NR293 Pharmacology
Pre-class Questions Week 1
Answer the following questions. Give rationales for each question asked and include the
reference and page number where the answer was found. Rationales (include chapter and page
no of where you found the answer.) should be TYPED. Upload test questions and rationales to
the submission tab under the course shell. The assignment must be completed on the provided
document. No other forms will be accepted. Questions will be graded for accuracy. Each
question along with the rationale will be worth 0.5 points, for a total of 20 points possible. The
assignment is due Sunday Jan 12, 2020 at 11:59 pm. No late submissions will be accepted. Late
submissions will result in zero points for the assignment, no exceptions.
1. Which actions will the nurse document if an incorrect dosage of medication is
administered to a patient? Select all that apply.
a. The reason the mistake was made
b. The route of the medication delivered
c. That an incident report was completed
d. The patient’s response to the medication
e. The time, message, and response of the provider
Rationale: The route of the medication should also be included to let others know all the
information present regarding the medication for future dosages. The patient’s response is also
a key factor when giving a wrong dosage. With a higher dosage, the patient can possibly have a
reaction or an overdose if not given the correct dosage. The time, message, and response of the
provider should also be documented to show that a provider was notified and to see the chain
of communication and other further instructions. Chapter 1 page 65-68
2. Which statement reflects understanding of the nursing action to take when medication
is refused?
a. "Contact the family immediately."
b. "Document the reason for refusal."
c. "Force the patient to take the medication."
d. "Return unwrapped medication to the container."
Rationale: When a medication is refused by a patient, a nurse cannot force the patient to take
the medication. The nurse must document the reason to let other medical personal know the
reason for the refusal. Chapter 1 page 9
3. A prescription is written "Diltiazem 30 mg orally three times daily at 0700, 1300, and
1900." The nurse misreads the prescription and administers the drug at 1000. Which is
the best nursing action before administration of the next dose?
a. Consult the peer group.
b. Calculate the next dose time.
c. Calculate the dose accordingly.
NR293/HMM/SEP2019
, Name: Andreea Ursu 2
d. Consult the health care provider.
Rationale: If a medication is administered at the wrong time, the first step is to notify the
provider to provide any changes for future dosages. Chapter 1 page 7,8
4. The nurse reviews a chart and suspects a medication order is written incorrectly. Which
is the nurse’s best action?
a. Call the pharmacy.
b. Administer the medication as written.
c. Call the health care provider.
d. Discuss the issue with the nurse manager.
Rationale: When a medication order is written incorrectly, the nurse must first verify the
medication with the ordering physician to clarify and prescribe the correct medication. Chapter
1 page 5-8
5. The nurse is to administer a medication at 0730 that is prescribed three times a day.
Which times are acceptable for administration of the drug? Select all that apply.
a. 0600
b. 0700
c. 0715
d. 0800
e. 0900
Rationale: Medication should be given no more than half an hour before or after the designated
time. Chapter 1 page 7
6. Which symptom is an example of an allergic reaction?
a. Hives
b. Dry eyes
c. Constipation
d. Frequent urination
Rationale: Patients that have allergic reactions tend to have hives, wheezing, tachycardia, or
hypotension. Chapter 36 page 562
7. The nurse administers a drug to a patient that has a half-life of 6 hours. If the dose of the
drug is 200 mg/L, what would be the concentration of the drug after 12 hours? Record
your answer using a whole number. _____ mg/L
50 mg/L, the time it takes for the body to eliminate 50% of the drug
1 half-life (6 hours) is 100 mg/L
12 hours is 2 half-lives is 50 mg/L
Chapter 2 page 25
NR293/HMM/SEP2019