Pharmacology NURS1061 Midterm EXAM QUESTIONS
AND CORRECT ANSWERS GRADED A+/
Which is the most appropriate site to administer an intramuscular injection to a
neonate?
1 Ventrogluteal
2 Deltoid
3 Vastus lateralis
4 Abdomen
Ans: 3 Vastus lateralis
The vastus lateralis is a larger muscle mass in the infant compared with the
ventrogluteal and deltoid muscles. The abdomen is not a muscle and is not
appropriate to utilize as an intramuscular injection site.
Quiz Which strategy is helpful in preventing medication errors in nursing practice?
Select all that apply. One, some, or all responses may be correct.
,1 Provide patients with proper education.
2 Verify medication prescriptions before administering them.
3 Develop professional relationships with pharmacists.
4 Avoid using computerized prescription entry and bar coding.
5 Instruct the patient to not question the primary health care provider.
Ans: 1 Provide patients with proper education.
2 Verify medication prescriptions before administering them.
3 Develop professional relationships with pharmacists.
Quiz Which practice poses a risk for toxicity that could lead to a potentially fatal
overdose?
1 Administering drugs on an empty stomach
2 Crushing timed-released or enteric-coated drugs
3 Giving oral drugs to patients who lack a gag reflex
4 Mixing drugs with a large amount of food or beverage
Ans: 2 Crushing timed-released or enteric-coated drugs
Quiz The nurse administers a medication to the wrong patient. Which is the
appropriate nursing action after this error?
,1 Assess the client for an adverse reaction and report if an adverse event occurs.
2 Document the medication error; no further action is required.
3 Report the error and document the medication on the patient chart.
4 Notify the health care provider and document the error on an incident report
Ans: 4 Notify the health care provider and document the error on an incident
report
Quiz Which phrase describes a nurse's right related to safe medication
administration? Select all that apply. One, some, or all responses may be correct.
1 The right to a complete and clear prescription
2 The right to have the correct drug, route, dose dispensed
3 The right to policies to guide safe medication administration
4 The right to no more than 10 patients to whom to administer medications
5 The right to allow students to work without supervision if too busy
6 The right to change medication start dates if times are difficult to schedule
Ans: 1 The right to a complete and clear prescription
2 The right to have the correct drug, route, dose dispensed
, 3 The right to policies to guide safe medication administration
Discussion of the nurse's rights can help to increase safe medication
administration. In addition to these three rights, the rights include the right to
have access to information, the right to administer medications safely and identify
system problems, and the right to stop, think, and be vigilant when administering
medications. Staffing ratios, scope of practice of nursing students, and the right to
change start times are not included in the nurse's rights related to safe staffing
administration.
Quiz A sentinel event secondary to a medication error has occurred in the
hospital. What is the next step in determining how to prevent the same mistake
from happening again?
1 Firing everyone involved
2 Performing a root cause analysis
3 Reviewing the list of "do not use" abbreviations
4 Reporting the incident to The Joint Commission (TJC)
Ans: 2 Performing a root cause analysis
Once any sort of sentinel event has occurred (medication error or otherwise), a
root cause analysis should be performed. This is the best way to determine what
happened and why and prevent future incidents. One reason could be the use of
unacceptable abbreviations, but a root case analysis will clarify if this is the cause
and determine the need for a review of this list. TJC will review the situation, but
AND CORRECT ANSWERS GRADED A+/
Which is the most appropriate site to administer an intramuscular injection to a
neonate?
1 Ventrogluteal
2 Deltoid
3 Vastus lateralis
4 Abdomen
Ans: 3 Vastus lateralis
The vastus lateralis is a larger muscle mass in the infant compared with the
ventrogluteal and deltoid muscles. The abdomen is not a muscle and is not
appropriate to utilize as an intramuscular injection site.
Quiz Which strategy is helpful in preventing medication errors in nursing practice?
Select all that apply. One, some, or all responses may be correct.
,1 Provide patients with proper education.
2 Verify medication prescriptions before administering them.
3 Develop professional relationships with pharmacists.
4 Avoid using computerized prescription entry and bar coding.
5 Instruct the patient to not question the primary health care provider.
Ans: 1 Provide patients with proper education.
2 Verify medication prescriptions before administering them.
3 Develop professional relationships with pharmacists.
Quiz Which practice poses a risk for toxicity that could lead to a potentially fatal
overdose?
1 Administering drugs on an empty stomach
2 Crushing timed-released or enteric-coated drugs
3 Giving oral drugs to patients who lack a gag reflex
4 Mixing drugs with a large amount of food or beverage
Ans: 2 Crushing timed-released or enteric-coated drugs
Quiz The nurse administers a medication to the wrong patient. Which is the
appropriate nursing action after this error?
,1 Assess the client for an adverse reaction and report if an adverse event occurs.
2 Document the medication error; no further action is required.
3 Report the error and document the medication on the patient chart.
4 Notify the health care provider and document the error on an incident report
Ans: 4 Notify the health care provider and document the error on an incident
report
Quiz Which phrase describes a nurse's right related to safe medication
administration? Select all that apply. One, some, or all responses may be correct.
1 The right to a complete and clear prescription
2 The right to have the correct drug, route, dose dispensed
3 The right to policies to guide safe medication administration
4 The right to no more than 10 patients to whom to administer medications
5 The right to allow students to work without supervision if too busy
6 The right to change medication start dates if times are difficult to schedule
Ans: 1 The right to a complete and clear prescription
2 The right to have the correct drug, route, dose dispensed
, 3 The right to policies to guide safe medication administration
Discussion of the nurse's rights can help to increase safe medication
administration. In addition to these three rights, the rights include the right to
have access to information, the right to administer medications safely and identify
system problems, and the right to stop, think, and be vigilant when administering
medications. Staffing ratios, scope of practice of nursing students, and the right to
change start times are not included in the nurse's rights related to safe staffing
administration.
Quiz A sentinel event secondary to a medication error has occurred in the
hospital. What is the next step in determining how to prevent the same mistake
from happening again?
1 Firing everyone involved
2 Performing a root cause analysis
3 Reviewing the list of "do not use" abbreviations
4 Reporting the incident to The Joint Commission (TJC)
Ans: 2 Performing a root cause analysis
Once any sort of sentinel event has occurred (medication error or otherwise), a
root cause analysis should be performed. This is the best way to determine what
happened and why and prevent future incidents. One reason could be the use of
unacceptable abbreviations, but a root case analysis will clarify if this is the cause
and determine the need for a review of this list. TJC will review the situation, but
