Rights of medication administration nursing quiz for students!
The foundation for learning how to properly administer medications starts with the Rights of Medication Administration. This foundation starts with 5 Rights of Medication Administration. However, over the years more rights have been added on to help ensure patient safety. This quiz will cover the 5 basic rights along with the most recent ones added.
Rights of Medication Administration Nursing Quiz
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Rights of Medication Administration Nursing Quiz
1. During medication administration how can the nurse properly confirm he or she has the right patient?
A. Ask the patient to state their last name and compared this to the patient’s ID arm band.
B. Ask the patient to state their full name and compare this information to the medication administration record and the patient’s ID arm band.
C. Ask the patient to state their full name along with their date of birth and compare this information to the medication administration record and the patient’s ID arm band.
D. Ask the patient to state their full name and compare this to the patient’s ID arm band.
The answer is C. To confirm you have the right patient the nurse needs to use at least two patient identifiers. Full name and birthday is sufficient.
2. The nurse notes in the MAR that the patient was ordered to take Acetazolamide 500 mg. The nurse checks the medication packaging on hand and finds it contains Acetohexamide 500 mg. The nurse is assessing which “Rights of Medication Administration”, and what should be the next nursing action?
A. Right Route and Right Dosage; hold dose and notify pharmacy
B. Right Dosage and Right Time; administer the medication on hand
C. Right Medication and Right Dosage; hold dose and notify pharmacy
D. Right Medication and Right Dosage; administer the medication on hand
The answer is C. The nurse checked the Right Medication and Right Dosage. Due to this safety check of the medication administration rights, the nurse should note that the medication on hand is not the same medication ordered. The medication names are very similar: acetaZOLAMIDE (diuretic) acetoHEXAMIDE (treats diabetes and helps lower blood glucose)
3. The doctor writes an order for a medication. The nurse notes the order says to administer 12.5 mg PO. Pharmacy dispenses the nurse with 6.25 mg tablets. How many tablets will the nurse administer and what medication administration right is the nurse assessing?
A. 2 tablets, right evaluation
B. 2.5 tablets, right calculation
C. 2 tablet, right dosage
D. 2.5 tablets, right time
The answer is C. Two tablets should be administered and the nurse is checking the right dosage.
4. The doctor ordered a patient who is post-op from surgery to receive 2 mg of IV Morphine. The patient can have the pain medication every 4 hours PRN for a breakthrough pain rating of 5 or greater on 1-10 scale. The patient’s current pain rating is a 6 on 1-10 scale. The patient’s last dose was at 0400 and it is now 1000. You administer the medication as ordered. What information will you include in your documentation? Select all that applies:
A. Pain Rating
C. Location of the Pain
E. Medication Name
F. Current Vital Signs
G. Follow-up Pain Rating
All the answers are correct. This nurse would want to include all the information above when documenting.
5. The patient is ordered to take Warfarin at 1800. Before administration of the medication, the nurse performs the medication administration rights. When checking the “Right Assessment” medication administration right the nurse makes it priority to check what information before administering the Warfarin?
A. Blood pressure
B. PT result
C. PTT result
D. INR result
The answer is D: INR result. Prior to administering Warfarin (which is an anticoagulant), the nurse must make it priority to assess the INR result and confirm it is within parameters before administering the medication.
6. You received a new medication order on a patient for the treatment of glaucoma. The patient has no other health history and is allergic to Penicillin. The order says to administer Timolol 0.25% 1 gtt twice a day. Your NEXT action is to:
A. Administer the medication as ordered.
B. Confirm you have been dispensed with the right medication before administering the medication and then administer the medication.
C. Hold the order until you can obtain an order clarification from the prescribing physician.
D. Educate the patient on how to perform punctual occlusion before administering the medication.
The answer is C. The order the nurse received is incomplete. When assessing the medication administration rights the nurse will note that the order fails to specify the route (hence which eye the drops should be instilled in). The nurse needs an order clarification before continuing.
7. A patient is admitted with right-sided heart failure. The patient is prescribed Lisinopril, Metoprolol, and Furosemide. You prepare the medications as ordered using the medication administration rights to ensure patient safety. When assessing the “Right Reason” for Furosemide you determine?
A. This medication is a loop diuretic that will help increase urination and remove extra fluid from the blood.
B. This medication is a nitrate that will help dilate the coronary arteries and increase oxygen delivery to the myocardium.
C. This medication is a HMG-CoA reductase inhibitor and will help decrease lipid levels in the blood.
D. This medication is an ACE inhibitor and will help decrease cardiac output.
The answer is A. Furosemide is a loop diuretic that will help increase urination and remove extra fluid from the blood.
8. A patient is scheduled to take three medications at 1000. The nurse confirms the following about each medication: right medication, right dose, right time, and right route. When thinking of the first 5 Rights of Medication Administration what “right” is the nurse missing?
A. Right Site
B. Right Assessment
C. Right Documentation
D. Right Patient
The answer is D: Right Patient is missing. The nurse needs to confirm they have the right patient for these medications. The first 5 Rights of Medication Administration include: Right Patient, Right Medications, Right Doses, Right Time, and Right Route
9. In question 7 the patient has right-sided heart failure and was prescribed to take Furosemide. Which finding below demonstrates to the nurse the “Right Evaluation” of this medication?
A. The patient’s heart rate is within 60-100 bpm and normal sinus rhythm in on the cardiac monitor.
B. The patient’s morning weight is 175 lbs. compared to yesterday’s morning weight of 181 lbs.
C. The patient has crackles in the right and left lower lung fields.
D. The patient’s urinary output for 24 hours was 250 mL.
The answer is B. Furosemide is a loop diuretic and helps remove extra water for the blood. In right-sided heart failure, fluid overload presents because the heart is too weak to pump blood forward and this leads to edema, respiratory failure, weight gain etc. Furosemide increases urination and causes the patient to lose fluid via the urinary system. A drop in weight shows the patient is losing fluid and this is a positive finding…hence the Right Evaluation.
10. True or False: The purpose of the medication administration rights is to help prevent medication errors.
This answer is True.
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