Medication

Question 1

If an intravenous infusion “tissues”, your first action should be to?
a. call a doctor
b. stop the infusion.
c. tell the client they will need another drip established.
d. explain to the client what is occuring.

Answer 1

Stop the infusion

Question 2

A client is due to have their prescribed medications at 1000hrs. When the nurse arrives, the client states that they do not want their medication. The nurse should:
a. leave their medication on the locker to take later.
b. persuade the patient to take their medication.
c. notify the physician immediately.
d. document their refusal on the medication chart and follow up by 1100hrs.

Answer 2

Document their refusal on the medication chart and follow up by 1100.

Question 3

Your patient is prescribed Cefuroxime 325mg. The vial contains 750mg of powder which is reconstituted to make a final volume of 6ml. How much do you administer?
a. 3mL
b. 2.1mL
c. 2.6mL
d. 1.5mL

Answer 3

2.6mL

Question 4

A patient is prescribed 250mL red blood cells over 1 hour. The nurse is using a 20 drop/mL giving set. How many drops/min are required?
a. 25
b. 85
c. 83
d. 35

Answer 4

83

Question 5

You have available Digoxin PG 62.5microgram tablets. Your patient is prescribed 0.125mg. How many tablets will you administer?
a. 4
b. 3
c. 2
d. 1

Answer 5

2

Question 6

A patient is prescribed the following IV regime: 1L sodium chloride over 8hrs via a 60 drop/mL giving set. How many mL per hour do you give?
a. 100mL/hour
b. 125mL/hour
c. 250mL/hour
d. 90mL/hour

Answer 6

125mL/hour

Question 7

A client is prescribed an antibiotic to treat cellulitis. Their allergy/adverse reaction status has been recorded as “non known”. When administering the antibiotic, the nurse should..
a. give the medication as the allergy/adverse reaction status has been assessed by the prescriber.
b. review the client’s allergy/adverse reaction status prior to giving the antibiotic.
c. consult the prescriber to check on the client’s allergy/adverse reaction status.
d. give the medication with food to reduce any adverse effects.

Answer 7

Review the client’s allergy/adverse reaction status prior to giving the antibiotic.

Question 8

Which of the following is a CORRECT statement about one of the ways hypoglycemic medications act?
a. they stimulate glycogenolysis.
b. they stimulate the release of glucagon to reduce blood glucose concentration.
c. they increase insulin resistance in skeletale muscle and adipose cells.
d. they assist the facilitated transport of glucose into skeletal muscle cells.

Answer 8

They assist the facilitated transport of glucose into skeletal muscle cells.

Question 9

A nurse is administering a client’s medication and the label on one of the packets has become blurred and is not easy to read. The nurse should…
a. not be concerned as you know what it is anyway.
b. hand write over the blurred section of the label.
c. get the ward receptionist to type you up another label and stick it over the top.
d. notify the pharmacist.

Answer 9

Notify the pharmacist.

Question 10

A patient is prescribed the following regime: 500mL sodium chloride over 2 hours. You are using a 20 drop/mL giving set. How many drops/minute do you give?
a. 83 drops/minute
b. 125 drops/minute
c. 120 drops/minute
d. 80 drops/minute

Answer 10

83 drops/minute

Question 11

You have tablets of Digoxin 250micrograms. The prescription is for 0.125mg. How many tablets will you check and administer?
a. 1
b. 1/2
c. 4
d. 2

Answer 11

1/2 tablet

Question 12

Atropine is found in the deadly nightshade plant. It is used as an anticholinergic drug that acts by blocking muscarinic acetylcholine receptors. One of its actions is…..
a. salivation
b. sweating
c. dilated pupils
d. bradycardia

Answer 12

Dilated pupils

Question 13

A nurse believes a medication dose prescribed for a client is incorrect. The action that should be taken is to:
a. refuse to give the medication.
b. give the medication prescribed by the doctor.
c. check the medication dosage against the client’s chart.
d. withhold the medication and check the dosage with the doctor.

Answer 13

Withhold the medication and check the dosage with the doctor.

Question 14

A patient has been prescribed 10,000 units of Heparin. The nurse has Heparin 25,000 units/mL. How much does the nurse administer?
a. 4mL
b. 2.5mL
c. 0.04mL
d. 0.4mL

Answer 14

0.4mL

Question 15

Barbiturates….
a. promote the release of dopamine from pre-synaptic neurons in the brain.
b. should only be given for up to 2-4 weeks to minimise the risk of addiction.
c. mostly end with the suffix “pam”.
d. are central nervous system stimulants.

Answer 15

Should only be given for up to 2-4 weeks to minimise the risk of addiction.

Question 16

Cholinesterase inhibitors are prescribed to slow the progression of dementia. They:
a. inhibit the break-down of noradrenaline in CNS synapses.
b. prevent the release of the neurotransmitter cholinesterase.
c. increase the amount of acetylcholine in CNS synaptic clefts.
d. prevent the reputake of serotonin in CNS synapses.

Answer 16

Increase the amount of acetylcholine in CNS synaptic clefts.

Question 17

Your patient is prescribed 1L of normal saline over 10hours. You are using a 60 drop/mL giving set. What do you set the rate to?
a. 10 drops/minute
b. 100 drops/minute
c. 80 drops/minute
d. 50 drops/minute

Answer 17

100 drops/minute

Question 18

Flucloxacillin 750mg is prescribed. The vial contains 1g of powder, which is reconstituted to make up a final volume of 5mL. How much does the nurse administer?
a. 7.5mL
b. 3.5mL
c. 3.75mL
d. 3mL

Answer 18

3.75mL

Question 19

A nurse is caring for a child who is 14kg in weight and is prescribed 20mg/kg of Paracetamol. The ward stock is 250mg/5mL syrup how many mL does the nurse give?
a. 6.5mL
b. 5.6mL
c. 8mL
d. 5mL

Answer 19

5.6mL

Question 20

The charge nurse calls you into the treatment room and hands you a syringe with 1g Flucoxin which they have reconstituted in 20mL water, saying that they need to leave the ward. They ask you to administer the medication for them. You should:
a. tell them to ask another nurse as you are busy.
b. tell the charge nurse you will give the injection as soon as you can.
c. complete the task and sign for the medication.
d. decline to administer the injection.

Answer 20

Decline to administer the injection.

Question 21

A nurse is caring for a child who is 14kg in weight and is prescribed 20mg/kg of Paracetamol. The avaliable syrup contains 120mg/5mL of syrup. How many mL does the nurse need to give?
a. 10mL
b. 14mL
c. 13mL
d. 11.6mL

Answer 21

11.6mL

Question 22

A nurse is asked to make up 0.4mg of Naloxone in 10mL with saline for titration. What concentration of Naloxone will they have per mL?
a. 0.5
b. 0.04
c. 0.4
d. 0.004

Answer 22

0.04

Question 23

You are administering a client’s medication and you notice that the dose has been altered. The new dose has been written over white-out and is clearly legible. What do you do?
a. get the pharmacist to check the prescription.
b. call the doctor and have the dose re-charted.
c. you know it is correct so give the medication.
d. get the medication second-checked and give it.

Answer 23

Call a doctor and have the dose re-charted.

Question 24

Gentamycin 300mg is prescribed. The vial contains 80mg/2mL. How much should the nurse administer?
a. 7.5mL
b. 8mL
c. 8.5mL
d. 7mL

Answer 24

7.5mL

Question 25

A client has been prescribed Diazepam. Diazepam has which of the following effects?
a. inhibits the reuptake of serotonin.
b. decreases the activity of gamma aminobutyic acid (GABA)
c. increases the reupatake of serotonin.
d. increases the activity of gamme aminobutyric acid (GABA).

Answer 25

Increases the activity of gamma aminobutyric acid (GABA).

Question 26

A medical staff-member prescribed 2 units of whole blood for Janet who is 25yrs old. You discover that the consent form for this transfusion has not been signed. Your response to this should be to ask:
a. Janet’s parents to sign the consent form.
b. the unit manage to ensure that consent is obtained.
c. the medical staff-member to ensure that consent is obtained.
d. Janet to sign the consent form.

Answer 26

The medical staff member to ensure that consent is obtained.

Question 27

Some antipsychotic medications may produce extrapyramidal side effects. These would be recognised by a nurse as:
a. periods of intense emotion.
b. weight gain.
c. sedation.
d. uncoordinated involuntary movements.

Answer 27

Uncoordinated involuntary movements.

Question 28

A RN is about to go on their meal break when they approached by an enrolled nurse they are working with. They tell the RN that they need to draw up subcutaneous heparin. The RN should:
a. ask another RN to supervise the EN.
b. tell them to look at up in the procedures book and follow what it has to say.
c. ask the EN to draw up the heparin and you will give it.
d. supervise the EN drawing up and administering the heparin.

Answer 28

Supervise the EN drawing up and administering the heparin.

Question 29

Sympatholytic medications:
a. mimic the actions of the somatic nervous system.
b. block the actions of the sympathetic nervous system.
c. stimulate GABA receptors in the brain.
d. stimulate adrenergic receptors.

Answer 29

Block the actions of the sympathetic nervous system.

Question 30

The mode of action of aspirin is:
a. COX inhibitor
b. antipyretic
c. phosphodiesterase inhibitor
d. analgesic

Answer 30

COX inhibitor