Chapter 08: Medication Administration
Gray Morris: Calculate with Confidence, 1st Canadian Edition
MULTIPLE CHOICE
1. Traditionally the “five rights” of medication administration are
a. medication, dosage, route, time, patient.
b. medication, solution, doctor, shift, time.
c. medication, order, signature, time, route.
d. medication, patient, signature, time, documentation.
ANS: A PTS: 1 REF: Page 122
2. After administering a medication, the nurse should
a. pour the medications for the next administration time.
b. document medication given prior to administering.
c. order the next dosage needed from the pharmacy.
d. document the time of administration.
ANS: D PTS: 1 REF: Page 126
3. A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?
a. Document the administration of the medication.
b. Establish the identity of the patient.
c. Recheck the medication label.
d. Obtain orange juice for the patient to take with the medication.
ANS: B PTS: 1 REF: Pages 124–125
4. A patient has a gastrostomy tube (GT) in place. The health care provider ordered the medication PO. What action would be appropriate for the nurse to take?
a. Dilute the PO medication with water and administer by GT.
b. Administer the medication PO as ordered.
c. Clarify the order with the health care provider who wrote the order.
d. Clarify the order with the charge nurse.
ANS: C PTS: 1 REF: Page 120
5. A patient refuses a PO medication and provides the nurse with a reason for refusing the medication. What should the nurse’s action be?
a. Inform the patient they cannot refuse a medication.
b. Report it to the nurse manager.
c. Administer the medication by an injectable route.
d. Document the refusal and inform the prescriber.
ANS: D PTS: 1 REF: Page 127
MULTIPLE RESPONSE
1. Medication errors (select all that apply.):
a. are preventable.
b. are less prevalent in children and elderly.
c. cause an increase in health care costs.
d. can occur when the rights of medication administration are not adhered to.
e. can result in tragic outcomes, including death.
f. occur in the hospital setting only.
ANS: A, C, D, E PTS: 1 REF: Pages 119–120
2. Which of the following are considered unique identifiers in addition to the full name of a patient when establishing the identification of a patient? (Select all that apply.)
a. Room number of the patient.
b. Patient’s medical record number.
c. Initials of the patient’s name.
d. Patient’s date of birth.
e. Name of the patient’s medication.
ANS: B, D PTS: 1 REF: Page 125
COMPLETION
1. For the following scenario, identify which of the traditional “five rights” of medication administration has been violated. A nurse enters a room to administer medications to a patient. The order is for Prednisolone 2.5 mg PO BID. The nurse administers prednisone 25 mg PO. Express your answer with one word each, do not use commas, only put a space between the two answers; do not include “The right…”: ______________, ______.
ANS: medication dose
PTS: 1 REF: Pages 123–124
2. For the following scenario, identify which of the “fifteen rights” of medication administration has been violated. A nurse charts medications at 1000 hours on October 2 that she administered at 1000 hours on October 1. Express your answer with one word only; do not include “The right…”: _______________.
ANS: documentation
PTS: 1 REF: Page 126
3. For the following scenario, identify which of the “fifteen rights” of medication administration has been violated. A nurse has an order for heparin 5 000 units SUBCUT for a patient in room 407 whose name is Henry Jones (initials HJ). The nurse enters room 408 and administers the medication to Horace Jackson (initials HJ). Express your answer with one word only; do not include “The right…”: _______________.
ANS: patient
PTS: 1 REF: Pages 124–125
4. Medication ________________ prevents errors and assists in obtaining accurate medication histories of a patient at transition points (admission, transfer, discharge).
ANS: reconciliation
PTS: 1 REF: Page 128
5. Complete the following sentence with the correct words or numbers If it is not documented, it is: ______ ______.
ANS: not done
PTS: 1 REF: Page 126
6. Complete the following sentence with the correct word or number. The use of mixed case or enlarged, bolded lettering to differentiate medications with look-alike names is called ___________ lettering.
ANS: Tall Man
PTS: 1 REF: Pages 123–124
7. Complete the following sentence with the correct word or number. The use of posters and brochures to encourage patients to use strategies to avoid medication errors directs patients to ______ _______.
ANS: speak up
PTS: 1 REF: Page 129
8. Complete the following sentence with the correct word or number. Do not use hyphens, commas, or periods in your answer.
Administration of medications within 30 minutes of the scheduled time is referred to as the ____________ rule.
ANS: 30 minute
PTS: 1 REF: Page 125
TRUE/FALSE
1. Medication errors can result in prolonged hospitalization for a patient.
ANS: T PTS: 1 REF: Page 118
2. Technological advances have eliminated the occurrence of medication errors.
ANS: F PTS: 1 REF: Pages 118–119
3. A nurse who administers a medication that is unsafe is liable for the error.
ANS: T PTS: 1 REF: Page 120
4. The nurse can safely administer medications that are prepared by another nurse.
ANS: F PTS: 1 REF: Page 124
5. A dropper is safe to use when administering medications when it is used for the specific medication it is calibrated to.
ANS: T PTS: 1 REF: Page 130
Test Bank for Calculate with Confidence, Canadian Edition, by Deborah C. Gray Morris, RN, BSN, Visit TestBankBell.com to get complete for all chapters
