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Education
Med Errors
Cultural, Legal, Ethical
Principles
Lifespan
100
What is the MOST appropriate time the nurse should begin the patient education and the teaching-learning process? A. At the time discharge planning is begun B. After the medical diagnosis is established C. When there are written prescriptions for teaching D. Upon the patient’s admission to the health care setting
What is D. Upon the patient’s admission to the health care setting.
100
A patient is transferred from an intensive care unit (ICU) to a general medical unit. Which nursing action is MOST appropriate to prevent a medication error? A. Contact the health care provider to rewrite all drug prescriptions. B. Perform a medication reconciliation for the patient during care transition. C. Ask the patient what medications need to be taken while in the hospital. D. Communicate a verbal report face to face from the transferring nurse.
What is B. Perform a medication reconciliation for the patient during care transition?
100
What is the professional responsibility of the nurse? A. Use beneficence, the duty to do no harm to a patient. B. Withhold information from the patient as requested by the family. C. Impose his or her own values on the patient when doing so would help the patient. D. Transfer care of a patient to another professional nurse if caring for the patient would violate personal ethical principles.
What is D. Transfer care of a patient to another professional nurse if caring for the patient would violate personal ethical principles.
100
What is the study of physiochemical properties of drugs and how they influence the body called? A. Pharmacology B. Pharmacokinetics C. Pharmacodynamics D. Pharmacotherapeutics
What is C. Pharmacodynamics?
100
The nurse is teaching a pregnant patient about the effects of medication on fetal development. The nurse understands the greatest risk for medication effects on developing fetuses occurs during which time period? A. First trimester B. Second trimester C. Third trimester D. Birthing process
What is A. First trimester?
200
How does the nurse best evaluate the patient’s understanding of teaching about a new medication? A. Observe the patient taking the medication. B. Assess the patient for response to the medication. C. Ask specific questions to assess the patient’s understanding. D. Document the education session and most used teaching strategy.
What is C. Ask specific questions to assess the patient’s understanding?
200
Why are specific medications identified as “high-alert” medications? A. Registered nurses must administer these medications. B. States require that these drugs be on the high-alert list. C. These drugs have increased potential for significant patient harm. D. These medications are responsible for adverse drug events.
What is C. These drugs have increased potential for significant patient harm?
200
Which statement best reflects the nurse’s understanding of cultural influences on drug therapy and other health practices? A. Dietary habits and practices can be of little value to the care of a sick adult. B. Most cultures are fairly standard in reference to the use of medications during illness. C. Administration of some drugs may elicit varied responses in specific racial/ethnic groups. D. Regardless of one’s cultural background, it is crucial to adhere to recommended medical practices.
What is C. Administration of some drugs may elicit varied responses in specific racial/ethnic groups?
200
A drug given by which route is altered by the first-pass effect? A. Oral B. Sublingual C. Intravenous (IV) D. Subcutaneous (subcut)
What is A. Oral?
200
The physiologic changes that normally occur in older adult patients have which implication for drug response? A. Drug elimination is faster. B. Drug metabolism is quicker. C. Drug half-life is lengthened. D. Protein binding is more efficient.
What is C. Drug half-life is lengthened?
300
What phase of the nursing process provides a framework for the nurse to provide patient and family education about a new medication? A. Planning B. Evaluation C. Assessment D. Implementation
What is C. Assessment?
300
Which nursing action helps the nurse to prevent a medication error? A. Ask the patient what condition the medication is for before administering. B. Administer any medications that the patient had on admission or transfer. C. Encourage the patient to ask questions if the medication is different than expected. D. Administer the patient’s medications using his or her own supply of medications while in the hospital.
What is C. Encourage the patient to ask questions if the medication is different than expected?
300
The nurse is assessing a patient’s culture and race on admission to the hospital. Which concept is important for the nurse to understand regarding drug therapy as it relates to different races of individuals? A.Polypharmacy B. Polymorphism C. Pharmacokinetics D. Pharmacodynamics
What is B. Polymorphism?
300
When administering two medications that are highly protein bound, the nurse understands to monitor the patient carefully for which effect? A. A short duration of medication action B. Increase in the risk of drug–drug interactions C. Immediate improvement in the patient’s condition D. Hypovolemic shock caused by a low albumin level
What is B. Increase in the risk of drug–drug interactions?
300
A mother of a 1-month-old infant calls the clinic and asks the nurse if the medication she is taking can be passed to her infant during breastfeeding. What is the nurse’s best response to the mother’s question? A. “You should not take any medication while breastfeeding.” B. “Only certain medications pass to infants while breastfeeding.” C. “I will leave the health care provider a message to return your call.” D. “Drugs can cross from mother to infant in breast milk, so it will depend on the drug you are taking.”
What is D. “Drugs can cross from mother to infant in breast milk, so it will depend on the drug you are taking.” ?
400
When planning care for an assigned patient, the nurse identifies the outcome of “Patient will be able to safely self-administer enoxaparin (Lovenox) subcutaneously upon discharge.” Which method is best for the nurse to use in evaluating the patient’s achievement of this outcome? A. Demonstrate the correct administration procedure to the patient. B. Give the patient detailed written instructions illustrating the procedure. C. Observe the patient’s return demonstration of the administration procedure. D. Ask the patient to verbalize the correct administration procedure step by step.
What is C. Observe the patient’s return demonstration of the administration procedure.
400
The nurse administers a medication to the wrong patient. Which is the appropriate nursing action following this error? A. Document the medication error. No further action is required. B. Report the error and document the medication on the patient chart. C. Notify the health care provider and document the error on an incident report. D. Assess the patient for an adverse reaction and report if an adverse event occurs.
What is C. Notify the health care provider and document the error on an incident report?
400
An emergency department nurse is documenting the medication history of a patient of Asian culture. The patient states, “I am not taking any medications,” but the nurse observes a bottle of capsules in the patient’s medicine bag. What information should the nurse collect next? A. Health care provider name B. Vital signs and pulse oximetry C. Past use of medicine and home remedies D. Use of herbs or over-the-counter medications
What is D. Use of herbs or over-the-counter medications?
400
A patient asks the nurse why a lower dose of IV pain medication is being given than the previous oral dose. What is the nurse’s best response to the patient? A. “Medications given orally bypass the portal circulatory system.” B. “Medications given intravenously are not affected by the first-pass effect.” C. “Drugs administered intravenously enter the portal system before systemic distribution.” D. “A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the liver.”
What is B. “Medications given intravenously are not affected by the first-pass effect.”?
400
A nurse working with older adult patients is concerned about the number of medications prescribed for each patient. Which older adult assessment should be of highest priority related to polypharmacy? A. Drug interactions B. Cost of medications C. Schedule of medications D. Nonadherence to drug regimen
What is A. Drug interactions?
500
The nurse is providing discharge teaching to an older patient with short-term memory problems. Which strategies will the nurse use in educating the patient? (Select all that apply.) A. Repeat information frequently. B. Provide written instructions for home use. C. Perform several short teaching-learning sessions. D. Instruct the patient to take all medications in the morning. E. Encourage use of daily medication containers with alarms.
What is A, B, C, E?
500
When admitting an older adult patient to an acute care setting, which nursing strategy is most appropriate to prevent medication errors? A. Call the primary care physician to verify current medications. B. Ask the patient’s family to verify medications the patient was taking at home. C. Ask the patient to provide you with a written list of all medications being taken at home. D. Ask the patient or family to bring in all medications the patient was taking at home.
What is D. Ask the patient or family to bring in all medications the patient was taking at home?
500
There are multiple factors that affect medication response. The nurse recognizes which factors have a possible effect on the medication response? (Select all that apply.) A.Genetic influences B. Body composition C. Diet and nutrition D. Level of education E. Socioeconomic factors F. Use of alternative therapies G.Patient compliance with therapy
What is A & G?
500
The nurse knows that which factors will affect the absorption of orally administered medications? (Select all that apply.) A. Time of day B. pH of the stomach C. Form of drug preparation D. Patient in high-Fowler’s position E. Presence of food in the stomach
What is A, B, C, E?
500
While conducting a health history for an older adult patient with heart failure, the patient tells the nurse, I have chronic constipation.” The nurse suspects this gastrointestinal complaint is caused by which class of drugs? A. Anticoagulants B. Calcium channel blockers C. Potassium-sparing diuretics D. Nonsteroidal antiinflammatory drugs
What is B. Calcium channel blockers?