1.

A child has scoliosis with a 40-degree curvature of the spine, and the parent is worried about
pulmonary involvement. What statement by the healthcare professional is most appropriate? select
one

a. Scoliosis is a bone disorder and does not affect the lungs.         

b. Yes, we should obtain pulmonary function studies soon.
c. Scoliosis severe enough to involve the lungs would be fatal.      
d. The lungs aren't affected until the curvature is over 80 degrees

2. Which intervention should the nurse implement when taking a telephone order from the
healthcare provider?

a. The nurse must have another nurse listen on the phone

b. The nurse must “read back” the complete order
c. The nurse should refuse to take a telephone order
d. The nurse must have the order co-signed within 8 hours

3. The nurse in the surgical unit asks the patient, “Which knee is your doctor going to do surgery?” The
patient responds, “my right knee” but the surgical permit states left knee. Which action should the
surgical nurse take first?

a. Change the surgical permit to read right knee.

b. Notify the operating room of the discrepancy.
c. Ask the patient’s significant other to clarify.
d. Call a “time out” to clarify the situation

4. Which concentrated electrolyte must be removed from patient care units?

a. Calcium gluconate.
b. Magnesium sulfate.
c. Potassium chloride.
d. Zinc oxide.

5. What are the recommendations from the Institute of Medicine (IOM) for nurses in order to reduce
medication errors?

a. Maintain accurate records of all medications.

b. Display openness regarding errors and problems.
c. Take greater responsibility for monitoring medications and reporting changes.
d. All of the above
6. What is the nurse least likely to find in a medication order?

a. Ordered dose
b. Route of administration
c. Medication composition
d. Patient identification information

Q.7 Intra-unit transfers shall be done through

a) (I) SBAR
b) Handover
c) Communication Log Book
d) Effective Communication

8) Which of the following is most important to check prior to administering a medication

to a patient?

a. Medical condition
b. Vital signs
c. Allergy status
d. Other prescription medications
e. Over-the-counter drugs being taken

10). A communication method that can help reduce medication errors is:

a. RABT.
b. SBAR.
c. SABT.
d. ABRS.

11. Which of the following does the Joint Commission recommend caregivers do when taking verbal
orders from prescribers?

a. Verify the condition that the medication is being used to treat.

b. Explain that you're not allowed to take verbal orders.
c. Have a third person listen in on the conversation.
d. Call the prescriber from the patient's room.
12. According to the Joint Commission, a patient safety event that results in death, permanent or
severe temporary harm, and intervention required to sustain life is referred to as a(an):

a. Sentinel event.
b. Medical error.
c. Near miss.
d. Adverse event

13. All of the following are recommended strategies to help prevent medication administration errors,
except:

a. using “smart” infusion pumps for intravenous medications.

b. Package design features that differentiate between look-alike drug names.
c. Shaking all injectable medications before administration.
d. Documenting accurately once a medication has been administered

14. When administering a high-alert medication to a patient, nursing best practice includes:

a. Using only preprinted orders.

b. Avoiding the use of infusion pumps.
c. Asking another qualified nurse to perform an independent double check.
d. Identifying high-alert medications based only on the FDA’s “black-box” warnings.

15.For critical drug calculations, what is the best approach?

a. The nurse should do the calculations twice to make sure they are correct
b. Use a calculator or computer to check the drug calculations
c. Show the calculations to a colleague or supervisor to check
d. Have another nurse do the calculation independently and compare results.

16.As a nurse, if you notice a mistake with a patient's medication, what should you do?

a. a.Report the error.

b. b.Do your best to fix it on your own.
c. Give the patient a different medication.
d. d.Make a mental note about the error and share it the next staff meeting.

17.Which of the following is the most likely root cause of medication errors in health care entities?

a. Carelessness of nurses
b. Illegible physician handwriting
c. Look-alike, sound-alike drugs
d. Manual medication delivery systems
e. Systems failure
18.special methods of handling high alert medications include

a. Active,independent double check prior to administration

b. Reducing the number of drugs concentrations available
c. Special protocols to guide their use
d. All of the above

19. Medication errors include; prescription of the wrong medication or dosage, unclear prescription
writing by the physician, dispensing the wrong medication or dosage by the pharmacist.

a. True
b. False

20.Which of the following is important when administering medications?

a. 1.Washing your hands

b. 2.Asking questions if you are confused about a medication
c. 3.Questioning any order that seems inappropriate
d. 4.All of these answers are correct.

21.If you notice that a patient's status has changed and you feel the patient's medication dose might
no longer be right, what should you do?

a. 1.Follow your instincts and change the dose.

b. 2.Ask the patient if he or she would like a different dose.
c. 3.Ask the prescriber for clarification.
d. 4.Do nothing.

22.Name common high alert medications

a. insulin
b. heparin
c. opioids
d. injectable potassium
e. neuromuscular blocking agents
f. chemotherapeutic agents

23.Name some practices to aide in prevention of med errors

a. use of technology
b. restriction of high alert drugs from floor stock
c. avoid verbal orders of high alert drugs
 d. use checklist with high alert drugs
e. use both generic and brand names of MAR
f. -standardize drug concentrations
g. perform double check

24.Expired opioids should be:

a. be kept secure until they are properly disposed of or destroyed

b. be thrown in the trash the day they expire since the active ingredient may not be potent
anymore
c. still be given to patients to avoid spending too much money on replacement medication stock
d. go home with employees in case they ever need emergency pain relief

25. Slips and lapses denotes which type of errors:

a. knowledge based errors

b. rule based errors
c. mistakes
d. skill based errors

26.Identify the sources of medication errors:

a. incomplete delivery of drugs

b. misidentification of patient
c. unclear labeling of drugs
d. all of the above

27. What is the minimum amount of times that you check the medication label before administering
the medication?

a. 1
b. 2
c. 3
d. 4

28. The seven rights of medication administration

a. right patient, right drug, right dose, right time, right route, right reason and right documentation
b. right symptoms, right drug, right dose, right time, right route, right reason and right documentation

c. right patient, right drug, right dose, right time, right formulation, right reason and right
documentation

d. right patient, right drug, right dose, right time, right route, right reason and right prescription

Ans. A

29. What is NOT an appropriate action when a patient, who is legally responsible for their care, refuses
a medication?

a. Notify the ordering physician of the patients refusal to take medication

b. Document the patient refusal to take medication

c. Explain the consequences for not taking the medication

d. Force the patient to take it anyway.

Ans. D

30. All of the following are required sources to confirm the patient’s identity before administering
medication EXCEPT

A. Patient’s Identification Band

b. Patient’s room/bed number

c. Ask the patient

d. Patient’s Chart

Ans. B

31. What must be done by the nurse to ensure key steps are followed while administering medication?

A. Check for discoloration and expiration of the drug

B. Verify the amount of medication that has already been used

C. Confirm with the patient’s physician that he issued the prescription

D. Verify the date the prescription was written

Ans. A