Question 1

You are about to administer an oral dose of medication to a client.To be cautious about the proper administration of medications,you would

Accepted Answer

A)  call the client by his or her name,and if the client responds,administer the medication. 
B)  ask the visitor at the bedside to confirm the client's name. 
C)  rely on the taped band at the foot of the client's bed to confirm the client's identity. 
D)  ask the client to state his or her name and date of birth. 
A)  call the client by his or her name,and if the client responds,administer the medication. 
B)  ask the visitor at the bedside to confirm the client's name. 
C)  rely on the taped band at the foot of the client's bed to confirm the client's identity. 
D)  ask the client to state his or her name and date of birth. D

Question 2

The nurse administered to an adult male hospitalized client a medication intended for his roommate.The most precise terms that applies to this event is which of the following?

Accepted Answer

A)  Adverse drug event 
B)  Medical error 
C)  Malpractice 
D)  Medication error 
A)  Adverse drug event 
B)  Medical error 
C)  Malpractice 
D)  Medication error D

Question 3

A 78-year-old client has been admitted after an unsuccessful suicide attempt.You have just brought her the first dose of an antidepressant.Which of the following would be the most appropriate regarding handling this client's medications?

Accepted Answer

A)  Allow her to refuse her medications 
B)  Persuade her that these medications are necessary 
C)  Remain with her until all medications are swallowed 
D)  Approach her with firmness and authority 
A)  Allow her to refuse her medications 
B)  Persuade her that these medications are necessary 
C)  Remain with her until all medications are swallowed 
D)  Approach her with firmness and authority C

Question 4

Which of the following is a primary benefit to the use of computerized physician order entry for client medications?

Accepted Answer

A)  Reduces time that administering medications takes 
B)  Eliminates the need to chart medications given 
C)  Prevents prescribing and transcription errors 
D)  Helps keep number of medications ordered to a minimum 
A)  Reduces time that administering medications takes 
B)  Eliminates the need to chart medications given 
C)  Prevents prescribing and transcription errors 
D)  Helps keep number of medications ordered to a minimum

Question 5

After hearing the beginning of the shift report,the nurse wants to perform medication reconciliation for the clients assigned for the day.To do this properly,the nurse would do which of the following?

Accepted Answer

A)  Ensure that all medications were charted from the previous shift 
B)  Ensure that all medications have been signed off in the chart since the last 24-hour chart check 
C)  Compare the current medication list against the client's medication list from home and any admission and transfer orders 
D)  Ask each client if he or she plans to refuse any medications ordered for the shift 
A)  Ensure that all medications were charted from the previous shift 
B)  Ensure that all medications have been signed off in the chart since the last 24-hour chart check 
C)  Compare the current medication list against the client's medication list from home and any admission and transfer orders 
D)  Ask each client if he or she plans to refuse any medications ordered for the shift

Question 6

The nurse is delivering medications to an assigned client,Edna Smith,who has Alzheimer's disease.Which of the following client identification methods used by the nurse is most likely to result in accurate medication delivery?

Accepted Answer

A)  Check the name and date of birth on the label at the foot of the bed and compare it to the medication administration record 
B)  Check the name and date of birth on the client's ID bracelet against the medication administration record 
C)  Ask the client,"Are you Edna Smith?" 
D)  Ask the client if she remembers her name 
A)  Check the name and date of birth on the label at the foot of the bed and compare it to the medication administration record 
B)  Check the name and date of birth on the client's ID bracelet against the medication administration record 
C)  Ask the client,"Are you Edna Smith?" 
D)  Ask the client if she remembers her name

Question 7

Which of the following would be an appropriate guideline to use for distributing medications to clients?

Accepted Answer

A)  Only administer medications that you have prepared 
B)  Give clients unlabeled medications from the pharmacy 
C)  Rinse off a pill if it has been accidentally dropped 
D)  Leave medication with a family member to give to the client 
A)  Only administer medications that you have prepared 
B)  Give clients unlabeled medications from the pharmacy 
C)  Rinse off a pill if it has been accidentally dropped 
D)  Leave medication with a family member to give to the client

Question 8

The nurse discovers that the label on the medication bottle became wet and is unreadable.The appropriate response is to

Accepted Answer

A)  relabel the medication bottle. 
B)  discard the bottle and order new medication. 
C)  change the medication to a new bottle. 
D)  send the medication to the pharmacist for relabeling. 
A)  relabel the medication bottle. 
B)  discard the bottle and order new medication. 
C)  change the medication to a new bottle. 
D)  send the medication to the pharmacist for relabeling.

Question 9

A safe nursing practice regarding the implementation of drug orders is to carry out only

Accepted Answer

A)  telephone orders. 
B)  written orders. 
C)  verbal orders. 
D)  routine orders. 
A)  telephone orders. 
B)  written orders. 
C)  verbal orders. 
D)  routine orders.

Question 10

A nurse has made a medication error and the nurse manager needs to take a responsive action.Which of the following means for doing so would be most likely to reduce errors in the future?

Accepted Answer

A)  Examine the nurse's behavior in detail 
B)  Write a performance warning about the error 
C)  Arrange a meeting between the manager,nurse,and risk manager 
D)  Initiate a root cause analysis of the error 
A)  Examine the nurse's behavior in detail 
B)  Write a performance warning about the error 
C)  Arrange a meeting between the manager,nurse,and risk manager 
D)  Initiate a root cause analysis of the error

Exam 4: Medication Errors

You are about to administer an oral dose of medication to a client.To be cautious about the proper administration of medications,you would

The nurse administered to an adult male hospitalized client a medication intended for his roommate.The most precise terms that applies to this event is which of the following?

A 78-year-old client has been admitted after an unsuccessful suicide attempt.You have just brought her the first dose of an antidepressant.Which of the following would be the most appropriate regarding handling this client's medications?

Which of the following is a primary benefit to the use of computerized physician order entry for client medications?

After hearing the beginning of the shift report,the nurse wants to perform medication reconciliation for the clients assigned for the day.To do this properly,the nurse would do which of the following?

The nurse is delivering medications to an assigned client,Edna Smith,who has Alzheimer's disease.Which of the following client identification methods used by the nurse is most likely to result in accurate medication delivery?

Which of the following would be an appropriate guideline to use for distributing medications to clients?

The nurse discovers that the label on the medication bottle became wet and is unreadable.The appropriate response is to

A safe nursing practice regarding the implementation of drug orders is to carry out only

A nurse has made a medication error and the nurse manager needs to take a responsive action.Which of the following means for doing so would be most likely to reduce errors in the future?

Orientation to Pharmacology

Legal and Ethical Aspects of Medication Administration

Principles of Drug Action

The Nursing Process and Pharmacology

Biocultural Aspects of Drug Therapy

Maternal and Child Drug Therapy

Drug Therapy for Older Adults

Substance Misuse and Abuse

Client Education for Self-Administration of Medication

Over-The-Counter Medications

Complementary and Alternative Pharmacology

Overview of the Central Nervous System

Analgesics

Anesthetics

Antianxiety,sedative,and Hypnotic Drugs

Antiepileptic Drugs

Central Nervous System Stimulants

Psychotherapeutic Drugs

Overview of the Autonomic Nervous System

Drugs Affecting the Parasympathetic Nervous System and the Neurotransmitter Acetylcholine

Drugs Affecting the Sympathetic Adrenergicnervous System

Drugs for Specific Dysfunctions of the Central and Peripheral Nervous Systems

Overview of the Cardiovascular System

Agents Used in the Treatment of Heart Failure

Antidysrhythmics

Antihypertensives

Vasodilators and Blood Viscosityreducing Agents

Overview of the Blood

Antiplatelets,anticoagulants,fibrinolytics,and Blood Components

Antihyperlipidemic Drugs

Overview of the Urinary System

Diuretics

Uricosuric Drugs

Drug Therapy for Renal System Dysfunction

Overview of the Respiratory System

Bronchodilator,antiasthmatic,and Mucolytic Drugs

Oxygen and Miscellaneous Respiratory Agents

Overview of the Gastrointestinal Tract

Drugs Affecting the Gastrointestinal Tract

Overview of the Eye

Ophthalmic Drugs

Overview of the Ear

Drugs Affecting the Ear

Overview of the Endocrine System

Drugs Affecting the Pituitary

Drugs Affecting the Parathyroid and Thyroid Glands

Drugs Affecting the Adrenal Cortex

Drugs Affecting Conditions of the Pancreas

Overview of the Female and Male Reproductive Systems

Drugs Affecting Womens Health and the Female Reproductive System

Drugs for Labor and Delivery

Drugs Affecting the Male Reproductive System

Drugs Affecting Sexual Behavior

Principles of Antineoplastic Chemotherapy

Antineoplastic Chemotherapy Agents

Overview of Infections, inflammation, and Fever

Antibacterials

Antifungal and Antiviral Drugs

Other Antimicrobial Drugs and Antiparasitic Drugs

Overview of the Immunologic System

Serums, vaccines, and Other Immunizing Agents

Immunosuppressants and Immunomodulators

Overview of the Integumentary System

Dermatologic Drugs

Debriding Agents

Vitamins and Minerals

Fluids and Electrolytes

Enteral and Parenteral Nutrition

Antiseptics, disinfectants, and Sterilants