Question

All of the following medication orders are found in a patient's MAR. Select the medication order that requires clarification prior to administration

Answer 1

Correct Answers:

Morphine sulfate 45.0 mg PO once a day for pain

Rationale :

🔷 The dose 45 mg PO once daily is unusually high for oral morphine and not a common regimen.

🔷 Use of a trailing zero (45.0) increases risk of medication error.

🔷 Standard morphine doses are much lower; such an order may indicate prescription error.

🔷 High opioid doses risk respiratory depression, especially in opioid-naïve patients.

🔷 Clarification ensures patient safety before administration.

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Answer 2

Correct Answers:

Immediately after administering to the patient

Rationale :

🟣 Documentation must occur immediately after giving a medication to ensure accuracy.

🟣 Recording before administration can cause false charting if med is delayed or withheld.

🟣 End-of-shift charting risks omissions and legal liability.

🟣 Prompt documentation supports continuity of care and safe hand-offs.

🟣 This aligns with patient safety and legal standards in nursing.

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Answer 3

Correct Answers:

The medication order is written correctly.

Rationale :

🔶 Order includes drug name, dose, route, frequency, and time, meeting requirements.

🔶 “PO” is an acceptable abbreviation for oral route.

🔶 Tall man lettering (MethylPREDNISolone) prevents look-alike/sound-alike errors.

🔶 Spacing (40 mg) is correct; no trailing zero or unsafe shorthand.

🔶 Correct orders minimize risk of medication error.

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Answer 4

Correct Answers:

Clarify the digoxin order.

Rationale :

🟦 Written as .25 mg—a leading zero is missing, which is unsafe.

🟦 Could be misread as 25 mg, a lethal overdose.

🟦 Digoxin has a narrow therapeutic index; dose accuracy is critical.

🟦 Safe practice: write as 0.25 mg to prevent misinterpretation.

🟦 Clarification avoids toxicity and aligns with ISMP safety guidelines.

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Answer 5

Correct Answers:

The tall man lettering helps to quickly identify that the drug is an injectable drug.

Rationale :

🟢 Tall man lettering (e.g., hydrOXYzine vs hydrALAzine) prevents look-alike errors.

🟢 It highlights critical parts of the name to reduce confusion.

🟢 Supported by FDA & ISMP to enhance patient safety.

🟢 Especially important for drugs with similar spellings but different uses.

🟢 Helps nurses avoid wrong-drug administration.

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Answer 6

Correct Answers:

Regular insulin 5 u SUBQ now

Rationale :

🔴 Use of “u” for units is unsafe—it can be misread as 0 (5u → 50).

🔴 Correct spelling is “units” to prevent overdose.

🔴 Insulin is a high-alert drug where clarity is critical.

🔴 This abbreviation has been eliminated by safety organizations.

🔴 Clarification prevents medication error and protects patient safety.

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Answer 7

Correct Answers:

The information lists major risks related to the use of the drug.

Rationale :

💎 A boxed warning (black box warning) is the FDA’s strongest warning.

💎 It highlights serious or life-threatening risks.

💎 Alerts prescribers/nurses to weigh benefit vs risk carefully.

💎 Found only on drugs with significant dangers.

💎 Guides monitoring and patient education.

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Answer 8

Correct Answers:

Clarify the medication sent with the pharmacist.

Rationale :

🔷 Provider ordered Atorvastatin 10 mg, but pharmacy sent Caduet (amlodipine + atorvastatin).

🔷 Administering combination meds without clarification risks giving unprescribed drugs.

🔷 Correct step is to clarify with pharmacist/provider.

🔷 Prevents medication error and adverse reactions.

🔷 Safe med practice: verify all drug names, doses, and formulations.

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Answer 9

Correct Answers:

Verify with the pharmacist if hydromorphone is equivalent to morphine sulfate.

Rationale :

🟡 Hydromorphone and morphine are different drugs, not interchangeable.

🟡 Hydromorphone is 5–7x stronger than morphine; substitution could be fatal.

🟡 Verification with pharmacist ensures correct drug identification.

🟡 Administering without clarification risks overdose/toxicity.

🟡 Proper verification follows “right drug” principle.

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Answer 10

Correct Answers:

Injected into the top layers of the skin

Rationale :

🟣 Intradermal (ID) injections are given just under the epidermis, into dermal layer.

🟣 Common for allergy tests, TB tests, and local anesthetics.

🟣 Produces a small bleb/wheal at site.

🟣 Correct needle: 25–27 gauge, angle 5–15°.

🟣 Wrong routes (oral, IM, inhaled) don’t fit order for intradermal.

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NPN DOSE CALCULATION EXAM

No.

1 :
All of the following medication orders are found in a patient's MAR. Select the medication order that requires clarification prior to administration

2 :
In the administration of medications, the nurse is correct to document the administration of medications:

3 :
The following medication order is in the patient's medication administration record (MAR): Methyl PRED nisolone 40 mg PO daily at 0900. After reading the order, the nurse correctly determines

5 :
The nurse is reviewing a drug label with a drug name written with tall man lettering. Which statement indicates that the nurse has a correct understanding of tall man lettering on a drug label?

6 :
When practicing safety in the administration of medication, the nurse is correct to seek clarification prior to the administration of which of the following medication orders?

7 :
Which of the following accurately describes the boxed warning found on a drug label?

8 :
Provider's Order: Atorvastatin calcium 10 mg PO daily. The pharmacy sends a bottle with the following information: CaduetⓇ (amlodipine besylate/atorvastatin calcium) 5 mg/10 mg Tablets .The initial action by the nurse is to:

9 :
Provider's Order: Morphine Sulfate 4 mg IVP stat. In the medication dispensing machine, the nurse finds: Hydromorphone CII hydrochloride Injection, USP 10 mg/mL 1-mL Single-dose vial .Which of the following actions by the nurse is correct?

10 :
The medication order is to administer 0.1 mL of a drug intradermally. The nurse demonstrates proper administration of the drug when the drug is:

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NPN DOSE CALCULATION EXAM

No.

1 : All of the following medication orders are found in a patient's MAR. Select the medication order that requires clarification prior to administration

2 : In the administration of medications, the nurse is correct to document the administration of medications:

3 : The following medication order is in the patient's medication administration record (MAR): Methyl PRED nisolone 40 mg PO daily at 0900. After reading the order, the nurse correctly determines

5 : The nurse is reviewing a drug label with a drug name written with tall man lettering. Which statement indicates that the nurse has a correct understanding of tall man lettering on a drug label?

6 : When practicing safety in the administration of medication, the nurse is correct to seek clarification prior to the administration of which of the following medication orders?

7 : Which of the following accurately describes the boxed warning found on a drug label?

8 : Provider's Order: Atorvastatin calcium 10 mg PO daily. The pharmacy sends a bottle with the following information: CaduetⓇ (amlodipine besylate/atorvastatin calcium) 5 mg/10 mg Tablets .The initial action by the nurse is to:

9 : Provider's Order: Morphine Sulfate 4 mg IVP stat. In the medication dispensing machine, the nurse finds: Hydromorphone CII hydrochloride Injection, USP 10 mg/mL 1-mL Single-dose vial .Which of the following actions by the nurse is correct?

10 : The medication order is to administer 0.1 mL of a drug intradermally. The nurse demonstrates proper administration of the drug when the drug is:

1 :
All of the following medication orders are found in a patient's MAR. Select the medication order that requires clarification prior to administration

2 :
In the administration of medications, the nurse is correct to document the administration of medications:

3 :
The following medication order is in the patient's medication administration record (MAR): Methyl PRED nisolone 40 mg PO daily at 0900. After reading the order, the nurse correctly determines

5 :
The nurse is reviewing a drug label with a drug name written with tall man lettering. Which statement indicates that the nurse has a correct understanding of tall man lettering on a drug label?

6 :
When practicing safety in the administration of medication, the nurse is correct to seek clarification prior to the administration of which of the following medication orders?

7 :
Which of the following accurately describes the boxed warning found on a drug label?

8 :
Provider's Order: Atorvastatin calcium 10 mg PO daily. The pharmacy sends a bottle with the following information: CaduetⓇ (amlodipine besylate/atorvastatin calcium) 5 mg/10 mg Tablets .The initial action by the nurse is to:

9 :
Provider's Order: Morphine Sulfate 4 mg IVP stat. In the medication dispensing machine, the nurse finds: Hydromorphone CII hydrochloride Injection, USP 10 mg/mL 1-mL Single-dose vial .Which of the following actions by the nurse is correct?

10 :
The medication order is to administer 0.1 mL of a drug intradermally. The nurse demonstrates proper administration of the drug when the drug is: