When medication is transferred from its original packaging, promptly the new container.
4 Medication Safety Checks Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Medication Safety Checks, test your knowledge, and prepare for your next test or exam.
A patient states their full name, but the only other information checked so far is the room number. What should you do before administering the medication?
- A
Proceed because the patient's name matches the MAR; the room number provides the second identifier.
- B
Ask the patient to state a second approved identifier and compare it with the identification band and MAR.
- C
Use the room number as the second identifier and proceed if the medication is due.
- D
Rely on a barcode scan without checking the patient's identifiers.
A successful barcode medication scan can replace checking the patient's identity and the medication against the MAR.
- A
True
- B
False
While checking a medication before preparation, you find that it is expired. What is the safest action?
- A
Administer it if the medication name and strength match the order.
- B
Do not use it; resolve the issue and obtain a suitable, clearly identifiable product according to policy.
- C
Use it if the patient has received the same medication before.
- D
Administer it after asking the patient whether it looks familiar.
Before administering a medication, which patient-related checks may be relevant depending on the drug and the patient's situation? Select all that apply.
- A
Check blood pressure or heart rate when relevant to the medication.
- B
Review indicated laboratory results, such as kidney function or glucose.
- C
Assess alertness or swallowing ability when relevant to the medication and route.
- D
Check dose history and the medication list for a dose discrepancy or possible duplication.
- E
Use the patient's room number as a substitute for checking the patient's condition.
- F
Assume a barcode scan makes patient assessment unnecessary.
For an infusion, name one parameter that should be independently verified as required by policy.
A medication dose is weight-based, and the patient's chart contains weights from different dates. Which action is appropriate before relying on a dose calculation?
- A
Use the most recent weight available, even if its date is uncertain, and convert only if the computer requests it.
- B
Estimate the patient's weight if no value is readily visible.
- C
Confirm that the weight is current and recorded in kilograms.
- D
Use the weight from a prior admission without checking whether it is current.
An incomplete, unusual, illegible, or apparently unsafe order must be clarified with the before administration.
When facility policy requires an independent second check for a high-alert medication, that check does not replace each clinician's own check.
- A
True
- B
False
At the bedside, which actions belong in the final checks before administering a prepared medication? Select all that apply.
- A
Compare the patient, MAR, and prepared medication.
- B
Confirm that the medication is due.
- C
Check whether new assessment findings, allergy information, an order change, or a refusal has changed the plan.
- D
Explain the medication and invite the patient to ask questions.
- E
Perform hand hygiene and use the correct technique for the medication and route.
- F
Proceed whenever the prepared medication matches the order, even if the patient refuses.
- G
Change the dose independently if a new finding concerns you.
Which notation follows the recommended convention for documenting a dose of five-tenths of a milligram?
- A
.5 mg
- B
0.5 mg
- C
0.50 mg
- D
5.0 mg
The order is for 375mg. The liquid contains 250mg in 5mL. What volume should be measured? Enter the value in mL.
A patient's allergy record lists a medication that conflicts with a new medication order. What should you do before administration?
- A
Administer the medication and document the concern afterward.
- B
Give a smaller dose to reduce the chance of a reaction.
- C
Hold the medication and clarify the conflict with the prescriber or pharmacist.
- D
Ignore the allergy entry if the patient cannot describe the reaction.
An order requires a patient parameter to be checked before administration. The result is outside the ordered limits, but the medication is prepared. What should you do next, and what should you avoid doing independently?
Before administering a medication, a patient is in a room that matches the MAR. What is the safest next step for verifying the patient’s identity?
- A
Confirm the room number and ask the patient to confirm the name already on the MAR.
- B
Ask the patient to state two approved identifiers and compare them with the identification band and MAR.
- C
Use the patient’s date of birth alone if it matches the MAR.
- D
Rely on a successful barcode scan without separately checking the patient.
A dose written as 0.5 mg is safer notation than .5 mg, and 5 mg is safer notation than 5.0 mg.
- A
True
- B
False
While preparing a dose, you find that the medication container is damaged and the product is not clearly identifiable. What should you do?
- A
Use it if the medication name is readable, even if the container is damaged.
- B
Ask the patient whether the medication looks familiar, then administer it if they say yes.
- C
Do not use it; secure it and obtain an intact, identifiable product according to policy.
- D
Administer it if the expiration date has not passed, regardless of the damage.
A medication is transferred from its original packaging into another container and will not be administered immediately. What should happen next?
- A
Label the new container promptly, following applicable facility requirements.
- B
Leave it unlabeled if the original package is nearby.
- C
Ask another staff member to identify it later from its appearance.
- D
Label it only if the medication will be stored overnight.
When preparing a weight-based dose, what unit must the patient’s current weight be recorded in?
The order is 375mg, and the liquid contains 250mg per 5mL. What volume should be administered? Enter the value in millilitres.