Test Bank for Drugs in American Society
Question and Answer (100% Coreect
answers)
The physician has ordered several medications for the patient. What does the nurse
recognize as responsibilities regarding administration of medications?
Standard Text: Select all that apply.
1. Knowing whether or not the medication is on the hospital formulary
2. Knowing the reason the medication was prescribed for this patient
3. Knowing how the medication is to be administered.
4. Knowing how the medication is supplied by the pharmacy
5. Knowing the name of the medication - answers ANS: 2, 3, 4, 5
The nurse is preparing medications prior to administration. To promote patient safety,
the nurse uses rights of drug administration. What do these rights include?
Standard Text: Select all that apply.
1. The right medication
2. The right time of delivery
3. The right dose
4. The right route of administration
5. The right patient - answers ANS: 1, 2, 3, 4, 5
The nurse uses the nursing process prior to administering any medications. Which step
will assure the best patient safety?
1. Assess the patients developmental level.
2. Assess the patients medical history.
3. Assess the patients disease process.
4. Assess the patients learning needs. - answers ANS: 2
The physician prescribes an oral medication for the patient. What is the primary nursing
assessment of the patient prior to receiving this medication?
1. The patients understanding of the medication
2. The patients ability to swallow
3. The patients allergies
4. The patients eyesight - answers ANS: 2
The physician ordered an intravenous medication for a patient with nausea. The patient
asks the nurse how it will help his nausea. What is the best response by the nurse?
,1. We have more intravenous drugs for nausea than we do oral drugs.
2. If you take an oral medication, you will just vomit it up.
3. This will work much faster for your nausea.
4. You cant have anything by mouth, so will receive the medication intravenously. -
answers ANS: 3
While in the hospital, the pediatric patient has been receiving amoxicillin 10 mL orally
bid, pc. The child will be going home on this medication. What is the best instruction by
the nurse for the parents?
1. Give 2 teaspoons by mouth, 3 times a day, on an empty stomach.
2. Give 2 teaspoons by mouth, twice a day, after meals.
3. Give 2 teaspoons by mouth, 3 times a day, after meals.
4. Give 2 teaspoons by mouth, twice a day, with meals. - answers ANS: 2
The nurse plans to administer heparin by drawing the heparin up in an appropriate
syringe, donning gloves, prepping the patients abdominal area, injecting the needle,
aspirating for blood, and injecting the medication. Which statement best describes the
nurses plan?
1. The nurse does not need to wear gloves.
2. The nurse should not aspirate for blood.
3. The nurse does not need to prep the skin.
4. The nurse performed the injection correctly. - answers ANS: 2
A patient has an increased reaction to a drug following a change in her dietary habits.
Which of the following changes would most likely be the cause?
1. Increased intake of grapefruit juice
2. Reduced intake of alcohol
3. Increased fiber intake
4. Reduced intake of citrus fruit - answers ANS: 1
A patient who recently returned from surgery is experiencing nausea. Which statement
best explains why this patient would benefit from IV medication administration?
1. The IV is already in place following the surgery.
2. IV medication administration should be avoided in patients with nausea.
3. Medications are more effective when given IV.
4. IV medications bypass the need for GI absorption. - answers ANS: 4
Which patients should the nurse be concerned about regarding nonadherence to
prescribed medication regimens?
Standard Text: Select all that apply.
,1. A 70-year-old hypertensive male patient who has a prescription for a diuretic and is
complaining that his medication is keeping him up all night
2. A 30-year-old college student who has a prescription for birth control pills and tells
the nurse she has had breakthrough bleeding this past cycle
3. A 45-year-old diabetic who has a prescription for insulin and whose blood sugar is
within the normal range
4. A 57-year-old day laborer who has a prescription for Lipitor for high cholesterol and a
prescription card for a free health clinic
5. An 18-year-old male with a prescription for an acne medication that must be taken 4
times a day - answers ANS: 1, 5
A patient admitted to the hospital tells the nurse she is very nervous about getting all
her medications while she is in the hospital because her health care provider has her on
a very strict schedule. Which principles describe how medication dosing schedules are
determined?
Standard Text: Select all that apply.
1. The physical and biologic characteristics of a drug may determine dosing schedule.
2. Specific times may improve effectiveness and decrease risk of adverse effects.
3. Some drugs must be taken a certain time prior to an event or immediately after an
event.
4. Dosing may be set for the convenience of patient and nurse.
5. Hospitals have routine dosing intervals so that all patients receive medications at the
same time each day. - answers ANS: 1, 2, 3, 4
A patient has been referred to an allergist for allergy testing. Which parenteral routes
would the nurse not expect to be used for the tests?
Standard Text: Select all that apply.
1. The intradermal (ID) route
2. The subcutaneous route
3. The intramuscular (IM) route
4. The intravenous (IV) route
5. The buccal route - answers ANS: 2, 3, 4, 5
The nurse is writing a nursing diagnosis for a plan of care for a pt who has been newly
diagnosed w/ type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as "I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars." - answers D
, The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was busy &
gave the med 2 hrs after the scheduled dose was due. What type of problem does this
represent?
a. right time
b. right dose
c. right route
d. right medication - answers A
The nurse has been monitoring the pt's progress on a new drug regimen since the first
dose & documenting the pt's therapeutic response to the medication. Which phase of
the nursing process do these actions illustrate?
a. nursing diagnosis
b. planning
c. implementation
d. evaluation - answers D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique - answers D
Which activity best reflects the implementation phase of the nursing process for the pt
who is newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new treatment
regimen - answers A
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds - answers C
When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies - answers C
Question and Answer (100% Coreect
answers)
The physician has ordered several medications for the patient. What does the nurse
recognize as responsibilities regarding administration of medications?
Standard Text: Select all that apply.
1. Knowing whether or not the medication is on the hospital formulary
2. Knowing the reason the medication was prescribed for this patient
3. Knowing how the medication is to be administered.
4. Knowing how the medication is supplied by the pharmacy
5. Knowing the name of the medication - answers ANS: 2, 3, 4, 5
The nurse is preparing medications prior to administration. To promote patient safety,
the nurse uses rights of drug administration. What do these rights include?
Standard Text: Select all that apply.
1. The right medication
2. The right time of delivery
3. The right dose
4. The right route of administration
5. The right patient - answers ANS: 1, 2, 3, 4, 5
The nurse uses the nursing process prior to administering any medications. Which step
will assure the best patient safety?
1. Assess the patients developmental level.
2. Assess the patients medical history.
3. Assess the patients disease process.
4. Assess the patients learning needs. - answers ANS: 2
The physician prescribes an oral medication for the patient. What is the primary nursing
assessment of the patient prior to receiving this medication?
1. The patients understanding of the medication
2. The patients ability to swallow
3. The patients allergies
4. The patients eyesight - answers ANS: 2
The physician ordered an intravenous medication for a patient with nausea. The patient
asks the nurse how it will help his nausea. What is the best response by the nurse?
,1. We have more intravenous drugs for nausea than we do oral drugs.
2. If you take an oral medication, you will just vomit it up.
3. This will work much faster for your nausea.
4. You cant have anything by mouth, so will receive the medication intravenously. -
answers ANS: 3
While in the hospital, the pediatric patient has been receiving amoxicillin 10 mL orally
bid, pc. The child will be going home on this medication. What is the best instruction by
the nurse for the parents?
1. Give 2 teaspoons by mouth, 3 times a day, on an empty stomach.
2. Give 2 teaspoons by mouth, twice a day, after meals.
3. Give 2 teaspoons by mouth, 3 times a day, after meals.
4. Give 2 teaspoons by mouth, twice a day, with meals. - answers ANS: 2
The nurse plans to administer heparin by drawing the heparin up in an appropriate
syringe, donning gloves, prepping the patients abdominal area, injecting the needle,
aspirating for blood, and injecting the medication. Which statement best describes the
nurses plan?
1. The nurse does not need to wear gloves.
2. The nurse should not aspirate for blood.
3. The nurse does not need to prep the skin.
4. The nurse performed the injection correctly. - answers ANS: 2
A patient has an increased reaction to a drug following a change in her dietary habits.
Which of the following changes would most likely be the cause?
1. Increased intake of grapefruit juice
2. Reduced intake of alcohol
3. Increased fiber intake
4. Reduced intake of citrus fruit - answers ANS: 1
A patient who recently returned from surgery is experiencing nausea. Which statement
best explains why this patient would benefit from IV medication administration?
1. The IV is already in place following the surgery.
2. IV medication administration should be avoided in patients with nausea.
3. Medications are more effective when given IV.
4. IV medications bypass the need for GI absorption. - answers ANS: 4
Which patients should the nurse be concerned about regarding nonadherence to
prescribed medication regimens?
Standard Text: Select all that apply.
,1. A 70-year-old hypertensive male patient who has a prescription for a diuretic and is
complaining that his medication is keeping him up all night
2. A 30-year-old college student who has a prescription for birth control pills and tells
the nurse she has had breakthrough bleeding this past cycle
3. A 45-year-old diabetic who has a prescription for insulin and whose blood sugar is
within the normal range
4. A 57-year-old day laborer who has a prescription for Lipitor for high cholesterol and a
prescription card for a free health clinic
5. An 18-year-old male with a prescription for an acne medication that must be taken 4
times a day - answers ANS: 1, 5
A patient admitted to the hospital tells the nurse she is very nervous about getting all
her medications while she is in the hospital because her health care provider has her on
a very strict schedule. Which principles describe how medication dosing schedules are
determined?
Standard Text: Select all that apply.
1. The physical and biologic characteristics of a drug may determine dosing schedule.
2. Specific times may improve effectiveness and decrease risk of adverse effects.
3. Some drugs must be taken a certain time prior to an event or immediately after an
event.
4. Dosing may be set for the convenience of patient and nurse.
5. Hospitals have routine dosing intervals so that all patients receive medications at the
same time each day. - answers ANS: 1, 2, 3, 4
A patient has been referred to an allergist for allergy testing. Which parenteral routes
would the nurse not expect to be used for the tests?
Standard Text: Select all that apply.
1. The intradermal (ID) route
2. The subcutaneous route
3. The intramuscular (IM) route
4. The intravenous (IV) route
5. The buccal route - answers ANS: 2, 3, 4, 5
The nurse is writing a nursing diagnosis for a plan of care for a pt who has been newly
diagnosed w/ type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. anxiety
b. anxiety related to new drug therapy
c. anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as "I'm upset about having to test my blood sugars."
d. anxiety related to new drug therapy, as evidenced by statements such as "I'm upset
about having to test my blood sugars." - answers D
, The pt is to receive oral guaifenesin (Mucinex) 2x a day. Today, the nurse was busy &
gave the med 2 hrs after the scheduled dose was due. What type of problem does this
represent?
a. right time
b. right dose
c. right route
d. right medication - answers A
The nurse has been monitoring the pt's progress on a new drug regimen since the first
dose & documenting the pt's therapeutic response to the medication. Which phase of
the nursing process do these actions illustrate?
a. nursing diagnosis
b. planning
c. implementation
d. evaluation - answers D
The nurse is assigned to a pt who is newly diagnosed w/ type 1 diabetes mellitus.
Which statement best illustrates an outcome criterion for this pt?
a. the pt will follow instructions
b. the pt will not experience complications
c. the pt will adhere to the new insulin treatment regimen
d. the pt will demonstrate correct blood glucose testing technique - answers D
Which activity best reflects the implementation phase of the nursing process for the pt
who is newly diagnosed w/ HTN?
a. providing education on keeping a journal of BP readings
b. setting goals & outcome criteria w/ the pt's input
c. recording a drug history regarding OTC medications used at home
d. formulating nursing diagnoses regarding deficient knowledge r/t the new treatment
regimen - answers A
The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 mins before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. give the medication intravenously b/c the pt might vomit
b. give the medication orally b/c the tablet are available in 4 mg doses
c. contact the prescriber to clarify the route of the medication ordered
d. hold the medication until the prescriber returns to make rounds - answers C
When the nurse considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. the pt's ability to swallow
b. the pt's height
c. the pt's last meal
d. the pt's allergies - answers C
