NURS 230: Test 1 Questions with Complete solutions
The nurse is preparing to administer a medication that the agency designates as high alert. What action should the nurse take?
1. Ask another registered nurse to verify the medication.
2. Call the pharmacist to check the efficacy of the medication.
3. Decline to administer the medication unless there is a physician present.
4. Request that the nursing supervisor administer the medication. Correct
Answer-1. Ask another registered nurse to verify the medication.
Why is the nurse writing out the name of the drug morphine sulfate instead of using the abbreviation MS?
1. The hospital has placed MS on its list of do-not-use abbreviations.
2. The Joint Commission requires that the abbreviation MS not be used.
3. Using the abbreviation MS puts the client at risk of medication error. 4. Computerized charting systems will not accept the abbreviation MS. Correct Answer-3. Using the abbreviation MS puts the client at risk of medication error.
The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4
hours prn temperature over 101F. The client complains of a headache. Can the nurse legally administer Tylenol to treat the headache?
1. Yes, as Tylenol is used both for fever and headache.
2. No, not unless the client also has a temperature over 101F.
3. Yes, but the nurse should document the reason why the medication was administered as a temperature elevation.
4. Yes, because the medication is available over the counter, an order is not required. Correct Answer-2. No, not unless the client also has a temperature over 101F.
The nurse identifies that the ordered dose for a medication is twice the amount generally administered. What action should the nurse take?
1. Administer the medication as it was ordered.
2. Check to see if previous shift nurses gave the medication. 3. Collaborate with the prescriber about the order.
4. Administer only the standard dose of the medication. Correct Answer-
3. Collaborate with the prescriber about the order.
The nurse is preparing to administer a medication to a 6-year-old client. What is the nurses priority action?
1. Administer the exact dosage as ordered.
2. Give the dosage supplied by the pharmacy.
3. Verify that the dosage is within the safe range for this child.
4. Administer no more than one-half of the safe adult dosage. Correct Answer-3. Verify that the dosage is within the safe range for this child.
During the process of administering medications, the nurse checks the name band for the clients name. What should be this nurses next action?
1. Administer the medication as ordered.
2. Initial the MAR that the medication will be given. 3. Double check the clients identification using a second method.
4. Educate the client regarding the medication to be given. Correct Answer-3. Double check the clients identification using a second method.
The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old client. What strategy should this nurse plan?
1. Give the medication in orange juice or milk to mask the taste.
2. Tell the child that the medication tastes good.
3. Ask the parents how they give medications at home.
4. Get another nurse to assist by holding the client down. Correct Answer-3. Ask the parents how they give medications at home.
The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
1. Have the UAP assess for any unexpected effects from the medication.
The nurse is preparing to administer a medication that the agency designates as high alert. What action should the nurse take?
1. Ask another registered nurse to verify the medication.
2. Call the pharmacist to check the efficacy of the medication.
3. Decline to administer the medication unless there is a physician present.
4. Request that the nursing supervisor administer the medication. Correct
Answer-1. Ask another registered nurse to verify the medication.
Why is the nurse writing out the name of the drug morphine sulfate instead of using the abbreviation MS?
1. The hospital has placed MS on its list of do-not-use abbreviations.
2. The Joint Commission requires that the abbreviation MS not be used.
3. Using the abbreviation MS puts the client at risk of medication error. 4. Computerized charting systems will not accept the abbreviation MS. Correct Answer-3. Using the abbreviation MS puts the client at risk of medication error.
The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4
hours prn temperature over 101F. The client complains of a headache. Can the nurse legally administer Tylenol to treat the headache?
1. Yes, as Tylenol is used both for fever and headache.
2. No, not unless the client also has a temperature over 101F.
3. Yes, but the nurse should document the reason why the medication was administered as a temperature elevation.
4. Yes, because the medication is available over the counter, an order is not required. Correct Answer-2. No, not unless the client also has a temperature over 101F.
The nurse identifies that the ordered dose for a medication is twice the amount generally administered. What action should the nurse take?
1. Administer the medication as it was ordered.
2. Check to see if previous shift nurses gave the medication. 3. Collaborate with the prescriber about the order.
4. Administer only the standard dose of the medication. Correct Answer-
3. Collaborate with the prescriber about the order.
The nurse is preparing to administer a medication to a 6-year-old client. What is the nurses priority action?
1. Administer the exact dosage as ordered.
2. Give the dosage supplied by the pharmacy.
3. Verify that the dosage is within the safe range for this child.
4. Administer no more than one-half of the safe adult dosage. Correct Answer-3. Verify that the dosage is within the safe range for this child.
During the process of administering medications, the nurse checks the name band for the clients name. What should be this nurses next action?
1. Administer the medication as ordered.
2. Initial the MAR that the medication will be given. 3. Double check the clients identification using a second method.
4. Educate the client regarding the medication to be given. Correct Answer-3. Double check the clients identification using a second method.
The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old client. What strategy should this nurse plan?
1. Give the medication in orange juice or milk to mask the taste.
2. Tell the child that the medication tastes good.
3. Ask the parents how they give medications at home.
4. Get another nurse to assist by holding the client down. Correct Answer-3. Ask the parents how they give medications at home.
The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
1. Have the UAP assess for any unexpected effects from the medication.
