I. Multiple Choice.

10 points
Instruction: Pls. select the letter which best answers the following questions.

1. Which of the following statements by the Nurse is a correct assessment before giving
a medication?
A. “I will ask the patient about any drug allergy.”
B. “Oh, this is a usual medicine of the patient. I will administer it immediately
because it is an emergency.”
C. “I have to check the ability of the patient to swallow because he has previous
history of stroke.”
D. “I need to obtain a baseline vital signs and wriggle the laboratory test.”
E. All of the above.
F. Only A and C are correct.
G. Letters A, C, and D are correct.
Answer: F

2. The nurse is preparing a medicine to be given to the patient. Which of the following
action is correct when checking the MAR?
A. Check the classification of the drug.
B. Expiration date of the medicine has nothing to do with checking the MAR.
C. If the MAR is unclear, disregard rechecking to be on time in giving the medicines.
D. Reporting deviations or any discrepancy may not be important depending on the
situation.
E. Only A is correct
F. A and D are correct
G. All of the above.
H. None of the above.
Answer: A

3. Upon entering the room to administer the oral antibiotics, the nurse observes that the
patient has developed facial asymmetry. What is the most important nursing action on
this situation?
A. Continue administering the medications because it is due already.
B. Give the medicine because it seems the patient can tolerate to swallow it.
C. Report the finding to the attending physician before giving the medicine.
D. Ask the significant other to assist the patient in giving the medicine.
E. All of the above is true.
F. All are incorrect.
Answer: C
4. As a nurse, you determined that it is important to obtain the appropriate medication.
Which of the following is a correct action to perform?
A. Read the MAR before getting the medicine from the shelf or drawer.
B. Compare the label of the medication container against the order in the MAR.
C. Check the expiration date of the medication.
D. Use ONLY medication what has clear labels.
E. All of the above.
F. None of the above.
Answer: C

5. When preparing a medicine, which of the following is a correct nursing action?

A. Calculate the drug dosages accurately.
B. Prepare the intended amount of medicine into the medicine cup.
C. While preparing the medicine, recheck each prepared drug and the container with
the MAR again may not be necessary.
D. All of the above
E. A and B are correct.
F. Only A is correct.
Answer: E

6. A client tells the nurse, “This pill is a different color than the one that I usually take at
home.” Which of the following is the best response of the nurse?
A. “The doctor ordered a different medication.”
B. “Go ahead and take your medicine.”
C. “I will leave the pill here while I check with the doctor.”
D. “I will recheck your medication orders.”
E. “I assure you this is the same. It just of different color.”
Answer: D

7. The nurse will give a narcotic drug to the patient who has substance-induced
intoxication. What is the most important nursing action to perform in this situation?
A. Administer STAT because the situation requires an emergency nursing
intervention.
B. Obtaining respiratory rate before administering the drug.
C. Checking for contraindications may not be performed because narcotics has
nothing to do with substance-induced toxicity.
D. All of the above
 E. Only B is correct.
F. Letters B and C are correct
G. None of the above
Answer: C

8. The nurse is giving morning medication to a patient who refuses to take an oral dose
of docusate (Colace). What is the nurse best response?
A. Your doctor ordered that you must take this drug two times a day.
B. Docusate will soften your bowel movements so that you do not strain.
C. This drug will help prevent constipation while you are on bed rest.
D. Can you tell me why you do not want to take the docusate?
E. All of the above are correct.
F. None of the above
Answer: D

9. What is the most important role of the nurse in preventing medication errors?
A. Always check the patient’s diagnosis.
B. Always follow the rights in giving drugs.
C. Being the one defense for detecting and preventing drug errors.
D. Being most likely to detect a drug error that has occurred.
E. Letters A and B are correct.
F. Only letter D is correct.\
Answer: B

10. The attending physician ordered for atenolol (Tenormin) 25 mg to be given orally
once a day to control a patient’s high blood pressure. The nurse takes the vital signs
and finds that the BP is 128/85 mmhg and the heart rate is 60 bpm. What does the
nurse do first before giving the medication?
A. Check the order for prescriber limitations when the medication should be given.
B. Notify the prescriber and ask of the drug should be given.
C. Reassess the BP and HR in 30 minutes.
D. Give the medication as prescribed.
Answer: A
II. Critical Thinking. 40 points
Instruction: Please write comprehensively your answers on the following questions.

1. Mara, Nursing Attendant of Floor 2D, who is a Graduate Nurse, is instructed by

Nurse Andrew to administer Paracetamol 500 mg 1 tab PO stat to patient Maria
Santisima who has high fever. As a nurse, what are the important considerations to
observe while delegating the task to the nursing attendant? (5 points)

 For me it needs to consider if the potential delegates have the requisite

knowledge and experience to complete delegated tasks safely, especially
concerning the assessed patient acuity. Before delegating a task, the registered
nurse must know the delegates Job description and previous training.
2. The patient arrived in the Emergency Room with chief complaint of vomiting. The
initial impression of the physician is pancreatitis. As a nurse, what is your anticipated
mode of administering medications, and your important health instructions to the
patient and or its significant others? (10 points)

 The client should be educated about the safe and correct method of
administration of medications. In addition, discussed the information about
foods, supplements and other medications, including over the counter
medications and preparations, that can interact with the ordered medication.

3. Patient Jose Santos, 12 years old, is admitted with fever, and cough for 3 days with a
provisional diagnosis of community acquired pneumonia. The management includes
administration of Cefuroxime (Kefox) 500 mg IV q 8 hours. As a nurse, you know
that is important to calculate for drug dosage accurately when preparing a medicine.
What is the dose of the medication to be given when the available stock reads as
Cefuroxime (Kefox) 750 mg? Show your solution. (5 points)
Dose ordered: 500mg of Cefuroxime (Kefox)
Have: 750mg of Cefuroxime (Kefox)
D/H x Q = x
500mg x 8h
750mg
= 5.4

4. Your patient who is post stroke has suddenly developed slurring of speech upon
assessment during your 7AM rounds. The patient has on board medication of
Citicoline (Zynapse) 500 mg 1 tab P.O. due by 8AM. Given with the present health
condition of your patient, what are the relevant nursing interventions to perform to
maintain patient safety? (10 points)
 Nursing interventions like positioning the patient to prevent contractures,
relieve pressure, attain good body alignment, and prevent compressive
neuropathies.

5. The patient is on strict NPO and has Nasogastric Tube (NGT) in-placed. At 12PM,
you have due medications of Cefixime (Tergecef) 200 mg/tab, Paracetamol
(Alvedon) 500 mg/tab, and Sambong (Re-Leaf) 500 mg/tab. Guided with the
knowledge on administering medications through NGT, what are your important
nursing considerations when giving the medications through NGT? Discuss your
answers. (10 points)
 Pour required liquid medication into medicine cup. Tab must be crushed and
capsules opened. Unless contraindicated, add 15-20 ml of water. Stir
thoroughly, using a clean tongue blade. Place medication, tongue blade, a cup
of water, and a 30-50 ml catheter tip syringe on a tray, and take to the
patient’s bedside. Clamp the drainage tubing and the nasogastric tube.
Disconnect the nasogastric tube from the drainage tubing. Remove the plunger
from the syringe. Insert the syringe tip into the nasogastric tube and pour the
medication into the syringe. Release the clamp, allowing the medication to
flow into the nasogastric tube. Follow the medication with 30 ml of water to
clear the tube. Replace clamp. Reconnect the nasogastric tube to the drainage
tubing, leaving the clamps in place. Unless otherwise ordered, the nasogastric
tube should remain clamped for at least one hour to allow absorption of the
medication. Record the time, medication type and amount, and the amount of
water administered on the worksheet. Also note the time the tube was clamped
and the time it is to be unclamped.