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Pharmacology For Nurses, 6e (Adams) Principles Of Drug Administration Exam Latest Update., Exams of Nursing

Stanford UniversityNursing

Pharmacology For Nurses, 6e (Adams) Principles Of Drug Administration Exam Latest Update.

Typology: Exams

2024/2025

Available from 07/15/2025

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Pharmacology For Nurses, 6e (Adams) Principles Of Drug
Administration Exam Latest Update
Pharmacology for Nurses, 6e (Adams)
Chapter 3 Principles of Drug Administration - answer
1) A nurse is preparing to administer several medications for a client. The nurse is
responsible for understanding which of the following regarding medication
administration?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Cost of the medication
2. Reason the medication was prescribed
3. Route of administration
4. How the medication is supplied by the pharmacy
5. Name of the medication - answer 2, 3, 4, 5
Explanation:
1. Although the cost of a medication may lead to noncompliance at home, it is not a factor
when administering medications in a healthcare facility.
2. Knowing the reason the medication was prescribed for the patient is the responsibility
of the nurse regarding medication administration.
3. Knowing how the medication is to be administered is the responsibility of the nurse
regarding medication administration.
4. Knowing how the medication is supplied by the pharmacy is the responsibility of the
nurse regarding medication administration.
5. Knowing the name of the medication is the responsibility of the nurse regarding
medication administration.
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Pharmacology For Nurses, 6e (Adams) Principles Of Drug

Administration Exam Latest Update

Pharmacology for Nurses, 6e (Adams) Chapter 3 Principles of Drug Administration - answer

  1. A nurse is preparing to administer several medications for a client. The nurse is responsible for understanding which of the following regarding medication administration? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
  1. Cost of the medication
  2. Reason the medication was prescribed
  3. Route of administration
  4. How the medication is supplied by the pharmacy
  5. Name of the medication - answer 2, 3, 4, 5 Explanation:
  6. Although the cost of a medication may lead to noncompliance at home, it is not a factor when administering medications in a healthcare facility.
  7. Knowing the reason the medication was prescribed for the patient is the responsibility of the nurse regarding medication administration.
  8. Knowing how the medication is to be administered is the responsibility of the nurse regarding medication administration.
  9. Knowing how the medication is supplied by the pharmacy is the responsibility of the nurse regarding medication administration.
  10. Knowing the name of the medication is the responsibility of the nurse regarding medication administration.

Page Ref: 20 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-2 Describe the roles and responsibilities of nurses regarding safe drug administration. MNL Learning Outcome: 3.1 Recognize the nurse's role, responsibilities, and safe practices when providing care to patients receiving pharmacotherapy.

  1. A nurse is preparing medications prior to administration. To promote client safety, the nurse uses the "rights" of drug administration. What do these "rights" include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
  1. The right medication
  2. The right time of delivery
  3. The right dose
  4. The right route of administration
  5. The right nurse - answer 1, 2, 3, 4 Explanation:
  6. The right medication is an essential consideration of medication administration and is considered one of the five rights.
  7. The right time of delivery is an essential consideration of medication administration and is considered one of the five rights.
  1. The most therapeutic question informs the patient that compliance is difficult for many people, and does not directly challenge the patient about not taking the medication.
  2. Telling the patient his blood pressure is high and there are serious consequences is using the "scare tactic," and is nontherapeutic; the patient most likely is aware of the consequences.
  3. Telling the patient that the nurse doubts they are taking the medication is a direct challenge, and recommending that the patient see the physician is threatening.
  4. Telling the patient that he is a favorite is manipulating. Page Ref: 21 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: I.B.1 Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essential Competencies: IX.5 Deliver compassionate, patient-centered, evidence- based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Respect the patient's dignity, uniqueness, integrity, and self- determination, and his or her own power and self-healing process. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-4 Give specific examples of how nurses can increase patient adherence in taking medications. MNL Learning Outcome: 3.1 Recognize the nurse's role, responsibilities, and safe practices when providing care to patients receiving pharmacotherapy.
  1. The patient is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse obtains the medication from the pharmacy and administers it to the patient 30 minutes later. Which statement best describes the nurse's action?
  1. The medication should have been administered immediately.
  2. The physician should have specified the time frame for the medication.
  3. The medication should have been administered within a 5-minute time frame.
  4. The nursing action was correct because the medication was not on the unit. - answer 3

Explanation:

  1. Although the drug does not need to be administered immediately, there is a time limit in which it should be administered.
  2. For a STAT order, the time frame between writing the order and administering the drug should be 5 minutes or less. Not having a drug on the unit is not an excuse, as commonly ordered STAT medications should be kept in stock. Although the drug does not need to be administered immediately, it should be done within 5 minutes. By using the abbreviation STAT, the physician has specified the time frame for the medication.
  3. For a STAT order, the time frame between writing the order and administering the drug should be 5 minutes or less.
  4. Not having a drug on the unit is not an excuse, as commonly ordered STAT medications should be kept in stock. Page Ref: 22 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 3-5 Interpret drug orders that contain abbreviations. MNL Learning Outcome: 3.2 Accurately interpret drug orders
  1. A nurse is preparing to administer a client's medications. Which of the following is most important to assess first?
  1. Assess the patient's developmental level.
  2. Assess the patient's medical history.
  1. Ability to swallow
  2. Allergies
  3. Eyesight - answer 2 Explanation:
  4. The patient's understanding is important, but not a priority.
  5. The ability of the patient to swallow is a safety issue to prevent aspiration of the medication.
  6. The patient's allergies are important, but if the patient cannot swallow the medication, then the allergies are not significant.
  7. The patient's eyesight is not significant. Page Ref: 24 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. | AACN Essential Competencies: IX.3 Implement holistic, patient- centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 3-7 Explain the proper methods of administering enteral, topical, and parenteral drugs. MNL Learning Outcome: 3.1 Recognize the nurse's role, responsibilities, and safe practices when providing care to patients receiving pharmacotherapy.
  1. A nurse incorrectly administered an oral medication intravenously. What is the best analysis of the nurse's action?
  1. An antidote cannot be given.
  1. The nurse will be terminated from her job.
  2. The medication cannot be retrieved.
  3. A lawsuit by the patient will be impending. - answer 3 Explanation:
  4. Antidotes may be given, but this must be done very quickly.
  5. The nurse may be terminated, but patient safety is the main concern.
  6. When a medication is given intravenously, its effects cannot be reversed because it is already in the bloodstream.
  7. A lawsuit may occur, but this is not the primary concern; patient safety is the primary concern. Page Ref: 24- Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: V.A.4 Delineate general categories of errors and hazards in care. | AACN Essential Competencies: VIII.12 Act to prevent unsafe, illegal, or unethical care practices. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 3-7 Explain the proper methods of administering enteral, topical, and parenteral drugs. MNL Learning Outcome: 3.1 Recognize the nurse's role, responsibilities, and safe practices when providing care to patients receiving pharmacotherapy.
  1. A nurse is preparing to administer a topical medication. What is the priority nursing intervention?
  1. Check the medication for interactions with other medications.
  2. Take the patient's vital signs.
  3. Educate the patient to not disturb the patch.
  1. "You can't have anything by mouth, so you will receive the medication intravenously." - answer 3 Explanation:
  2. Telling the patient that the nurse has more intravenous drugs than oral drugs does not answer the patient's question.
  3. Telling the patient that they will vomit the medication is nontherapeutic.
  4. The intravenous route provides the quickest route of medication absorption.
  5. There is no evidence that the patient cannot have anything by mouth. Page Ref: 24- Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. | AACN Essential Competencies: IX.3 Implement holistic, patient- centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-8 Compare and contrast the advantages and disadvantages of each route of drug administration. MNL Learning Outcome: 3.4 Consider nursing implications when delivering parenteral medications.
  1. The physician orders enteric-coated aspirin, 300 mg every day, for the patient with a nasogastric tube. What is the priority action by the nurse?
  1. Crush the tablet and administer through the tube.
  2. Put the tablet in the tube and "milk" it down the tube.
  1. Withhold the medication and contact the physician.
  2. Substitute plain aspirin and administer through the tube. - answer 3 Explanation:
  3. Crushing the tablet destroys the enteric coating.
  4. Putting the tablet in the tube will result in clogging of the tube.
  5. The only option is to withhold the medication and contact the physician.
  6. The nurse cannot substitute plain aspirin; this requires a physician's order. Page Ref: 24- Cognitive Level: Analyzing Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. | AACN Essential Competencies: IX.3 Implement holistic, patient- centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-7 Explain the proper methods of administering enteral, topical, and parenteral drugs. MNL Learning Outcome: 3.3 Consider nursing implications when delivering enteral or topical medications.
  1. A patient is receiving a sustained-release capsule for his cardiac condition. The patient tells the nurse there is no way he can swallow such a large pill. What is the best response by the nurse?
  1. "Let me contact your physician to see if a change can be made."
  2. "Place the capsule on the back of your tongue, and drink a full glass of water."
  1. Give 2 teaspoons by mouth, twice a day, after meals.
  2. Give 2 teaspoons by mouth, 3 times a day, after meals.
  3. Give 2 teaspoons by mouth, twice a day, with meals. - answer 2 Explanation:
  4. Giving 2 teaspoons by mouth, 3 times a day, on an empty stomach is incorrect.
  5. Giving 2 teaspoons by mouth, twice a day, after meals is correct.
  6. Giving 2 teaspoons by mouth, 3 times a day, after meals is incorrect.
  7. Giving 2 teaspoons by mouth, twice a day, with meals is incorrect. Page Ref: 22 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-5 Interpret drug orders that contain abbreviations. MNL Learning Outcome: 3.2 Accurately interpret drug orders
  1. A client is 3 days postop, and the physician orders an oral pain medication. The client asks the nurse if it wouldn't be better to get the medication in the intravenous (IV) line. What is the best response by the nurse?
  1. "You could not medicate yourself intravenously (IV) at home."
  2. "Pills are more effective than intravenous (IV) medications."
  3. Pills are safer than intravenous (IV) medications."
  1. "We are going to take your intravenous (IV) line out." - answer 3 Explanation:
  2. There is no evidence that the patient will be going home with an intravenous line, so this answer is incorrect.
  3. Oral medications are not more effective than IV medications.
  4. Oral medications are safer than intravenous (IV) medications.
  5. Telling the patient that she cannot have the medication intravenously because the intravenous line is to be removed does not answer the patient's question. Page Ref: 24- Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. | AACN Essential Competencies: IX.3 Implement holistic, patient- centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe patient care. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-8 Compare and contrast the advantages and disadvantages of each route of drug administration. MNL Learning Outcome: 3.4 Consider nursing implications when delivering parenteral medications.
  1. The nurse plans to administer heparin by drawing the heparin up in an appropriate syringe, donning gloves, prepping the patient's abdominal area, inserting the needle, aspirating for blood, and injecting the medication. Which statement best describes the nurse's plan? A student nurse is administering heparin subcutaneously (SQ) to a client. The nurse should intervene if the student nurse does which of the following?
  1. "Let me know when you are having pain."
  2. "This medication will be given to you at a set time every day, probably just before your bath."
  3. "You will be given this medication at bedtime each night so that you can rest."
  4. "Always take this medication with food or milk because it might upset your stomach." - answer 1 Explanation:
  5. The abbreviation PRN is used to designate as needed.
  6. PRN does not mean every day.
  7. PRN does not mean at bedtime.
  8. PRN does not mean with food. Page Ref: 22 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-5 Interpret drug orders that contain abbreviations. MNL Learning Outcome: 3.4 Consider nursing implications when delivering parenteral medications.
  1. A client has an adverse reaction to a drug following a change in dietary habits. The nurse understands that which change would most likely be the cause?
  1. Increased intake of grapefruit juice
  2. Reduced intake of alcohol
  3. Increased fiber intake
  4. Reduced intake of citrus fruit - answer 1 Explanation:
  5. Grapefruit juice lowers the activity of enzymes in the GI system that break down medications. This in turn results in higher medication absorption into the bloodstream.
  6. A reduced intake of alcohol would not likely produce an increased reaction to a drug.
  7. A reduced intake of fiber would not likely produce an increased reaction to a drug.
  8. A reduction in citrus fruit intake would likely cause a lowered drug reaction. Page Ref: 22 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Analysis Learning Outcome: 3-1 Discuss drug administration as a component of safe, effective nursing care, using the nursing process. MNL Learning Outcome: 3.3 Consider nursing implications when delivering enteral or topical medications.
  1. A nurse administers an oral preparation of liquid acetaminophen 650 mg as ordered. Afterward, the client indicates they have been receiving acetaminophen 650 mg in pill form. Which statement is accurate in regards to the five rights?
  1. 2 tablespoons
  2. 1 fluid ounce
  3. 15 drops
  4. 1 teaspoon - answer 4 Explanation:
  5. Five milliliters is not equivalent to two tablespoons.
  6. A fluid ounce is equal to 30-32 mL.
  7. Five milliliters is equal to about 60 drops.
  8. One standard teaspoon is equal to 4 or 5 mL, so this is the best answer. Page Ref: 23 Cognitive Level: Applying Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. | AACN Essential Competencies: IX.3 Implement holistic, patient- centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-6 Compare and contrast the three systems of measurement used in pharmacology. MNL Learning Outcome: 3.3 Consider nursing implications when delivering enteral or topical medications.
  1. A nurse is preparing to administer a buccal medication. The nurse should do which of the following?
  1. Place the medication between the cheek and gum.
  1. Instruct the client to swallow the medication.
  2. Apply the medication to clean, dry skin.
  3. Insert the medication under the tongue. - answer 1 Explanation:
  4. Buccal is the term used to describe a medication placed between the cheek and gum.
  5. An oral medication is swallowed.
  6. A transdermal medication is applied to the skin.
  7. A sublingual medication is placed under the tongue. Page Ref: 24- Cognitive Level: Analyzing Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. | AACN Essential Competencies: IX.3 Implement holistic, patient- centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3-7 Explain the proper methods of administering enteral, topical, and parenteral drugs. MNL Learning Outcome: 3.3 Consider nursing implications when delivering enteral or topical medications.
  1. A client will receive a liter of fluid intravenously to treat dehydration. The client says, "I don't understand the metric system, how much is that?" What is the best response by the nurse?
  1. 2 cups