Chapter 26: Medication Administration (NCLEX
QUESTIONS
A client just admitted with an acute myocardial infarction (heart attack) is prescribed heparin (an
anticoagulant) 2,000 units IV now. Which action should the nurse take first before administering
this medication?
1) Make sure the informed consent is signed.
2) Verify the prescription with the physician.
3) Check the laboratory results of coagulation studies.
4) Be sure a signed HIPPA form is on the chart. - ANS: 3
A hospitalized patient's medical record contains the following medication prescription. The
patient's name is stamped on the order sheet. Which prescription is complete?
1) Furosemide 40 mg IV daily
2) 5/26/14—digoxin 0.25 mg IV daily, G. Horowitz RN
3) 5/28/14—0930—K-lor 40 mEq PO now, James Carp MD
4) 5/29/14—metopropol 5 mg IV q 6 hours, Robert Young DO - ANS: 3
,A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it
easier to swallow. How will the nurse respond to the patient?
1) "Crushing the medication can lead to a possibly toxic medication dose."
2) "Crushing the medication is safe and can prevent gagging on pills."
3) "The tablet may be done if a small amount of pudding is used."
4) "The tablet may be dissolved in liquid but not crushed and put in food." - ANS: 1
A patient asks the nurse why the provider has ordered a transdermal form of a medication. How
will the nurse respond?
1) "The patch can always be cut when dosage adjustments are needed."
2) "Drug levels fluctuate less with the patch."
3) "There are fewer systemic side effects with transdermal patches."
4) "There is less risk of toxicity when using a patch." - ANS: 2
A patient calls the nurse because he is having incision pain and wants a dose of analgesic
medication. When the nurse checks the patient's medication administration record, she notes
that he is prescribed the narcotic hydromorphone (Dilaudid). Where should the nurse expect to
retrieve this drug for administration?
1) Cabinet in the patient's room
, 2) Double-locked medication drawer
3) Stock supply cabinet
4) Portable medication cart - ANS: 2
A patient calls the nurse because he is having incision pain and wants a dose of analgesic
medication. When the nurse checks the patient's medication administration record, she notes
that he is prescribed the narcotic, hydromorphone (Dilaudid). Where should the nurse expect to
retrieve this drug for administration?
1) Cabinet in the patient's room
2) Double-locked medication drawer
3) Stock supply cabinet
4) Portable medication cart - ANS: 2
A patient develops urticaria and pruritus 5 days after beginning phenytoin for treatment of
seizures. Which type of reaction is the patient most likely experiencing?
1) Mild adverse reaction
2) Dose-related adverse reaction
3) Toxic reaction
QUESTIONS
A client just admitted with an acute myocardial infarction (heart attack) is prescribed heparin (an
anticoagulant) 2,000 units IV now. Which action should the nurse take first before administering
this medication?
1) Make sure the informed consent is signed.
2) Verify the prescription with the physician.
3) Check the laboratory results of coagulation studies.
4) Be sure a signed HIPPA form is on the chart. - ANS: 3
A hospitalized patient's medical record contains the following medication prescription. The
patient's name is stamped on the order sheet. Which prescription is complete?
1) Furosemide 40 mg IV daily
2) 5/26/14—digoxin 0.25 mg IV daily, G. Horowitz RN
3) 5/28/14—0930—K-lor 40 mEq PO now, James Carp MD
4) 5/29/14—metopropol 5 mg IV q 6 hours, Robert Young DO - ANS: 3
,A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it
easier to swallow. How will the nurse respond to the patient?
1) "Crushing the medication can lead to a possibly toxic medication dose."
2) "Crushing the medication is safe and can prevent gagging on pills."
3) "The tablet may be done if a small amount of pudding is used."
4) "The tablet may be dissolved in liquid but not crushed and put in food." - ANS: 1
A patient asks the nurse why the provider has ordered a transdermal form of a medication. How
will the nurse respond?
1) "The patch can always be cut when dosage adjustments are needed."
2) "Drug levels fluctuate less with the patch."
3) "There are fewer systemic side effects with transdermal patches."
4) "There is less risk of toxicity when using a patch." - ANS: 2
A patient calls the nurse because he is having incision pain and wants a dose of analgesic
medication. When the nurse checks the patient's medication administration record, she notes
that he is prescribed the narcotic hydromorphone (Dilaudid). Where should the nurse expect to
retrieve this drug for administration?
1) Cabinet in the patient's room
, 2) Double-locked medication drawer
3) Stock supply cabinet
4) Portable medication cart - ANS: 2
A patient calls the nurse because he is having incision pain and wants a dose of analgesic
medication. When the nurse checks the patient's medication administration record, she notes
that he is prescribed the narcotic, hydromorphone (Dilaudid). Where should the nurse expect to
retrieve this drug for administration?
1) Cabinet in the patient's room
2) Double-locked medication drawer
3) Stock supply cabinet
4) Portable medication cart - ANS: 2
A patient develops urticaria and pruritus 5 days after beginning phenytoin for treatment of
seizures. Which type of reaction is the patient most likely experiencing?
1) Mild adverse reaction
2) Dose-related adverse reaction
3) Toxic reaction
