2025 UPDATED QUESTIONS
GRADED A+
1. The nurse is preparing to administer a schedule II injectable drug and is drawing up
half of the contents of a single-use vial. Which nursing action is correct?
a. Ask another nurse to observe and cosign wasting the remaining drug from the vial.
b. Keep the remaining amount in the patients drawer to give at the next dose.
c. Record the amount unused in the patients medication record.
d. Dispose of the vial with the remaining drug into a locked collection box. - CORRECT
ANSWER>>>>ANS: A
Schedule II drugs are controlled substances, and all must be accounted for. When
wasting a portion of a drug, another nurse should observe and cosign that a drug was
wasted.
2. A patient is prescribed a medication and asks the nurse if the drug is available in a
generic form. The nurse understands that a generic medication will have a name that
a. is a registered trademark.
b. is always capitalized.
c. describes the drugs chemical structure. d. is non-proprietary.
d. is non-proprietary. - CORRECT ANSWER>>>>ANS: D
The generic name is the official, non-proprietary name for a drug. The brand name is
the trademark name and
is always capitalized. The chemical name describes the chemical structure of the drug.
3. A patient receives a prescription on which the provider has noted that a generic
medication may be given. The patient asks the nurse what this means. What will the
nurse tell the patient about generic drugs?
a. They contain the same inert ingredients as brand-name drugs.
b. They have chemical structures that are identical to proprietary drugs.
c. They tend to be less expensive than brand-name drugs.
d. They undergo extensive testing before they are marketed. - CORRECT
ANSWER>>>>ANS: C
Generic drugs are approved by the FDA if they are proved to be bioequivalent to the
brand-name drug. They tend to be less expensive because manufacturers of these
drugs do not have to do the extensive testing required of brand-name drugs before
marketing. They are not identical to brand-name drugs and often have different inert
ingredients.
4. The nurse reviews information about a drug and notes the initials USP after the drugs
official name. The nurse understands that this designation indicates the drug
a. is a controlled substance.
, b. is approved by the U.S. Food and Drug Administration (FDA).
c. is available in generic form.
d. meets quality and safety standards. - CORRECT ANSWER>>>>ANS: D
The USP designation is given to drugs that have met high standards for therapeutic
use, patient safety, quality, purity, strength, packaging safety, and dosage form by the
United States Pharmacopoeia National Formulary. The FDA classifies controlled
substances with Roman numerals from I to V. The USP designation does not indicate
FDA approval. The USP designation does not indicate generic availability.
5. The nurse is preparing to give a medication to a child. The childs parent asks whether
the drug is safe for children. How will the nurse respond to the parent?
a. Drugs are tested on adults and safe doses for children are based on weights
compared to adult weights.
b. Drugs are deemed safe for children over time when repeated use proves
effectiveness and safety.
c. Drugs are tested for both efficacy and safety in children in order to be marketed for
pediatric use. d. Drugs are tested on children in postmarketing studies and on a limited
basis. - CORRECT ANSWER>>>>ANS: C
The Pediatric Research Equity Act requires drug manufacturers to test drugs on
children.
6. Which law(s) govern all drug administration by nurses?
a. Drug Regulation and Reform Act
b. FDA Amendments Act
c. Nurse Practice Acts
d. The Controlled Substances Act - CORRECT ANSWER>>>>ANS: C
Each states Nurse Practice Act identifies how nurses administer medications. The other
acts govern how drugs are marketed and tested.
7. The nurse administers a drug and miscalculates the dose by placing the decimal
place one space to the right, resulting in a 10-fold overdose and the death of the patient.
What offense does this represent?
a. Malfeasance
b. Malpractice
c. Misfeasance
d. Nonfeasance - CORRECT ANSWER>>>>ANS: C
Misfeasance is negligence in giving either the wrong drug or the wrong dose, resulting
in the death of the patient.
8. The nurse is busy and neglects to give a drug to a patient resulting in the patients
death. What offense does this represent?
a. Malfeasance
b. Malpractice
c. Misfeasance
d. Nonfeasance - CORRECT ANSWER>>>>ANS: D
Nonfeasance is omitting a drug dose, resulting in the patients death.