Chapter 3: Legal Aspects Affecting the Administration of Medications

Chapter 3: Legal Aspects Affecting the Administration of Medications

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which medication is an example of a controlled substance?

ANS:  C

Controlled substances include major pain killers (narcotics) and some sedatives or tranquilizers that can be prescribed by someone with a special license. Codeine is a Schedule II controlled substance.

DIF:    Cognitive Level: Remember            REF:   Table 3-2        OBJ:   2

TOP:   Controlled Substances                     KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

2. Which health care professional is licensed to prescribe controlled substances?

ANS:  D

Federal and state laws make it a crime for anyone to possess controlled substances without a prescription. Each state has a practice act that lists which health care providers may dispense and write prescriptions for controlled substances. Physicians may write prescriptions for controlled substances.

DIF:    Cognitive Level: Remember            REF:   p. 21               OBJ:   2

TOP:   Controlled Substances                     KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

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?

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.

DIF:    Cognitive Level: Apply                   REF:   p. 22               OBJ:   3

TOP:   Over-the-Counter Medications         KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

4. Which drug distribution system is commonly used when ordering medication in an agency?

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.

DIF:    Cognitive Level: Understand            REF:   p. 26| Box 3-2

OBJ:   3                    TOP:   Drug Distribution Systems               KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

5. Which is a document that is considered to be a legal record and hospital property?

ANS:  D

The patient’s chart is a legal record. It is the major source of information about the patient and the care received while in the hospital. The Kardex card is thrown away when the patient is discharged. It is not a legal document.

DIF:    Cognitive Level: Remember            REF:   p. 24               OBJ:   7

TOP:   Patient Charts                                  KEY:  Nursing Process Step: N/A

MSC:   NCLEX: N/A