NUR 301 Exam 1 Testbank Questions
The physician has ordered several medications for the patient. What does the nu
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 answer Correct Answer: 2,3,4,5
How the medication is supplied by the pharmacy, how the medication is to be ad
name of the medication, and the reason the medication was prescribed for the pat
responsibilities of the nurse regarding medication administration. Whether or no
hospital formulary list is not a primary responsibility of the nurse.
The nurse is preparing medications prior to administration. To promote patient
uses rights of drug administration. What do these rights include? Select all that a
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 answer Correct Answer: 1,2,3,4,5
The five rights of drug administration are the right patient, the right medication
the right route of administration, and the right time of delivery.
The patient is having chest pain. The physician orders sublingual nitroglycerine
obtains the medication from the pharmacy and administers it to the patient 30 m
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. Assess the patients learning needs. - correct answer Correct Answer: 2
An assessment of the patients medical history, which includes allergies, is the mo
assessment prior to administering medications. Assessing the patients learning n
for medication education, but not for safely administering medications. Assessing
developmental level is important for medication education, but not for safely adm
medications. Assessing the patients disease process is important in evaluating the
medications, but not for safely administering medications.
The physician prescribes an oral medication for the patient. What is the primary
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 answer Correct Answer: 2
The ability of the patient to swallow is a safety issue to prevent aspiration of the
patients understanding is important, but not a priority. The patients eyesight is n
The patients allergies are important, but if the patient cannot swallow the medic
allergies are not significant.
The physician ordered an oral medication. The nurse incorrectly administered th
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.
4. A lawsuit by the patient will be impending. - correct answer Correct Answer:
When a medication is given intravenously, its effects cannot be reversed because
the bloodstream. A lawsuit may occur, but this is not the primary concern; patien
primary concern. The nurse may be terminated, but patient safety is the main con
effect of the medication cannot be reversed. Antidotes may be given, but this mus
quickly.
What is the best plan as the nurse prepares to administer a topical medication?
,2. If you take an oral medication, you will just vomit it up.
3. This will work much faster for your nausea.
4. You cant have anything by mouth, so will receive the medication intravenously
Correct Answer: 3
The intravenous route provides the quickest route of medication absorption. Tel
that he will vomit the medication is non-therapeutic. Telling the patient that the
intravenous drugs than oral drugs does not answer the patients question. There
the patient cannot have anything by mouth.
The physician orders enteric-coated aspirin, 300 mg every day, for the patient wi
tube. What is the priority action by the nurse?
1. Crush the tablet, dissolve it in 30 mL of water, and administer through the tub
2. Put the tablet in the tube, milk it down the tube, and then flush the tube with 6
3. Withhold the medication and contact the physician.
4. Substitute plain aspirin, dissolve it in 30 mL of water, and administer through
answer Correct Answer: 3
The only option is to withhold the medication and contact the physician. Crushin
destroys the enteric coating. Putting the tablet in the tube will result in clogging
nurse cannot substitute plain aspirin; this requires a physicians order.
The patient is receiving a sustained-release capsule for his cardiac condition. The
nurse there is no way he can swallow such a large pill. What is the best response
1. Withhold the medication and contact the physician.
2. Place the capsule on the back of the patients tongue, and have him drink a full
3. Open the capsule and sprinkle the contents over applesauce.
4. Encourage the patient to try and swallow the capsule because it is the best med
heart condition. - correct answer Correct Answer: 1
The only option is to contact the physician. Several sustained-release medication
and sprinkled on food. Placing the capsule on the back of the patients tongue and
a full glass of water may cause the patient to aspirate the capsule and/or the wate
the patient to try to swallow the capsule is coercive, and may result in the patien
medication.
, An order for a medication to be given prn means
1. as needed.
2. every day.
3. at bedtime.
4. with food. - correct answer Correct Answer: 1
A patient has an increased reaction to a drug following a change in her dietary ha
following changes would most likely be the cause?
1. Increased intake of grapefruit juice
2. Reduced intake of alcohol
3. Increased fiber intake
4. Reduced intake of citrus fruit - correct answer Correct Answer: 1
Grapefruit juice lowers the acidity of enzymes in the GI system that break down
in turn results in higher medication absorption into the bloodstream. A reduction
intake would likely cause a lowered drug reaction. A reduced intake of alcohol or
likely produce an increased reaction to a drug.
The nurse administers an oral preparation of liquid Tylenol 650 mg as ordered. A
patient indicates he had been receiving Tylenol 650 mg in pill form. Which of the
accurate in regards to the five rights?
1. The nurse failed to deliver the correct dose.
2. The nurse failed to administer the right medication.
3. The nurse did not violate the five rights.
4. The nurse failed to give the medication via the correct route. - correct answer
3
Nothing in the question depicts a violation of the five rights.
Placement of a tablet between the cheek and gum would be which route?
1. Buccal
The physician has ordered several medications for the patient. What does the nu
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 answer Correct Answer: 2,3,4,5
How the medication is supplied by the pharmacy, how the medication is to be ad
name of the medication, and the reason the medication was prescribed for the pat
responsibilities of the nurse regarding medication administration. Whether or no
hospital formulary list is not a primary responsibility of the nurse.
The nurse is preparing medications prior to administration. To promote patient
uses rights of drug administration. What do these rights include? Select all that a
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 answer Correct Answer: 1,2,3,4,5
The five rights of drug administration are the right patient, the right medication
the right route of administration, and the right time of delivery.
The patient is having chest pain. The physician orders sublingual nitroglycerine
obtains the medication from the pharmacy and administers it to the patient 30 m
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. Assess the patients learning needs. - correct answer Correct Answer: 2
An assessment of the patients medical history, which includes allergies, is the mo
assessment prior to administering medications. Assessing the patients learning n
for medication education, but not for safely administering medications. Assessing
developmental level is important for medication education, but not for safely adm
medications. Assessing the patients disease process is important in evaluating the
medications, but not for safely administering medications.
The physician prescribes an oral medication for the patient. What is the primary
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 answer Correct Answer: 2
The ability of the patient to swallow is a safety issue to prevent aspiration of the
patients understanding is important, but not a priority. The patients eyesight is n
The patients allergies are important, but if the patient cannot swallow the medic
allergies are not significant.
The physician ordered an oral medication. The nurse incorrectly administered th
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.
4. A lawsuit by the patient will be impending. - correct answer Correct Answer:
When a medication is given intravenously, its effects cannot be reversed because
the bloodstream. A lawsuit may occur, but this is not the primary concern; patien
primary concern. The nurse may be terminated, but patient safety is the main con
effect of the medication cannot be reversed. Antidotes may be given, but this mus
quickly.
What is the best plan as the nurse prepares to administer a topical medication?
,2. If you take an oral medication, you will just vomit it up.
3. This will work much faster for your nausea.
4. You cant have anything by mouth, so will receive the medication intravenously
Correct Answer: 3
The intravenous route provides the quickest route of medication absorption. Tel
that he will vomit the medication is non-therapeutic. Telling the patient that the
intravenous drugs than oral drugs does not answer the patients question. There
the patient cannot have anything by mouth.
The physician orders enteric-coated aspirin, 300 mg every day, for the patient wi
tube. What is the priority action by the nurse?
1. Crush the tablet, dissolve it in 30 mL of water, and administer through the tub
2. Put the tablet in the tube, milk it down the tube, and then flush the tube with 6
3. Withhold the medication and contact the physician.
4. Substitute plain aspirin, dissolve it in 30 mL of water, and administer through
answer Correct Answer: 3
The only option is to withhold the medication and contact the physician. Crushin
destroys the enteric coating. Putting the tablet in the tube will result in clogging
nurse cannot substitute plain aspirin; this requires a physicians order.
The patient is receiving a sustained-release capsule for his cardiac condition. The
nurse there is no way he can swallow such a large pill. What is the best response
1. Withhold the medication and contact the physician.
2. Place the capsule on the back of the patients tongue, and have him drink a full
3. Open the capsule and sprinkle the contents over applesauce.
4. Encourage the patient to try and swallow the capsule because it is the best med
heart condition. - correct answer Correct Answer: 1
The only option is to contact the physician. Several sustained-release medication
and sprinkled on food. Placing the capsule on the back of the patients tongue and
a full glass of water may cause the patient to aspirate the capsule and/or the wate
the patient to try to swallow the capsule is coercive, and may result in the patien
medication.
, An order for a medication to be given prn means
1. as needed.
2. every day.
3. at bedtime.
4. with food. - correct answer Correct Answer: 1
A patient has an increased reaction to a drug following a change in her dietary ha
following changes would most likely be the cause?
1. Increased intake of grapefruit juice
2. Reduced intake of alcohol
3. Increased fiber intake
4. Reduced intake of citrus fruit - correct answer Correct Answer: 1
Grapefruit juice lowers the acidity of enzymes in the GI system that break down
in turn results in higher medication absorption into the bloodstream. A reduction
intake would likely cause a lowered drug reaction. A reduced intake of alcohol or
likely produce an increased reaction to a drug.
The nurse administers an oral preparation of liquid Tylenol 650 mg as ordered. A
patient indicates he had been receiving Tylenol 650 mg in pill form. Which of the
accurate in regards to the five rights?
1. The nurse failed to deliver the correct dose.
2. The nurse failed to administer the right medication.
3. The nurse did not violate the five rights.
4. The nurse failed to give the medication via the correct route. - correct answer
3
Nothing in the question depicts a violation of the five rights.
Placement of a tablet between the cheek and gum would be which route?
1. Buccal
