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N212-Safe Medication Administration and Dosage Test Questions and Answers
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N212-Safe Medication Administration and Dosage Test Questions and Answers A nurse gives a medication without checking the medication administration record (MAR) When the nurse documents the medication given, the nurse notices that the medication was also given 15 minutes earlier by another nurs...

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  • November 11, 2024
  • 130
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • n212 safe medication administration and dosage tes

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N212-Safe Medication Administration and

Dosage Test Questions and Answers


A nurse gives a medication without checking the medication administration record (MAR) When the

nurse documents the medication given, the nurse notices that the medication was also given 15 minutes

earlier by another nurse, resulting in the client receiving a double dose. The nurse notifies a supervisor

and a physician of the event. Which action should the nurse who administered the second medication

dose expect?


a. Assignment of fewer clients at one time


b. Disciplinary action to the first nurse for giving the first dose


c. Disciplinary action possibly including suspension or termination


d. Completion of a variance (incident) report that would be reviewed by management - ANSWER✔✔-

ANSWER: D


The nurse who made the error should expect the completion of a variance report with review by

management. A complete review of the situation


needs to occur, including the type of medication, dose, outcome of the client, and steps of medication

administration, including documentation. The nurse should not expect a change in client assignments.

Although disciplinary action varies by organization, generally a pattern of incompetent actions must be

demonstrated for suspension or termination.




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➧Test-taking Tip: Use the process of elimination. Focus on the professional responsibility of the nurse.

Look for the strategic words "variance" and "reviewed."


Heparin Lab - ANSWER✔✔-aptt or ptt or anti-xa


lab for warfarin/comadin - ANSWER✔✔-INR


Order for Nitro - ANSWER✔✔-0.4mg SL x3 per 5 min until pain stops


What if order is 1/150th of a grain


60mg = 1grain


Fluids in order of osmolarity - ANSWER✔✔-0.45% NS, D5W, D10W, LR, 0.9% NS, D5LR, D5 0.9%, 2%


Give dopamine 2mcg per kg per minute. Available is Dopamine 200mg in 250 mls of NS. The patient

weighs 60kg. What flow rate will be set on the pump to the nearest tenth of a ml - ANSWER✔✔-9ml/hr


A nurse is caring for a 12 month old child who has been admitted to a pediatric unit for dehydration

secondary to vomiting and diarrhea/ The toddler weighs 22 lb. The toddler is to receive D5 1/2 NS with

20 MEQ KCL at 4ml/kg/hr. The nurse should set the pump to deliver ___ ml per hr - ANSWER✔✔-40

*common question


What would you look up if you were unsure of the medication? - ANSWER✔✔-What it is


Safe dose/route


What does it do


Why are they taking it


Interactions



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SE


How do you know if its working


Know which medication is used for maintenance vs sliding scale - ANSWER✔✔-


A nurse, checking newly written physician orders, determines that which orders require the nurse to

contact the physician to clarify the order? SELECT ALL THAT APPLY.


a. Aspirin 325 mg orally qd


b. MS 4 mg IV q2hr prn


c. Furosemide (Lasix®) 40 mg IV now


d. D5W with 20 mEq KCL IV at 124 mL/hr (volume)


e. Heparin 5,000 u subcutaneously bid - ANSWER✔✔-ANSWER: A, B, D, E




The abbreviations "qd," "MS," and "u" are disallowed by the Joint Commission (formerly the Joint

Commission on Accreditation of Healthcare Organizations [JCAHO]). Responses C and D are incorrect

choices because these responses have the essential components of a medication order—medication

name, dose, frequency, and route—and use of acceptable abbreviations. D is missing amount of fluid to

give.




➧ Test-taking Tip: Read each order carefully to identify the disallowed abbreviations. Make sure each

medication was the drug name, route, quantity, and time




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Before a child's hospital discharge, a nurse is teaching the parents how to administer an oral medication

to the child. Which nurse instruction would be most appropriate?


a. Administer the medication and then follow it with a small glass of milk


b. Give the child a flavored ice pop just before the medication (numb taste buds)


c. Tell the child that the medication will taste good


d. Open all capsules and mix the contents with applesauce - ANSWER✔✔-ANSWER: B




The cold from the ice pop will help to numb the taste buds and weaken the taste of the medication.

Options A, C, and D are incorrect. Essential foods, such as milk, should be avoided because the child may

later refuse the food that he/she associates with the medicine. If the child is old enough, warn the child

that the medication is objectionable, but then praise the child after the medication is swallowed. Some

capsules are


extended release and should not be opened. Milk can also decrease absorption.




➧ Test-taking Tip: Note the key words "most appropriate." Recall that cold has a numbing effect.

Therefore, select option 2.


A nurse is evaluating whether a client on multiple oral medications is taking the medications correctly.

Which finding should be most concerning to the nurse because the absorption rate of medications can

be increased?


a. Taking afternoon oral medications with a carbonated soft drink



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