Redemption Round

QUIZ

Redemption Round

The Final Shift

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QUESTION 1/15

Question 1/15

Rationale

Documenting the refusal and the reason protects both the patient and nurse legally while upholding the patient’s right to autonomy. Insisting violates autonomy, asking another nurse to give it without charting is dishonest, and charting as given is falsification of records.

QUESTION 2/15

QUESTION 2/15

Why?

Charting before administration is unsafe and unethical because it creates a false record. Charting after administration or noting a late entry are acceptable if accurate. Read-backs verify orders, not documentation.

QUESTION 3/15

QUESTION 4/6

Huh?

Splitting a scored tablet to achieve the ordered dose ensures accuracy and timely administration. Calling pharmacy is unnecessary when a safe split is possible, giving 20 mg doubles the dose, and skipping delays care.

QUESTION 4/15

QUESTION 4/15

Explanation

0.125 mg equals 125 mcg—they are the same dose expressed differently. Giving two or half would overdose or underdose, and holding is unnecessary since the equivalence is clear.

QUESTION 5/15

QUESTION 5/15

Explanation

Verifying with the provider prevents a potential allergic reaction. Administering or substituting without approval is unsafe, and simply holding delays treatment without addressing the issue.

QUESTION 6/15

QUESTION 6/15

Rationale

Holding the med and reporting a low potassium prevents arrhythmias. Administering worsens hypokalemia, giving half is arbitrary, and ignoring the lab value neglects patient safety.

QUESTION 7/15

Question 7/15

Why?

Charting the actual time maintains accuracy and legal protection. Falsifying the time or omitting documentation creates confusion and audit risk and licensure.

QUESTION 8/15

QUESTION 8/15

Explanation

Reviewing the MAR ensures accuracy and avoids double dosing. Patients often forget, and pharmacy doesn’t track bedside administration. Giving again risks overdose.

QUESTION 9/15

QUESTION 9/15

Huh?

15 ÷ 30 = 0.5 mL—accurate math ensures safe dosing. Giving 1 or 2 mL overdoses, and 0.25 mL underdoses.

QUESTION 10/15

Question 1/6 - SHOWS

The Math

Convert mcg to mg (75 mcg = 0.075 mg), then divide 0.075 ÷ 0.05 = 1.5 tabs. Giving 1 tab underdoses; 2 or 3 overdoses.

QUESTION 11/15

QUESTION 11/15

Rationale

Conflicting orders must be clarified before giving. Administering both or adjusting the dose yourself risks overdose, and skipping delays therapy.

QUESTION 12/15

QUESTION 12/15

Explanation

Hospitals allow a safe window (often ±30 minutes) to maintain therapeutic timing. Giving early, batching, or waiting on patient request disrupts effectiveness.

QUESTION 13/15

Question 13/15

Explanation

Assessing BP prior to a beta blocker confirms safety and effectiveness. The other options ignore essential pre-administration data.

QUESTION 14/15

QUESTION 2/6 - geography

Explanation

Verifying both identifiers against the MAR confirms the Right Patient and prevents medication errors. Overriding the alert or assuming identity compromises safety, and skipping the dose leaves the issue unresolved.

QUESTION 15/15

QUESTION 15/15

Huh?

Speaking up respectfully protects the patient and models professional accountability. Immediate, direct intervention supports safe practice; ignoring or delaying response enables unsafe care.

End of the quiz!

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