Pharmacology Final Exam (Exam 2
Practice) Questions and Answers
7 components of a medication order? - ANSWER-patients name, date, dosage,
route, medication, time, and signature
(indication if PRN and may use MR number as well)
Who can write an order? - ANSWER-MD, NP, nurse midwife, PA, pharmacist,
CRNA, DO (all per state and facility policy)
Written, verbal, telephone, and protocols are all types of? - ANSWER-medication
orders
When you receive a telephone or verbal order it must be? - ANSWER-read back
Verbal orders are mostly reserved for ______________ because of their high risk of
causing a medication error. - ANSWER-emergencies
The practice of repeating back an order that is given verbally in person or over the
phone. It is done to ensure accuracy? - ANSWER-read back verbal order
Prescriptions to be administered as ordered until discontinued (BID, TID, QD) -
ANSWER-Routine
Prescriptions to administer one dose and then discontinue? - ANSWER-One time
only
Prescription to administer immediately? - ANSWER-stat
Prescription to administer within 15 minutes? - ANSWER-now
Prescription to administer as needed within the time interval given. Needs to have an
indication stated in order. - ANSWER-PRN
Morphine 10mg IM X 1 at 0800. This is called a ______________ order. - ANSWER-
Single
This process occurs when an order is transferred from the medical record to the
MAR by the unit clerk or nurse. The role of the RN is to check MAR against
medication order in chart to assure accuracy. Once completed the nurse puts the
date, time and initials on the order.
**should always note allergies against a new order - ANSWER-Transcription
, Special information we must know in planning and preparation of insulin? -
ANSWER-onset, peak, and duration
Plan to administer a medication within _______ hour of scheduled administration
time; but known this specific time frame will be set by individual facility policies. -
ANSWER-30 minutes
Controlled substances may include: - ANSWER-opioids, anti seizure medications,
and anti anxiety medications
True or False. If the formulary does not have a needed medication it is possible to
bring in your own medication from home and self administer once their has been an
order and it is checked by the pharmacist? - ANSWER-True
If too much of a controlled substance is left over the nurse must? - ANSWER-waste
the medication with a witness
Controlled substances are typically counted? - ANSWER-every shift
Medications that have a high abuse potential with laws and regulations to monitor
the use of these medications are known as? - ANSWER-controlled substances
When preparing meds and removing them from the drawer it is important to check: -
ANSWER-expiration date and the five rights against the MAR
Medication preparation requires three checks which are: - ANSWER-against the
MAR before preparing medication, against the MAR after preparing the medication,
and at the bedside
If we have more than _______ of any drug want to question the dosage? -
ANSWER-3
The five rights of medication administration: - ANSWER-right drug, right dose, right
route, right time, right patient (others: right documentation, right education)
For the right drug you want to look at two things in particular besides knowing the
indication and nursing considerations. These are? - ANSWER-comparing the drug to
the MAR three times and the expiration date
High alert medications like heparin, insulin, and dioxin require? - ANSWER-
Verification by another nurse
If a change in the route of administration is needed what must be obtained first? -
ANSWER-a new order
Before administering any PRN drug you must know? - ANSWER-the last time of
administration
Practice) Questions and Answers
7 components of a medication order? - ANSWER-patients name, date, dosage,
route, medication, time, and signature
(indication if PRN and may use MR number as well)
Who can write an order? - ANSWER-MD, NP, nurse midwife, PA, pharmacist,
CRNA, DO (all per state and facility policy)
Written, verbal, telephone, and protocols are all types of? - ANSWER-medication
orders
When you receive a telephone or verbal order it must be? - ANSWER-read back
Verbal orders are mostly reserved for ______________ because of their high risk of
causing a medication error. - ANSWER-emergencies
The practice of repeating back an order that is given verbally in person or over the
phone. It is done to ensure accuracy? - ANSWER-read back verbal order
Prescriptions to be administered as ordered until discontinued (BID, TID, QD) -
ANSWER-Routine
Prescriptions to administer one dose and then discontinue? - ANSWER-One time
only
Prescription to administer immediately? - ANSWER-stat
Prescription to administer within 15 minutes? - ANSWER-now
Prescription to administer as needed within the time interval given. Needs to have an
indication stated in order. - ANSWER-PRN
Morphine 10mg IM X 1 at 0800. This is called a ______________ order. - ANSWER-
Single
This process occurs when an order is transferred from the medical record to the
MAR by the unit clerk or nurse. The role of the RN is to check MAR against
medication order in chart to assure accuracy. Once completed the nurse puts the
date, time and initials on the order.
**should always note allergies against a new order - ANSWER-Transcription
, Special information we must know in planning and preparation of insulin? -
ANSWER-onset, peak, and duration
Plan to administer a medication within _______ hour of scheduled administration
time; but known this specific time frame will be set by individual facility policies. -
ANSWER-30 minutes
Controlled substances may include: - ANSWER-opioids, anti seizure medications,
and anti anxiety medications
True or False. If the formulary does not have a needed medication it is possible to
bring in your own medication from home and self administer once their has been an
order and it is checked by the pharmacist? - ANSWER-True
If too much of a controlled substance is left over the nurse must? - ANSWER-waste
the medication with a witness
Controlled substances are typically counted? - ANSWER-every shift
Medications that have a high abuse potential with laws and regulations to monitor
the use of these medications are known as? - ANSWER-controlled substances
When preparing meds and removing them from the drawer it is important to check: -
ANSWER-expiration date and the five rights against the MAR
Medication preparation requires three checks which are: - ANSWER-against the
MAR before preparing medication, against the MAR after preparing the medication,
and at the bedside
If we have more than _______ of any drug want to question the dosage? -
ANSWER-3
The five rights of medication administration: - ANSWER-right drug, right dose, right
route, right time, right patient (others: right documentation, right education)
For the right drug you want to look at two things in particular besides knowing the
indication and nursing considerations. These are? - ANSWER-comparing the drug to
the MAR three times and the expiration date
High alert medications like heparin, insulin, and dioxin require? - ANSWER-
Verification by another nurse
If a change in the route of administration is needed what must be obtained first? -
ANSWER-a new order
Before administering any PRN drug you must know? - ANSWER-the last time of
administration
