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Chapter 7: Principles of Medication Administration and Medication Safety
Test Bank
MULTIPLE CHOICE
1. Where would the procedures and treatments directed by the health care provider be found?
a. Summary sheet
b. Physician’s order form
c. Physician’s progress notes
d. History and physical examination form
ANS: B
The physician’s order form contains all procedures and treatments ordered by the health care
provider. A summary sheet provides a brief overview of the hospital course at discharge.
Physician’s progress notes provide regular observations on the patient’s course of treatment
and response. A history and physical examination form provides information about baseline
information from the patient.
m
DIF: Cognitive Level: Knowledge REF: p. 80 OBJ: 2
er as
TOP: Nursing Process Step: Assessment
co
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
eH w
2. Which action will the nurse take when it is determined that the narcotic count is incorrect
o.
rs e
while obtaining a medication from the narcotic area?
a. Determine the cause of the discrepancy at the end of the shift.
ou urc
b. Notify the health care provider stat.
c. Call the nurse from the previous shift to determine if there was a discrepancy
earlier.
o
d. Report the discrepancy to the charge nurse immediately.
aC s
vi y re
ANS: D
Reporting the discrepancy to the charge nurse immediately enables the supervisory staff to
narrow the time frame during which a medication was taken and not documented. The
discrepancy needs to be addressed immediately, and therefore determining the cause of the
ed d
discrepancy at the end of the shift is not the most appropriate action for the nurse to take. It is
ar stu
not appropriate to contact the health care provider for an incorrect narcotic count. The count
would have been verified at shift change; calling the nurse from the previous shift is not an
appropriate action for the nurse to take.
is
DIF: Cognitive Level: Analysis REF: p. 95 OBJ: 3
Th
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
3. Which action will the nurse take if a dosage is unclear on a health care provider’s order?
sh
a. Ask the patient what dosage was given in the past.
b. Ask another physician to determine the correct dosage.
c. Tell the patient that the medication will not be given.
d. Contact the health care provider to verify the correct dosage.
ANS: D
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Any questionable orders should be verified by the health care provider who wrote the orders.
The patient is not a reliable source of verification. The physician who wrote the order should
verify it. It would be a medication error to withhold the dose instead of verifying it.
DIF: Cognitive Level: Application REF: p. 99 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
4. What is the most reliable method to calculate a pediatric patient’s medication dosage?
a. Age
b. Height
c. Body surface area (BSA)
d. Placement on a growth scale
ANS: C
The most reliable method is by proportional amount of BSA or body weight. Because of the
differences in weight among children, age is not a reliable method. Because of the differences
in height among children, this is not a reliable method. Placement on a growth scale identifies
how the child corresponds to other children on a percentile. Although it is determined by a
m
specific measurement, the percentile identified would not be a specific measurement;
er as
therefore, this is not a reliable method.
co
eH w
DIF: Cognitive Level: Comprehension REF: p. 101 OBJ: 10
TOP: Nursing Process Step: Assessment
o.
MSC: NCLEX Client Needs Category: Physiological Integrity
rs e
ou urc
5. Which medication route provides the most rapid onset of a medication, but also poses the
greatest risk of adverse effects?
a. Intradermal
o
b. Subcutaneous (subcut)
aC s
c. Intramuscular (IM)
vi y re
d. Intravenous (IV)
ANS: D
IV medications are delivered directly into the bloodstream and avoid the “first pass” effect of
ed d
the liver. Intradermal, subcut, and IM administration have a slower absorption rate.
ar stu
DIF: Cognitive Level: Knowledge REF: p. 102 OBJ: 10
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
is
6. Which is known as the “fifth vital sign”?
Th
a. Temperature
b. Respirations
c. Pain
sh
d. Pulse
ANS: C
Pain is known as the “fifth vital sign.”
DIF: Cognitive Level: Knowledge REF: p. 86 OBJ: 2
TOP: Nursing Process Step: Assessment
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Chapter 7: Principles of Medication Administration and Medication Safety
Test Bank
MULTIPLE CHOICE
1. Where would the procedures and treatments directed by the health care provider be found?
a. Summary sheet
b. Physician’s order form
c. Physician’s progress notes
d. History and physical examination form
ANS: B
The physician’s order form contains all procedures and treatments ordered by the health care
provider. A summary sheet provides a brief overview of the hospital course at discharge.
Physician’s progress notes provide regular observations on the patient’s course of treatment
and response. A history and physical examination form provides information about baseline
information from the patient.
m
DIF: Cognitive Level: Knowledge REF: p. 80 OBJ: 2
er as
TOP: Nursing Process Step: Assessment
co
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
eH w
2. Which action will the nurse take when it is determined that the narcotic count is incorrect
o.
rs e
while obtaining a medication from the narcotic area?
a. Determine the cause of the discrepancy at the end of the shift.
ou urc
b. Notify the health care provider stat.
c. Call the nurse from the previous shift to determine if there was a discrepancy
earlier.
o
d. Report the discrepancy to the charge nurse immediately.
aC s
vi y re
ANS: D
Reporting the discrepancy to the charge nurse immediately enables the supervisory staff to
narrow the time frame during which a medication was taken and not documented. The
discrepancy needs to be addressed immediately, and therefore determining the cause of the
ed d
discrepancy at the end of the shift is not the most appropriate action for the nurse to take. It is
ar stu
not appropriate to contact the health care provider for an incorrect narcotic count. The count
would have been verified at shift change; calling the nurse from the previous shift is not an
appropriate action for the nurse to take.
is
DIF: Cognitive Level: Analysis REF: p. 95 OBJ: 3
Th
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
3. Which action will the nurse take if a dosage is unclear on a health care provider’s order?
sh
a. Ask the patient what dosage was given in the past.
b. Ask another physician to determine the correct dosage.
c. Tell the patient that the medication will not be given.
d. Contact the health care provider to verify the correct dosage.
ANS: D
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:31:15 GMT -05:00
https://www.coursehero.com/file/8889655/CH-7-Principles-of-Medication-Administration-and-Medication-Saftey/
Downloaded by: Sophiie |
Distribution of this document is illegal
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Any questionable orders should be verified by the health care provider who wrote the orders.
The patient is not a reliable source of verification. The physician who wrote the order should
verify it. It would be a medication error to withhold the dose instead of verifying it.
DIF: Cognitive Level: Application REF: p. 99 OBJ: 5
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
4. What is the most reliable method to calculate a pediatric patient’s medication dosage?
a. Age
b. Height
c. Body surface area (BSA)
d. Placement on a growth scale
ANS: C
The most reliable method is by proportional amount of BSA or body weight. Because of the
differences in weight among children, age is not a reliable method. Because of the differences
in height among children, this is not a reliable method. Placement on a growth scale identifies
how the child corresponds to other children on a percentile. Although it is determined by a
m
specific measurement, the percentile identified would not be a specific measurement;
er as
therefore, this is not a reliable method.
co
eH w
DIF: Cognitive Level: Comprehension REF: p. 101 OBJ: 10
TOP: Nursing Process Step: Assessment
o.
MSC: NCLEX Client Needs Category: Physiological Integrity
rs e
ou urc
5. Which medication route provides the most rapid onset of a medication, but also poses the
greatest risk of adverse effects?
a. Intradermal
o
b. Subcutaneous (subcut)
aC s
c. Intramuscular (IM)
vi y re
d. Intravenous (IV)
ANS: D
IV medications are delivered directly into the bloodstream and avoid the “first pass” effect of
ed d
the liver. Intradermal, subcut, and IM administration have a slower absorption rate.
ar stu
DIF: Cognitive Level: Knowledge REF: p. 102 OBJ: 10
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
is
6. Which is known as the “fifth vital sign”?
Th
a. Temperature
b. Respirations
c. Pain
sh
d. Pulse
ANS: C
Pain is known as the “fifth vital sign.”
DIF: Cognitive Level: Knowledge REF: p. 86 OBJ: 2
TOP: Nursing Process Step: Assessment
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 14:31:15 GMT -05:00
https://www.coursehero.com/file/8889655/CH-7-Principles-of-Medication-Administration-and-Medication-Saftey/
Downloaded by: Sophiie |
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