Fundamentals of Nursing Theory Concepts and
Applications 4th Edition Wilkinson Test Bank
Chapter 26: Administering Medications
1. Which of the following healthcare providers have prescriptive authority? Select
all that apply.
A) licensed practical nurse
B) pharmacist
C) physician
D) social worker
E) dentist
F) advance practice nurses
2. What federal agency enforces the official standards for drugs in the United
States?
A) Centers for Disease Control and Prevention
B) Judicial branch of the administration
C) Controlled Substance Act
D) Food and Drug Administration
3. A patient who is taking Tylenol for a fever asks a nurse if there is a generic form
that is less expensive. What would the nurse tell him?
A) No, Tylenol is all that is available.
B) No, not that I am aware of.
C) Yes, and it is acetaminophen.
D) Yes, and it is also called Tylenol.
4. A nurse is administering a medication to a patient for acute pain. Of the various
routes for drug administration, which would be chosen because it is absorbed
more rapidly?
A) injected medications
B) liquid oral medications
C) topical skin medications
D) oral-coated medications
5. A physician has ordered peak and trough levels of a medication. When would
the nurse schedule the trough level specimen?
A) before administering the first dose
B) immediately after the first dose
C) 30 minutes before the next dose
D) 24 hours after the last dose
6. A patient taking insulin has his levels adjusted to ensure the concentration of
drug in the blood serum produces the desired effect without causing toxicity.
What is the term for this desired effect?
A) peak level
, B) trough level
C) half-life
D) therapeutic range
7. A patient who is taking an oral narcotic for pain relief tells the nurse he is
constipated. What is this common response to narcotics called?
A) therapeutic effect
B) adverse effect
C) toxic effect
D) idiosyncratic effect
8. A nurse is conducting an interview for a health history. In addition to asking the
patient about medications being taken, what else should be asked to assess the
risk for drug interactions?
A) the effects of prescribed medications
B) type and amount of foods eaten
C) daily amount of intake and output
D) use of herbal supplements
9. A nurse is administering lithium to a Japanese patient. What cultural factor
should the nurse consider regarding the effects of the medications?
A) elevated serum levels may occur causing symptoms of drug toxicity
B) expected side effects should be no different than in other patients
C) the patient may require a larger-than-normal dose of a drug
D) more rapid metabolism may interfere with drug absorption
10. A nurse is converting the dosage of a medication to a different unit in the metric
system. The medication label specifies the drug as being 0.5 g per tablet. The
order is for 500 mg. How many tablets will the nurse give?
A) 1
B) 2
C) 5
D) 10
11. A physician orders Cipro 500 mg, PO q12h for a patient with bronchial
pneumonia. The nurse has Cipro 250 mg on hand. How many tablets would the
nurse dispense?
A) 1/2 tablet
B) 1 tablet
C) 2 tablets
D) 2 1/2 tablets
12. What factor is used to most accurately calculate drug dosages for a child?
A) age
B) developmental level
C) weight
D) body surface area (BSA)
, 13. A nurse is conducting an interview with a patient to collect a medication history.
Which of the following questions would be used to ensure safe medication
administration?
A) Have you noticed any change in your bowel habits?
B) How do you feel about taking medications?
C) Do you have any allergies to medications?
D) At what times do you take your medications?
14. A hospitalized patient asks the nurse for some aspirin for my headache. There is
no order for aspirin for this patient. What will the nurse do?
A) Go ahead and give the patient aspirin, a common self-prescribed drug.
B) Ask the patients visitors if they have any aspirin for the patient.
C) Ask the patients family to bring some aspirin from home.
D) State that an order from the doctor is legally required and check with the
doctor.
15. A physician has ordered that a medication be given stat for a patient who is
having an anaphylactic drug reaction. At what time would the nurse administer
the medication?
A) at the next scheduled medication time
B) immediately after the order is noted
C) not until verifying it with the patient
D) whenever the patient asks for it
16. What type of order would a physician most likely write to treat the symptoms of
a disease?
A) stat
B) dmr.n.
C) standing
D) single
17. What does the nurse do to verify an order for a medication listed on a
medication administration record (MAR)?
A) Compare it with the original physicians order.
B) Ask another nurse what the drug is.
C) Look up the drug in a textbook.
D) Call the pharmacist for verification.
18. What must a nurse do each time medications are administered to ensure that
medication errors do not occur?
A) Verify the number of medications to be administered.
B) Review information about classification of drugs.
C) Ask another nurse to double-check the medications.
D) Observe the three checks and five rights.
19. A nurse is administering a medication that is formulated as enteric-coated
tablets. What is the rationale for not crushing or chewing enteric-coated tablets?
A) to prevent absorption in the mouth
B) to prevent absorption in the esophagus
C) to facilitate absorption in the stomach
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