Questions

Question 1

Janice, a nursing student, is caring for Esteban, a 48-year-old Latino
who had diabetes and hypertension. Esteban’s health care provider
writes a new medication order for furosemide 30 mg IVP STAT and
then q8h.
1. What does Janice need to know about furosemide before administering
it?

Answer 1

1. Janice needs to look up the medication in a medication manual to determine the action, desired effect, possible side effects, potential routes of administration, safe dosage ranges, and how fast to push the medication

Question 2

new medication order for furosemide 30 mg IVP STAT and
then q8h.
Three vials of furosemide arrive on the patient care unit. The
labels on the vials say: “40 mg furosemide/4 mL.” How much
medication does Janice prepare in the syringe?

Answer 2

2. Using dimensional analysis, Janice would prepare 3 mL in the medication syringe.

mL = 4mL/40mg x 30 mg = 3mL

Question 3

Janice collects the appropriate equipment to administer the
medication, performs hand hygiene, prepares the medication
in the syringe, and takes it to Esteban at the correct time.
Which step does she need to take next in administering the
medication?

Answer 3

3. Identify the patient using two patient identifiers and compare the identifiers with information on Esteban’s medication administration record or medical record.

Question 4

1. The nurse is having difficulty reading a physician’s order for a
   medication. He or she knows that the physician is very busy
   and does not like to be called. What is the most appropriate
   next step for the nurse to take?

Answer 4

call physician

Question 5

A nurse is administering eardrops to an 8-year-old patient with
an ear infection. How does the nurse pull the patient’s ear
when administering the medication?

Answer 5

upward and outward

Question 6

A nurse is administering medications to a 4-year-old patient.
After he or she explains which medications are being given, the
mother states, “I don’t remember my child having that medication
before.” What is the nurse’s next action?

Answer 6

Withhold the medications and verify the medication
orders.
Do not ignore patient or caregiver concerns; always verify orders whenever a medication is questioned before administering it.

Question 7

A patient is transitioning from the hospital to the home environment.
A home care referral is obtained. What is a priority
in relation to safe medication administration for the discharge
nurse?

Answer 7

Ensure that the home care agency is aware of medication

and health teaching needs.

Question 8

A patient is receiving an intravenous (IV) push medication. If
the drug infiltrates into the outer tissues, the nurse:

Answer 8

Stops the administration of the medication and follows

agency policy

Question 9

If a patient who is receiving intravenous (IV) fluids develops
tenderness, warmth, erythema, and pain at the site, the nurse
suspects:

Answer 9

Redness, warmth, and tenderness at the IV site are signs of phlebitis

Question 10

A nurse accidently gives a patient a medication at the wrong

time. The nurse’s first priority is to

Answer 10

Patient safety and assessing the patient are priorities when a medication error occurs

Question 11

A patient is taking albuterol through a pressurized metereddose
inhaler (pMDI) that contains a total of 200 puffs. The
patient takes 2 puffs every 4 hours. How many days will the
pMDI last?

Answer 11

Two puffs × 6 times a day = 12 puffs per day; 200 puffs/12 puffs per day = 16.67 days, or about 16 days. This cannot be rounded up since the inhaler will not last a total of 17 days.