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Clinical Nursing Skills

Review Questions

Clinical Nursing SkillsReview Questions

Review Questions

1 .
The nurse receives an order for acetaminophen (Tylenol) 350 mg every 4 hours. What action should the nurse take?
  1. administer the medication to the patient
  2. call the pharmacy to clarify the order
  3. call the provider to clarify the order
  4. assess if the patient has a headache
2 .
Before administering any medication, what is the nurse’s priority action to ensure patient safety?
  1. verify the medication orders with another nurse
  2. assess if the patient has experienced any medication side effects
  3. verify patient identity using two identifiers
  4. document the medications given
3 .
During medication administration, how should the nurse confirm the medications are for the right patient?
  1. Ask the patient to state their full name and compare the name given to the name on the patient’s armband.
  2. Ask the patient to state their full name and birth date, comparing the information to the medication administration record and the patient’s armband.
  3. Ask the patient to state their full name and room number, comparing the information to the medication administration record and the patient’s armband.
  4. Ask the patient to state their last name and birth date, comparing the information to the medication administration record and the patient’s armband.
4 .
The patient is prescribed clopidogrel (Plavix) to prevent blood clots and is instructed not to drink grapefruit juice. These instructions are provided to prevent what potential adverse reactions?
  1. allergic reaction
  2. drug interaction
  3. paradoxical effect
  4. toxic effect
5 .
The five core “rights” of medication should be checked at three different checkpoints during the medication administration process. What are the three medication checkpoints?
  1. when obtaining, preparing, and documenting the medication
  2. when preparing, administering, and disposing of the medication
  3. when obtaining, preparing, and administering the medication
  4. when preparing, administering, and documenting the medication
6 .
Solve the following conversions:
  1. 2 tbsp = ________ mL
  2. 132 lb = ________ kg
  3. 3 oz = ________ mL
  4. 1 g = ________ mg
7 .
The nursing student is documenting administration of medications. What might the nursing student record to demonstrate an accurate understanding of how to properly document administration of medication?
  1. administered omeprazole (Prilosec) 20 mg PO at 0740 AM
  2. administered carvedilol (Coreg) 6.25mg PO @ 1902 PM
  3. administered 1/2 tablet of lorazepam (Ativan) PO at 1235 PM PRN anxiety
  4. administered 4 u of insulin aspart (Novolog) SQ at 739
8 .
When should documentation of medication administration occur?
  1. before the medication is administered
  2. while preparing the medication
  3. after the medication is administered
  4. before the end of the shift
9 .
If an error is made in the documentation of a medication administration, how should the nurse proceed?
  1. use Wite-Out to remove the error from the chart, initial and date the error
  2. use a permanent marker to mark through the error in the chart, initial and date the error
  3. squiggle over the error so it cannot be read, initial and date the error
  4. mark through the error with a single line, initial and date the error
10 .
The nurse is using a paper MAR to document medication administration. How should the nurse indicate a discontinued medication on the paper MAR?
  1. place a line through all subsequent dates; mark through the medication row with a permanent marker; write discontinued in the medication row
  2. place a line through all subsequent dates; highlight the row yellow; write discontinued, as well as the date and initials in the medication row
  3. place a line through the medication name; highlight the row yellow; write discontinued, the date, and initials in the medication row
  4. place a line through the medication name; mark through the medication row with a permanent marker; write discontinued, the date, and initials in the medication row
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