ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 5 : Medication Errors: Preventing and Responding Questions
Question 1 of 5
When given a scheduled morning medication, the patient states, 'I haven't seen that pill before. Are you sure it's correct?' The nurse checks the medication administration record and verifies that it is listed. Which is the nurse's best response?
Correct Answer: D
Rationale: When a patient expresses doubts about a medication, the nurse should verify the order to ensure safety. Checking the written order or with the prescriber addresses the patient's concerns, unlike the other options which dismiss or delay addressing the concern.
Question 2 of 5
During a period of time when the computerized medication order system was down, the prescriber wrote admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?
Correct Answer: B
Rationale: If a prescriber's order is illegible, the nurse should contact the prescriber for clarification to ensure accuracy. Asking a colleague or the patient does not verify the order, and waiting for rounds delays implementation.
Question 3 of 5
When taking a telephone order for a medication, which action by the nurse is most appropriate?
Correct Answer: C
Rationale: Repeating the order back to the prescriber before hanging up ensures accuracy of verbal or telephone orders. The other options do not directly confirm the order with the pres125criber.
Question 4 of 5
During morning medication administration, the nurse discovered an error on the electronic MAR before the medication was given. Which action by the nurse is appropriate for this 'near-miss'?
Correct Answer: C
Rationale: Reporting a near-miss using the facility's protocol and correcting the MAR ensures errors are documented and addressed to prevent future incidents. The other options either ignore the error or delay reporting.
Question 5 of 5
When reviewing pediatric medication administration, the nurse recognizes that which type of medication error is most common with children?
Correct Answer: D
Rationale: Dosing errors are the most common medication errors in pediatrics due to weight-based calculations and variations in pediatric physiology. The other options are possible but less common.