Question 1

Which of the following best describes the purpose of Tall Man lettering in medication labeling?

Accepted Answer

To distinguish look-alike or sound-alike drug names and reduce medication errors

Question 2

A nurse is preparing to administer digoxin to a patient. According to the Six Rights of Medication Administration, which of the following actions is most appropriate before giving the medication?

Accepted Answer

Verify the patient's identity using two identifiers and check the medication order against the MAR

Question 3

Which of the following abbreviations is considered error-prone and should NOT be used according to the JCAHO Official 'Do Not Use List'?

Accepted Answer

$$\mu g$$

Question 4

A medication order reads: 'Acetaminophen 325mg tabs p.o. q4h prn headache.' Which part of the order indicates the route of administration?

Accepted Answer

'p.o.'

Question 5

A nurse is reviewing a medication label that uses Tall Man lettering: 'DOXOrubicin.' What is the main safety concern addressed by this labeling?

Accepted Answer

The drug name is easily confused with another drug, such as 'DAUNOrubicin'

Question 6

Which of the following is a correct example of a boxed warning on a medication label?

Accepted Answer

A warning that the drug may cause life-threatening or disabling adverse effects

Question 7

A nurse is administering a high alert medication. According to best practices, what should the nurse do to minimize the risk of error?

Accepted Answer

Perform three checks of the drug label: when reaching for the container, before preparing the dose, and when replacing the container

Question 8

Which of the following is NOT an acceptable patient identifier according to the Joint Commission?

Accepted Answer

Patient's room number

Question 9

A nurse is preparing to give a medication at 0800. According to the 'Right Time' principle, within what time frame should the medication be administered?

Accepted Answer

Between 0700 and 0900

Question 10

Which of the following statements about high alert medications is TRUE?

Accepted Answer

They have an increased risk of causing significant patient harm if used in error

Question 11

A nurse is documenting medication administration. Which of the following is the correct procedure?

Accepted Answer

Document the medication immediately after administration, including name, dose, route, and time

Question 12

A medication order is written as 'Insulin 10U.' According to the 'Do Not Use' list, what is the potential problem with this order?

Accepted Answer

The 'U' could be mistaken for a zero, leading to a tenfold overdose

Question 13

A nurse is reviewing a medication label for 'NovoLOG Mix 70/30' and 'NovoLIN 70/30.' What safety strategy is being used to prevent medication errors?

Accepted Answer

Use of Tall Man lettering to distinguish similar drug names

Question 14

Which of the following is the correct way to write a medication dose to avoid confusion?

Accepted Answer

$$1\ mg$$

Question 15

A nurse is administering metoclopramide and notices a boxed warning for tardive dyskinesia. What should the nurse do?

Accepted Answer

Monitor the patient for signs of movement disorders and educate about risks

Question 16

Which of the following is a critical step in the medication administration process to prevent errors?

Accepted Answer

Validating the accuracy and completion of the medication order before administration

Question 17

A nurse is preparing to administer a medication labeled as 'HIGH ALERT.' What additional precautions should the nurse take?

Accepted Answer

Double-check the medication order, dose, and patient identity before administration

Question 18

Which of the following is an example of a complete medication order?

Accepted Answer

Acetaminophen 325mg tabs p.o. q4h prn headache

Question 19

A nurse is reviewing a medication order that uses the abbreviation 'IU.' According to safety guidelines, what should the nurse do?

Accepted Answer

Clarify the order with the prescriber and request 'International Unit' be written out

Question 20

A nurse is preparing to administer a medication and notices the label reads 'Clobazam Oral Suspension 2.5 mg/mL.' Which of the following is correct regarding the unit of measurement?

Accepted Answer

The unit 'mg' is written correctly and should be used

Safety in Medication Administration: Essential Concepts for Personal Health

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