Ch 1-5 PPT Questions 1. The nurse answers a patient’s call light and finds the patient sitting up in bed and requesting pain medication. What will the nurse do first? a. Check the orders and give the patient the requested pain medication. b. Provide comfort measures to the patient. c. Assess the patient’s pain and pain level. d. Evaluate the effectiveness of previous pain medications. 2. The patient’s medication administration record lists two antiepileptic medications that are due at 0900, but the patient is NPO for a barium study. The nurse’s coworker suggests giving the medications via IV because the patient is NPO. What will the nurse do? a. Give the medications PO with a small sip of water. b. Give the medications via the IV route because the patient is NPO. c. Hold the medications until after the test is completed. d. Call the health care provider to clarify the instructions. 3. The day shift charge nurse is making rounds. A patient tells the nurse that the night shift nurse never gave him his medication, which was due at 2100. What will the nurse do first to determine whether the medication was given? a. Call the night nurse at home. b. Check the medication administration record. c. Call the pharmacy. d. Review the nurse’s documentation. 4. A nurse makes an error when administering medications to a patient. Which action by the nurse requires the supervising nurse to intervene? a. The nurse completes an incident report. b. The nurse informs the prescriber of the error. c. The nurse documents adverse effects to the medication error. d. The nurse records completion of an incident report in the medical record. 5. A patient is prescribed ibuprofen 200 mg PO every 4 hours as needed for pain. The pharmacy sends up enteric-coated tablets, but the patient refuses the tablets, stating that she cannot swallow pills. What will the nurse do? a. Crush the tablets and mix them with applesauce or pudding. b. Call the pharmacy and ask for the liquid form of the medication. c. Call the pharmacy and ask for the IV form of the medication. d. Encourage the patient to try to swallow the tablets. 6. The nurse is preparing to administer a transdermal patch to a patient and finds that the patient already has a medication patch on his right upper chest. What will the nurse do? a. Remove the old medication patch and notify the health care provider. b. Apply the new patch without removing the old one. c. Remove the old patch and apply the new patch in the same spot. d. Remove the old patch and apply the new patch to a different, clean area. 7. The nurse is giving a medication that has a high first-pass effect. The health care provider has changed the route from PO to IV. What can the nurse expect with the IV dose? a. The IV dose will be higher because of the first-pass effect. b. The IV dose will be lower because of the first-pass effect. c. The IV dose will be the same as the PO dose. d. The rate of IV infusion must be faster due to first-pass effect. 8. A patient is complaining of severe pain and has orders for morphine sulfate. The nurse knows that the route that would give the slowest pain relief would be which route? a. IV b. IM c. Subcutaneous d. PO 9. When teaching a pregnant woman about the use of drugs during pregnancy, which statement will the nurse include? a. Exposure of the fetus to drugs is most detrimental during the second trimester of pregnancy. b. Pregnant women must never take drugs to control high blood pressure. c. Drug transfer to a fetus is most likely to occur during the last trimester of pregnancy. d. A fetus is at greatest risk for drug-induced developmental defects during the second trimester of pregnancy. 10. When administering medications to pediatric patients, the nurse understands that the dosage calculations for pediatric patients are different than for adults because pediatric patients a. are more likely to develop edema. b. have more stomach acid. c. have skin that is less permeable. d. have immature liver and kidney function, resulting in impaired drug metabolism and excretion. 11. Bruno is a 6-month-old male who is being admitted for the treatment of pneumonia. The unit where Bruno is admitted is a combined adult and pediatric medical unit. The nurse assigned has little pediatric experience and has sought the advice of the experienced charge nurse. a. What age-related considerations should the nurse take into account when preparing medications for Bruno? 12. The nurse reviews the prescriber’s orders and notes the following: Administer acetaminophen 10 mg/kg/dose every 4 hours for fever greater than 102.6 temporal. The nurse needs to administer a dose. a. What important data would the nurse need to verify? 13. The nurse verifies the child’s weight on admission: 18.5 pounds. a. Using the prescribed dose: 10mg/kg/dose b. Calculate the mg of medication Bruno will receive per dose. 14. The acetaminophen unit dose label reads: Acetaminophen 160 mg/5 ml. a. How many ml will the nurse prepare for one dose of acetaminophen for Bruno? 15. The nurse caring for a pediatric patient calculates the safe range for the prescribed medication. Based on the nurses calculations, the dose ordered exceeds the high limit. What is the nurse’s next action? a. Contact the prescriber immediately. b. Administer only half the ordered dose. c. Proceed with administration of the prescribed dose. d. Contact pharmacy to substitute the prescribed medication with one that will calculate in the safe range. 16. What does the nurse identify as a pharmacokinetic change that occurs in older adults? a. Gastric pH is more acidic. b. Fat content is decreased because of increased lean body mass. c. There is increased production of proteins by the liver. d. The number of intact nephrons is decreased. 17. Which racial group is predicted to be nearly one in three U.S. residents in 2050? a. African American b. Asian c. Hispanic d. White