1. Which of the following is of highest priority when obtaining a pharmacologic history from a patient?

A) Allergies B) Use of over-the-counter medications C) Home remedy use D) Alcohol intake The key to this question is the phrase of highest priority. Identification of allergies is of highest priority. Although the other answers are important, giving a patient a medication to which he or she is allergic can be life-threatening. Correct Answer(s): A 2. When administering medications to a patient, which action will the nurse perform? A) Switch the route of administration based on shortage in drug stock. B) Call the patient by name when entering the room in order to verify right person. C) Check the patients armband before administering the medication. D) Prepare medications for all patients first, then administer by room in order to manage time appropriately. Checking the patients armband is the most accurate method of determining identity. All the other answers leave room for error. Correct Answer(s): C 3. For which of the following activities is the nurse responsible during the evaluation phase of drug administration? A) Preparing and administering medications safely and as ordered B) Planning measurable outcomes for the patient related to drug therapy C) Monitoring the patient continuously for therapeutic as well as adverse effects D) Gathering data in a drug and dietary history Ongoing monitoring of the patient evaluates the effect of the drug on the patient. All the other answers refer to different steps in the nursing process. Correct Answer(s): C 4. The nurse is caring for Mrs. Smith, a 72-year-old woman. Assuming all of the following statements are true, which documented nursing note is appropriate? A) Mrs. Smiths roommate, Mrs. Jones, states that Mrs. Smith did not eat her meal after the insulin injection. B) Mrs. Smith received regular insulin 2u SQ at 0730 in the right lower abdomen.

C) Mrs. Smith accidentally received NPH insulin instead of the ordered regular insulin. D) Mrs. Smith received 4 units of regular insulin to treat a morning capillary blood glucose level of 210 mg/dL. The note, Mrs. Smith received 4 units of regular insulin to treat a morning capillary blood glucose level of 210 mg/dL, is the only statement that does not violate the Charting Donts noted in Chapter 1 of the textbook. The nurse should not chart other patients names because this is a violation in confidentiality. Abbreviations and terms such as by mistake, by accident, accidentally, unintentional, or miscalculated should also be avoided. correct Answer(s): D 5. The nurse should include which information when evaluating the outcome after a patients medication has been administered? A) Dose of medication administered B) Time medication administered C) Patient allergies to medications D) Medication effect on patient The effect of the medication on the patient is part of the evaluation process after a medication is administered. Correct Answer(s): D 6. The nurse has an order for administering a medication to her patient. Which providers have legal authority to prescribe medications for patients? (Select all that apply.) A) Physician B) Physical therapist C) Pharmacist D) Dentist E) Physician assistant F) Nurse practitioner The providers who have privileges to prescribe medications for patients include physicians, dentist, physician assistants, and nurse practitioners. The exact medications that can be prescribed by non-physicians may vary from state to state as well as the type of agreement for prescriptive authority. Correct Answer(s): A, D, E, F 7. The nurse should check a medication how many times prior to administration of a medication under the right drug part of the Six Rights? A) One time B) Three times

C) Five times D) Depends on the drug being administered The nurse should check the medication three times and confirm each time that the medication is the right drug prior to administration of the medication. Correct Answer(s): B 8. The nurse notes that a medication was scheduled to be administered at 0900. A medication error has occurred if the medication was administered at which time? A) 0800 B) 0830 C) 0900 D) 0930 Medications must be given no more than hour before or after the actual time specified in the prescribers orders. If the medication was administered at 0800 but had been scheduled for 0900, then a medication error has occurred. Correct Answer(s): A