BSN 246 Exam 2 — Exam Questions with
Correct Answers (VerifiedAnswers) Plus
Detailed Rationales 2026 Q&A Instant
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Question 1
A nurse is preparing to administer a medication to a
hospitalized client. Which action is most important for
accurately identifying the client?
A. Ask the client to state the room number.
B. Ask a family member to identify the client.
C. Compare the client's name with the medication
administration record only.
D. Use two approved client identifiers, such as name and date
of birth.
Correct answer: D
Rationale: Using at least two identifiers reduces the risk of
administering medications or treatments to the wrong client.
Room number or physical location should not be used as an
identifier because clients can be moved or room assignments
can change. A family member may provide helpful information
but should not replace the facility's approved identification
,process. The two identifiers should be compared with the
appropriate documentation before care is provided.
Question 2
A nurse is administering an oral medication. Which action
represents the "right route" of medication administration?
A. Confirming the prescribed dose
B. Confirming the client's identity
C. Verifying that the medication is ordered and appropriate for
oral administration
D. Documenting the medication after administration
Correct answer: C
Rationale: The right route means ensuring that the medication
is administered through the route prescribed and that the route
is appropriate for the client's condition. The nurse should not
assume that a medication intended for one route can safely be
administered by another route. Dose, identity, and
documentation are also important medication rights, but they
address different components of safe medication
administration.
Question 3
,A nurse discovers that a prescribed medication dose appears
unusually high for the client. What should the nurse do first?
A. Administer the medication because it was prescribed.
B. Ask another client whether the dose seems appropriate.
C. Document the medication as refused.
D. Hold the medication and clarify the prescription with the
appropriate provider or pharmacist.
Correct answer: D
Rationale: Nurses are accountable for recognizing potentially
unsafe medication orders. A prescription that appears
inconsistent with the client's age, condition, laboratory results,
or usual dosing should be clarified before administration.
Administering a questionable medication simply because it was
prescribed does not eliminate the nurse's professional
responsibility to promote client safety.
Question 4
Which medication is commonly considered a high-alert
medication because an administration error can cause
significant harm?
A. Multivitamin
B. Calcium carbonate
, C. Insulin
D. Saline nasal spray
Correct answer: C
Rationale: Insulin is considered a high-alert medication because
dosing or administration errors can result in serious
hypoglycemia or hyperglycemia. Other high-alert medications
include anticoagulants, opioids, and certain chemotherapy
agents. High-alert medications require careful verification and,
according to institutional policy, may require an independent
double check.
Question 5
A nurse realizes that the wrong medication was administered to
a client. What is the nurse's priority action?
A. Complete the incident report before assessing the client.
B. Wait until the next shift to report the error.
C. Assess the client for actual or potential harm and initiate
appropriate interventions.
D. Document that the medication was administered correctly.
Correct answer: C
Rationale: The client's immediate safety takes priority after a
medication error. The nurse should assess the client, determine
whether adverse effects are occurring, notify the appropriate
Correct Answers (VerifiedAnswers) Plus
Detailed Rationales 2026 Q&A Instant
Download PDF
Question 1
A nurse is preparing to administer a medication to a
hospitalized client. Which action is most important for
accurately identifying the client?
A. Ask the client to state the room number.
B. Ask a family member to identify the client.
C. Compare the client's name with the medication
administration record only.
D. Use two approved client identifiers, such as name and date
of birth.
Correct answer: D
Rationale: Using at least two identifiers reduces the risk of
administering medications or treatments to the wrong client.
Room number or physical location should not be used as an
identifier because clients can be moved or room assignments
can change. A family member may provide helpful information
but should not replace the facility's approved identification
,process. The two identifiers should be compared with the
appropriate documentation before care is provided.
Question 2
A nurse is administering an oral medication. Which action
represents the "right route" of medication administration?
A. Confirming the prescribed dose
B. Confirming the client's identity
C. Verifying that the medication is ordered and appropriate for
oral administration
D. Documenting the medication after administration
Correct answer: C
Rationale: The right route means ensuring that the medication
is administered through the route prescribed and that the route
is appropriate for the client's condition. The nurse should not
assume that a medication intended for one route can safely be
administered by another route. Dose, identity, and
documentation are also important medication rights, but they
address different components of safe medication
administration.
Question 3
,A nurse discovers that a prescribed medication dose appears
unusually high for the client. What should the nurse do first?
A. Administer the medication because it was prescribed.
B. Ask another client whether the dose seems appropriate.
C. Document the medication as refused.
D. Hold the medication and clarify the prescription with the
appropriate provider or pharmacist.
Correct answer: D
Rationale: Nurses are accountable for recognizing potentially
unsafe medication orders. A prescription that appears
inconsistent with the client's age, condition, laboratory results,
or usual dosing should be clarified before administration.
Administering a questionable medication simply because it was
prescribed does not eliminate the nurse's professional
responsibility to promote client safety.
Question 4
Which medication is commonly considered a high-alert
medication because an administration error can cause
significant harm?
A. Multivitamin
B. Calcium carbonate
, C. Insulin
D. Saline nasal spray
Correct answer: C
Rationale: Insulin is considered a high-alert medication because
dosing or administration errors can result in serious
hypoglycemia or hyperglycemia. Other high-alert medications
include anticoagulants, opioids, and certain chemotherapy
agents. High-alert medications require careful verification and,
according to institutional policy, may require an independent
double check.
Question 5
A nurse realizes that the wrong medication was administered to
a client. What is the nurse's priority action?
A. Complete the incident report before assessing the client.
B. Wait until the next shift to report the error.
C. Assess the client for actual or potential harm and initiate
appropriate interventions.
D. Document that the medication was administered correctly.
Correct answer: C
Rationale: The client's immediate safety takes priority after a
medication error. The nurse should assess the client, determine
whether adverse effects are occurring, notify the appropriate
