Question 1

Which drug distribution system is commonly used when ordering medication in an agency?

Accepted Answer

Each agency has its own way of ordering and administering medications distributed to nurses.The floor or ward stock system is one of the systems.

Question 2

A nurse has administered the wrong medication to a patient.Which is the highest-priority nursing action at this time?

Accepted Answer

When it is discovered that an error has been made,the nurse should immediately check the patient.The physician should be notified promptly,and any orders the physician gives must be followed.The nurse manager or charge nurse also needs to be notified at once.

Question 3

Which is the correct interpretation of the following order: Rx Epifrin 0.25% 2 gtt OU bid?

Accepted Answer

Drop(s)is written as gt (gtt)and is a common abbreviation used in pharmacology.OU (oculus uterque)means "each eye," and bid means "twice daily."

Question 4

A patient is discharged from the hospital.To whom should all the medications the patient was taking that are classified as controlled substances be given?

Accepted Answer

All controlled substances ordered for a patient but not used while the patient is in the hospital go back to the pharmacy when the patient is discharged.

Question 5

Which medication is an example of a controlled substance?

Accepted Answer

Controlled substances include major pain killers (narcotics)and some sedatives or tranquilizers that can be prescribed by someone with a special license.Codeine is a Schedule II controlled substance.

Question 6

Which is an example of a Schedule I controlled substance?

Accepted Answer

Heroin has no currently accepted medical use in the United States and there is a lack of accepted safety guidelines for its use under medical supervision.Morphine and pentobarbital are both Schedule II controlled substances; Lomotil (diphenoxylate with atropine sulfate)is a Schedule V drug.

Question 7

Which is a document that is considered to be a legal record and hospital property?

Accepted Answer

The patient's chart is a legal record.It is the major source of information about the patient and the care received while in the hospital.The Kardex card is thrown away when the patient is discharged.It is not a legal document.

Question 8

Important information is recorded in a patient's hospital chart while the patient remains in the hospital.When a patient is discharged,which is true regarding the ownership of the patient's chart?

Accepted Answer

The chart belongs to the hospital.It is not the property of the patient,the nurse,or the physician.

Question 9

What is the missing component of the following medication order: Atropine 1 mg IV?

Accepted Answer

Regardless of whether the prescription is for a hospitalized patient or not,the order must contain the same information: patient's full name,date,name of drug,route of administration,dose,frequency,duration,and signature of prescriber.

Question 10

Meperidine,75 mg IV push,is ordered by the physician to be given stat.The nurse understands that this is which type of order?

Accepted Answer

A stat order is a type of medication order that is a one-time order to be given immediately.

Question 11

What should the nurse do first if a controlled substance is accidentally spilled or contaminated?

Accepted Answer

If the ordered dose is smaller than the dose provided (so that some medication must be discarded),or if the medication is accidentally dropped,contaminated,spilled,or otherwise made unusable and unreturnable,two nurses must sign the inventory report and describe the situation.

Question 12

As the nurse is coming on duty to take over the day shift,the night nurse tells the nurse that she has already counted the controlled drugs for the day shift.What should the nurse do in this situation?

Accepted Answer

At the end of each shift,the contents of the locked cabinet are counted together by one nurse from each shift.A nurse who is willing to take the word of another nurse from the previous shift,without verifying the count,risks being held accountable for any shortages or discrepancies,and may be found guilty of falsifying records.If you go along with her,you are falsifying records.

Question 13

A patient brings his multivitamins to the hospital and asks the LPN/LVN if he can take them.Which is the nurse's best response?

Accepted Answer

Over-the-counter (OTC)medications do not require a prescription for purchase,but a physician's order is required before they may be taken in the hospital.OTC medications may interact with a patient's prescribed medications.Therefore,the physician must be aware of all the meds the patient is taking.

Question 14

Which is an example of a single dose order?

Accepted Answer

A single dose order is a type of medication order that is to be given one time only.

Question 15

The nurse is administering a controlled substance that is ordered in a smaller dose than what is available.What should the nurse do with the remaining amount of medication?

Accepted Answer

If the ordered dose is smaller than the dose provided (so that some medication must be discarded),or if the medication is accidentally dropped,contaminated,spilled,or otherwise made unusable and unreturnable,two nurses must sign the inventory report and describe the situation.

Question 16

Enactment of which major federal drug regulations required that new drug products be proven both safe and effective before they could be approved for sale in the United States?

Accepted Answer

Prior to 1962,manufacturers of new drug products were only required to prove that their products were safe for marketing.

Question 17

Which health care professional is licensed to prescribe controlled substances?

Accepted Answer

Federal and state laws make it a crime for anyone to possess controlled substances without a prescription.Each state has a practice act that lists which health care providers may dispense and write prescriptions for controlled substances.Physicians may write prescriptions for controlled substances.

Question 18

A nurse is taking care of an older adult patient with hypertension.He was prescribed an antihypertensive medication; however,he has decided to use a cheaper herbal product that he can buy over the counter and which he thinks will lower his blood pressure.The patient tells this information to the nurse in an interview.Which is the best response to this patient?

Accepted Answer

At present,herbal products are not regulated,standardized,or tested for safety and effectiveness.

Question 19

The order reads,Theochron 200 mg PO qid.The nurse understands that this is which type of medication order?

Accepted Answer

Medication orders may be classed into one of four types.A standing order indicates that the drug is to be administrated until discontinued or for a certain number of doses.

Question 20

What is the title of legislation passed in 2001 for health care workers?

Accepted Answer

In 2001,the Needlestick Safety and Prevention Act was legislated to require hospitals to have programs to prevent needlestick injuries,document them when they occur,and purchase safe equipment,regardless of cost.

Quiz 3: Legal Aspects Affecting the Administration of Medications