Med D&C quiz 2 prep

Question 1

PRN

Answer 1

as needed

Question 2

single dose /one-time order

Answer 2

only givien one time, like a pre surgery medication

Question 3

Stat order

Answer 3

an emergent form of a one-time order medication

the order needs to be done immediately

the situation can be life threatening if the patient does not receive the medication in time

Question 4

How many parts do all medication orders have

Answer 4

7

Question 5

the Seven parts of medication order are.

Answer 5

• Patient’s name and secondary identifier
• Date and time the order is written
• Name of drug to be administered
• Dosage of the drug
• Route by which the drug is to be administered
• Frequency of administration of the drug
• Signature of the prescribing provider

Question 6

If any parts of a medication order are missing or questionable, the nurse should

Answer 6

call the prescriber for clarification and document the phone call

Question 7

The 6 Rights of Medication Administration

Answer 7

Question 8

How do you verify a patients name with them.

Answer 8

Ask them to state their name, do NOT state it for them

Question 9

How many identifiers must we use to verify a patient

Answer 9

two

Question 10

What are the three checks a nurse uses when administering medication

Answer 10

Question 11

A doctor writes an order for a medication to be given PRN every 6 hours. It was last given 2 hours ago. Which statement by the patient best indicates understanding?

• “I can take my medication after four hours if I need it.”
• “It is important to make sure to take my medication on time in four hours.”
• “If I don’t take my medication in at least 6 hours I will be noncompliant.”
• “I need to wait at least 8 hours before I can take my medication.”

Answer 11

“I can take my medication after four hours if I need it.”

Question 12

A nurse is reviewing an order first by noting the correct patient name and date of birth. Which order is written correctly?

• 4/11/XX 1:20 pm; Lipitor 20 mg daily
• 9/3/XX 4:10 pm; Lipitor 20 mg PO
• 6/8/XX; Lipitor 20 mg PO daily
• 3/4/XX 11:30 am; Lipitor 20 mg PO daily

Answer 12

6/8/XX; Lipitor 20 mg PO daily - wrong

3/4/XX 11:30 am; Lipitor 20 mg PO daily

Question 13

What are the main six rights of medication administration? (Select all that apply)

• Right medication
• Right time
• Right documentation
• Right route
• Right patient
• Right dosage

Answer 13

All of them

Question 14

Which of the following are included in the rights of medication administration? (Select all that apply)

• Right assessment data
• Right to education
• Right response
• Right to refuse
• Right reason

Answer 14

All of them

Question 15

A nurse enters a room to give medication to a patient and discovers that the patient is in the bathroom. The patient tells the nurse to leave the medication and they will take the medicine when they are done in the bathroom. What is your best course of action as the nurse?

• Tell the patient that you cannot leave the medication but will return with it later.
• Have the patient take the medication while sitting on the toilet in the bathroom.
• Leave the medication on the bedside table for the nurse to take later.
• Give it to another nurse for them to give to the patient at a later time.

Answer 15

Tell the patient that you cannot leave the medication but will return with it later.

Question 16

Which of the following may be used as a second patient identifier? (Select all that apply)

Photograph of patient

• Scanning patient’s wristband
• Date of admission
• Room number
• Date of birth

Answer 16

All except Room Number and date of admission

Question 17

How many times should the medication be checked during medication administration?

• At the end of each shift
• At least three times
• Twice, before and after
• Only once is necessary

Answer 17

At least three times

Question 18

When should the first medication check occur during medication administration?

• At the end of the nurse’s shift before leaving for the day.
• While preparing the medication and comparing to the MAR.
• Before giving the medication or replacing the medication if a multidose vial.
• When the nurse removes the medication from the medication draw

Answer 18

When the nurse removes the medication from the medication draw

Question 19

When should the second medication check occur during medication administration?

• At the end of the nurse’s shift before leaving for the day.
• Before giving the medication or replacing the medication if a multidose vial.
• While preparing the medication and comparing to the MAR.
• When the nurse removes the medication from the medication drawer/pyxis

Answer 19

While preparing the medication and comparing to the MAR.

Question 20

When should the third medication check occur during medication administration?

• At the end of the nurse’s shift before leaving for the day.
• When the nurse removes the medication from the medication drawer/pyxis.
• Before giving the medication or replacing the medication if a multidose vial.
• While preparing the medication and comparing to the MAR.

Answer 20

Before giving the medication or replacing the medication if a multi-dose vial.