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WorksheetsMedication Administration Safety Practices
Total questions: 20
Worksheet time: 20mins
Name
Class
Date
1.
Which of the following is NOT one of the Rights of Medication Administration?
a)
Right assessment data
b)
Right evaluation
c)
Right documentation
d)
Right route
2.
When should the nurse perform the first medication check?
a)
After scanning the MAR
b)
When reaching for the unit dose package
c)
At the patient’s bedside
d)
After opening the medication
3.
Before giving a medication, which two identifiers must always be verified?
a)
Room number and diagnosis
b)
Patient name and date of birth
c)
Bed number and age
d)
Unit number and allergies
4.
Which action demonstrates safe controlled substance handling?
a)
Leaving narcotics in an unlocked cart
b)
Counting controlled substances each shift
c)
Sharing your password with coworkers
d)
Documenting waste later in the shift
5.
When preparing medications, the nurse should:
a)
Prepare for multiple patients at once
b)
Leave meds on the counter until ready
c)
Lock the cart if stepping away
d)
Have another nurse finish if busy
6.
A nurse notices a medication order that seems unusually high. What should the nurse do?
a)
Give the medication as ordered
b)
Ask another nurse
c)
Clarify with the provider before giving
d)
Document and move on
7.
The nurse prepares a patient’s medication but is called away. What is the safest action?
a)
Leave the med labeled at bedside
b)
Give it to another nurse
c)
Discard and reprepare later
d)
Ask a CNA to watch it
8.
Which of the following represents a medication error?
a)
Administering at 0905 instead of 0900
b)
Giving an IM med SQ
c)
Holding a med for low BP as ordered
d)
Giving a med after verifying allergies
9.
After a medication error, what should the nurse do FIRST?
a)
Notify the physician
b)
Fill out an incident report
c)
Check the patient’s condition
d)
Tell the charge nurse
10.
A nurse documents a medication before administering it. What risk does this create?
a)
Legal accountability only
b)
Incorrect documentation
c)
Slower absorption
d)
No effect
11.
Which factor most commonly leads to medication errors?
a)
Adequate staffing
b)
Work interruptions and distractions
c)
Barcode scanning
d)
Team huddles
12.
A patient refuses a medication. What should the nurse do?
a)
Force the medication
b)
Document the refusal and notify the provider
c)
Ignore it and document given
d)
Ask another nurse to give it later
13.
Which statement reflects correct documentation practice?
a)
Document before giving the med
b)
Chart using only approved abbreviations
c)
Record only abnormal responses
d)
Skip documentation for PRNs
14.
You are administering a PO medication and notice the patient hiding a pill in their cheek. What should you do?
a)
Ignore it and continue
b)
Document as taken
c)
Ask the patient to open their mouth and explain importance of swallowing
d)
Remove the medication from the MAR
15.
You are preparing to give medication through an NG tube. What must you do FIRST?
a)
Flush the tube with air
b)
Confirm tube placement
c)
Crush all meds together
d)
Check blood sugar
16.
A patient’s insulin order reads 'Regular Insulin 10 units SQ before meals'. What is the correct syringe type?
a)
TB syringe
b)
Insulin syringe
c)
3 mL syringe
d)
5 mL syringe
17.
The provider orders an IM injection of 2.5 mL in the deltoid. What is the nurse’s best action?
a)
Give it as ordered
b)
Consider giving in larger muscle
c)
Use a smaller needle
d)
Give SQ instead
18.
After giving a medication, the patient reports a new rash. What is the PRIORITY nursing action?
a)
Document and monitor
b)
Stop the med and assess for allergic reaction
c)
Give Benadryl
d)
Tell the provider after shift
19.
You notice your colleague leaving an unlabeled syringe at the bedside. What should you do?
a)
Ignore it
b)
Administer the medication
c)
Discard it safely and report per policy
d)
Label it yourself and give it
20.
Which step is part of the 'three checks' process?
a)
Compare with MAR when reaching for the med
b)
Ask a CNA to verify the patient
c)
Open all blister packs in advance
d)
Scan barcodes instead of checking
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