Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
Basic Pharmacology For Nurses,15th Edition by Bruce D. Clayton
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Chapter 7: Principles of Medication Administration and Medication Safety
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | Summary sheet |
| B. | Physician’s order form |
| C. | Physician’s progress notes |
| D. | History and physical examination form |
ANS: B
| Feedback | |
| A | A summary sheet provides a brief overview of the hospital course at discharge. |
| B | The physician’s order form contains all procedures and treatments ordered by the health care provider. |
| C | Physician’s progress notes provide regular observations on the patient’s course of treatment and response. |
| D | A history and physical examination form provides information about baseline information from the patient. |
DIF: Cognitive Level: Knowledge REF: 82
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
| A. | Determine the cause of the discrepancy at the end of the shift. |
| B. | Notify the health care provider stat. |
| C. | Call the nurse from the previous shift to determine if there was a discrepancy earlier. |
| D. | Report the discrepancy to the charge nurse immediately. |
ANS: D
| Feedback | |
| A | The discrepancy needs to be addressed immediately, and therefore this is not the most appropriate action for the nurse to take. |
| B | It is not appropriate to contact the health care provider for an incorrect narcotic count. |
| C | The count would have been verified at shift change; this is not an appropriate action for the nurse to take. |
| 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. |
DIF: Cognitive Level: Analysis REF: 98
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
| A. | Ask the patient what dosage was given in the past. |
| B. | Ask another physician to determine the correct dosage. |
| C. | Tell the patient that the medication will not be given. |
| D. | Contact the health care provider to verify the correct dosage. |
ANS: D
| Feedback | |
| A | The patient is not a reliable source of verification. |
| B | The physician who wrote the order should verify it. |
| C | It would be a medication error to withhold the dose instead of verifying it. |
| D | Any questionable orders should be verified by the health care provider who wrote the orders. |
DIF: Cognitive Level: Application REF: 102
TOP: Nursing Process Step: Planning
MSC: NCLEX Client Needs Category: Physiological Integrity
| A. | Age |
| B. | Height |
| C. | Body surface area (BSA) |
| D. | Placement on a growth scale |
ANS: C
| Feedback | |
| A | Due to the differences in weight among children, age is not a reliable method. |
| B | Due to the differences in height among children, this is not a reliable method. |
| C | The most reliable method is by proportional amount of body surface area or body weight. |
| D | 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: 104
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
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