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MULTIPLE CHOICE
3. A patient brings his multivitamins to the hospital and asks the LPN/LVN if he can take them.
Which is the nurse’s best response?
a. “Yes, but I must keep them in the medication room.”
b. “No, I have to obtain a doctor’s order first.”
c. “Yes, let me put them in your bedside stand for you.”
d. “Not until the pharmacist adds them to your medication record.”
ANS: B
Over-the-counter (OTC) medications do not require a prescription for purchase, but a
physician’s order is required before they may be taken in the hospital. OTC medications may
interact with a patient’s prescribed medications. Therefore, the physician must be aware of all
the meds the patient is taking.
4. Which drug distribution system is commonly used when ordering medication in an agency?
a. Multidose system
b. Health care system
c. Welfare system
d. Ward stock system
ANS: D
Each agency has its own way of ordering and administering medications distributed to nurses.
The floor or ward stock system is one of the systems.
7. As the nurse is coming on duty to take over the day shift, the night nurse tells the nurse that
she has already counted the controlled drugs for the day shift. What should the nurse do in this
situation?
a. Do nothing; this is standard procedure.
b. Accept the keys and recount the drugs.
c. Recount the drugs with another nurse.
d. Count the drugs at the end of your shift.
ANS: C
At the end of each shift, the contents of the locked cabinet are counted together by one nurse
from each shift. A nurse who is willing to take the word of another nurse from the previous
shift, without verifying the count, risks being held accountable for any shortages or
discrepancies, and may be found guilty of falsifying records. If you go along with her, you are
falsifying records.
8. What is the missing component of the following medication order: Atropine 1 mg IV?
a. Frequency
b. Indication
c. Route
d. Dilution
ANS: A
Regardless of whether the prescription is for a hospitalized patient or not, the order must
contain the same information: patient’s full name, date, name of drug, route of administration,
dose, frequency, duration, and signature of prescriber.
9. The order reads, Theochron 200 mg PO qid. The nurse understands that this is which type of
medication order?
a. Priority
b. Standing
c. Flexible
d. Indefinite
ANS: B
Medication orders may be classed into one of four types. A standing order indicates that the
drug is to be administrated until discontinued or for a certain number of doses.
10. Meperidine, 75 mg IV push, is ordered by the physician to be given stat. The nurse
understands that this is which type of order?
a. Standing
b. Immediate
c. Flexible
d. Indefinite
ANS: B
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