Rationales for Nursing Practice
13th Edition
• Author(s)Geralyn Frandsen;
Sandra Pennington
TEST BANK
,Question 1
A nurse is preparing to administer a medication to a
hospitalized patient. Which action best helps reduce the risk of
medication administration errors?
A. Administer the medication as quickly as possible to avoid
delays.
B. Verify the patient's identity using two approved identifiers
before administration.
C. Ask the patient to state the medication's purpose before
giving it.
D. Delay administration until another nurse confirms every
medication.
Correct Answer: B
Rationale:
Using two approved patient identifiers before medication
administration is a fundamental safety practice that helps
ensure the medication is given to the correct patient. Although
patient education and collaboration are important, they do not
replace proper patient identification. Routine double-checks by
another nurse are not required for every medication.
Question 2
,A nurse is reviewing a newly prescribed medication before
administration. Which source provides the most reliable
information about safe dosage, contraindications, and adverse
effects?
A. A coworker's experience with the medication
B. The patient's family member
C. A current evidence-based drug reference
D. A social media discussion among healthcare providers
Correct Answer: C
Rationale:
Current evidence-based drug references provide accurate, up-
to-date information regarding indications, dosing,
contraindications, precautions, adverse effects, and nursing
considerations. Personal experience and informal discussions
should never replace validated clinical references.
Question 3
A patient asks why the nurse verifies allergies before
administering every new medication. What is the nurse's best
response?
A. "All medications can cause allergic reactions in every
patient."
B. "Checking allergies helps prevent administering medications
that could cause serious hypersensitivity reactions."
, C. "The pharmacy requires nurses to ask before every dose."
D. "Most medication errors involve allergy documentation."
Correct Answer: B
Rationale:
Reviewing allergy history helps identify medications that could
trigger hypersensitivity reactions ranging from mild rashes to
life-threatening anaphylaxis. This safety measure is essential
before administering any new medication.
Question 4
A nurse is educating a patient about over-the-counter
medications. Which statement by the patient indicates
understanding?
A. "Over-the-counter medications are always safe because they
don't require a prescription."
B. "I should tell my healthcare provider about all medications
and supplements I take."
C. "Natural products cannot interact with prescription
medications."
D. "I can increase the dose if the medication does not work
immediately."
Correct Answer: B
Rationale:
Patients should inform healthcare providers about all