Law & Order
To Err is Human
Lifespan
OTC Oh My
See one, Do one, Teach one
100
This group establishes rules and regulations governing nursing practice within an individual state.
Who are the state legislature and the state board of nursing?
100
A nurse catches the wrong medication before it reaches the patient. What type of event occurred?
A near miss.
100
Why are many pediatric medication doses calculated using body weight?
Children require weight-based dosing because growth and developing organ function affect medication handling.
100
Which type of medication can be purchased without a prescription but is still regulated and monitored for quality and safety by the FDA?
Over-the-counter (OTC) medication.
100
A nurse is using the pictured material in a teaching session. What learning domain is being used?
Cognitive
200
A competent patient refuses a medication after the nurse explains its purpose. Which ethical principle supports the patient’s right to make this decision?
What is Autonomy?
200
Name a nursing strategy to prevent medication errors?
3 Checks and Medication Rights
Using computerized prescriber order entry (CPOE), bar codes and scanning devices
Employing effective communication
200
Immature kidney function places infants at increased risk for what medication-related problem?
Drug toxicity.
200
A patient takes acetaminophen for back pain and started taking the medication in this picture. What safety concern should the nurse identify?
Duplicate active ingredients and risk for excessive dosing.
200
A patient practices giving their own insulin injection. Which learning domain is being used?
Psychomotor.
300
Two patients need the last available dose of a scarce medication. The healthcare team uses established clinical criteria rather than social status to decide who receives it. Which ethical principle applies?
What is Justice?
300
An order reads timolol 2 drops right eye HS. The nurse administers the drops after breakfast. What error occurred?
Wrong time!
300
An older adult has decreased liver function and hepatic blood flow. Which pharmacokinetic process is most affected?
Metabolism
300
A patient says, “My herbal supplement is natural, so it cannot interact with my prescription medications.” What is the best nursing response?
Herbal products can cause side effects and interact with prescription and OTC medications.
300
A patient is ordered 100 mg of Gentamicin IV. The nurse has tubing with a drop factor of 10 gtt/mL. What gtt/min rate should the nurse set to administer the medication in half an hour? 
33 gtt/min
= (100 mL X 10 gtt/mL) / 30 min = 33.33333
400
Which controlled-substance schedule includes drugs with valid medical uses but a high potential for abuse and dependence?
Schedule II
400
A patient with a G-tube is ordered an extended-release metoprolol tablet. What should the nurse do?
Do not crush it. Clarify the order and request an appropriate alternative formulation.
This is a NEAR MISS
400
A patient's adult daughter asks the nurse, “What medications is my mother taking?” The patient has not given permission to share her health information. What ethical principle should guide the nurse’s response?
Confidentiality
400
What is an important difference between FDA oversight of supplements and prescription/OTC medications?
Supplement regulation of labeling and manufacturing purity is not evidence that the product is effective.
400
The nurse arrives for discharge medication teaching, but the patient reports severe uncontrolled pain. What should the nurse do?
Assess and address the pain, then reschedule teaching for when the patient is ready to learn.
500
A patient asks the nurse to explain all risks and alternatives for a surgical procedure before signing the consent. What should the nurse do?
Notify the provider so they can provide the required explanation before the consent is signed.
500
After discovering that 20 units of insulin were administered instead of 2 units, what is the nurse’s FIRST action?
Immediately assess the patient’s condition and get a current blood glucose level.
500
This is an example of what type of care?
Atraumatic care
500
An 82-year-old takes medications prescribed by four providers and reports increasing confusion. What medication-related concern should the nurse prioritize?
Polypharmacy and possible medication interactions or adverse effects.
500
A nurse notices that a patient does not understand why a newly prescribed medication is necessary. The nurse stops the medication pass to ensure the patient’s questions are addressed before proceeding. Which ethical responsibility is the nurse demonstrating?
Advocacy: supporting and protecting the patient’s health, safety, wishes, and rights.