Deck 3: Patient Safety in Medication Administration

Question 1

Which of the following means give only as needed?

A)qam
B)prn
C)NPO
D)qn

Answer 1

prn

Question 2

Which of the following is NOT one of the seven rights of medication administration?

A)Right patient
B)Right room
C)Right drug
D)Right time
E)Right route

Answer 2

Right room

Question 3

A drug used to coat the stomach before eating is usually given:

A)IM.
B)a.c.
C)prn.
D)p.c.

Answer 3

a.c.

Question 4

Which of the following is the correct dose if the order reads: Give Digoxin .25 mg?

A)Digoxin 25 mg
B)Digoxin 0.25 g
C)Digoxin 25 g
D)Digoxin 0.25 mg
E)Digoxin 1.25 mg

Question 5

What information should be documented after administering a medication?

A)The medication name
B)The medication dose
C)The route of administration
D)Your name and credentials
E)Medication name, dose, route, and your name and credentials

Question 6

Which of the following means after meals?

A)qhs
B)prn
C)p.m.
D)p.c.

Question 7

What does the letter s with a line over it mean?

A)Before
B)After
C)With
D)Without
E)Within

Question 8

Poison control staff might encourage any of the following EXCEPT

A)observe the patient for 1 hour.
B)drink milk.
C)drink water.
D)give syrup of ipecac.

Question 9

Which of the following abbreviations means to give before meals?

A)a.c.
B)p.c.
C)prn
D)ou

Question 10

What does the abbreviation hs mean?

A)As needed
B)Every other day
C)Every hour
D)At bedtime or hour of sleep

Question 11

When should you check the medication label?

A)Before you take the bottle from the shelf
B)Before you pour the drug out
C)Before you put the bottle back on the shelf
D)Before you take the bottle from the shelf, before you pour the drug out, and before you put the bottle back on the shelf

Question 12

To make sure that you are administering the correct medication, how many times do you need to check the medication before administering it?

A)1
B)2
C)3
D)4

Question 13

Which of the following means hives?

A)Anaphylaxis
B)Prophylaxis
C)Urticaria
D)Diuresis

Question 14

Which of the following means to put directly into the skin?

A)IV
B)IM
C)ID
D)SC

Question 15

Which of the following might be a schedule for q6h?

A)Breakfast, lunch, dinner
B)Breakfast, lunch, dinner, bedtime
C)0200 - 0800 - 1400 - 2000
D)6 a.m.and 6 p.m.

Question 16

If both ears need to have earwax cleaned out, the order would specify

A)ad
B)a.m.
C)as
D)au

Question 17

When is it acceptable to abbreviate a word?

A)When it is on your institution's approved list of abbreviations
B)When it is an abbreviation that everyone else uses
C)When you have limited space in which to write
D)Never

Question 18

What does the abbreviation tid mean?

A)Twice a day
B)Three times a day
C)Daily
D)Four times a day

Question 19

Which of the following abbreviations means right eye?

A)ad
B)as
C)od
D)os

Question 20

Which of the following is the correct expansion of HIPAA?

A)Health Information Personal Accountability Act
B)Health Identity Personnel Accountability Act
C)Health Insurance Portability and Accountability Act
D)Health Information Personnel Accountability Act

Question 21

Smoking cigarettes affects drug metabolism by causing the

A)liver to metabolize drugs more slowly.
B)liver to metabolize drugs more rapidly.
C)kidneys to excrete drugs more slowly.
D)kidneys to excrete drugs more rapidly.

Question 22

Newborns' (neonates') and premature infants' medication needs are different from those of older infants and children, because their

A)kidneys and some endocrine systems are not mature, thus metabolism and excretion are impaired.
B)nervous systems and blood-brain barriers are not mature at birth, thus their nervous systems are more susceptible to the effects of medications.
C)bodies have impaired immune systems, leaving them vulnerable to infections.
D)kidneys, some endocrine systems, nervous systems, and blood-brain barriers are not mature.

Question 23

Match the following FDA Drug Safety Categories in Pregnancy with their definitions.
Animal studies have not shown a risk to the fetus; or, if they have, human studies have not.

A)A
B)B
C)C
D)D
E)X

Question 24

Ototoxic and nephrotoxic medications are not given, or are given with great caution, to what age group or groups?

A)Newborns and premature infants
B)Infants
C)Children
D)Adolescents
E)They are safe for all age groups

Question 25

Dosages are usually adjusted in the geriatric patient because of

A)decreased absorption.
B)altered distribution that is caused by low plasma protein levels.
C)alterations in liver and kidney function.
D)decreased absorption, altered distribution, and liver and kidney function alterations.

Question 26

What is the drug class commonly associated with adverse drug events in elderly patients?

A)Sedative-hypnotics
B)Antibiotics
C)Antipyretics
D)Sedative-hypnotics, antibiotics, and antipyretics

Question 27

What is the mineral that reduces the absorption of tetracycline when they are given together?

A)Phosphorus
B)Sodium
C)Chloride
D)Calcium

Question 28

Polypharmacy (taking several medications for more than one problem) is a concern for patients in what age group?

A)Pediatrics
B)Adolescents
C)Adults
D)Geriatrics

Question 29

Which of the following statements about how heart failure affects medications in the body is correct?

A)Increased congestion of blood vessels in the GI tract results in an increase in drug absorption.
B)Increased congestion of blood vessels in the GI tract results in an increased delivery of the drug to the liver.
C)Congestion in the kidneys caused by heart failure leads to delayed excretion and drug accumulation.
D)Congestion in the kidneys caused by heart failure leads to faster excretion of drugs.

Question 30

What condition may make medication levels higher than normal?

A)Dehydration
B)Overhydration
C)Bacterial infections
D)Viral infections

Question 31

Poison control staff may ask a health-care worker to take what action or actions?

A)Administer activated charcoal.
B)Have the patient drink a large amount of water to dilute the poison.
C)Have the patient drink a large amount of milk to reduce the acidity.
D)Monitor the patient for appropriate symptoms.
E)Administer activated charcoal, have the patient drink a large amount of water or milk, and monitor the patient for appropriate symptoms.

Question 32

Match the following FDA Drug Safety Categories in Pregnancy with their definitions.
Studies have shown significant risk to mother and fetus.

A)A
B)B
C)C
D)D
E)X

Question 33

The term that refers to a life-threatening allergic reaction is

A) anaphylaxis.
B) anphalous.
C) urticaria.
D) syncope.

Question 34

Match the following FDA Drug Safety Categories in Pregnancy with their definitions.
Animal Studies have shown a risk to the fetus, but controlled studies have not been performed on women.

A)A
B)B
C)C
D)D
E)X

Question 35

Drug dosages are based on

A)body weight.
B)age.
C)gender.
D)body weight, age, and gender.

Question 36

Match the following FDA Drug Safety Categories in Pregnancy with their definitions.
Studies have shown that these drugs may cause harm to the fetus, so the prescriber must weigh risk vs. benefit; may use if another, safer therapy is not available.

A)A
B)B
C)C
D)D
E)X

Question 37

In which trimester is the fetus especially vulnerable to medications?

A)First
B)Second
C)Third
D)First and third
E)First, second, and third

Question 38

Match the following FDA Drug Safety Categories in Pregnancy with their definitions.
Studies have not shown a risk to mother or fetus.

A)A
B)B
C)C
D)D
E)X

Question 39

What agency produces a list of abbreviations that should not be used because of the possibility of confusion causing medication errors?

A)FDA
B)OSHA
C)Joint Commission
D)None of the above