Pharma Concepts
"A nurse is preparing to administer a medication and wants to ensure the drug's effectiveness. Which phase of pharmacokinetics involves the movement of the drug from the site of administration into the bloodstream?"
A. Absorption
"A nurse must administer a controlled substance to a patient. When should the nurse document the administration?"
B. Immediately after administering the medication
"A nurse is administering a sublingual medication. Which of the following instructions should the nurse provide to the patient?"
B. Place the medication under your tongue and let it dissolve completely.
"A nurse receives a medication order that is unclear. Which of the following actions should the nurse take first?"
B. Clarify the order with the prescribing provider
Which technology can a nurse use to ensure the correct patient is receiving the correct medication?"
B. Barcode scanning system
"A nurse is educating a patient on the first-pass effect. Which statement by the nurse correctly explains this phenomenon?"
A. 'The first-pass effect occurs when a drug is metabolized in the liver before reaching the systemic circulation
"A patient reports losing a bottle of prescribed controlled substances. What is the most appropriate response by the nurse?"
A. Report the loss to the prescriber and pharmacy immediately
"A patient is receiving an intramuscular injection. The nurse should insert the needle at which of the following angles?"
D. 90 degrees
"A nurse is taking a telephone order from a provider. Which of the following actions should the nurse take to ensure accuracy?"
A. Write the order down and read it back to the provider
"Which of the following actions should a nurse take to prevent medication errors when taking verbal orders?"
C. Read back the order to the provider for confirmation
"A nurse is administering a medication that has a narrow therapeutic index. Which of the following considerations is most important?"
B. Regular blood tests are needed to monitor drug levels.
"Which of the following is a characteristic of Schedule IV drugs?"
C. Low potential for abuse and accepted medical use
"When administering an intradermal injection, which of the following techniques should the nurse use?"
A. Insert the needle at a 5 to 15-degree angle with the bevel up
"A nurse is preparing to administer a PRN medication. Which of the following details should be included in the PRN medication order? (Select all that apply)"
A, B, D
"A nurse identifies that a medication error has occurred. Which of the following actions is the nurse’s priority?"
D. Assess the patient for adverse effects
"A nurse is caring for a patient who is experiencing a toxic reaction to a medication. Which of the following actions should the nurse take first?"
A. Administer an antidote if available
"Which of the following schedules of controlled substances includes drugs that have a high potential for abuse and no accepted medical use?"
A. Schedule I
"A nurse is teaching a patient about the administration of eye drops. Which of the following instructions should the nurse include?"
B. Instill the drops into the conjunctival sac.
"A nurse receives an order for a STAT medication. Which of the following characteristics apply to a STAT medication order? (Select all that apply)"
A,B
"A patient’s medication reconciliation reveals discrepancies between the current medication list and the new prescriptions. What should the nurse do next?"
B. Consult with the pharmacist to resolve discrepancies
"A nurse is administering a medication that has a high therapeutic index. What does this indicate about the medication?"
A. It is safe and has a low risk of toxicity
"Which of the following medications is classified as a Schedule II controlled substance?"
B. Oxycodone
"A nurse is teaching a patient about the use of a metered-dose inhaler (MDI). Which of the following instructions should the nurse include?"
C. Hold your breath for 5 to 10 seconds after inhaling the medication.
"A nurse is preparing to administer a time-critical scheduled medication. According to best practices, within what time frame should the nurse administer the medication?"
B. Within 30 minutes of the scheduled time
"A nurse is preparing to administer a high-alert medication. Which of the following actions should the nurse take to prevent a medication error?"
C. Ask another nurse to independently verify the medication and dosage