QUESTIONS AND ANSWERS 2026/27
GRADED A+
A. Aspirin 325 mg orally qd
B. MS 4 mg IV q 1 hr pm
C. Furosemide 40 mg IV now
D. DSW with 20 mEq KCL IV at 125 1nL/hr
E. Heparin 5000 u subcutaneously bid
, ,
A. The nurse should clarify aspirin with the HCP because the abbreviation “qd” is
disallowed by the Joint Commission. The “qd” can be mistaken for every other day rather
than daily.
B. The nurse should clarify “MS” with the HCP. The use of MS is disallowed by the Joint
Commission because it can be mistaken for magnesium sulfate rather than morphine
sulfate.
C. Furosemide (Lasix) has the essential components of a medication order—medication
name, close, frequency, and route—and uses acceptable abbreviations.
D. D5W with 20 mEq KCL has the essential components of a medication order—medication
name, dose, frequency, and route—and uses acceptable abbreviations.
E. The nurse should clarify heparin with the HCP because the abbreviation “u” is disallowed
by the Joint Commission. The “11” can be mistaken for “0” (zero), the number “4” (four),
or “cc”.
A. Administer ferrous sulfate as prescribed to the client.
B. Contact the HCP to clarify the route of the medication.
C. Contact the HCP to question twice-daily administration.
D. Withhold the medication; the dose is beyond the usual range.
,A. The nurse should administer ferrous sulfate (Feosol) as prescribed. All essential
information is included using approved abbreviations.
,B. The abbreviation “PO” is an acceptable abbreviation for the oral route and does not need
to be clarified with the HCP.
C. The abbreviation “bid” is acceptable for twice- daily administration, and at this dose.
D. The dose of ferrous sulfate is within the acceptable range and should not be withheld-
A. Digoxin 25 mg IV
B. D5NS with 20 mEq KCL now
C. Aspirin 325 mg tablet oral every am.
D. Lisinopril 5 mg oral bid
E. Hydromorphone 1 mg qlh as needed
.
A. Digoxin (Lanoxin) is missing the frequency and should be clarified with the HCP; the
dosage also is too large and will result in a medication error.
B. The IV solution is missing the rate and should be clarified with the HCP.
C. The prescribed aspirin contains the name of the medication, the dose, the route, and the
frequency and is correct.
D. The pre5cribed lisinOpril (Zestril) Contains the name of the medication, the dose, the
route, and the frequency and is correct. The abbreviation bid means twice daily and is an
accepted abbreviation.
E. The prescribed hydromorphone (Dilaudid) is missing the route. The abbreviation q1h is
an acceptable medication-related abbreviation indicating that hydromorphone may be
admin- istered every hour if needed.
A. “Has your dosage of bupropion increased or decreased recently?”
B. “Did you cut the tablets in half to give yourself the correct dose?"
C. “Are you taking bupropion to stop smoking or to treat depression?”
D. “When was the last time you took medication from this bottle?”
, E. “Have you had headaches, tremors, or dry mouth while taking bupropion?”
.
A. The handwritten medication list is half the strength of the tablets in the bottle.
Either the dose was increased and this is the correct bottle, or the dose was
decreased and the handwritten medication list is correct and this is the wrong
bottle.
B. Bupropion is sustained release; tablets should not be halved for safe
administration. This is the wrong question to ask.
C. Bupropion (Wellbutrin) is commonly used for smoking cessation or treating
depression. It can also be used for treating ADHD in adults, or to increase sexual
desire in women.
D. The last time a dose was taken from the bottle will help determine the amount
the client is taking and to verify if it is the correct amount.
E. Major side effects of bupropion include headaches, tremors, and dry mouth. If
the client is taking a higher dose than prescribed, the client could be experiencing
side effects.
A. Administer the medication and then give a small glass of milk.
B. Give the child a flavored ice pop just before giving the medication.
C. Use play to show and tell the child that the medication will taste good.
D. pour out capsule contents, crush pills, and give these with applesauce.
A. Essential foods, such as milk, should not be given with medications. The child
may later associate the food with the medicine and refuse the food. Some
medications should not be taken with milk.
B. The cold from the ice pop will help to numb the taste buds and weaken the taste
of the medication.
C. Providing potentially false information about the taste may affect the child’s trust.
If the child is old enough, warn the child that the medication is objectionable, but
then praise the child after the medication is swallowed.
D. Some capsules are extended release and should not be opened