NUR 301 Exam 1 Test Bank Questions
|\ |\ |\ |\ |\ |\ |\
with correct answers |\ |\
The physician has ordered several medications for the
|\ |\ |\ |\ |\ |\ |\ |\
patient. What does the nurse recognize as responsibilities
|\ |\ |\ |\ |\ |\ |\
regarding administration of medications? Select all that
|\ |\ |\ |\ |\ |\ |\ |\
apply.
1. Knowing whether or not the medication is on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital formulary |\
2. Knowing the reason the medication was prescribed for
|\ |\ |\ |\ |\ |\ |\ |\ |\
this patient
|\
3. Knowing how the medication is to be administered.
|\ |\ |\ |\ |\ |\ |\ |\
4. Knowing how the medication is supplied by the
|\ |\ |\ |\ |\ |\ |\ |\ |\
pharmacy
5. Knowing the name of the medication - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 2,3,4,5 |\ |\ |\
How the medication is supplied by the pharmacy, how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the medication is to be administered, the name of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication, and the reason the medication was |\ |\ |\ |\ |\ |\ |\
prescribed for the patient are the responsibilities of the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse regarding medication administration. Whether or
|\ |\ |\ |\ |\ |\
not a drug is on a hospital formulary list is not a primary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
responsibility of the nurse. |\ |\ |\
,The nurse is preparing medications prior to
|\ |\ |\ |\ |\ |\ |\
administration. To promote patient safety, the nurse uses |\ |\ |\ |\ |\ |\ |\ |\
rights of drug administration. What do these rights
|\ |\ |\ |\ |\ |\ |\ |\
include? Select all that apply. |\ |\ |\ |\
1. The right medication
|\ |\ |\
2. The right time of delivery
|\ |\ |\ |\ |\
3. The right dose
|\ |\ |\
4. The right route of administration
|\ |\ |\ |\ |\
5. The right patient - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\
Answer: 1,2,3,4,5 |\
The five rights of drug administration are the right
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient, the right medication, the right dose, the right
|\ |\ |\ |\ |\ |\ |\ |\ |\
route of administration, and the right time of delivery.
|\ |\ |\ |\ |\ |\ |\ |\
The patient is having chest pain. The physician orders
|\ |\ |\ |\ |\ |\ |\ |\ |\
sublingual nitroglycerine STAT. The nurse obtains the
|\ |\ |\ |\ |\ |\ |\
medication from the pharmacy and administers it to the |\ |\ |\ |\ |\ |\ |\ |\ |\
patient 30 minutes later. Which statement best describes
|\ |\ |\ |\ |\ |\ |\ |\
the nurses action?
|\ |\
1. The medication should have been administered
|\ |\ |\ |\ |\ |\ |\
immediately.
2. The physician should have specified the time frame for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the medication.
|\
3. The medication should have been administered within
|\ |\ |\ |\ |\ |\ |\ |\
a 5-minute time frame.
|\ |\ |\
,4. The nursing action was correct because the medication
|\ |\ |\ |\ |\ |\ |\ |\
was not on the unit. - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Answer: 3 |\
For a STAT order, the time frame between writing the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
order and administering the drug should be 5 minutes or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
less. Not having a drug on the unit is not an excuse, as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
commonly ordered STAT medications should be kept in |\ |\ |\ |\ |\ |\ |\ |\
stock. Although the drug does not need to be
|\ |\ |\ |\ |\ |\ |\ |\ |\
administered immediately, it should be done within 5 |\ |\ |\ |\ |\ |\ |\ |\
minutes. It is not the physicians responsibility to specify
|\ |\ |\ |\ |\ |\ |\ |\ |\
the time frame. |\ |\
The nurse uses the nursing process prior to administering
|\ |\ |\ |\ |\ |\ |\ |\ |\
any medications. Which step will assure the best patient
|\ |\ |\ |\ |\ |\ |\ |\ |\
safety?
1. Assess the patients developmental level.
|\ |\ |\ |\ |\
2. Assess the patients medical history.
|\ |\ |\ |\ |\
3. Assess the patients disease process.
|\ |\ |\ |\ |\
4. Assess the patients learning needs. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 2 |\ |\ |\
An assessment of the patients medical history, which
|\ |\ |\ |\ |\ |\ |\ |\
includes allergies, is the most important assessment prior
|\ |\ |\ |\ |\ |\ |\
to administering medications. Assessing the patients
|\ |\ |\ |\ |\ |\ |\
learning needs is important for medication education, but
|\ |\ |\ |\ |\ |\ |\ |\
not for safely administering medications. Assessing the
|\ |\ |\ |\ |\ |\ |\
patients developmental level is important for medication
|\ |\ |\ |\ |\ |\ |\
education, but not for safely administering medications. |\ |\ |\ |\ |\ |\ |\
, Assessing the patients disease process is important in
|\ |\ |\ |\ |\ |\ |\ |\
evaluating the effects of the medications, but not for
|\ |\ |\ |\ |\ |\ |\ |\ |\
safely administering medications.
|\ |\
The physician prescribes an oral medication for the
|\ |\ |\ |\ |\ |\ |\ |\
patient. What is the primary nursing assessment of the
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient prior to receiving this medication?
|\ |\ |\ |\ |\
1. The patients understanding of the medication
|\ |\ |\ |\ |\ |\
2. The patients ability to swallow
|\ |\ |\ |\ |\
3. The patients allergies
|\ |\ |\
4. The patients eyesight - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\
Answer: 2 |\
The ability of the patient to swallow is a safety issue to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevent aspiration of the medication. The patients
|\ |\ |\ |\ |\ |\ |\
understanding is important, but not a priority. The |\ |\ |\ |\ |\ |\ |\ |\
patients eyesight is not significant. The patients allergies
|\ |\ |\ |\ |\ |\ |\ |\
are important, but if the patient cannot swallow the
|\ |\ |\ |\ |\ |\ |\ |\ |\
medication, then the allergies are not significant. |\ |\ |\ |\ |\ |\
The physician ordered an oral medication. The nurse
|\ |\ |\ |\ |\ |\ |\ |\
incorrectly administered the medication intravenously.
|\ |\ |\ |\ |\
What does the best analysis of the nurses action reveal?
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. An antidote cannot be given.
|\ |\ |\ |\ |\
2. The nurse will be terminated from her job.
|\ |\ |\ |\ |\ |\ |\ |\
3. The medication cannot be retrieved.
|\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
with correct answers |\ |\
The physician has ordered several medications for the
|\ |\ |\ |\ |\ |\ |\ |\
patient. What does the nurse recognize as responsibilities
|\ |\ |\ |\ |\ |\ |\
regarding administration of medications? Select all that
|\ |\ |\ |\ |\ |\ |\ |\
apply.
1. Knowing whether or not the medication is on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital formulary |\
2. Knowing the reason the medication was prescribed for
|\ |\ |\ |\ |\ |\ |\ |\ |\
this patient
|\
3. Knowing how the medication is to be administered.
|\ |\ |\ |\ |\ |\ |\ |\
4. Knowing how the medication is supplied by the
|\ |\ |\ |\ |\ |\ |\ |\ |\
pharmacy
5. Knowing the name of the medication - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 2,3,4,5 |\ |\ |\
How the medication is supplied by the pharmacy, how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the medication is to be administered, the name of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication, and the reason the medication was |\ |\ |\ |\ |\ |\ |\
prescribed for the patient are the responsibilities of the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse regarding medication administration. Whether or
|\ |\ |\ |\ |\ |\
not a drug is on a hospital formulary list is not a primary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
responsibility of the nurse. |\ |\ |\
,The nurse is preparing medications prior to
|\ |\ |\ |\ |\ |\ |\
administration. To promote patient safety, the nurse uses |\ |\ |\ |\ |\ |\ |\ |\
rights of drug administration. What do these rights
|\ |\ |\ |\ |\ |\ |\ |\
include? Select all that apply. |\ |\ |\ |\
1. The right medication
|\ |\ |\
2. The right time of delivery
|\ |\ |\ |\ |\
3. The right dose
|\ |\ |\
4. The right route of administration
|\ |\ |\ |\ |\
5. The right patient - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\
Answer: 1,2,3,4,5 |\
The five rights of drug administration are the right
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient, the right medication, the right dose, the right
|\ |\ |\ |\ |\ |\ |\ |\ |\
route of administration, and the right time of delivery.
|\ |\ |\ |\ |\ |\ |\ |\
The patient is having chest pain. The physician orders
|\ |\ |\ |\ |\ |\ |\ |\ |\
sublingual nitroglycerine STAT. The nurse obtains the
|\ |\ |\ |\ |\ |\ |\
medication from the pharmacy and administers it to the |\ |\ |\ |\ |\ |\ |\ |\ |\
patient 30 minutes later. Which statement best describes
|\ |\ |\ |\ |\ |\ |\ |\
the nurses action?
|\ |\
1. The medication should have been administered
|\ |\ |\ |\ |\ |\ |\
immediately.
2. The physician should have specified the time frame for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the medication.
|\
3. The medication should have been administered within
|\ |\ |\ |\ |\ |\ |\ |\
a 5-minute time frame.
|\ |\ |\
,4. The nursing action was correct because the medication
|\ |\ |\ |\ |\ |\ |\ |\
was not on the unit. - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Answer: 3 |\
For a STAT order, the time frame between writing the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
order and administering the drug should be 5 minutes or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
less. Not having a drug on the unit is not an excuse, as
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
commonly ordered STAT medications should be kept in |\ |\ |\ |\ |\ |\ |\ |\
stock. Although the drug does not need to be
|\ |\ |\ |\ |\ |\ |\ |\ |\
administered immediately, it should be done within 5 |\ |\ |\ |\ |\ |\ |\ |\
minutes. It is not the physicians responsibility to specify
|\ |\ |\ |\ |\ |\ |\ |\ |\
the time frame. |\ |\
The nurse uses the nursing process prior to administering
|\ |\ |\ |\ |\ |\ |\ |\ |\
any medications. Which step will assure the best patient
|\ |\ |\ |\ |\ |\ |\ |\ |\
safety?
1. Assess the patients developmental level.
|\ |\ |\ |\ |\
2. Assess the patients medical history.
|\ |\ |\ |\ |\
3. Assess the patients disease process.
|\ |\ |\ |\ |\
4. Assess the patients learning needs. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Correct Answer: 2 |\ |\ |\
An assessment of the patients medical history, which
|\ |\ |\ |\ |\ |\ |\ |\
includes allergies, is the most important assessment prior
|\ |\ |\ |\ |\ |\ |\
to administering medications. Assessing the patients
|\ |\ |\ |\ |\ |\ |\
learning needs is important for medication education, but
|\ |\ |\ |\ |\ |\ |\ |\
not for safely administering medications. Assessing the
|\ |\ |\ |\ |\ |\ |\
patients developmental level is important for medication
|\ |\ |\ |\ |\ |\ |\
education, but not for safely administering medications. |\ |\ |\ |\ |\ |\ |\
, Assessing the patients disease process is important in
|\ |\ |\ |\ |\ |\ |\ |\
evaluating the effects of the medications, but not for
|\ |\ |\ |\ |\ |\ |\ |\ |\
safely administering medications.
|\ |\
The physician prescribes an oral medication for the
|\ |\ |\ |\ |\ |\ |\ |\
patient. What is the primary nursing assessment of the
|\ |\ |\ |\ |\ |\ |\ |\ |\
patient prior to receiving this medication?
|\ |\ |\ |\ |\
1. The patients understanding of the medication
|\ |\ |\ |\ |\ |\
2. The patients ability to swallow
|\ |\ |\ |\ |\
3. The patients allergies
|\ |\ |\
4. The patients eyesight - CORRECT ANSWERS ✔✔Correct
|\ |\ |\ |\ |\ |\ |\ |\
Answer: 2 |\
The ability of the patient to swallow is a safety issue to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevent aspiration of the medication. The patients
|\ |\ |\ |\ |\ |\ |\
understanding is important, but not a priority. The |\ |\ |\ |\ |\ |\ |\ |\
patients eyesight is not significant. The patients allergies
|\ |\ |\ |\ |\ |\ |\ |\
are important, but if the patient cannot swallow the
|\ |\ |\ |\ |\ |\ |\ |\ |\
medication, then the allergies are not significant. |\ |\ |\ |\ |\ |\
The physician ordered an oral medication. The nurse
|\ |\ |\ |\ |\ |\ |\ |\
incorrectly administered the medication intravenously.
|\ |\ |\ |\ |\
What does the best analysis of the nurses action reveal?
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. An antidote cannot be given.
|\ |\ |\ |\ |\
2. The nurse will be terminated from her job.
|\ |\ |\ |\ |\ |\ |\ |\
3. The medication cannot be retrieved.
|\ |\ |\ |\ |\
