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Nursing Medication and Safety Content Guide

Total questions: 21

Worksheet time: 11mins

Name
Class
Date
1.

The steps in nursing for medication errors include:

a)

Reporting the error, assessing the patient, documenting the incident, and implementing corrective actions.

b)

Ignoring the error if the patient is stable.

c)

Only informing the pharmacy about the error.

d)

Waiting for the patient to complain before taking action.

2.

Medications you should not crush include which of the following, and why?

a)

Enteric-coated tablets, because crushing destroys the protective coating and may cause stomach irritation.

b)

Chewable tablets, because they are designed to be swallowed whole for faster absorption.

c)

Liquid medications, because crushing them changes their chemical structure.

d)

Topical creams, because crushing them increases their potency.

3.

Types of injections include intramuscular (IM), subcutaneous, and intradermal. Which of the following correctly describes these types?

a)

IM injections are given into the muscle, subcutaneous into the fat layer, and intradermal just under the skin.

b)

IM injections are given into the bone, subcutaneous into the muscle, and intradermal into the bloodstream.

c)

IM injections are given into the skin surface, subcutaneous into the veins, and intradermal into the fat layer.

d)

IM injections are given into the fat layer, subcutaneous into the muscle, and intradermal into the bone.

4.

The steps for TB testing are:

a)

Administer the tuberculin skin test, wait 48-72 hours, and check for a reaction.

b)

Take a blood sample and immediately diagnose TB.

c)

Give antibiotics and observe for improvement.

d)

Perform a chest X-ray and confirm TB.

5.

Administering liquid medications to a client with an NG feeding tube with continuous enteral feedings involves which of the following steps?

a)

Pause the feeding, flush the tube with water, administer the medication, flush again, and resume feeding.

b)

Administer the medication directly into the feeding bag without pausing the feeding.

c)

Crush the medication and mix it with the enteral formula before administration.

d)

Administer the medication without flushing the tube before or after.

6.

Medication safety checks and priorities for assessments include which of the following?

a)

Verifying patient identity, checking medication dosage, and assessing for allergies

b)

Ignoring patient history and focusing only on medication label

c)

Administering medication without double-checking orders

d)

Relying solely on verbal instructions from colleagues

7.

The correct sequence of steps to administer an ophthalmic medication to a client is:

a)

Wash hands, tilt the client’s head back, pull down the lower eyelid, instill drops, and ask the client to close the eye gently.

b)

Instill drops, wash hands, pull down the lower eyelid, tilt the client’s head back, and ask the client to close the eye gently.

c)

Pull down the lower eyelid, instill drops, wash hands, tilt the client’s head back, and ask the client to close the eye gently.

d)

Tilt the client’s head back, instill drops, wash hands, pull down the lower eyelid, and ask the client to close the eye gently.

8.

The site that offers the least potential of injury and is the preferred site for intramuscular injections is:

a)

Ventrogluteal site

b)

Dorsogluteal site

c)

Deltoid site

d)

Rectus femoris site

9.

Manifestations and nursing interventions for IV complications include which of the following?

a)

Redness, swelling, and infiltration; stop infusion and apply a warm compress

b)

Fever, cough, and headache; increase IV rate and monitor closely

c)

Nausea, vomiting, and diarrhea; continue infusion and restrict fluids

d)

Rash, itching, and joint pain; massage the site and increase flow rate

10.

Convert 1 teaspoon (Tsp) to milliliters (ml).

a)

4.93 ml

b)

10 ml

c)

2.5 ml

d)

15 ml

11.

Which of the following lists the correct steps of pharmacokinetics?

a)

Absorption, Distribution, Metabolism, Excretion

b)

Metabolism, Absorption, Distribution, Excretion

c)

Distribution, Excretion, Absorption, Metabolism

d)

Excretion, Metabolism, Absorption, Distribution

12.

The correct sequence of steps to prepare and start an intravenous (IV) line on a client and appropriate interventions is:

a)

Gather equipment, identify client, select site, apply tourniquet, clean site, insert catheter, secure IV, monitor for complications.

b)

Insert catheter, gather equipment, identify client, clean site, apply tourniquet, secure IV, monitor for complications.

c)

Identify client, apply tourniquet, insert catheter, gather equipment, clean site, secure IV, monitor for complications.

d)

Clean site, gather equipment, identify client, insert catheter, apply tourniquet, secure IV, monitor for complications.

13.

Select the condition that would be contraindicated for the use of acupuncture.

a)

Bleeding disorders

b)

Chronic back pain

c)

Migraine headaches

d)

Osteoarthritis

14.

Teaching a client to administer a topical medication involves which of the following strategies?

a)

Demonstrating the application and using teach-back methods

b)

Only providing written instructions without demonstration

c)

Allowing the client to self-administer without supervision

d)

Relying solely on verbal instructions with no follow-up

15.

Herbal supplements that help with some medical conditions include:

a)

Echinacea, St. John's Wort, Ginkgo Biloba, and Turmeric

b)

Aspirin, Ibuprofen, Acetaminophen, and Penicillin

c)

Vitamin D, Calcium, Iron, and Zinc

d)

Insulin, Metformin, Warfarin, and Statins

16.

The process of performing a medication reconciliation while admitting an older adult client involves which of the following steps?

a)

Reviewing all current medications, verifying with the client or caregiver, and reconciling discrepancies with the healthcare team.

b)

Prescribing new medications without reviewing the client's current list.

c)

Relying solely on the client's memory for medication information.

d)

Discontinuing all previous medications upon admission.

17.

The correct sequence of steps for enteral administration of medications is:

a)

Verify the medication order, prepare the medication, position the patient, administer the medication, and document the procedure.

b)

Administer the medication, verify the medication order, prepare the medication, position the patient, and document the procedure.

c)

Prepare the medication, position the patient, verify the medication order, administer the medication, and document the procedure.

d)

Position the patient, administer the medication, verify the medication order, prepare the medication, and document the procedure.

18.

Nursing care for a client who takes multiple medications includes which of the following?

a)

Monitoring for drug interactions and side effects

b)

Encouraging the client to stop all medications

c)

Ignoring the client's medication schedule

d)

Administering all medications at the same time without checking

19.

Minimizing risks of taking multiple medications and avoiding interactions can be achieved by:

a)

Consulting your healthcare provider and keeping an updated list of all medications

b)

Taking all medications at the same time without checking for interactions

c)

Ignoring possible side effects and drug labels

d)

Sharing medications with friends or family

20.

Safe medication administration and error reduction when preparing to administer a medication for the first time involves which of the following?

a)

Verifying the medication order, checking patient allergies, and confirming the correct dose and route

b)

Administering the medication without checking the label

c)

Relying solely on memory for medication instructions

d)

Skipping patient identification if in a hurry

21.

The correct steps for taking a telephone prescription are:

a)

Write down the prescription, read it back to the prescriber, and confirm the details.

b)

Rely on memory and write the prescription later.

c)

Ask the prescriber to send a text message instead of calling.

d)

Only write the patient's name and medication.