A nurse is preparing to administer oral furosemide (Lasix) to a patient. Which action is most
appropriate before administration?
A. Checking the patient's apical pulse
B. Assessing the patient's blood pressure
C. Measuring the patient's blood glucose
D. Evaluating the patient's oxygen saturation
Correct Answer: B. Assessing the patient's blood pressure
Rationale:
Furosemide is a diuretic and antihypertensive, so blood pressure must be checked to prevent
hypotension.
Question
Which of the following components must be included in every medication prescription?
A. Patient's name, room number, and allergies
B. Medication name, dose, and route only
C. Patient's name, prescription date, medication name, dosage, route, time, indication, and
prescriber's signature
D. Date, medication name, and prescriber's initials
Correct Answer: C. Patient's name, prescription date, medication name, dosage, route, time,
indication, and prescriber's signature
Rationale:
A complete prescription is required for legal validity and safe medication administration.
Question
The nurse is reviewing the 10 rights of medication administration. Which of the following are
included? (Select all that apply.)
,A. Right patient
B. Right documentation
C. Right to refuse
D. Right to environment
E. Right to drug interaction
Correct Answer: A, B, C, E
Rationale:
The 10 rights include patient, documentation, refusal, and drug interaction, but not environment.
Question
A nurse is preparing medications for two patients simultaneously when she is interrupted by a
physician. What is the safest nursing action?
A. Continue preparing both patients' medications
B. Ask another nurse to finish preparation
C. Stop and verify each patient's MAR before resuming one at a time
D. Rely on memory to finish quickly
Correct Answer: C. Stop and verify each patient's MAR before resuming one at a time
Rationale:
Preparing medications one patient at a time reduces the risk of medication errors.
Question
What factors need to be considered when selecting an ostomy pouching system? SATA.
A. Condition and integrity of peristomal skin
B. Amount and consistency of effluent
C. Location on abdomen
D. Contour and shape of abdomen
E. Measurement of stoma size
F. Colour of ostomy pouch
Correct Answer: A, B, C, D, E
, Rationale:
Pouch selection depends on skin condition, effluent, stoma size, and abdominal contour, not
color.
Question
What are important cues to managing a colostomy site? SATA.
A. Empty if more than one-third to one-half full
B. Customize flange to specific stoma size
C. Colour and healing assessment of stoma
D. Meticulous skin care around site
E. Soap to clean peristomal area
Correct Answer: A, B, C, D
Rationale:
Proper emptying, sizing, assessment, and skin care are essential; soap may irritate the peristomal
skin.
QUESTION
Which has diarrheal effects on stoma output?
A. Alcohol
B. Tea
C. Bland food
D. Almond
Correct Answer: B. Tea
Rationale:
Tea can stimulate bowel activity and increase stool output.
QUESTION
What are abnormal findings of a stoma?
A. Uniform pink colour
B. Bud-like protrusion
C. Blue stoma