ATI (chp 2)

Question 1

Nurses are responsible for

Answer 1

Having knowledge of federal, state (nurse practice act), and local laws, and health care facility
policies that govern the prescribing, dispensing and administration of medications
◯ Preparing, administering, and evaluating client responses to medications
◯ Developing and maintaining an up-to-date knowledge base of medications administered, including
uses, mechanisms of action, routes of administration, safe dosage range, side effects, adverse
responses, precautions, and contraindications
◯ Maintaining acceptable practice and skill competency
◯ Determining accuracy of medication prescriptions
◯ Reporting all medication errors
◯ Safeguarding and storing medications

Question 2

Generic name

Answer 2

official or nonproprietary name that is given by the United States Adopted
Names Council. Each medication has only one generic name.

Question 3

example of uncontrolled prescription medications

Answer 3

antibiotics

Question 4

glipizide (Glucotrol)

Answer 4

is an oral hypoglycemic agent that lowers blood

glucose levels primarily by stimulating pancreatic islet cells to release insulin.

Question 5

Medication class

Answer 5

Medications may be organized according to pharmacological action, therapeutic
use, body system, chemical makeup, and safe use during pregnancy.

Question 6

MOA

Answer 6

This is how the medication produces the desired therapeutic effect.

Question 7

acetaminophen

Answer 7

tylenol

Question 8

Adverse effect of gentamicin

Answer 8

antibiotic that can cause hearing impairment

Question 9

Potential toxic effect of digoxin (Lanoxin)

Answer 9

should be monitored closely for
dysrhythmias, a sign of cardiotoxicity. Hypokalemia places this client at greater risk
for digoxin toxicity.

Question 10

Example of a DESIRED medical interaction

Answer 10

beta-blocker atenolol (Tenormin)

is used concurrently with the calcium channel blocker nifedipine (Procardia) to prevent reflex tachycardia

Question 11

Example of UNDESIRED medical interaction

Answer 11

omeprazole (Prilosec) is
prescribed concurrently with phenytoin (Dilantin). This may increase the serum
level of the anticonvulsant.

Question 12

tetracycline can stain developing teeth and should not be administered to children under 8 years of age. This is an example of???

Answer 12

Contraindication/precaution

Question 13

Components of Prescription Order

Answer 13

The client’s name
◯ Date and time of prescription
◯ Name of medication (may be generic or trade, depending on policy)
◯ Dosage of medication
◯ Route of administration
◯ Time and frequency of medication administration – exact times or number of times per day
(dictated by facility policy or specific qualities of the medication)
◯ Signature of prescribing provider

Question 14

MAR

Answer 14

medication administration record

Question 15

Preassessment for Medication Therapy

Answer 15

◯ Health History
■ Age
■ Diagnosed health problems and current reason for seeking care
■ All medications currently being taken (prescription and nonprescription): name, dose, route,
and frequency of each medication
■ Any adverse/side effects possibly related to medication therapy, as well as therapeutic effects
■ Use of herbal or natural products for medicinal purposes
■ Use of caffeine, tobacco, alcohol, and/or street drugs
■ Client’s understanding of the purpose of the medications along with the client’s beliefs,
feelings, and concerns
■ All known medication and food allergies
◯ Physical Examination
■ A systemic physical examination provides a baseline to evaluate therapeutic ef

Question 16

6 RIGHTS of Safe Medication Administration

Answer 16

1. PATIENT
2. MEDICATION
3. DOSE
4. TIME
5. ROUTE
6. DOCUMENTATION