Lab Exam 2: Medication Administration
with complete answers
Lab Exam 2: Medication Administration
with complete answers
routine med orders - CORRECT ANSWER carried out until the provider cancels or the
number or specified days have elapsed
Provider Responsibilities - CORRECT ANSWER Obtain medical history/perform
physical exam
Diagnosing
Prescribe meds
Monitor the response to therapy
Modify script as necessary
one time (single) order - CORRECT ANSWER once the drug has been given, you
cannot give it again without a new order
STAT (immediate) order - CORRECT ANSWER one time order but must be given
immediately
Now/ASAP - CORRECT ANSWER given within 90 min depending on what book you
read
PRN - CORRECT ANSWER as needed
standing order: - CORRECT ANSWER written in advance of a situation that is to be
carried out under specific circumstances
Ex: Tylenol for pain 1-3 (mild), one Percocet for pain 4-6 (moderate) and two Percocet
for pain 7-10 (severe).
common abbreviations to interpret med orders: - CORRECT ANSWER -time
-drug
-route
-measurement/form
(look at pg 129 Callahan book)
Joint Commission "Do Not Use" List - CORRECT ANSWER Q.D
QD
QOD
U or IU
MS, MS04, MgS04
.5mg or 1.0mg
, Lab Exam 2: Medication Administration
with complete answers
6 rights of medication administration - CORRECT ANSWER Right Client: JCO requires
2 identifiers. Always check arm band against the MAR and ask client. Bar coding is an
adjunct. WTCC: Name, DOB, MRN.
Right Drug: use generic name, label syringe, check expiration date.
Right Dose: use recommended dose ranges; verify drug calculations with another
nurse.
Right Time: consider interactions with food/other meds, most facilities have one hour
window on either side but depends on med.
Right Route: different route=different rate of absorption. (IV=most rapid)
Right Documentation: scan all meds every time; do not save until meds have been
given. Always document injection sites.
Right to Refuse.
Right of the client to know the reason for administration, the right assessment, and the
right evaluation (via right response & right reaction- monitor for side effects) + Right to
Education.
insulin and antibiotics are examples of: - CORRECT ANSWER time sensitive drugs and
must be given within a 30 min window
The Six Rights should be checed three times: - CORRECT ANSWER ---If you Do Not
Have the Med and MAR It is Not a Check--
1. When removing the medication.
2. When preparing the medication.
3. In the room with the client.
-FYI: WTCC "policy" in lab and practicum is: Name, DOB and MRN.
When checking drugs; use the generic name because there is a less likely chance of a
med error.
Check One - CORRECT ANSWER *Removing Meds From ADS*
A. Take MAR to ADS
B. log on to ADS and choose client
C. *Compare client's name and MRN on ADS with MAR*
D. At ADS, select the medication that is due for the client
E. Take the medication out of appropriate pocket.
F. Compare medication label with MAR (side by side) as you read:
-name
-dose
-route
-frequency
-time medication to be administered
-expiration date
G. Repeat steps D.E. and F until all meds have been removed
with complete answers
Lab Exam 2: Medication Administration
with complete answers
routine med orders - CORRECT ANSWER carried out until the provider cancels or the
number or specified days have elapsed
Provider Responsibilities - CORRECT ANSWER Obtain medical history/perform
physical exam
Diagnosing
Prescribe meds
Monitor the response to therapy
Modify script as necessary
one time (single) order - CORRECT ANSWER once the drug has been given, you
cannot give it again without a new order
STAT (immediate) order - CORRECT ANSWER one time order but must be given
immediately
Now/ASAP - CORRECT ANSWER given within 90 min depending on what book you
read
PRN - CORRECT ANSWER as needed
standing order: - CORRECT ANSWER written in advance of a situation that is to be
carried out under specific circumstances
Ex: Tylenol for pain 1-3 (mild), one Percocet for pain 4-6 (moderate) and two Percocet
for pain 7-10 (severe).
common abbreviations to interpret med orders: - CORRECT ANSWER -time
-drug
-route
-measurement/form
(look at pg 129 Callahan book)
Joint Commission "Do Not Use" List - CORRECT ANSWER Q.D
QD
QOD
U or IU
MS, MS04, MgS04
.5mg or 1.0mg
, Lab Exam 2: Medication Administration
with complete answers
6 rights of medication administration - CORRECT ANSWER Right Client: JCO requires
2 identifiers. Always check arm band against the MAR and ask client. Bar coding is an
adjunct. WTCC: Name, DOB, MRN.
Right Drug: use generic name, label syringe, check expiration date.
Right Dose: use recommended dose ranges; verify drug calculations with another
nurse.
Right Time: consider interactions with food/other meds, most facilities have one hour
window on either side but depends on med.
Right Route: different route=different rate of absorption. (IV=most rapid)
Right Documentation: scan all meds every time; do not save until meds have been
given. Always document injection sites.
Right to Refuse.
Right of the client to know the reason for administration, the right assessment, and the
right evaluation (via right response & right reaction- monitor for side effects) + Right to
Education.
insulin and antibiotics are examples of: - CORRECT ANSWER time sensitive drugs and
must be given within a 30 min window
The Six Rights should be checed three times: - CORRECT ANSWER ---If you Do Not
Have the Med and MAR It is Not a Check--
1. When removing the medication.
2. When preparing the medication.
3. In the room with the client.
-FYI: WTCC "policy" in lab and practicum is: Name, DOB and MRN.
When checking drugs; use the generic name because there is a less likely chance of a
med error.
Check One - CORRECT ANSWER *Removing Meds From ADS*
A. Take MAR to ADS
B. log on to ADS and choose client
C. *Compare client's name and MRN on ADS with MAR*
D. At ADS, select the medication that is due for the client
E. Take the medication out of appropriate pocket.
F. Compare medication label with MAR (side by side) as you read:
-name
-dose
-route
-frequency
-time medication to be administered
-expiration date
G. Repeat steps D.E. and F until all meds have been removed
