NURS 1090 Exam 4 questions and
answers graded A+ updated
what is a nurses role in regards to medication? - correct answer ✔✔nurses play an important
role in safe medication preparation, administration and evaluation
what are the different medication legislation and standards? - correct answer ✔✔-federal
-state and local
-health care institutions
-nurse practice acts
how many deaths occur per year from medication errors? - correct answer ✔✔7000 deaths/
year
how many people are injured a year by medication error? - correct answer ✔✔1.3 million
persons/ year
how many medication errors could be avoided a year? - correct answer ✔✔most, if not all could
be preventable
what groups carefully monitor safe medication practices? - correct answer ✔✔-the joint
commission (TJC)
-Agency for health research and quality (AHRQ)
-Institue for safe medication practices (ISMP)
-institue of medicine (IOM)
,why, according to the american hospital association, lists one of the most common types of
medication errors as miscommunication? - correct answer ✔✔-poor handwriting
-misuse of zeros/ decimal points
-confusion of metric dosing/ conversions
-inappropriate abbreviations
what is the joint commissions mission? - correct answer ✔✔to continuously improve health
care for the public, in collaboration with other stakeholders, by evaluating health care
organizations and inspiring them to excel in providing safe and effective care of the highest
quality and value.
what is the vision statement of the joint commission? - correct answer ✔✔all people always
experience the safest, highest quality, best-value health care across all settings
what are the 5 hospital goals as established by the joint commissions national patient safety
goals? - correct answer ✔✔• Communicate Effectively
• Use alarms safely
• Prevent infection
• Identify patient safety risks
• Prevent mistakes in surgery
slides 12-14, 42, 43, 57-60, 78-86 - correct answer ✔✔
what are sentinel events as listed by the joint commission? - correct answer ✔✔• A sentinel
event is an unexpected occurrence involving death or serious physical or psychological injury, or
the risk thereof.
• Such events are called "sentinel" because they signal the need for immediate investigation
and response
,what are never events? - correct answer ✔✔sometimes called this because if never should have
happened
what is the nursing responsibility? - correct answer ✔✔• Know patient's diagnosis(es)
• Understand drug's action and it's side effects
• Know why THIS patient is receiving THIS medication
• Monitor (evaluate) patient's response to the medication
• Provide education to the patient and family about medication
• Help patient (or caregiver) administer drugs correctly and knowledgeably
when do we need to inform a physician or prescriber? - correct answer ✔✔• The medications
are effective
• The medications are ineffective
• The medications are no longer necessary
• The patient's condition changes
what are the 8 patient rights? - correct answer ✔✔• Be informed of the drug name, purpose,
action and potential undesirable effects
• Right to refuse a medication, regardless of consequence
• Have qualified nurses or physicians assess a drug history, including allergies
• Be properly advised of the experimental nature of a drug therapy and give written consent for
its use
• Receive labeled medications safely without discomfort in accordance with the "six" rights of
medication administration
• Receive appropriate supportive therapy in relation to drug therapy
• Not receive unnecessary medications
• Be informed if medications are a part of a research study
, what are the 17 steps to take to prevent medication error? - correct answer ✔✔• Prepare meds
for one patient at a time
• Follow 6 rights
• Read labels at least three (3) times while preparing med
• Review allergies
• Use at least two (2) patient identifiers
• Do not allow any other activity interrupt preparation or administration of medication
• Double check all calculations and other high-risk medication administration processes with
another nurse
• Do not interpret illegible handwriting; clarify with prescriber
• Question unusually large or small doses
• Document administration immediately
• Ensure you are well rested when caring for patients
• Involve patient with med administration
• Address patient's concerns about medications before administering
• Follow established policies and procedures when using technology to administer meds
• If you make a medication error, reflect what went wrong and how you could have prevented
the error
• Evaluate the context or situation in which a medication error occurred
• Report the medication error following facility protocol
what are the different forms of technology that administer meds? - correct answer ✔✔-bar
coding
-automated dispensing systems
what does a nurse do when a medication error occurs? - correct answer ✔✔• Patient's safety
and well-being are most important
• The nurse will ASSESS the patient
answers graded A+ updated
what is a nurses role in regards to medication? - correct answer ✔✔nurses play an important
role in safe medication preparation, administration and evaluation
what are the different medication legislation and standards? - correct answer ✔✔-federal
-state and local
-health care institutions
-nurse practice acts
how many deaths occur per year from medication errors? - correct answer ✔✔7000 deaths/
year
how many people are injured a year by medication error? - correct answer ✔✔1.3 million
persons/ year
how many medication errors could be avoided a year? - correct answer ✔✔most, if not all could
be preventable
what groups carefully monitor safe medication practices? - correct answer ✔✔-the joint
commission (TJC)
-Agency for health research and quality (AHRQ)
-Institue for safe medication practices (ISMP)
-institue of medicine (IOM)
,why, according to the american hospital association, lists one of the most common types of
medication errors as miscommunication? - correct answer ✔✔-poor handwriting
-misuse of zeros/ decimal points
-confusion of metric dosing/ conversions
-inappropriate abbreviations
what is the joint commissions mission? - correct answer ✔✔to continuously improve health
care for the public, in collaboration with other stakeholders, by evaluating health care
organizations and inspiring them to excel in providing safe and effective care of the highest
quality and value.
what is the vision statement of the joint commission? - correct answer ✔✔all people always
experience the safest, highest quality, best-value health care across all settings
what are the 5 hospital goals as established by the joint commissions national patient safety
goals? - correct answer ✔✔• Communicate Effectively
• Use alarms safely
• Prevent infection
• Identify patient safety risks
• Prevent mistakes in surgery
slides 12-14, 42, 43, 57-60, 78-86 - correct answer ✔✔
what are sentinel events as listed by the joint commission? - correct answer ✔✔• A sentinel
event is an unexpected occurrence involving death or serious physical or psychological injury, or
the risk thereof.
• Such events are called "sentinel" because they signal the need for immediate investigation
and response
,what are never events? - correct answer ✔✔sometimes called this because if never should have
happened
what is the nursing responsibility? - correct answer ✔✔• Know patient's diagnosis(es)
• Understand drug's action and it's side effects
• Know why THIS patient is receiving THIS medication
• Monitor (evaluate) patient's response to the medication
• Provide education to the patient and family about medication
• Help patient (or caregiver) administer drugs correctly and knowledgeably
when do we need to inform a physician or prescriber? - correct answer ✔✔• The medications
are effective
• The medications are ineffective
• The medications are no longer necessary
• The patient's condition changes
what are the 8 patient rights? - correct answer ✔✔• Be informed of the drug name, purpose,
action and potential undesirable effects
• Right to refuse a medication, regardless of consequence
• Have qualified nurses or physicians assess a drug history, including allergies
• Be properly advised of the experimental nature of a drug therapy and give written consent for
its use
• Receive labeled medications safely without discomfort in accordance with the "six" rights of
medication administration
• Receive appropriate supportive therapy in relation to drug therapy
• Not receive unnecessary medications
• Be informed if medications are a part of a research study
, what are the 17 steps to take to prevent medication error? - correct answer ✔✔• Prepare meds
for one patient at a time
• Follow 6 rights
• Read labels at least three (3) times while preparing med
• Review allergies
• Use at least two (2) patient identifiers
• Do not allow any other activity interrupt preparation or administration of medication
• Double check all calculations and other high-risk medication administration processes with
another nurse
• Do not interpret illegible handwriting; clarify with prescriber
• Question unusually large or small doses
• Document administration immediately
• Ensure you are well rested when caring for patients
• Involve patient with med administration
• Address patient's concerns about medications before administering
• Follow established policies and procedures when using technology to administer meds
• If you make a medication error, reflect what went wrong and how you could have prevented
the error
• Evaluate the context or situation in which a medication error occurred
• Report the medication error following facility protocol
what are the different forms of technology that administer meds? - correct answer ✔✔-bar
coding
-automated dispensing systems
what does a nurse do when a medication error occurs? - correct answer ✔✔• Patient's safety
and well-being are most important
• The nurse will ASSESS the patient
