U4 Summative ASSESSMENT

A nurse receives a verbal order for a controlled medication but the prescriber has not signed it by the next shift. What should the nurse do?

• Continue using the order

• Wait for pharmacy approval

• Hold administration until the prescriber signs

• Record it as verified

A pharmacy technician notices that a prescription for hydrocodone lacks a DEA number. What should they do?

• Fill the prescription

• Contact the prescriber to verify and obtain DEA number

• Add a placeholder number

• Reject and discard the prescription

A patient’s eMAR shows two active orders for morphine with different doses. What should be done first?

• Administer the smaller dose

• Give the average of the two

• Clarify with the prescriber or pharmacist

• Choose the most recent order

During the countback for a controlled medication, two nurses verify 15 tablets remaining. After removing 1 tablet, what must be documented?

• New total of 14 with both initials

• Old total only

• Only one nurse signature

• No entry required

Which situation best demonstrates the “Right Documentation”?

• Recording a dose immediately after administration

• Pre-charting before giving a medication

• Delaying entry until shift end

• Asking another nurse to sign

A provider writes “Oxycodone 10 mg PO PRN pain.” What essential information is missing?

• Route

• Strength

• Indication

• Frequency

A nurse documents that a patient refused a medication. What additional action is required?

• Discard the dose without witness

• Record the refusal reason and notify provider

• Cross out the entry

• Skip documentation

The eMAR flags an allergy alert for a new antibiotic order. What should the technician do first?

• Override the alert

• Ignore it

• Verify the allergy with the patient and provider

• Continue processing

A prescriber sends a faxed prescription for alprazolam. What should the technician verify to ensure DEA compliance?

• Prescriber DEA number and signature

• Patient insurance

• Pharmacy address

• Medication price

Which error violates the “Right Dose”?

• Giving 0.5 mg instead of 5 mg

• Giving at the wrong time

• Giving by the wrong route

• Giving to the wrong patient