ATI Chapter 47: Safe Medication Administration &
Error Reduction Questions with Detailed Verified
Answers for Accuracy
Health care providers who are legally permitted to write
prescriptions in United States include
✓✓ physicians, advanced practice nurses, dentists, & physician
assistants
These health care providers are responsible for:
✓✓ Obtaining clients medical history & physical examination
-Diagnosing
-Prescribing medications
-Monitoring response to therapy
Nurses are legally responsible for:
, ACCURACY IS GUARANTEED
✓✓ -Having knowledge of federal, state (nurse practice act), &
local laws, & health care facility policies that governs the
prescribing, dispensing, & administration of medications
-Preparing, administering, & evaluating client responses to
medications
-Developing & maintaining an up-to-date knowledge base of
medications administered, including uses, mechanisms of
action, and routes of administration, safe dosage range, side
effects, adverse responses, precautions, contraindications
-Maintaining knowledge of acceptable practice & skill
competency
-Determining accuracy of medication orders
-Reporting all medication errors
-Safeguarding & storing medications
Chemical name
✓✓ medication is named by its chemical composition
Generic name
✓✓ official or non-proprietary name given by US Adopted
Names Council. Each medication has only one generic name
Trade name
✓✓ brand or proprietary name given by company that
manufacturer the medication. One medication may have
multiple trade names
Prescription medications
, ACCURACY IS GUARANTEED
✓✓ are administered under supervision of providers. These
medications may have a habit-forming, have potential harmful
effects, and/or require supervision
Uncontrolled substances
✓✓ requires monitoring by provider, but do not pose a risk of
abuse and/or addiction. Antibiotics are an example of
uncontrolled prescription medications
Controlled substances
✓✓ has potential for abuse & dependence are categorized into
schedules. Heroin is medication in Schedule I & has no medical
use in US. Medications categorized in Schedule II through V all
have approved applications. Each level has a decreasing risk of
abuse & dependence. For example, morphine (Duramorph) is a
schedule II medication that has greater risk of abuse &
dependence than phenobarbital (Luminal), which is a Schedule
IV medication
-Us Food & Drug Administration Pregnancy Risk Category (A,
B, C, D, X) classifies medication in terms of their potential
harm during pregnancy, with Category A being safest &
Category X the most dangerous. Teratogenesis is most likely to
occur during 1st trimester. Before giving any medication to a
woman who is pregnant or could be pregnant, determine
whether or not it is safe for administration during pregnancy
Medication category/class