Deck 13: Medication Orders

Question 1

The apothecary system:

A)is a relatively new system of categorizing medications.
B)is always used in hospitals.
C)is always used in pharmacies
D)is becoming obsolete

Answer 1

is becoming obsolete

Question 2

A route of medication administration that bypasses the gastrointestinal (GI)tract,such as an injection or IV line,is referred to as the _____ route.

A)parental
B)parenteral
C)hyperalimentation
D)central

Answer 2

parenteral

Question 3

Skin tests may be used to detect:

A)cancer.
B)allergies.
C)illegal drug use.
D)a quantity of melanin in the skin.

Answer 3

allergies.

Question 4

Which of the following is TRUE of TPN?

A)The patient is on a regular diet.
B)Peripheral veins are used to instill the medication.
C)Patients who receive TPN require frequent blood tests for electrolyte and lipid levels.
D)Patients who receive TPN usually do not have any gastrointestinal disorders.

Question 5

In the order,LOC q noc prn constipation,LOC is an abbreviation that means :

A)loss of consciousness.
B)level of care.
C)laxative of choice.
D)level of consciousness.

Question 6

In the doctors' order,Tylenol 325 mg PO qid,the patient would receive Tylenol 325 mg:

A)postoperatively four times a day.
B)by mouth every day.
C)orally every other day.
D)by mouth four times a day.

Question 7

Injecting a small amount of a medication under the skin into fatty or connective tissue is:

A)PCA.
B)SQ injection.
C)IM injection.
D)IV injection.

Question 8

PCA refers to:

A)patient council administration.
B)patient-controlled analgesia.
C)piggyback codeine administration.
D)parenteral central alimentation.

Question 9

The method of giving intermittent infusion of medication through an established intravenous (IV)line into the vein is known as:

A)intravenous piggyback (IVPB).
B)piggyback.
C)admixture.
D)apothecary.

Question 10

The metric system is a system used for:

A)weights and measures.
B)recording a patient's temperature.
C)recording a patient's blood pressure.
D)calculating the time it takes an IV bag to empty.

Question 11

A concentrated dose of medication or fluid that is frequently given intravenously is known as a(n):

A)bolus.
B)ampule.
C)capsule.
D)admixture.

Question 12

If a patient is given a medication topically,this means the medication is:

A)inhaled.
B)swallowed.
C)placed under the tongue.
D)applied to skin,eye,ear,or other parts of the body.

Question 13

In the order,Neosporin ointment tid to L knee,the Neosporin ointment would be applied:

A)three times a day.
B)four times a day
C)two times a day
D)once a day

Question 14

Which of the following is TRUE of medications?

A)The brand name is always capitalized.
B)The chemical name is the name under which the drug is listed in official government publications.
C)The generic name is always capitalized.
D)A medication may never be substituted with a generic drug once the physician writes the order.

Question 15

Acetylsalicylic acid (ASA)is:

A)a narcotic.
B)an illegal substance that causes hallucinogenic symptoms.
C)aspirin.
D)a lozenge for sore throats.

Question 16

Which of the medications in the following orders would be administered by mouth?

A)Add 20 mEq KCl to each IV
B)Compazine 10 mg IM q6h prn n/v
C)PCA MS 2 mg
D)PCN 250 mg PO q6h

Question 17

The method required to deliver the patient his or her meal via TPN is:

A)the method by which the cafeteria transporter (T)must deliver the meal to the patient,prepare (P)for feeding,and cut food into small nibbles (N).
B)IV push.
C)central line catheter.
D)peripheral IV catheter.

Question 18

To discontinue (DC)a medication on the MAR,the HUC would:

A)carefully write the medication in ink with instructions to not give it.
B)indicate DC on the correct day and time,and draw a line through the days that it will not be used.
C)white out the medication on the days it will not be given.
D)ask the pharmacist to print a new MAR without that medication.

Question 19

A medication administration record (MAR)is a:

A)list of medications that each individual patient is currently taking.
B)system of weights and measures that is based on multiples of 10.
C)list of medications already received by the patient.
D)list of medications about to be received.

Question 20

Total parenteral nutrition (TPN)means that the:

A)parents of the pediatric patient are responsible for all feedings.
B)patient is eating all meals in a typical manner.
C)patient is receiving calories,proteins,vitamins,and other nutrients directly into the bloodstream.
D)IV the patient is receiving contains all nutrients needed to sustain life.

Question 21

An example of a drug with an automatic stop date is:

A)Ambien (zolpidem)
B)Advil,Motrin (ibuprofen)
C)ASA
D)Valium (diazepam)

Question 22

The patient has asthma and was admitted because of severe complications.A drug that the physician is likely to order to best treat this disorder is:

A)aminophylline.
B)Valium (diazepam)
C)Glucotrol (glipizide)
D)Humalog (insulin lispro)

Question 23

Which class of drug (with example)can lower cholesterol?

A)Antilipidemic (Lipitor [atorvastatin])
B)Anticoagulant (Coumadin [warfarin])
C)Antidiabetic (Diabinese [chlorpropamide)
D)Antiemetic (Vistaril [hydroxyzine])

Question 24

Give Tylenol # 3 PO on call to cardiac cath lab is an example of what type of order?

A)Stat order
B)Standing order
C)One-time order
D)Controlled order

Question 25

The patient has an order for PPD today.The physician most likely suspects the presence of:

A)valley fever.
B)tuberculosis.
C)gastric hyperacidity.
D)viral infection.

Question 26

A common cause of medication errors is:

A)misinterpretation of doctors' poor handwriting.
B)pharmacies hire uneducated personnel.
C)nurses may change the doctors' orders.
D)the pharmacist may use a different weight and measurement system.

Question 27

The patient is taking a diuretic that causes a certain body electrolyte to be depleted.The physician often will also order which medication with a diuretic?

A)Antilipidemic
B)Anticoagulant
C)Potassium replacement
D)Antacid

Question 28

The patient has seizures.To best treat this condition,the physician will likely prescribe a(n):

A)antihistamine.
B)bronchodilator.
C)anticonvulsant.
D)antiemetic.

Question 29

Drugs are divided into classifications according to their:

A)toxicity.
B)primary function.
C)availability.
D)interactions.

Question 30

A drug that assists in preventing blood clots would be known as a(n):

A)antibiotic.
B)diuretic.
C)anticoagulant.
D)antihistamine.

Question 31

IV hyperalimentation is also known as:

A)IV anticonvulsant.
B)TPN.
C)total parental nutrition.
D)IV push.

Question 32

Which of the following is a prn order?

A)Penicillin 600,000 units IM @ 2000 today and 0800 tomorrow
B)ASA 80 mg PO q day
C)Demerol 150 mg IM prior to drsgΔ
D)MS 4-8 mg IM q4h for severe pain

Question 33

Medications given primarily to induce sleep are called:

A)hypnotics.
B)tranquilizers.
C)antiarrhythmics.
D)analgesics.

Question 34

Medications given to increase urination are called:

A)anticoagulants.
B)antiemetics.
C)diuretics.
D)antibiotics.

Question 35

Medications given for the treatment of patients with pain are called:

A)antiemetics.
B)antidepressants.
C)hypnotics.
D)analgesics.

Question 36

The patient returned from surgery with severe nausea and vomiting.To best treat this problem,the nurse most likely will administer:

A)Compazine (prochlorperazine).
B)Vicodin (hydrocodone with acetaminophen).
C)Demerol (meperidine).
D)Amoxil,Polymox (amoxicillin)

Question 37

Medications given to treat infection are called:

A)antidepressants.
B)analgesics.
C)anticonvulsants.
D)antibiotics.

Question 38

Drugs often prescribed to treat respiratory conditions include:

A)corticosteroid inhalers and bronchodilators.
B)antidiabetics and antivirals.
C)antianginals and antihyperlipidemics.
D)diuretics and potassium replacements.

Question 39

Which is a drug class that is controlled by federal laws and has automatic stop dates?

A)Narcotics
B)Non-narcotic analgesics
C)Anticonvulsants
D)Antidiabetics

Question 40

Which of the following orders would require the HUC to order an infusion pump?

A)TPN
B)IV bolus or push
C)Admixture
D)Saline lock

Question 41

When computer physician order entry (CPOE)is used,medication orders are sent to the pharmacy:

A)by the HUC,who prints out a copy of the doctors' orders and faxes it to the pharmacy.
B)automatically when the doctor enters them into the patient's medical record via computer.
C)after the HUC types the medication orders into the computer.
D)by the nurse who faxes a copy of the orders to the pharmacy after reading them.

Question 42

Which of the following patient medications would be noted when ordering an electrocardiogram (EKG)?

A)Digoxin
B)Lipitor
C)Coumadin
D)Ambien

Question 43

A clinical decision support system (CDSS)reduces errors by assisting:

A)the nurse when entering notes into the patient's electronic medical record (EMR).
B)the HUC when transcribing the doctors' orders.
C)the doctor when entering orders into the patient's EMR.
D)ancillary personnel when entering progress notes into the patient's EMR.

Question 44

Which of the following patient medications would be noted when ordering an arterial blood gas (ABG)?

A)Coreg
B)Lasix
C)Coumadin
D)Ambien

Question 45

Which of the following medications has an automatic stop date?

A)OxyFast,OxyContin (oxycodone)
B)Coreg (carvedilol)
C)Aldactone (spironolactone)
D)Advil (ibuprofen)

Question 46

What type of medication order is Ambien 15 mg PO q HS?

A)Standing
B)One time
C)Short order series
D)prn

Question 47

Which of the following patient medications would be noted when ordering a blood culture?

A)Tylenol
B)Penicillin
C)Coumadin
D)Ambien

Question 48

Which of the following patient medications would be noted when ordering an electroencephalogram (EEG)?

A)Penicillin
B)Lanoxin
C)Motrin
D)Tegretol (carbamazepine)

Question 49

The drug category set by the Drug Enforcement Administration (DEA)that includes drugs with the highest potential for abuse or dependence is Schedule:

A)I.
B)II.
C)III.
D)IV.

Question 50

An admixture is a medication that:

A)is added to a patient's IV solution.
B)the patient's family brings from home.
C)the patient requests to be added to daily meds.
D)the pharmacist recommends should be added to the patient's daily meds.

Question 51

An example of a common computerized medication cart is:

A)I-med.
B)Pyxis.
C)TPN.
D)WOW

Question 52

What type of medication order is Demerol 100 mg IM q 4 hr for pain?

A)Standing
B)One time
C)Short order series
D)prn