NURS 140 FINAL QUESTIONS & ANSWERS
What are the three concepts of med admin? - Answer -1. communication
2. accountability
3. safety
What are the six rights of med admin? - Answer -1. patient
2. med
3. dose
4. route
5. time
6. documentation
What info are you checking for the first med check? - Answer -1. look over MAR
2. name and DOB - compare MAR with box/ med dispensing system
3. allergies
4. expiration date
What info are you checking for the second med check? - Answer -1. name and DOB,
compare MAR w/ med box
2. Allergies
3. for each med know:
a. med name
b. dose
c. route
d. time
4. separate any meds w/ hold parameters
What is important about the third med check? - Answer -1. lock cart
2. take meds & MAR to pt's bedside
3. First Five
a. check pt's wrist band
b. Ask allergies & compare w/ MAR
c. ask how they like to take their meds
d. assess parameters if needed
4. open each pill and drop into same cup as you check them off
The nurse prepares to perform a dressing change. Which of the following identifiers
should the nurse use to ensure client safety?
1. name
2. BD
3. Phone #
4. Facility Armband
5. Photo ID
6. Hospital Room # - Answer -1. name
, 2. BD
3. Phone #
4. Facility Armband
5. Photo ID
The Joint Commission REcognizes all of these except Hospital Room # - subject to
change
The nurse is caring for a client who receives a transdermal patch. What safety
consideration should you discuss with the patient who will be wearing these at home?
1. never cut the transdermal patch in half as the meds will be released all at one time
2. assess manufactures instructions for use of transdermal patch as app sites may differ
depending on the agent w/in the patch
3. Don gloves to apply the transdermal patch
4. assist patient w/ additional pain management by also incorporating the use of hot
whirlpool baths and heating pads
5. use the same skin site for app of all patches for easy app and removal of patch -
Answer -1. never cut the transdermal patch in half as the meds will be released all at
one time
2. assess manufactures instructions for use of transdermal patch as app sites may differ
depending on the agent w/in the patch (rationale: blood flow and temp to different
regions influence the suggested app site)
3. Don gloves to apply the transdermal patch (Rationale: for the nurse's safety)
The nurse is administering SL nitroglycerin tablets to a patient who has angina pectoris.
What are some safety considerations for giving SL meds?
1. The patient should NOT chew or swallow nitroglycerin tablets or any SL tablets but let
them slowly dissolve
2. The patient should be sitting/ lying to receive a SL nitroglycerin tablet
3. Have patient inhale any SL med delivered by a metered dose med spray canister
4. The tablets may be given at 5 min intervals; take the pt BP w/ each med delivery
5. Notify the provider if a pt has an episode of chest pain. Facility protocol dictates if this
is after the first or third dose of nitroglycerin - Answer -1. The patient should NOT chew
or swallow nitroglycerin tablets or any SL tablets but let them slowly dissolve (Rationale:
ensures the absorption will be rapid and complete as there is a vast network of
capillaries under the tongue)
2. The patient should be sitting/ lying to receive a SL nitroglycerin tablet (Rationale:
ensure the patient safety as this causes a drop in BP)
4. The tablets may be given at 5 min intervals; take the pt BP w/ each med delivery
(Rationale: nitroglycerin dose delivery protocol - See Davis Drug Guide)
5. Notify the provider if a pt has an episode of chest pain. Facility protocol dictates if this
is after the first or third dose of nitroglycerin (This is an emergency situation and
provider orders are needed to further the patient's state of wellness)
The pt is ordered 12.5 mg of Phenytoin (anti-seizure med) & this comes in the liquid
dose of 12.5 mg/5mL. The nurse purs the med carefully to follow facility protocol for
liquid med dispensation which should include which of these steps?
What are the three concepts of med admin? - Answer -1. communication
2. accountability
3. safety
What are the six rights of med admin? - Answer -1. patient
2. med
3. dose
4. route
5. time
6. documentation
What info are you checking for the first med check? - Answer -1. look over MAR
2. name and DOB - compare MAR with box/ med dispensing system
3. allergies
4. expiration date
What info are you checking for the second med check? - Answer -1. name and DOB,
compare MAR w/ med box
2. Allergies
3. for each med know:
a. med name
b. dose
c. route
d. time
4. separate any meds w/ hold parameters
What is important about the third med check? - Answer -1. lock cart
2. take meds & MAR to pt's bedside
3. First Five
a. check pt's wrist band
b. Ask allergies & compare w/ MAR
c. ask how they like to take their meds
d. assess parameters if needed
4. open each pill and drop into same cup as you check them off
The nurse prepares to perform a dressing change. Which of the following identifiers
should the nurse use to ensure client safety?
1. name
2. BD
3. Phone #
4. Facility Armband
5. Photo ID
6. Hospital Room # - Answer -1. name
, 2. BD
3. Phone #
4. Facility Armband
5. Photo ID
The Joint Commission REcognizes all of these except Hospital Room # - subject to
change
The nurse is caring for a client who receives a transdermal patch. What safety
consideration should you discuss with the patient who will be wearing these at home?
1. never cut the transdermal patch in half as the meds will be released all at one time
2. assess manufactures instructions for use of transdermal patch as app sites may differ
depending on the agent w/in the patch
3. Don gloves to apply the transdermal patch
4. assist patient w/ additional pain management by also incorporating the use of hot
whirlpool baths and heating pads
5. use the same skin site for app of all patches for easy app and removal of patch -
Answer -1. never cut the transdermal patch in half as the meds will be released all at
one time
2. assess manufactures instructions for use of transdermal patch as app sites may differ
depending on the agent w/in the patch (rationale: blood flow and temp to different
regions influence the suggested app site)
3. Don gloves to apply the transdermal patch (Rationale: for the nurse's safety)
The nurse is administering SL nitroglycerin tablets to a patient who has angina pectoris.
What are some safety considerations for giving SL meds?
1. The patient should NOT chew or swallow nitroglycerin tablets or any SL tablets but let
them slowly dissolve
2. The patient should be sitting/ lying to receive a SL nitroglycerin tablet
3. Have patient inhale any SL med delivered by a metered dose med spray canister
4. The tablets may be given at 5 min intervals; take the pt BP w/ each med delivery
5. Notify the provider if a pt has an episode of chest pain. Facility protocol dictates if this
is after the first or third dose of nitroglycerin - Answer -1. The patient should NOT chew
or swallow nitroglycerin tablets or any SL tablets but let them slowly dissolve (Rationale:
ensures the absorption will be rapid and complete as there is a vast network of
capillaries under the tongue)
2. The patient should be sitting/ lying to receive a SL nitroglycerin tablet (Rationale:
ensure the patient safety as this causes a drop in BP)
4. The tablets may be given at 5 min intervals; take the pt BP w/ each med delivery
(Rationale: nitroglycerin dose delivery protocol - See Davis Drug Guide)
5. Notify the provider if a pt has an episode of chest pain. Facility protocol dictates if this
is after the first or third dose of nitroglycerin (This is an emergency situation and
provider orders are needed to further the patient's state of wellness)
The pt is ordered 12.5 mg of Phenytoin (anti-seizure med) & this comes in the liquid
dose of 12.5 mg/5mL. The nurse purs the med carefully to follow facility protocol for
liquid med dispensation which should include which of these steps?
