ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 5 Questions
Question 1 of 5
The nurse is reviewing medication errors. Which situation is an example of a medication error?
Correct Answer: B
Rationale: A medication error is defined as a preventable adverse drug event that involves inappropriate medication use by a patient or health care provider. A double dose due to not cutting a pill is a preventable error. Patient refusal, hives (a possible allergic reaction), and persistent pain are not preventable errors.
Question 2 of 5
The nurse is reviewing a list of verbal medication orders. Which is the proper notation of the dose of the drug ordered?
Correct Answer: C
Rationale: Levothyroxine 0.75 mg illustrates the correct notation with a leading zero before the decimal point. Omitting the leading zero (as in A and
B) may cause the order to be misread, resulting in a large drug overdose. Trailing zeros (as in
D) are also incorrect.
Question 3 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 4 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 5 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.