Pharmacology 3rd Edition By Richard D – Test Bank

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Fulcher: Pharmacology, 3rd Edition

Chapter 05: Reading and Interpreting Medication Labels and Orders and

Documenting Appropriately

Test Bank

MULTIPLE CHOICE

1. a. b. c. d. e. Which of the following is not true?

The medication order should include the patient’s name and address.

The medication order should include the medication name and dosage.

The medication order should include the route by which the medication is given.

The time and frequency of medication administration should be included in the

medication order.

Medication orders may be standing orders or standard protocol.

ANS: A REF: 73

2. a. b. c. d. e. Which of the following is not true?

Verbal orders should be repeated to the physician to ensure correctness.

If a verbal order is given for a drug that may be confused with another medication,

the allied health professional should spell the medication back to the physician.

The physician is solely responsible for the administration of an ordered

medication, whether this is a verbal order, a prescription, or a written order in the

office.

The allied health professional should have a working knowledge of any medication

that he or she administers.

Many medications may either sound alike or be spelled alike, causing confusion

when taking verbal orders.

ANS: C REF: 73

3. Which of the following is necessary when administering medications?

a. correct dosage range

b. possible adverse reactions

c. patient education related to the medications

d. a and b

e. a, b, and c

ANS: E REF: 69

4. a. b. c. Which of the following is not true?

Written orders are preferable to verbal orders.

Verbal orders should always be repeated for accuracy.

A verbal order may be documented at a later date, as long as the medication has

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d. been given when ordered.

Legally speaking, any order not documented has not been given.

ANS: C REF: 73

5. Standard protocol is usually used for which of the following?

a. specific procedures

b. as preparation for diagnostic tests

c. to give medications in the office

d. a and b

e. a, b, and c

ANS: D REF: 73

6. Prescriptions may be written and signed on

a. single blank forms

b. multiple blank forms

c. computer generated forms

d. office stationery

e. all of the above

ANS: E REF: 75-76

7. b. c. Which of the following require a physician’s signature?

a. Schedule II medications

all written prescriptions leaving the physician’s office

prescriptions written by agents of the physician, such as physician assistants, nurse

practitioners, etc.

d. a and b

e. none of the above

ANS: A REF: 75-76

8. Interpret the following prescription.

amoxicillin 250 mg/5 cc viii Sig: i tid ac

a. b. c. d. e. amoxicillin 250 mg/5 cc 6 ounces. Take one capsule three times a day with meals.

amoxicillin 250 mg/5 cc 8 ounces. Take one dram three times a day after meals.

amoxicillin 250 mg/5 cc 8 ounces. Take one dram twice a day before meals.

amoxicillin 250 mg/5 cc 8 ounces. Take one dram twice a day after meals.

amoxicillin 250 mg/5 cc 8 ounces. Take one dram three times a day before meals.

ANS: E REF: 74-75

9. Interpret the following prescription.

Digitoxin 0.25 mg Sig: tab i qd pc breakfast if pulse is above 60

a. Digitoxin 0.25 mg. Take one tablet after breakfast daily if pulse is above 60.

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b. Digitoxin 0.25 mg. Take one tablet before breakfast and with other meals if pulse

c. is above 60.

Digitoxin 0.25 mg. Take one tablet with breakfast every other day if pulse is above

60.

d. e. Digitoxin 0.25 mg. Take one capsule before breakfast every day.

Digitoxin 0.25 mg. Take one capsule before breakfast every other day.

ANS: A REF: 74-75

10.Interpret the following order.

cyanocobalamin 1 mL SC stat and then q month

a. cyanocobalamin one milliliter under tongue tomorrow and then twice a month

b. cyanocobalamin one milliliter by injection subcutaneously now and then once a

month

c. d. e. cyanocobalamin one microliter subcutaneously standing then four times a month

cyanocobalamin one quart by mouth while standing then once a month

cyanocobalamin one milliliter starting now and then monthly

ANS: B REF: 74-75

11.Interpret the following order.

ibuprofen 600 mg qid pc and hs prn muscle spasms

a. ibuprofen 600 mg by mouth four times a day for muscle spasms

b. ibuprofen 600 mg by mouth four times a day after meals and at bedtime for muscle

spasms

c. ibuprofen 600 mg by mouth daily after a meal or at bedtime as needed for muscle

spasms

d. ibuprofen 600 mg by injection three times a day after a meal and at bedtime as

needed for muscle spasms

e. ibuprofen 600 mg by mouth four times a day with meals and at bedtime as needed

for muscle spasms

ANS: E REF: 74-75

12.Interpret the following order.

Lasix 20 mg tab i qd @ 9A and again at 3P prn edema

a. Lasix 20 mg one tablet at 9 in the morning and again at 3 in the afternoon

b. Lasix 20 mg tablet daily at 9 in the morning and again in the afternoon if needed

for swelling

c. Lasix 20 mg one tablet each day at 9 in the morning and again at 3 in the afternoon

if needed for edema

d. Lasix 20 mg four tablets a day as needed for edema

ANS: C REF: 74-75

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13.Interpret the following order.

meperidine 50 mg IM stat and repeat q4h prn pain

a. meperidine 50 mg in the muscle now and every four hours as needed for pain

b. meperidine 50 mg subcutaneously now and every four hours as needed for pain

c. meperidine 50 mg in the vein now and every four hours as needed for pain

d. meperidine 50 mg in the muscle now and four times a day as needed for pain

e. meperidine 50 mg in the muscle now and four times a day

ANS: A REF: 74-75

14.Prescription blanks should be used for which of the following?

a. writing prescriptions

b. orders for lab tests

c. ordering stock medications

d. a and c

e. all of the above

ANS: A REF: 77

15.When answering the phone for a prescription refill, which of the following information is

not necessary to obtain from the patient?

a. b. c. d. e. name of pharmacy to be called

name of desired medication, its strength, and last time refilled

how the patient is taking the medication

phone number at which the patient can be reached if necessary

what time the patient expects to pick the medication up from the pharmacy

ANS: E REF: 76

16.When documenting prescription refills, which of the following is not important?

a. b. c. d. Refills are not documented because the medication refills are on the prescription.

The physician is the only person who can approve a refill request.

The physician is responsible for indicating the number of refills allowable.

The physician, pharmacist, and allied health professional are health partners in

ensuring the prescription needs of the patient.

e. Any standing order or standard protocol should be very specific about when it

should be used, to what degree, and written directions for specific situations.

ANS: A REF: 76

17.When documenting orders to the medical record, which of the following should be

included?

a. date and time of order

b. medication strength

c. amount of medication ordered

d. directions for taking the medicine

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e. all of the above

ANS: E REF: 73

18.Which of the following documentation is correct for this medication order?

Dr. Jones wants Mrs. Benton to have Benadryl 50 milligram capsules number 50 to be

taken every four hours as needed for itching.

a. b. c. d. e. Benadryl 50 mg # 50 cap i qid for itching

Benadryl 50 mg # 50 cap i qid prn itching

Benadryl 50 mg # 50 capsule one q4h prn itching

Benadryl 50 mg # 50 cap i qd prn itching

Benadryl 50 mg # 50 cap i qfh prn itching

ANS: C REF: 73

a. b. c. d. 19.Which of the following is the correct documentation for the medication order?

Flagyl five hundred milligram tablets; number fourteen; one tablet twice a day with meals for

seven days

Flagyl 500 mg # 14 tab i tid meals  7 days

Flagyl 500 mg # 14 tab i bid meals  7 days

Flagyl 500 mg # 14 tab i daily with breakfast  7 days

Flagyl 500 mg # 14 tab i qid meals  7 days

ANS: B REF: 73

20.Prescriptions of medications other than Schedule II controlled substances may be

a. written

b. electronically transferred

c. verbally transferred by the medical office

d. a and c

e. all the above

ANS: E REF: 74-75

TRUE/FALSE

1. The allied health professional assists with prescription therapy by phoning prescription

therapy and writing prescriptions for signature by the physician as appropriate by state

statutes.

ANS: T REF: 74

2. The purpose of a prescription is to control the amount of medications and the way a

patient takes the medication.

ANS: T REF: 74

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3. The sole responsibility in prescription correctness lies in the physician’s hand.

ANS: F REF: 73

4. Medication orders are best given in writing.

ANS: T REF: 73

5. A standing order does not require a signature by the physician with each use.

ANS: T REF: 75

6. Prescriptions are given for medication administration at home, while medication orders

are usually used in the clinical setting, such as hospitals or physicians offices.

ANS: T REF: 75

7. Abbreviations are shortcuts in prescription writing and should be used as often as

possible, including the use of abbreviations that are locally used but are not necessarily

standard abbreviations.

ANS: F REF: 75

8. Standing orders are assigned for use in many situations, and the allied health professional

should easily know what the physician expects.

ANS: T REF: 75

9. Standard protocol should always be a signed group of orders.

ANS: T REF: 75

10.If the physician has either a standing order or standard protocol, there are no

contraindications to their use.

ANS: F REF: 75

11.Copying a prescription before it leaves the clinical site is a safeguard for the physician,

the pharmacist, and office personnel.

ANS: T REF: 69

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12.If a multiple-line prescription blank is used, all lines should either contain a medication

or have a line drawn through the blank line.

ANS: T REF: 74

13.The DEA number as well as the physician’s address and phone number should appear on

all prescriptions.

ANS: F REF: 74

14.When phoning in a prescription, the allied health professional should ask the pharmacist

to repeat the order.

ANS: T REF: 73

15.If an allied health professional is unsure of the medication ordered verbally by the

physician, he or she should proceed to administer the medication so that the patient will

not doubt his or her background in pharmacology.

ANS: F REF: 73

16.The physician must always be able to access patient records for review prior to ordering

medications for a patient. The allied health professional should make sure access to

records is available.

ANS: T REF: 73

17.Schedules II and III medications may be telephoned to the pharmacy.

ANS: F REF: 72

18.The allied health professional should tell the person calling for a prescription an

approximate time that the prescription will be telephoned to the pharmacy.

ANS: T REF: 73

19.If a patient is using a mail-order prescription service, a second prescription may be

needed to obtain a supply of the medication until the mail supply arrives if necessary.

ANS: T REF: 73

20.Verbal orders do not need documentation in the medical record.

ANS: F REF: 73

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21.The protocol for calling a pharmacy with refills varies with each physician’s office and

by state statutes.

ANS: T REF: 77

22.If the physician does not document the refills allowed, the allied health professional

should assume the number of refills allowed and document this information for the

physician prior to calling in the prescription.

ANS: F REF: 74

23.Prescription orders should be held to certain times of the day before calling the

pharmacy, rather than calling in the prescription as soon as possible after it is obtained

from the physician.

ANS: F REF: 74-76

24.If a request for a medication refill is denied, the pharmacist should be the person who

tells the patient, since the patient will go to the pharmacy to pick up the prescription.

ANS: F REF: 77

25.Herbal medications and OTC drugs, as well as prescription medications, being taken by a

patient should be documented in the patient medical record to ensure safety in medication

administration.

ANS: T REF: 73

26.If a prescription is denied, the patient should be notified and given further follow-up

instructions.

ANS: T REF: 76

27.OTC medications are relatively safe because they do not cause adverse reactions or

interact with prescription medications.

ANS: F REF: 75

28.Allied health professionals should spend time with patients discussing OTC medications

to lower the chance of danger from self-treatment.

ANS: T REF: 76

29.Prescription pads should be guarded at all times.

ANS: T REF: 76

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30.The allied health professional should spend time with patients and other caregivers to

ensure that medication needs are understood and to assist with patient compliance.

ANS: T REF: 73

31.Allied health professionals should assume that patients understand all drug information

and, because of their busy schedules, do not need to allow time for questions from

patients.

ANS: F REF: 76

32.The pharmacy has no responsibility in patient education for compliance.

ANS: F REF: 76

33.Drugstore hopping for prescriptions may be detrimental in patient care and medication

compliance.

ANS: T REF: 74

34.The illiterate patient and the patient who does not speak the common language may have

adverse or toxic reactions from prescription and OTC medications.

ANS: T REF: 76

35.The patient must be told when medications should be taken.

ANS: T REF: 73

36.Prescription pads are good note pads.

ANS: F REF: 76

37.A patient should be taught to read the label of all medications before taking them and

should never assume that the medication is correct without reading the label.

ANS: T REF: 71-72

38.The prescription is a legal document.

ANS: T REF: 71-72

39.Some medications have side effects that make using machinery dangerous.

ANS: T REF: 77

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40.The labeling on OTC medications is the same as for legend drugs.

ANS: F REF: 69

41.To save money, using expired medications is permissible when inability to purchase new

medications is present.

ANS: F REF: 69

42.Only standard abbreviations should be used when writing a prescription.

ANS: T REF: 77

43.The abbreviation NDC means “No drug consultation” is needed.

ANS: F REF: 77

44.Any instructions given to the patient should be included in the medical record.

ANS: T REF: 72

45.A medication label contains information about the drug’s strength, form, and

trade/generic name.

ANS: T REF: 74-75

46.The original standing order should have a physician’s signature on record and should be

used under specific conditions for specific procedures.

ANS: T REF: 77

47.If the physician has a certain time of day for phoning prescriptions to pharmacies, this

information should be indicated to the patient.

ANS: T REF: 69

48.If sound-alike or look-alike medications are given using oral transmission, the allied

health professional should ask the person receiving the order to spell the medication

name.

ANS: T REF: 73

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49.Forgery of prescriptions is a difficult task so leaving prescription pads in the examination

room is not a problem.

ANS: F REF: 69

50.A means of logging phone calls for prescription refills or new prescriptions should be

kept near the phone to assist in providing information for the physician and for meeting

patient needs.

ANS: T REF: 71-72

51.When obtaining information for new prescriptions, asking about any new allergies since

the last visit will not be helpful to the physician and will assist in decreasing adverse

reactions to medications.

ANS: F REF: 71

52.When a patient calls for a refill, asking how the therapy has either been helpful or

aggravating will assist the physician in making a decision about the prescription.

ANS: T REF: 73

53.Medication labels include generic names and trade names as applicable.

ANS: T REF: 71

54.The generic name is the official name.

ANS: T REF: 73

55.Trademark (™) indicates that the trade name has been accepted by the FDA.

ANS: T REF: 72

56.The use of ® indicates that the trade name has been registered and belongs only to the

one manufacturer.

ANS: T REF: 73

57.The expiration date only gives a date by which the medications must be dispensed; this

date does not indicate the date that the medication must be discarded.

ANS: F REF: 76

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58.Lot numbers are found on medication labels so that if the product is recalled, the patient

can be notified and the medication removed from the point of sale.

ANS: T REF: 73

59.The NDC code indicates the drug and the manufacturer only.

ANS: F REF: 77

60.The Federal Trade Commission is responsible for the information found on OTC

medication labels.

ANS: T REF: 77

MATCHING

Match the following terms with their descriptions below.

a. dispense

b. prescribe

c. administer

d. medication order

e. standing orders

1. To write an order for the patient to take at home

2. To give a medication

3. A request for a procedure that is routine for certain medical treatments under certain

conditions

4. Tells the health care worker which drugs to administer to the patient

5. Filling prescriptions to the physician’s order

1. ANS: B REF: 77

2. ANS: C REF: 76

3. ANS: E REF: 69

4. ANS: D REF: 69

5. ANS: A REF: 69

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Match the following terms with their descriptions below.

a. superscription

b. signa

c. inscription

d. subscription

e. physician’s signature

6. 7. 8. 9. Gives the directions for taking the medication

Specifies the name and the strength of the medication

The line that makes the prescription a legal document

Gives pharmacists the directions for filling an order

10.Uses, meaning “take thou”

6. ANS: B REF: 69

7. ANS: C REF: 71

8. ANS: E REF: 71

9. ANS: D REF: 71

10. ANS: A REF: 72

Copyright © 2012, 2009, 2003 by Saunders, an imprint of Elsevier Inc.