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 measuresto 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 liststwo 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 requiresthe

supervising nurse to intervene?

A. The nurse completes an incident report.

B. The nurse informsthe prescriber of the error.

C. The nurse documents adverse effectsto 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 entericcoated 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 findsthat 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