Chapter 06: Principles of Medication Administration and Medication Safety

Chapter 06: Principles of Medication Administration and Medication Safety

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Where would the procedures and treatments directed by the health care provider be found?

ANS:  B

The physician’s order form contains all procedures and treatments ordered by the health care provider. A summary sheet provides a brief overview of the hospital course at discharge. Physician’s progress notes provide regular observations on the patient’s course of treatment and response. A history and physical examination form provides information about baseline information from the patient.

DIF:    Cognitive Level: Knowledge            REF:   Page 61          OBJ:   2

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Safe, Effective Care Environment

NOT:  CONCEPT(S): Clinical Judgment

2. Which action will the nurse take when it is determined that the narcotic count is incorrect while obtaining a medication from the narcotic area?

ANS:  D

Reporting the discrepancy to the charge nurse immediately enables the supervisory staff to narrow the time frame during which a medication was taken and not documented. The discrepancy needs to be addressed immediately, and therefore determining the cause of the discrepancy at the end of the shift is not the most appropriate action for the nurse to take. It is not appropriate to contact the health care provider for an incorrect narcotic count. The count would have been verified at shift change; calling the nurse from the previous shift is not an appropriate action for the nurse to take.

DIF:    Cognitive Level: Analysis                REF:   Page 70          OBJ:   3

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Safe, Effective Care Environment

NOT:  CONCEPT(S): Clinical Judgment; Safety

3. Which action will the nurse take if a dosage is unclear on a health care provider’s order?

ANS:  D

Any questionable orders should be verified by the health care provider who wrote the orders. The patient is not a reliable source of verification. The physician who wrote the order should verify it. It would be a medication error to withhold the dose instead of verifying it.

DIF:    Cognitive Level: Application           REF:   Page 76 | Page 77

OBJ:   5                    TOP:   Nursing Process Step: Planning

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety

4. What is the most reliable method to calculate a pediatric patient’s medication dosage?

ANS:  C

The most reliable method is by proportional amount of BSA or body weight. Because of the differences in weight among children, age is not a reliable method. Because of the differences in height among children, this is not a reliable method. Placement on a growth scale identifies how the child corresponds to other children on a percentile. Although it is determined by a specific measurement, the percentile identified would not be a specific measurement; therefore, this is not a reliable method.

DIF:    Cognitive Level: Comprehension     REF:   Page 77          OBJ:   7

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  CONCEPT(S): Clinical Judgment; Safety; Development