FA Davis Exam Questions with
Complete Solutions
Research has shown that medication errors are a result of
A. Poor packaging
B.Systems issues
C. Incompetence
D. Look-alike/sound-alike drug names - -System issues
- Which of the following is a frequently cited source of medications errors?
A. Computerized physician order-entry systems
B. Using trailing zeros in decimal expressions of dose
C. Expressing doses of liquid medication in milligrams instead of milliliters
D. Hand-printed orders - -Using trailing zeros in decimal expressions of dose
- One way to prevent medication errors is to
A. Store multidose vials of frequently used medications as floor stock on
patient-care units
B. Provide a list of acceptable abbreviations that include the abbreviation I.U.
for international units instead of U for units
C. Limit the availability of varying concentrations of high-alert medications D.
Educate staff about apothecary symbols - -Limit the availability of varying
concentrations of high-alert medications
- describes why the nurse should writes an order: clarify the order? he
physician "Change SSRi to 5 usc for BS 350-399." Which of the following best
A. The order contains confusing abbreviations.
B. The order is incomplete .
C. The dose is too low.
D. The physician meant to write for a change in dosing of a selective
serotonin reuptake inhibitor (usually abbreviated SSRI) - -The order contains
confusing abbreviations
- One way the pharmaceutical industry contributes to medication errors is
A.Spending too little time on product development
B. Packaging different products similarty C. Not alerting physicians and
nurses to potential name confusion
D. Offering similar products with similar actions - -Packaging different
products similarly
- The physician orders MSO4 4 mg IV. The nurse should
A. Call the prescriber to clarify the dose B. Prepare to administer morphine
sulfate 4 mg
,C. Call the prescriber to clarify the medication
D. Prepare to administer 4 mg of magnesium sulfate INv - -Call the
prescriber to clarify the medication
- The physician orders morphine 6 mg IM. The nurse administers
hydromorphone 6 mg lM. The nurse's action is
A. Not an error; hydromorphone is the generic form of morphine
B. An error, and the patient will require more medication to obtain pain relief
C. An error but will result in adequate pain relief with little potential for harm
D. An error with high risk of harm - -An error with high risk of harm
- A medication in a vial is labeled with the 50 mg IV over 5 minutes. The
nurse draws up mg/mL. In the upper right-hand corner of the label is the
expression 5 mL. The order is to administer drug name. Under the drug
name is the expression 100
A. 1 mL of medication
B. 5 mL of medication
C. 0.5 mL of medication
D. There is not enough information to answer the question. - -0.5 mL of
medication
- Dosage calculation errors are a common cause of medication error. To
minimize the risk of a dosage calculation error, the nurse should
A. Double-check the calculation
B. Show the calculation to the physician or pharmacist to check
C. Have another nurse check the original order and then review the
calculation
D. Have another nurse check the original order and calculate the dose
without looking the first nurse's calculation - -Have another nurse check the
original order and calculate the dose without looking at the firsr nurses
calculations
- Mr. B., 67 years old, sees his family doctor for leg pain when walking. The
doctor explains the pathophysiology of intermittent claudication and orders
him cilostazol (Pletal) 100 mg twice daily. Mr. B. has a history of type 2
diabetes, GERD (gastro-esophageal reflux disease), and heart failure (HF). He
takes metformin 500 mg bid, omeprazole 20 mg once daily, and digoxin
0.125 mg once daily. Use your Drug Guide to review the medications Mr. B.
takes and determine which of the following statements is accurate.
A. Mr. B.'s medications are all ordered appropriately
B. Mr. B. may experience an adverse reaction to the cilostazol due to his
history of HF and GERD
C. Mr. B. may experience an adverse reaction due to a drug interaction
between metformin and cilostazol
, D. Mr. B. may experience an adverse reaction related to digoxin and
metformin. - -Mr. B may experience an adverse reaction to cilostazol due to
his history of HF and GERD
- Mr. R. comes to the emergency department with a bloody nose. He cannot
stop the bleeding because he is on warfarin. It is determined that his PT/INR
is too high, and vitamin K (phytonadione) 10 mg is ordered IV push. The
nurse quickly administers the medication through a saline lock and flushes
the lock. After disposing of the needle, the nurse turns to talk to Mr. R., but
he is unresponsive. A code is called but the patient cannot be resuscitated.
Review the phytonadione monograph in your Drug Guide and determine
which of the following explanations for what happened is accurate.
A. Phytonadione 10 mg is too high a dose.
B. The dose and administration were correct; the patient must have had an
idiosyncratic-that is, unpredictable-adverse reaction.
C. The medication was administered too quickly.
D. The medication can only be given by IM (intramuscular) injection - -The
medication was administered too quickly
- A patient came to the hospital the day she was scheduled to have hip
replacement therapy secondary to rheumatoid arthritis (RA). She brought
with her a list of her current medications; one of her entries said
"methotrexate 7.5 mg/w for RA." In writing her post-op orders, the surgeon
wrote for methotrexate 7.5 mg daily. Using your drug guide, determine
which of the following comments is accurate
A. The post - op methotrexate dose is appropriate
B. The post-op methotrexate dose is low C. The post-op methotrexate dose is
high but may be necessary for a short time after urgery
D. The post-op methotrexate dose is potentially fatal - -The post op
methotrexate dose is potentially fatal
- The Food and Drug Administration (FDA) issued a public health advisory
warning practitioners and patients about the effects of heat on fentanyl
transdermal patches: "Heat may increase the amount of fentanyl that
reaches the blood and can cause life-threatening breathing problems and
death." In explaining this to a patient, which of the following comments is
accurate?
A. "You will have to remove the patch before you shower."
B. " Do not use an electric blanket . "
C. "You can take a sauna, but you may not use a hot tub."
D. "A fever will not cause this effect." - -Do not use an electric blanket
- The Food and Drug Administration (FDA) issued a public health advisory
warning practitioners of the potential for methadone overdose resulting in
respiratory arrest. Specifically, the advisory states, "Pain relief from a dose of
methadone lasts about 4 to 8 hours. However, methadone stays in the body
Complete Solutions
Research has shown that medication errors are a result of
A. Poor packaging
B.Systems issues
C. Incompetence
D. Look-alike/sound-alike drug names - -System issues
- Which of the following is a frequently cited source of medications errors?
A. Computerized physician order-entry systems
B. Using trailing zeros in decimal expressions of dose
C. Expressing doses of liquid medication in milligrams instead of milliliters
D. Hand-printed orders - -Using trailing zeros in decimal expressions of dose
- One way to prevent medication errors is to
A. Store multidose vials of frequently used medications as floor stock on
patient-care units
B. Provide a list of acceptable abbreviations that include the abbreviation I.U.
for international units instead of U for units
C. Limit the availability of varying concentrations of high-alert medications D.
Educate staff about apothecary symbols - -Limit the availability of varying
concentrations of high-alert medications
- describes why the nurse should writes an order: clarify the order? he
physician "Change SSRi to 5 usc for BS 350-399." Which of the following best
A. The order contains confusing abbreviations.
B. The order is incomplete .
C. The dose is too low.
D. The physician meant to write for a change in dosing of a selective
serotonin reuptake inhibitor (usually abbreviated SSRI) - -The order contains
confusing abbreviations
- One way the pharmaceutical industry contributes to medication errors is
A.Spending too little time on product development
B. Packaging different products similarty C. Not alerting physicians and
nurses to potential name confusion
D. Offering similar products with similar actions - -Packaging different
products similarly
- The physician orders MSO4 4 mg IV. The nurse should
A. Call the prescriber to clarify the dose B. Prepare to administer morphine
sulfate 4 mg
,C. Call the prescriber to clarify the medication
D. Prepare to administer 4 mg of magnesium sulfate INv - -Call the
prescriber to clarify the medication
- The physician orders morphine 6 mg IM. The nurse administers
hydromorphone 6 mg lM. The nurse's action is
A. Not an error; hydromorphone is the generic form of morphine
B. An error, and the patient will require more medication to obtain pain relief
C. An error but will result in adequate pain relief with little potential for harm
D. An error with high risk of harm - -An error with high risk of harm
- A medication in a vial is labeled with the 50 mg IV over 5 minutes. The
nurse draws up mg/mL. In the upper right-hand corner of the label is the
expression 5 mL. The order is to administer drug name. Under the drug
name is the expression 100
A. 1 mL of medication
B. 5 mL of medication
C. 0.5 mL of medication
D. There is not enough information to answer the question. - -0.5 mL of
medication
- Dosage calculation errors are a common cause of medication error. To
minimize the risk of a dosage calculation error, the nurse should
A. Double-check the calculation
B. Show the calculation to the physician or pharmacist to check
C. Have another nurse check the original order and then review the
calculation
D. Have another nurse check the original order and calculate the dose
without looking the first nurse's calculation - -Have another nurse check the
original order and calculate the dose without looking at the firsr nurses
calculations
- Mr. B., 67 years old, sees his family doctor for leg pain when walking. The
doctor explains the pathophysiology of intermittent claudication and orders
him cilostazol (Pletal) 100 mg twice daily. Mr. B. has a history of type 2
diabetes, GERD (gastro-esophageal reflux disease), and heart failure (HF). He
takes metformin 500 mg bid, omeprazole 20 mg once daily, and digoxin
0.125 mg once daily. Use your Drug Guide to review the medications Mr. B.
takes and determine which of the following statements is accurate.
A. Mr. B.'s medications are all ordered appropriately
B. Mr. B. may experience an adverse reaction to the cilostazol due to his
history of HF and GERD
C. Mr. B. may experience an adverse reaction due to a drug interaction
between metformin and cilostazol
, D. Mr. B. may experience an adverse reaction related to digoxin and
metformin. - -Mr. B may experience an adverse reaction to cilostazol due to
his history of HF and GERD
- Mr. R. comes to the emergency department with a bloody nose. He cannot
stop the bleeding because he is on warfarin. It is determined that his PT/INR
is too high, and vitamin K (phytonadione) 10 mg is ordered IV push. The
nurse quickly administers the medication through a saline lock and flushes
the lock. After disposing of the needle, the nurse turns to talk to Mr. R., but
he is unresponsive. A code is called but the patient cannot be resuscitated.
Review the phytonadione monograph in your Drug Guide and determine
which of the following explanations for what happened is accurate.
A. Phytonadione 10 mg is too high a dose.
B. The dose and administration were correct; the patient must have had an
idiosyncratic-that is, unpredictable-adverse reaction.
C. The medication was administered too quickly.
D. The medication can only be given by IM (intramuscular) injection - -The
medication was administered too quickly
- A patient came to the hospital the day she was scheduled to have hip
replacement therapy secondary to rheumatoid arthritis (RA). She brought
with her a list of her current medications; one of her entries said
"methotrexate 7.5 mg/w for RA." In writing her post-op orders, the surgeon
wrote for methotrexate 7.5 mg daily. Using your drug guide, determine
which of the following comments is accurate
A. The post - op methotrexate dose is appropriate
B. The post-op methotrexate dose is low C. The post-op methotrexate dose is
high but may be necessary for a short time after urgery
D. The post-op methotrexate dose is potentially fatal - -The post op
methotrexate dose is potentially fatal
- The Food and Drug Administration (FDA) issued a public health advisory
warning practitioners and patients about the effects of heat on fentanyl
transdermal patches: "Heat may increase the amount of fentanyl that
reaches the blood and can cause life-threatening breathing problems and
death." In explaining this to a patient, which of the following comments is
accurate?
A. "You will have to remove the patch before you shower."
B. " Do not use an electric blanket . "
C. "You can take a sauna, but you may not use a hot tub."
D. "A fever will not cause this effect." - -Do not use an electric blanket
- The Food and Drug Administration (FDA) issued a public health advisory
warning practitioners of the potential for methadone overdose resulting in
respiratory arrest. Specifically, the advisory states, "Pain relief from a dose of
methadone lasts about 4 to 8 hours. However, methadone stays in the body
