NURS 1150 | CLINICAL CASE STUDIES
NURS 1150 CLINICAL CASE STUDIES
2026–2027 | Medication Administration & Patient Safety
This original learning resource uses fictional clinical scenarios to practice medication safety,
clinical judgment, communication, and prioritization. It is not an official NURS 1150 exam or a
guarantee of course-specific coverage. Course content varies by institution; compare this
resource with your syllabus, lecture notes, and instructor guidance.
Learning Objectives
• Recognize medication-administration hazards and stop unsafe processes before harm
occurs.
• Prioritize assessment and escalation when adverse drug effects or medication errors are
suspected.
• Apply patient identification, allergy verification, medication reconciliation, and
documentation principles.
• Use SBAR communication, teach-back, and patient-centered safety practices.
• Identify formulation-specific concerns for enteral medication administration.
Instructions
Read each case and answer the questions before reviewing the answers. Choose the single best
response. In actual clinical care, follow current orders, institutional policies, professional scope,
and emergency protocols.
Case 1 — Wrong-Patient Near Miss
Clinical scenario: Two clients have similar names. During morning rounds, a client says the
medication cup is not theirs. No medication has been given yet.
Question 1. What should the nurse do first?
A. Stop and verify identity using two approved identifiers
Original educational practice resource • 2026–2027
, NURS 1150 | CLINICAL CASE STUDIES
B. Ask the roommate to identify the client
C. Use the room number alone
D. Leave the medication at the bedside
Correct Answer: A. Stop and verify identity using two approved identifiers
Detailed Rationale: The client has identified a possible wrong-patient error. Stop the process,
secure the medication, and verify identity using two approved identifiers before proceeding.
Why the other options are incorrect:
B. Another client is not a reliable identity source.
C. Room numbers are not approved identifiers by themselves.
D. Unattended medication can be taken by the wrong person.
Question 2. Which action best reduces the chance of recurrence?
A. Compare the medication label and active order with the verified client at the bedside
B. Rely on recognizing the client's face
C. Prepare several clients' medications together without separation
D. Document administration before giving the medication
Correct Answer: A. Compare the medication label and active order with the verified client at
the bedside
Detailed Rationale: Point-of-care verification should include the correct client, medication,
dose, route, time, and other required checks.
Why the other options are incorrect:
B. Visual recognition alone is insufficient.
C. Poor separation increases mix-up risk.
D. Documentation must reflect what actually occurred.
Original educational practice resource • 2026–2027
NURS 1150 CLINICAL CASE STUDIES
2026–2027 | Medication Administration & Patient Safety
This original learning resource uses fictional clinical scenarios to practice medication safety,
clinical judgment, communication, and prioritization. It is not an official NURS 1150 exam or a
guarantee of course-specific coverage. Course content varies by institution; compare this
resource with your syllabus, lecture notes, and instructor guidance.
Learning Objectives
• Recognize medication-administration hazards and stop unsafe processes before harm
occurs.
• Prioritize assessment and escalation when adverse drug effects or medication errors are
suspected.
• Apply patient identification, allergy verification, medication reconciliation, and
documentation principles.
• Use SBAR communication, teach-back, and patient-centered safety practices.
• Identify formulation-specific concerns for enteral medication administration.
Instructions
Read each case and answer the questions before reviewing the answers. Choose the single best
response. In actual clinical care, follow current orders, institutional policies, professional scope,
and emergency protocols.
Case 1 — Wrong-Patient Near Miss
Clinical scenario: Two clients have similar names. During morning rounds, a client says the
medication cup is not theirs. No medication has been given yet.
Question 1. What should the nurse do first?
A. Stop and verify identity using two approved identifiers
Original educational practice resource • 2026–2027
, NURS 1150 | CLINICAL CASE STUDIES
B. Ask the roommate to identify the client
C. Use the room number alone
D. Leave the medication at the bedside
Correct Answer: A. Stop and verify identity using two approved identifiers
Detailed Rationale: The client has identified a possible wrong-patient error. Stop the process,
secure the medication, and verify identity using two approved identifiers before proceeding.
Why the other options are incorrect:
B. Another client is not a reliable identity source.
C. Room numbers are not approved identifiers by themselves.
D. Unattended medication can be taken by the wrong person.
Question 2. Which action best reduces the chance of recurrence?
A. Compare the medication label and active order with the verified client at the bedside
B. Rely on recognizing the client's face
C. Prepare several clients' medications together without separation
D. Document administration before giving the medication
Correct Answer: A. Compare the medication label and active order with the verified client at
the bedside
Detailed Rationale: Point-of-care verification should include the correct client, medication,
dose, route, time, and other required checks.
Why the other options are incorrect:
B. Visual recognition alone is insufficient.
C. Poor separation increases mix-up risk.
D. Documentation must reflect what actually occurred.
Original educational practice resource • 2026–2027
