Deck 11: Safety and Quality Assurance

Question 1

Which of the following is necessary if a medication error occurs?

A) Notify the patient that the wrong medication has been given.
B) Notify the physician that the wrong medication has been given.
C) Notify the patient's family that the wrong medication has been given.
D) No one needs to be notified that the medication error has occurred.
E) Document the medication as if it has been given correctly.

Answer 1

Notify the physician that the wrong medication has been given.

Question 2

Quality assurance includes which of the following?

A) checking medication shipments for proper conditions during transportation
B) organizing medications to prevent medication errors
C) protecting labels when pouring medications
D) replacing lost labels on medications
E) all except d

Answer 2

all except d

Question 3

Which of the following is NOT a break in OSHA standards?

A) directing a needle toward any part of the allied health professional's body
B) not recapping a needle, contaminated or not contaminated
C) recapping needles using the "scoop" method if necessary
D) not filing an incident report if an exposure occurs
E) disposing of contaminated waste without decontamination

Answer 3

recapping needles using the "scoop" method if necessary

Question 4

Housekeeping practices that increase quality assurance include all EXCEPT

A) check the order of expiration dates each time a medication is stocked on the shelf
B) check labels for storage requirements only if the medication is a new one to the practice
C) protect medications from light, moisture, and air
D) refrigerate those medications that have been reconstituted and need refrigeration
E) keep poisons and chemicals that are harmful in an area separate from the storage of internal medications

Question 5

If an error occurs, what steps should be taken for patient safety?

A) Notify the physician or supervisor immediately.
B) Observe the patient for adverse reactions.
C) Document the time, dose, and medication given.
D) Document any orders given to reverse the mistake and any patient education performed.
E) All of the above steps would be taken.

Question 6

The "befores" of label reading for medication administration include all of the following EXCEPT before

A) removing the medication from the shelf
B) administering the medication to the patient
C) preparing the medication
D) returning the medication to the shelf

Question 7

The allied health professional should NOT administer medications

A) prepared by another allied health professional
B) prepared by the person administering the medication
C) that have been prepared using the three "befores"
D) administered using the seven rights
E) that have been properly stored for quality assurance

Question 8

To properly administer medications, which of the following is not important?

A) knowledge of the medication
B) quality assurance
C) 3 + 7
D) asking the physician to explain every dose of medication to be administered
E) knowing the family, social, and medical history of the patient

Question 9

A medication error may occur in which of the following circumstances?

A) an error in prescribing, administering, or dispensing medicine
B) administering the incorrect dose of the medication
C) adding the medication to a large amount of food that may be partially eaten
D) all of the above
E) a and b

Question 10

Factors that should be considered for patient safety with medication administration include all of the following EXCEPT

A) concern about food allergies and drug dependence
B) any environment in the office is permissible for the preparation of the medication
C) size, age, and vital signs of the patient
D) presence of an appropriate health professional in case an allergic reaction should occur
E) proper route and dosage of medication to be administered

Question 11

Documentation of medication administration should include all of the following EXCEPT documenting

A) immediately after giving the medication
B) in the correct medical record
C) the time, date, and route of administration
D) the administration of the medication before giving it
E) the drug name, dose, route, and any reactions to the medication

Question 12

When administering medications, which of the following should be documented?

A) past allergic reactions
B) any signs of an adverse reaction
C) religious or personal beliefs that may affect the use of the medication
D) all of the above
E) a and b

Question 13

In organizing medications the allied health professional should do all of the following EXCEPT stock medications

A) with similar uses together
B) by strength
C) with similar names together regardless of the route of administration
D) with the labels outward
E) with the earliest expiration date to the front

Question 14

Which of the following ensures the correct medication has been selected for use with medication administration?

A) comparing the order to the medication label using the three "befores"
B) checking for an expiration date on the medication and being sure the label is not damaged
C) checking the concentration of the medication against the order
D) all of the above
E) all except b

Question 15

OSHA standards include all of the following EXCEPT

A) use of personal protective equipment such as gloves and masks for all medication administration
B) use of biohazard containers for sharps
C) use of gloves for giving injections
D) barrier equipment if sprays or splashes may occur
E) no recapping of needles and other sharps

Question 16

Checklists for documentation should include all of the following EXCEPT

A) patient assessments prior to medication administration
B) any reaction to the medication and the waiting time if the medication has a potential for adverse reactions
C) the route of medication unless it was given by mouth-then the route does not require documentation
D) the reason for refusal if the patient refuses the medicine
E) the date, time, drug administered, and route of administration

Question 17

The route of medication administration depends on which of the following?

A) chemical and physical properties of the medication
B) desired site of action and the desired response time to the medication
C) physical and mental health of the person receiving the drug
D) a and b
E) all the above

Question 18

The goal of medication administration to prevent errors includes all of the following EXCEPT

A) giving the correct dose
B) giving the medication to the correct patient
C) choosing the most convenient route of medication administration
D) giving the medication using the correct documentation and technique
E) using the route of administration suggested by the manufacturer for that particular medication

Question 19

Which of the following includes an incorrect "right" in the seven rights of medication administration?

A) right dose, right route, right patient, right technique, right medication
B) right dose, right time, right patient, right drug, right documentation
C) right drug, right patient, right technique, right documentation, right storage
D) right drug, right patient, right documentation, right technique
E) right drug, right dose, right technique, right time, right documentation

Question 20

A medication error may be made by the

A) patient
B) physician
C) allied health professional
D) all of the above
E) b and c

Question 21

Quality assurance means to establish standards of excellence and to practice those standards when giving medications.

Question 22

If an error in medication administration occurs, the facility should study what happened and make changes in the procedure manual as needed.

Question 23

The study of pharmacology is necessary only to know how to administer medications.

Question 24

Family members have influence on medication administration.

Question 25

To ensure that the correct patient is receiving a medication, the allied health professional should address the person by name and, in the case of a child, ask the patient's name from the person accompanying the child.

Question 26

The parenteral route of medication administration

A) may be used when a rapid drug action is desired
B) tends to require a smaller amount of medication to provide the desired effect
C) provides a more rapid absorption
D) increases the risk of infection and tissue damage
E) all of the above

Question 27

Quality assurance results in the highest level of patient care and is consistent with high principles of professional conduct.

Question 28

Over-the-counter (OTC) drugs do not require quality assurance and are safe to take no matter what.

Question 29

Allied health professionals and pharmacists may make medication errors, but the physician is always correct in handling medications and should never be questioned.

Question 30

When giving a medication, be sure it is in a form for the route ordered, using the right technique.

Question 31

If the medication is expensive and the expiration date was only one week ago, it would be permissible to use the medication for administration.

Question 32

The goal of medication administration is to

A) not hurt the patient
B) deliver a precise reliable dose
C) use the route that will deliver the medication to target tissues to obtain the desired response
D) all of the above
E) b and c

Question 33

If a patient refuses to take a medication, the medications that have not been mixed with other medications may be returned to their original container.

Question 34

Preparing and administering medications may become a routine process, and the procedure should become one on which the allied health professional is not required to concentrate.

Question 35

If the "3 + 7" rules are followed, medication errors will never occur.

Question 36

The oral route of medication administration is safe in all circumstances in which a patient can swallow foods.

Question 37

OTC medications may have changes in inert ingredients so the labels should be read each time the medication is bought.

Question 38

Most quality assurance standards simply require common sense and are easily followed.

Question 39

The seven rights of medication administration should always be the same and should have no deviation from office to office.

Question 40

Quality assurance standards are universal with only slight variations from office to office.

Question 41

All contaminated waste must be placed in a sharps container.

Question 42

Parenteral medications are given by injection under the skin.

Question 43

When administering medications using standing orders, documentation is not needed.

Question 44

If a medication error has occurred, any treatment required should be documented.

Question 45

The allied health professional should always document OTC medications.

Question 46

Percutaneous routes of medication administration usually have a slow rate of absorption and are difficult to apply.

Question 47

Patients may take an overdose of the same medications because the appearance of the drug has changed.

Question 48

OTC medications may mask patient symptoms of disease.

Question 49

Oral medications may be given to a patient who is semicomatose.

Question 50

Before administering a medication, a complete list of medications taken should be documented in the medical record.

Question 51

Herbals have no effect on safe medication administration.

Question 52

The most reliable way to obtain a desired medication result is to ensure the proper method for giving medications.

Question 53

Use of nicotine products should be found in the medical record.

Question 54

Both barrier equipment and gloves are necessary for all parenteral medication administration.

Question 55

OTC labels show drug interactions.

Question 56

Percutaneous medications all have the same application sites.

Question 57

An overdose of a medication could occur when the patient is taking a prescription medication and an OTC medication of the same drug because the names on the containers are different.

Question 58

Documentation of excessive use of tea, coffee, and soft drinks is not necessary because so many people use these that drug manufacturers take this into consideration when setting doses.

Question 59

Parenteral administration of medication requires aseptic techniques.

Question 60

Since OTC medications are easily obtainable, exceeding the recommended daily dose by one or two doses a day should be safe.

Question 61

Sound-alike and spelled-alike drugs can lead to medication errors.

Question 62

All medications, whether for external or internal use, may be stocked together.

Question 63

Otic and ophthalmic medications are easily confused because the containers look so similar.

Question 64

Preventable medication administration errors lead to approximately 2% of all hospitalizations.

Question 65

If a break in OSHA standards occurs, the incident should be reported immediately.

Question 66

All medication errors are an inconvenience at most.

Question 67

Safe medication administration requires 10 steps in preparation and administration.

Question 68

Pain medications may be given to a patient in extreme pain without concerns for instability or confusion.

Question 69

Ordering medications for arrival at any time provides good quality assurance.

Question 70

All medications should be stocked in the original packaging.

Question 71

Excessive heat or cold during delivery of medications is a break in quality assurance.

Question 72

If utmost care in preparing medications is accomplished, medications errors would never occur.

Question 73

Possible drug dependency and use of concurrent medications may prevent the use of the drugs of choice for a specific disease.

Question 74

Loss of stock is possible if stocking of the medications is performed in an inconsistent way.

Question 75

A health care provider should be readily available when administering parenteral medications.

Question 76

Never give a medication that you have not personally prepared.

Question 77

Drugs in storage should be separated by route of administration.

Question 78

Food and animal allergies may prevent the use of a medication.

Question 79

Storage of chemicals and poisons may be in combination with medications.

Question 80

A follow-up investigation to prevent hazard exposure after a break in OSHA standards is not needed as the break was just an accident and probably would not occur again.