Question 1

How can the nurse determine a patient's history of allergies? (Select all that apply.)

Accepted Answer

By looking at the MAR 
  By asking the patient 
By looking at the patient's allergy bracelet
  By looking at the front of the chart or in the patient's electronic health record (EHR)

Question 2

The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take

Accepted Answer

Lock the patient's medications up temporarily and document the incident.
  Offer the patient some crackers and see if the patient has any medications that could help relieve nausea.

Question 3

Identify the 6 rights of medication administration.

Accepted Answer

The right patient 
  The right medication 
  The right route 
  The right time 
  The right dose 
  The right documentation

Question 4

The patient who is to receive a medication BID will receive the medication:

Accepted Answer

Twice a day

Question 5

The health care provider has ordered allopurinol 0.05 g PO BID.
Drug available: The nurse should give ___ tablet(s) for each dose.

Accepted Answer

0.5

Question 6

The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available:
The nurse should give ___ mL for each dose.

Accepted Answer

2

Question 7

The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prm. The medication available is Compazine 5 mg/mL.
The nurse should give ___ mL for each dose.

Accepted Answer

0.5

Question 8

The health care provider has ordered Amoxil (amoxicillin) 0.05 g, PO tid. Drug available: The nurse should give ___ mL for each dose.

Accepted Answer

2

Question 9

What is the best way for nurses to prevent medication errors?

Accepted Answer

Adhere to the 6 rights of medication administration.

Question 10

If the patient refuses a medication, what should the nurse do? (Select all that apply.)

Accepted Answer

Determine the reason for refusal. 
  Document the reason for refusal in the patient’s health record. 
  Notify the health care provider.

Question 11

Which of the following patients are at risk for developing drug toxicity? (Select all that apply.)

Accepted Answer

65-year-old male, who has been on high doses of antibiotics for 3 weeks 
  43-year-old male, who has liver failure 
  75-year-old female, who swallowed Caladryl lotion 
  82-year-old male, who has renal disease

Question 12

The patient is to receive 120 mg of PO Lasix (furosemide). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.)

Accepted Answer

Double-check all calculations. 
Question unusually large or small doses.

Question 13

The nurse administered a routine scheduled medication of Prozac (fluoxetine hydrochloride), an antidepressant, 20 mg PO to a patient. The nurse checked the medication label against the MAR when getting it out of the automatic dispensing system, again when

Accepted Answer

The nurse did not use two patient identifiers.

Question 14

The home care nurse is reviewing the patient's prescribed medications. The patient reports he doesn't take his antihypertensive (blood pressure) medication anymore. What is the best response by the nurse?

Accepted Answer

"What is the reason you are no longer taking the blood pressure medication?"

Question 15

The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? (Select all that apply.)

Accepted Answer

Administer 10 mL of amoxicillin per dose. 
  Compare the patient’s name and date of birth on the armband with the MAR.

SAFE MEDICATION EXAM

BSN 225

Question	Answer
How can the nurse determine a patient's history of allergies? (Select all that apply.)	By looking at the MAR By asking the patient By looking at the patient's allergy bracelet By looking at the front of the chart or in the patient's electronic health record (EHR)
The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take	Lock the patient's medications up temporarily and document the incident. Offer the patient some crackers and see if the patient has any medications that could help relieve nausea.
Identify the 6 rights of medication administration.	The right patient The right medication The right route The right time The right dose The right documentation
The patient who is to receive a medication BID will receive the medication:	Twice a day
The health care provider has ordered allopurinol 0.05 g PO BID. Drug available: The nurse should give ___ tablet(s) for each dose.	0.5
The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available: The nurse should give ___ mL for each dose.	2
The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prm. The medication available is Compazine 5 mg/mL. The nurse should give ___ mL for each dose.	0.5
The health care provider has ordered Amoxil (amoxicillin) 0.05 g, PO tid. Drug available: The nurse should give ___ mL for each dose.	2
What is the best way for nurses to prevent medication errors?	Adhere to the 6 rights of medication administration.
If the patient refuses a medication, what should the nurse do? (Select all that apply.)	Determine the reason for refusal. Document the reason for refusal in the patient’s health record. Notify the health care provider.
Which of the following patients are at risk for developing drug toxicity? (Select all that apply.)	65-year-old male, who has been on high doses of antibiotics for 3 weeks 43-year-old male, who has liver failure 75-year-old female, who swallowed Caladryl lotion 82-year-old male, who has renal disease
The patient is to receive 120 mg of PO Lasix (furosemide). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.)	Double-check all calculations. Question unusually large or small doses.
The nurse administered a routine scheduled medication of Prozac (fluoxetine hydrochloride), an antidepressant, 20 mg PO to a patient. The nurse checked the medication label against the MAR when getting it out of the automatic dispensing system, again when	The nurse did not use two patient identifiers.
placing the medication in a cup, and once more at the patient’s bedsie?de prior to administration. The label read 20 mg and contained a single capsule. The nurse asked the patient to state her name and administered the medication, offering the patient a d
The home care nurse is reviewing the patient's prescribed medications. The patient reports he doesn't take his antihypertensive (blood pressure) medication anymore. What is the best response by the nurse?	"What is the reason you are no longer taking the blood pressure medication?"
The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? (Select all that apply.)	Administer 10 mL of amoxicillin per dose. Compare the patient’s name and date of birth on the armband with the MAR.

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