HFHS GENERAL ORIENTATION EXAM WITH ALL
CORRECT & 100% VERIFIED ANSWERS (ALREADY
GRADED A+)
6 Rights of Drug Administration Correct answer-Right Patient, Time, Route, Drug, Dose, and
Documentation
High Alert Medications Correct answer-Potassium chloride, Heparin, Insulin, Warfarin, Calcium,
Chemotherapeutic drugs, Opioids, and Lidocaine
All Chemotherapy, PCA, and Heparin drips require.... Correct answer-Verification by two RNs which
is documented in the eMAR
When can't verbal orders be given? Correct answer-Antineoplastic Agents
When should verbal orders be used? Correct answer-True emergencies or when the issuing
provider is unavailable (e.g., during sterile procedures)
Range Order: Doc orders Morphine 2-8 mg q 4 hrs PRN pain... @ 1400 Pt states their pain is a 7/10
and 2 mg of Morphine is given. When you reassess the patient's pain score an hour later (1500) the
patient states that there had been no relief. Therefore, you administer an additional 3 mg of
Morphine. How much morphine can be given from 1600-1800? Correct answer-3 mg of Morphine
? g = 1 kg Correct answer-1000 g
? mg = 1 g Correct answer-1000 mg
? mcg = 1 mg Correct answer-1000 mcg
? mL = 1 L Correct answer-1000 mL
? lbs = 1 kg Correct answer-2.2 lbs
? tbs = 15 mL Correct answer-1 tbs
? oz = 30 mL Correct answer-1 oz
What is the most common allergy that's an anti-infective Correct answer-PCN
What drugs constitute the Penicillins? Correct answer-Amoxacillin, Ampicillin, Augmentin, Nafcillin
Sodium, Piperacillin sodium, PCN G, PCN VK, Trimox, Unasyn
When might Penicillins be used? Correct answer-Skin and urinary tract infections, bronchitis,
pneumonia, tonsilitis, ear infections
Serious Adverse Reactions to Penicillins Correct answer-Anaphylaxis, Neutropenia, Leukopenia,
Thrombocytopenia, Hepatotoxicity
NSG Considerations when giving Penicillins Correct answer-Give with full glass of water on an
empty stomach and do not give with acidic fruit juice because is decomposes PCN
, What kind of infections might you assess for when administering anti-infective agents? Correct
answer-Superinfections such as thrush, yeast infections, C. diff (diarrhea/abdominal cramps),
stomatitis, and glossitis
True or False: Dehydration can lead to anti-infectives reaching toxic levels Correct answer-TRUE
Patient education for Penicillins Correct answer-Notify docs of bloody diarrhea and abdominal
cramping and that PCNs can decrease the effectivness of birth control pills.
Name some Tetracyclines Correct answer-Doxycycline (Vibramycin), Minocycline, and tetracycline
Serious Adverse Reactions of Tetracyclines Correct answer-Neutropenia, Thrombocytopenia,
Hepatotoxicity, Superinfection, Hemolytic Anemia, Anaphylaxis
Nursing Considerations for Tetracyclines Correct answer-Effectiveness is reduced with ant-acids,
iron salts, and foods high in calcium, Give 1 hr before meals and 2 hrs after meals, and give with full
glass of water because it can irritate the esophagus
Patient education for Tetracyclines Correct answer-Photosensitivity, teeth discoloration,, & don't
take after it expires because can cause syndrome that damages the kidneys.
When to seek emergent medical attention with tetracyclines? Correct answer-Confusion, vision
changes, severe HA, allergic reaction, liver changes, bruising/bleeding, severe fatigue
When should pts notify their doctor with Tetracyclines Correct answer-N/V, increased sensitivity to
light, swollen tongue (... i think this should be in the emergent section), yeast infection
Name Aminoglycosides Correct answer-Amikacin, Gentamycin (Garamycin), Streptomycin,
Tobramycin
Indications of Aminoglycosides Correct answer-cirrhosis, gonorrhea, pneumonia, septicemia, and
UTIs
NSG Considerations for Aminoglycosides Correct answer-Nephrotoxicity (esp if poor renal fxn) but
is limited if given for less than 5 days. Ototoxicity (s&s tinnitits, hearing impairment, and vestibular
symptoms such as dizziness, nystagmus, vertigo, and ataxia)
Serious Adverse Reactions of Aminoglycosides Correct answer-Nephrotoxic, Ototoxic,
Agranulocytosis, Thrombocytopenia, Neurotoxicity
Patient Education for Aminoglycosides Correct answer-Do not take if sulfite sensitivity, kidney
disease, hearing loss or loss of balance due to ear problems, Parkingsons disease or an
neuromuscular disorder such as myasthenia gravis
When should a patient notify their doctor when taking Aminoglycosides Correct answer-If they're
experiencing hearing loss, dizziness, numbness, skin tingling, muscle twitching, or seizures (could be
signs of nerve damage)
Name Quinolones Correct answer-Ciprofloxacin (Cipro), Levofloxacin (Levaquin)
CORRECT & 100% VERIFIED ANSWERS (ALREADY
GRADED A+)
6 Rights of Drug Administration Correct answer-Right Patient, Time, Route, Drug, Dose, and
Documentation
High Alert Medications Correct answer-Potassium chloride, Heparin, Insulin, Warfarin, Calcium,
Chemotherapeutic drugs, Opioids, and Lidocaine
All Chemotherapy, PCA, and Heparin drips require.... Correct answer-Verification by two RNs which
is documented in the eMAR
When can't verbal orders be given? Correct answer-Antineoplastic Agents
When should verbal orders be used? Correct answer-True emergencies or when the issuing
provider is unavailable (e.g., during sterile procedures)
Range Order: Doc orders Morphine 2-8 mg q 4 hrs PRN pain... @ 1400 Pt states their pain is a 7/10
and 2 mg of Morphine is given. When you reassess the patient's pain score an hour later (1500) the
patient states that there had been no relief. Therefore, you administer an additional 3 mg of
Morphine. How much morphine can be given from 1600-1800? Correct answer-3 mg of Morphine
? g = 1 kg Correct answer-1000 g
? mg = 1 g Correct answer-1000 mg
? mcg = 1 mg Correct answer-1000 mcg
? mL = 1 L Correct answer-1000 mL
? lbs = 1 kg Correct answer-2.2 lbs
? tbs = 15 mL Correct answer-1 tbs
? oz = 30 mL Correct answer-1 oz
What is the most common allergy that's an anti-infective Correct answer-PCN
What drugs constitute the Penicillins? Correct answer-Amoxacillin, Ampicillin, Augmentin, Nafcillin
Sodium, Piperacillin sodium, PCN G, PCN VK, Trimox, Unasyn
When might Penicillins be used? Correct answer-Skin and urinary tract infections, bronchitis,
pneumonia, tonsilitis, ear infections
Serious Adverse Reactions to Penicillins Correct answer-Anaphylaxis, Neutropenia, Leukopenia,
Thrombocytopenia, Hepatotoxicity
NSG Considerations when giving Penicillins Correct answer-Give with full glass of water on an
empty stomach and do not give with acidic fruit juice because is decomposes PCN
, What kind of infections might you assess for when administering anti-infective agents? Correct
answer-Superinfections such as thrush, yeast infections, C. diff (diarrhea/abdominal cramps),
stomatitis, and glossitis
True or False: Dehydration can lead to anti-infectives reaching toxic levels Correct answer-TRUE
Patient education for Penicillins Correct answer-Notify docs of bloody diarrhea and abdominal
cramping and that PCNs can decrease the effectivness of birth control pills.
Name some Tetracyclines Correct answer-Doxycycline (Vibramycin), Minocycline, and tetracycline
Serious Adverse Reactions of Tetracyclines Correct answer-Neutropenia, Thrombocytopenia,
Hepatotoxicity, Superinfection, Hemolytic Anemia, Anaphylaxis
Nursing Considerations for Tetracyclines Correct answer-Effectiveness is reduced with ant-acids,
iron salts, and foods high in calcium, Give 1 hr before meals and 2 hrs after meals, and give with full
glass of water because it can irritate the esophagus
Patient education for Tetracyclines Correct answer-Photosensitivity, teeth discoloration,, & don't
take after it expires because can cause syndrome that damages the kidneys.
When to seek emergent medical attention with tetracyclines? Correct answer-Confusion, vision
changes, severe HA, allergic reaction, liver changes, bruising/bleeding, severe fatigue
When should pts notify their doctor with Tetracyclines Correct answer-N/V, increased sensitivity to
light, swollen tongue (... i think this should be in the emergent section), yeast infection
Name Aminoglycosides Correct answer-Amikacin, Gentamycin (Garamycin), Streptomycin,
Tobramycin
Indications of Aminoglycosides Correct answer-cirrhosis, gonorrhea, pneumonia, septicemia, and
UTIs
NSG Considerations for Aminoglycosides Correct answer-Nephrotoxicity (esp if poor renal fxn) but
is limited if given for less than 5 days. Ototoxicity (s&s tinnitits, hearing impairment, and vestibular
symptoms such as dizziness, nystagmus, vertigo, and ataxia)
Serious Adverse Reactions of Aminoglycosides Correct answer-Nephrotoxic, Ototoxic,
Agranulocytosis, Thrombocytopenia, Neurotoxicity
Patient Education for Aminoglycosides Correct answer-Do not take if sulfite sensitivity, kidney
disease, hearing loss or loss of balance due to ear problems, Parkingsons disease or an
neuromuscular disorder such as myasthenia gravis
When should a patient notify their doctor when taking Aminoglycosides Correct answer-If they're
experiencing hearing loss, dizziness, numbness, skin tingling, muscle twitching, or seizures (could be
signs of nerve damage)
Name Quinolones Correct answer-Ciprofloxacin (Cipro), Levofloxacin (Levaquin)
