C HAPTER 06: P RINCIPLES OF M EDICATION
A DMINISTRATION AND M EDICATION S AFETY
Willihnganz: Clayton’s Basic Pharmacology for Nurses , 19th Edition
MULTIPLE CHOICE
1. Which is true regarding the unit dose drug distribution system?
a. The inventory is delive red to each nursing unit on a regular and
recurring basis.
b. The system delivers one dose of each medication to be administered
until the subsequent delivery of inventory.
c. The use of single dose packages of drugs dispensed to fill each dose
requirement as it is ordered.
d. The amount of inventory needed to dose all patients on the unit for a
24-hour interval.
ANS: C
The unit dose drug distribution system uses single unit packages of drugs
dispensed to fill each dose requirement as it is ordered.
DIF: Cognitive Level: Comprehension REF: p. 68 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
, 2. The nursing assessment identifies that the client is nauseated and cannot
take acetaminophen (Tylenol) orall y. Which is true regarding the
substitution of this medication to suppository form?
a. It is standard practice when the patient is unable to take the ordered
medication.
b. It is acceptable if the patient agrees to the altered route form.
c. It is preferable to having the patient miss a dose of the medication.
d. It is contraindicated without an order from the healthcare provider.
ANS: D
One dosage form of medication should never be substituted for another unless
the prescriber is consulted; there can be a great variation in the absorption
rate of the medication through different routes of administration. The
substitution of one form for another is not standard practice and is not
acceptable or preferable without the prescriber ’s order.
DIF: Cognitive Level: Comprehension REF: p. 76 | p. 77 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
3. Which medication order requires nursing judgment a nd means “administer
if needed’?
a. Morphine 4 mg IV stat
b. Morphine 4 mg IV prior to procedure
c. Morphine 4 mg IV four times a day
d. Morphine 4 mg IV every 4 hours PRN
ANS: D
PRN indicates for the nurse to administer morphine every 4 hours if needed
and requires nursing judgment. Stat means the dose of morphine would be
A DMINISTRATION AND M EDICATION S AFETY
Willihnganz: Clayton’s Basic Pharmacology for Nurses , 19th Edition
MULTIPLE CHOICE
1. Which is true regarding the unit dose drug distribution system?
a. The inventory is delive red to each nursing unit on a regular and
recurring basis.
b. The system delivers one dose of each medication to be administered
until the subsequent delivery of inventory.
c. The use of single dose packages of drugs dispensed to fill each dose
requirement as it is ordered.
d. The amount of inventory needed to dose all patients on the unit for a
24-hour interval.
ANS: C
The unit dose drug distribution system uses single unit packages of drugs
dispensed to fill each dose requirement as it is ordered.
DIF: Cognitive Level: Comprehension REF: p. 68 OBJ: 2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
, 2. The nursing assessment identifies that the client is nauseated and cannot
take acetaminophen (Tylenol) orall y. Which is true regarding the
substitution of this medication to suppository form?
a. It is standard practice when the patient is unable to take the ordered
medication.
b. It is acceptable if the patient agrees to the altered route form.
c. It is preferable to having the patient miss a dose of the medication.
d. It is contraindicated without an order from the healthcare provider.
ANS: D
One dosage form of medication should never be substituted for another unless
the prescriber is consulted; there can be a great variation in the absorption
rate of the medication through different routes of administration. The
substitution of one form for another is not standard practice and is not
acceptable or preferable without the prescriber ’s order.
DIF: Cognitive Level: Comprehension REF: p. 76 | p. 77 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
3. Which medication order requires nursing judgment a nd means “administer
if needed’?
a. Morphine 4 mg IV stat
b. Morphine 4 mg IV prior to procedure
c. Morphine 4 mg IV four times a day
d. Morphine 4 mg IV every 4 hours PRN
ANS: D
PRN indicates for the nurse to administer morphine every 4 hours if needed
and requires nursing judgment. Stat means the dose of morphine would be
