatment if they experience signs and symptoms of an allergic reaction such
as: shortness of breath, hives, swelling of the lips, face or tongue, rash or fainting.
-Contact your physician if they experience severe or bloody diarrhea and abdominal cramping if being
discharged on penicillin.
-Penicillin may decrease the effectiveness of birth control pills and a second method of birth control
while taking penicillin may be necessary to ensure protecting unintentional pregnancy.
Tetracyclines - CORRECT ANSWER✅✅✅Doxycycline(vibramycin), Minocycline, and tetracycline
Indications: tetracyclines are antibiotics that are used for different types of bacterial infections including
urinary tract infections, acne, gonorrhea, and chlamydia
Serious Adverse Reactions: Neutropenia, thrombocytopenia, hepatotoxicity, superinfection, hemolytic
anemia, anaphylaxis.
