REX-PN STUDY CARDS Questions and
Complete Solutions Graded A+
1. In order to comply with the rights of medication administration, the practical nurse must compare the
medication prepackage with the prescriber's order to confirm that the pharmacy has prepared the
correct medication. - Answer: What is the most accurate method for the practical nurse to determine
she is administering the correct medication to Mr.Rickhelm?
1. Compare the name of the drug on the medication prepackage with the prescribers order.
2. Ask Mr.Richkelm to confirm he is receiving the correct medication.
3. Contact the agency pharmacy to confirm Mr.Richkelm's medication profile.
4. Check the medication identified on the medication prepackage against information from a drug
reference text or agency intranet site..
1. This response answers Mr.Ogalino's questions and indicates that the practical nurse is aware of what
drug is being administered and that it is an accepted generic form of the drug. - Answer: Mr.Ogalino has
been taking a brand name oral anti-infective medication at home for 6 months prior to being admitted
to hospital. When the practical nurse brings his medications to him for the first time, he states "What is
this pink pill? I have never taken that one before." Which of the following responses by the practical
nurse indicates safe medication administration?
1. "This is a generic form of your regular anti-infective."
2. "I don't know, I'll check your medication record."
3. "This is what your doctor has prescribed for you."
4. "If you wish, you may refuse the medication."
2. This response validates Ms.Jasmin's comment and may provide important information to the practical
nurse for the dosing schedule. - Answer: Ms.Jasmin is a newly admitted client to the unit. The practical
nurse prepares to administer long-acting insulin to her at 1800 hours. Ms.Jasmin tells the practical nurse
that at home she takes this insulin at bedtime, around 2300 hours. How should the practical nurse
respond?
1. "I will test your blood sugar to make sure this is the best time to inject your insulin."
2. "What is the release you take your insulin at bedtime?"
3. "Generally the schedule for administering insulin is different when you are in hospital than when you
are at home."
, 4. "Bedtime is not the best time for administration of long-acting insulin."
4. Anticoagulants, or blood thinners, are used to treat and prevent deep vein thrombosis. - Answer:
Ms.Corel is admitted to the unit with a diagnosis of deep vein thrombosis. Which of the following
categories of drugs is likely to be ordered?
1. A statin
2. An antibiotic
3. An analgesic
4. An anticoagulant
4. Regulated health care providers, such as nurses, physicians, dentists, chiropractors,
pharmacist/technicians, and so on, are legally able to sign narcotic count sheets. - Answer: The
pharmacy technician comes to the unit to add some narcotics to the narcotic draw on the unit. The
pharmacy technician asks the practical nurse to sign as a witness for the added medication to the
narcotic draw count. Who may legally sign the narcotic administration count sheet?
1. A (RN)
2. An RN RPN
3. An RN or a physician
4. Any registered or regulated health care provider.
4. The dose of digoxin is 10 times the ordered dose. It is a nursing responsibility to calculate and ensure
the correct dose of every drug administered. - Answer: Mrs.Alina is ordered Digoxin (Lanoxin) 0.075mg.
The pharmacy dispenses Digoxin, three tablets of 0.25mg for the above order. The practical nurse
administers the provided three tablets of digoxin.
1. Correct, as the digoxin has been calculated by the pharmacy.
2. Correct, as the digoxin is the same dose that the physician has ordered.
3. Incorrect, as the ordered dose of digoxin is below the therapeutic level.
4. Incorrect, as the dose administered is too high.
1. This response helps to identify it as a unique experience for Mr.Smadu, without getting into a
discussion of whether it is a symptom of his schizophrenia disorder. - Answer: Mr.Smadu's mother and
sister ask the practical nurse what the best way is to respond when he is hearing voices. What should
the practical nurse advise to them?
Complete Solutions Graded A+
1. In order to comply with the rights of medication administration, the practical nurse must compare the
medication prepackage with the prescriber's order to confirm that the pharmacy has prepared the
correct medication. - Answer: What is the most accurate method for the practical nurse to determine
she is administering the correct medication to Mr.Rickhelm?
1. Compare the name of the drug on the medication prepackage with the prescribers order.
2. Ask Mr.Richkelm to confirm he is receiving the correct medication.
3. Contact the agency pharmacy to confirm Mr.Richkelm's medication profile.
4. Check the medication identified on the medication prepackage against information from a drug
reference text or agency intranet site..
1. This response answers Mr.Ogalino's questions and indicates that the practical nurse is aware of what
drug is being administered and that it is an accepted generic form of the drug. - Answer: Mr.Ogalino has
been taking a brand name oral anti-infective medication at home for 6 months prior to being admitted
to hospital. When the practical nurse brings his medications to him for the first time, he states "What is
this pink pill? I have never taken that one before." Which of the following responses by the practical
nurse indicates safe medication administration?
1. "This is a generic form of your regular anti-infective."
2. "I don't know, I'll check your medication record."
3. "This is what your doctor has prescribed for you."
4. "If you wish, you may refuse the medication."
2. This response validates Ms.Jasmin's comment and may provide important information to the practical
nurse for the dosing schedule. - Answer: Ms.Jasmin is a newly admitted client to the unit. The practical
nurse prepares to administer long-acting insulin to her at 1800 hours. Ms.Jasmin tells the practical nurse
that at home she takes this insulin at bedtime, around 2300 hours. How should the practical nurse
respond?
1. "I will test your blood sugar to make sure this is the best time to inject your insulin."
2. "What is the release you take your insulin at bedtime?"
3. "Generally the schedule for administering insulin is different when you are in hospital than when you
are at home."
, 4. "Bedtime is not the best time for administration of long-acting insulin."
4. Anticoagulants, or blood thinners, are used to treat and prevent deep vein thrombosis. - Answer:
Ms.Corel is admitted to the unit with a diagnosis of deep vein thrombosis. Which of the following
categories of drugs is likely to be ordered?
1. A statin
2. An antibiotic
3. An analgesic
4. An anticoagulant
4. Regulated health care providers, such as nurses, physicians, dentists, chiropractors,
pharmacist/technicians, and so on, are legally able to sign narcotic count sheets. - Answer: The
pharmacy technician comes to the unit to add some narcotics to the narcotic draw on the unit. The
pharmacy technician asks the practical nurse to sign as a witness for the added medication to the
narcotic draw count. Who may legally sign the narcotic administration count sheet?
1. A (RN)
2. An RN RPN
3. An RN or a physician
4. Any registered or regulated health care provider.
4. The dose of digoxin is 10 times the ordered dose. It is a nursing responsibility to calculate and ensure
the correct dose of every drug administered. - Answer: Mrs.Alina is ordered Digoxin (Lanoxin) 0.075mg.
The pharmacy dispenses Digoxin, three tablets of 0.25mg for the above order. The practical nurse
administers the provided three tablets of digoxin.
1. Correct, as the digoxin has been calculated by the pharmacy.
2. Correct, as the digoxin is the same dose that the physician has ordered.
3. Incorrect, as the ordered dose of digoxin is below the therapeutic level.
4. Incorrect, as the dose administered is too high.
1. This response helps to identify it as a unique experience for Mr.Smadu, without getting into a
discussion of whether it is a symptom of his schizophrenia disorder. - Answer: Mr.Smadu's mother and
sister ask the practical nurse what the best way is to respond when he is hearing voices. What should
the practical nurse advise to them?
