Medication exam
What are the six rights of medication administration - ANSRight patient
right medication
right time
right dose
right route
right documentation
When preparing to give a new medication, what would the nurse do first to ensure patient
safety? - ANScompare the written order with the MAR
Whats the most important step to ensure the patient is getting the right med? - ANSCompare
medication label with MAR 3 times
What is a statement that illustrates the nurses understanding of the role of nursing assistive
personnel (NAP) in medication administration - ANS"let me know if she complains of any
nausea"
If a patient states "i've never seen that pill before" .. what's an appropriate response? - ANSTell
the patient that you will review the order to clarify any discrepancies
What is the best response after noticing that the route of administration has been omitted from
an order? - ANSImmediately notify the prescriber to request that the order be completed
What can an RN delegate to CNA's? - ANSObserve for potential side effects and report them &
instruct them to inform you if symptoms are not relieved or worsen after the medication is given
Observed the six rights of medication administration: Right Medication (3 things) - ANScheck
med and mar 3 times
made sure to label medication not in original container
calculate dose if necessary and double check it with another nurse
Observed te six rights of Medication Administration: Right dose (4 things) - ANSFollow
guidelines for high alert meds
Prepare liquid in a standard measuring device
Use a pill-splitting device and discard any pill that doesn't break evenly
Mix crushed talets with a small amount of food/liquid
Observed the six rights of Medication Administration: Right patient - ANStwo identifiers
, Observed the six rights of Medication Administration: Right Route - ANSensure right route,
contact prescriber if necessary
Observed the six rights of Medication Administration: Right time for non-time critical meds -
ANSFollow agency's recommended schedule and give non-time critical meds within 1-2 hours
of scheduled time
Observed the six rights of Medication Administration: Right time for time critical meds - STAT,
NOW, on-call, PRN - ANSSTAT immediately
NOW within 60 mins of order
On-call when OR or treatment requests it
PRN with circumstances
Observed the six rights of Medication Administration: Right documentation (3 things) -
ANSDocument meds name, dose, route, time given, and any pre-assessments obtained
immediately after
Document response to PRN medications
Taught the patient about meds and dispose of sharps immediately
How might the nurse safely administer an extended release capsule to a patient with
dysphagia? - ANSPlace the capsule in a spoon of applesauce
The nurse is preparing to administer severl oral medications when the patient says he would like
to take his pills with orange juice. Best response? - ANSEstablish if the medications can be
taken with orange juice
Which statement/question best illustrates the nurse's understanding of the role of NAP in
administering oral medications? - ANSPlease make sure the patient has plenty of fresh water to
take with her pills
The nurse provided a patient with PRN oral analgesic that may be repeated as needed every
6-8 hours. Whats the most appropriate follow-up action to ensure appropriate pain
management? - ANSreassess pain in 30-40 minutes
A patient with a history of nighttime confusion is to receive several oral medications at bedtime.
What is the best way for the nurse to ensure the patient has swallowed the medications? -
ANSAsk the patient to open his mouth after each tablet is swallowed
The nurse is preparing to apply a topical oil-based medication to a patients forearm. What
should the nurse do to minimizes the risk of contamination during the application? - ANSChange
gloves between prepping skin and applying the medication
What are the six rights of medication administration - ANSRight patient
right medication
right time
right dose
right route
right documentation
When preparing to give a new medication, what would the nurse do first to ensure patient
safety? - ANScompare the written order with the MAR
Whats the most important step to ensure the patient is getting the right med? - ANSCompare
medication label with MAR 3 times
What is a statement that illustrates the nurses understanding of the role of nursing assistive
personnel (NAP) in medication administration - ANS"let me know if she complains of any
nausea"
If a patient states "i've never seen that pill before" .. what's an appropriate response? - ANSTell
the patient that you will review the order to clarify any discrepancies
What is the best response after noticing that the route of administration has been omitted from
an order? - ANSImmediately notify the prescriber to request that the order be completed
What can an RN delegate to CNA's? - ANSObserve for potential side effects and report them &
instruct them to inform you if symptoms are not relieved or worsen after the medication is given
Observed the six rights of medication administration: Right Medication (3 things) - ANScheck
med and mar 3 times
made sure to label medication not in original container
calculate dose if necessary and double check it with another nurse
Observed te six rights of Medication Administration: Right dose (4 things) - ANSFollow
guidelines for high alert meds
Prepare liquid in a standard measuring device
Use a pill-splitting device and discard any pill that doesn't break evenly
Mix crushed talets with a small amount of food/liquid
Observed the six rights of Medication Administration: Right patient - ANStwo identifiers
, Observed the six rights of Medication Administration: Right Route - ANSensure right route,
contact prescriber if necessary
Observed the six rights of Medication Administration: Right time for non-time critical meds -
ANSFollow agency's recommended schedule and give non-time critical meds within 1-2 hours
of scheduled time
Observed the six rights of Medication Administration: Right time for time critical meds - STAT,
NOW, on-call, PRN - ANSSTAT immediately
NOW within 60 mins of order
On-call when OR or treatment requests it
PRN with circumstances
Observed the six rights of Medication Administration: Right documentation (3 things) -
ANSDocument meds name, dose, route, time given, and any pre-assessments obtained
immediately after
Document response to PRN medications
Taught the patient about meds and dispose of sharps immediately
How might the nurse safely administer an extended release capsule to a patient with
dysphagia? - ANSPlace the capsule in a spoon of applesauce
The nurse is preparing to administer severl oral medications when the patient says he would like
to take his pills with orange juice. Best response? - ANSEstablish if the medications can be
taken with orange juice
Which statement/question best illustrates the nurse's understanding of the role of NAP in
administering oral medications? - ANSPlease make sure the patient has plenty of fresh water to
take with her pills
The nurse provided a patient with PRN oral analgesic that may be repeated as needed every
6-8 hours. Whats the most appropriate follow-up action to ensure appropriate pain
management? - ANSreassess pain in 30-40 minutes
A patient with a history of nighttime confusion is to receive several oral medications at bedtime.
What is the best way for the nurse to ensure the patient has swallowed the medications? -
ANSAsk the patient to open his mouth after each tablet is swallowed
The nurse is preparing to apply a topical oil-based medication to a patients forearm. What
should the nurse do to minimizes the risk of contamination during the application? - ANSChange
gloves between prepping skin and applying the medication
