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​ 1.

During medication administration how can the nurse properly confirm he


or she has the right patient?*

​ A. Ask the patient to state their last name and compared this to the patient's ID arm band.
​ B. Ask the patient to state their full name and compare this information to the medication
administration record and the patient's ID arm band.
​ C. Ask the patient to state their full name along with their date of birth and compare this
information to the medication administration record and the patient's ID arm band.
​ D. Ask the patient to state their full name and compare this to the patient's ID arm band.

​ 2. The nurse notes in the MAR that the patient was ordered to take
Acetazolamide 500 mg. The nurse checks the medication packaging on
hand and finds it contains Acetohexamide 500 mg. The nurse is assessing
which "Rights of Medication Administration", and what should be the next
nursing action?*

​ A. Right Route and Right Dosage; hold dose and notify pharmacy
​ B. Right Dosage and Right Time; administer the medication on hand
​ C. Right Medication and Right Dosage; hold dose and notify pharmacy
​ D. Right Medication and Right Dosage; administer the medication on hand

​ 3. The doctor writes an order for a medication. The nurse notes the order
says to administer 12.5 mg PO. Pharmacy dispenses the nurse with 6.25
mg tablets. How many tablets will the nurse administer and what
medication administration right is the nurse assessing?

​ A. 2 tablets, right evaluation
​ B. 2.5 tablets, right calculation
​ C. 2 tablet, right dosage
​ D. 2.5 tablets, right time








​ 4. The doctor ordered a patient who is post-op from surgery to receive 2
mg of IV Morphine. The patient can have the pain medication every 4 hours
PRN for a breakthrough pain rating of 5 or greater on 1-10 scale. The
patient's current pain rating is a 6 on 1-10 scale. The patient's last dose was
at 0400 and it is now 1000. You administer the medication as ordered. What
information will you include in your documentation? Select all that
applies:*
○ A. Pain Rating
○ B. Route
○ C. Location of the Pain
○ D. Dosage
○ E. Medication Name
○ F. Current Vital Signs
○ G. Follow-up Pain Rating
○ H. Time
​ 5. You received a new medication order on a patient for the treatment of
glaucoma. The patient has no other health history and is allergic to
Penicillin. The order says to administer Timolol 0.25% 1 gtt twice a day.
Your NEXT action is to:*

○ A. Administer the medication as ordered.
○ B. Confirm you have been dispensed with the right medication before administering
the medication and then administer the medication.
○ C. Hold the order until you can obtain an order clarification from the prescribing
physician.
○ D. Educate the patient on how to perform punctual occlusion before administering
the medication.

​ 6. A patient is scheduled to take three medications at 1000. The nurse
confirms the following about each medication: right medication, right dose,
right time, and right route. When thinking of the first 5 Rights of Medication
Administration what "right" is the nurse missing?*
○ A. Right Site
○ B. Right Assessment
○ C. Right Documentation
○ D. Right Patient
​ 7. In question 7 the patient has right-sided heart failure and was prescribed
to take Furosemide. Which finding below demonstrates to the nurse the
"Right Evaluation" of this medication?*
○ A. The patient's heart rate is within 60-100 bpm and normal sinus rhythm in on the
cardiac monitor.
○ B. The patient's morning weight is 175 lbs. compared to yesterday's morning weight
of 181 lbs.
○ C. The patient has crackles in the right and left lower lung fields.
○ D. The patient's urinary output for 24 hours was 250 mL.
​ 8. True or False: The purpose of the medication administration rights is to
help prevent medication errors.*
○ True
○ False

9. A nurse is about to give a patient his/her medication. What must be done first?
A. Check the patient vital signs
B. Check the patient identification
C. Make sure its the right patient
D. Make sure the order is accurate

10. Medication should be given at the time directed. Occasionally, this may not
happen. What is the “grace period” allowed for administering an early/late
dosage?
A. 15 minutes before or after a scheduled dose
B. 30 minutes before or after a scheduled dose
C. 60 minutes before or after a scheduled dose
D. 15 minutes before or 30 minutes after a scheduled dose

11. Which of the following may indicate an allergic reaction?


A. Rash and itching
B. Swelling
C. Difficulty swallowing or shortness of breath
D. All of the above

10."Right Patience education" is an essential part of Medication administration.


A. True
B. False

12. "Right medication" is an essential part of Medication administration.


A. True
B. False
13. Medication administration has the right to shut-down a hospital if there are
side effects after a treatment.
A. True
B. False

14. Medication administration has the right to check or deal with the use of
medications and procedures for treatment.
A. True
B. False

15."Right documentation" is not an essential part of Medication administration.


A. True
B. False

16. "Right evaluation" is an essential part of Medication administration.


A. True
B. False

1. Prior to administering a medication, you read the medication label. It says ''Give
via IM injection.'' Which right of medication administration are you checking?
A. Right drug
B. Right patient
C. Right dose
D. Right route

2. Hospitals have adopted which of the following in an attempt to reduce


medication errors?
A. The two-nurse check system
B. The patient-and-nurse check system
C. Barcode scanning systems
D. Documenting via paper charting

3. Which of the following is important when administering medications?


A. Washing your hands
B. Asking questions if you are confused about a medication
C. Questioning any order that seems inappropriate
D. All of these answers are correct.

4. If you notice that a patient's status has changed and you feel the patient's
medication dose might no longer be right, what should you do?
A. Follow your instincts and change the dose.
B. Ask the patient if he or she would like a different dose.
C. Ask the prescriber for clarification.
D. Do nothing.
5. You have been instructed to administer oral medication (Ranitidine 150mg) to a
patient. What is the minimum of times the nurse should check the medication
label before administering this drug?
A. 1
B. 2
C. 3
D. 4

6. Which of the following is NOT a common route for administering medication?


A. Oral
B. Intramuscular
C. Intravenous
D. Intraosmolar

7. The route describes how the medication is actually given to or taken by the
patient. Which of the following is true regarding the medication routes
A. Most medications administered by the nurse are by injection.
B. Drugs administered by the sublingual route have a relatively slow absorption rate.
C. All tablets are administered by the oral route.
D. The route can be determined by the nurse.

8. The six rights for medication administration


A. Right medication, right route, right date, right documentation, right dose, right time.
B. Right patient, right medication, right time, right prescription, right date, and documentation.
C. Right dose, right route, right date, right symptoms, right document, right medication.
D. Right dose, right patient, right formulation, right documentation, and right medication.

9. To ensure that key steps are followed during administering medication, the
nurse should
A. Verify the date the prescription was written.
B. Verify the amount of medication that has already been used.
C. Check for discoloration and expiration of the drug.
D. Confirming with the patient’s physician that he issued the prescription.

10. What is used to minimize local skin irritation by sealing the medication in
muscle tissue?
A. Z-track method
B. As you prepare it
C. Some combined with steroids
D. Right drug
11. Name the calibrated cylinder that holds medication.
A. Solution
B. Adverse reaction
C. 15-30 seconds
D. Barrel

12. Name the part of a syringe that is pushed to move the fluid out.
A. Barrel
B. Otic drugs
C. Plunger
D. Delivered at 45-degree angle

13. Which device attaches the needle to the barrel.


A. Sublingual
B. Hub
C. 15-30 seconds
D. Right route

14. Name the injection that is given into the subcutaneous tissues for a sustained
release. (insulin)
A. Drug-drug interaction
B. Vaccines
C. Barrel
D. Subcutaneous

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