Sample Questions and Answers
What is the primary purpose of a medication order?
a) To ensure patient safety
b) To confirm medication availability
c) To record the medication prescribed
d) To request medication refill
Answer: a) To ensure patient safety
A nurse is administering a medication via a nasogastric tube. Which action should the nurse take first?
a) Check the patient’s identification
b) Flush the tube with water
c) Crush the medication
d) Verify the placement of the tube
Answer: d) Verify the placement of the tube
Which of the following should be monitored when a patient is taking warfarin (Coumadin)?
a) Hemoglobin levels
b) International normalized ratio (INR)
c) Platelet count
d) Potassium levels
Answer: b) International normalized ratio (INR)
When administering a subcutaneous injection, what is the correct needle angle?
a) 15 degrees
b) 30 degrees
c) 45 degrees
d) 90 degrees
Answer: c) 45 degrees
Which of the following medications is considered a high-alert medication?
a) Acetaminophen
b) Insulin
c) Lorazepam
d) Omeprazole
Answer: b) Insulin
What should a nurse do if a patient refuses to take a prescribed medication?
a) Administer the medication regardless of refusal
b) Document the refusal and inform the healthcare provider
c) Try to convince the patient to take the medication
d) Notify the patient’s family about the refusal
Answer: b) Document the refusal and inform the healthcare provider
Which medication is used as a first-line treatment for hypertension?
a) Furosemide (Lasix)
b) Lisinopril (Zestril)
c) Atorvastatin (Lipitor)
d) Digoxin (Lanoxin)
Answer: b) Lisinopril (Zestril)
What is the most common side effect of opioid analgesics?
a) Nausea
b) Constipation
c) Drowsiness
d) Diarrhea
Answer: b) Constipation
Which of the following is a contraindication for administering acetaminophen (Tylenol)?
a) Liver disease
b) Kidney disease
c) Asthma
d) Hypertension
Answer: a) Liver disease
What should the nurse do before administering a dose of medication via IV route?
a) Verify the patient’s identity and allergies
b) Check the patient’s blood pressure
c) Assess the intravenous site for redness
d) Check the expiration date of the medication
Answer: a) Verify the patient’s identity and allergies
A patient is receiving chemotherapy. Which of the following is an important consideration when administering chemotherapy drugs?
a) The patient should have a full stomach
b) The nurse must wear personal protective equipment (PPE)
c) Chemotherapy drugs are given only in the morning
d) The patient should be encouraged to exercise
Answer: b) The nurse must wear personal protective equipment (PPE)
What is the first action the nurse should take when an error in medication administration is identified?
a) Notify the healthcare provider
b) Document the error in the patient’s chart
c) Assess the patient for any adverse effects
d) Discontinue the medication immediately
Answer: c) Assess the patient for any adverse effects
Which of the following is an example of a medication that should not be crushed?
a) Aspirin
b) Enalapril
c) Enteric-coated tablets
d) Acetaminophen
Answer: c) Enteric-coated tablets
What is the correct method of administering an intramuscular (IM) injection in an adult?
a) 45-degree angle
b) 60-degree angle
c) 90-degree angle
d) 15-degree angle
Answer: c) 90-degree angle
Which medication is contraindicated for a patient with a history of anaphylaxis to penicillin?
a) Amoxicillin
b) Clindamycin
c) Erythromycin
d) Doxycycline
Answer: a) Amoxicillin
What is the correct action for the nurse when administering a liquid medication to a child?
a) Measure the dose using a tablespoon
b) Use a calibrated dropper or oral syringe
c) Ask the child to drink the medication directly from the bottle
d) Mix the medication with water before administration
Answer: b) Use a calibrated dropper or oral syringe
A nurse is preparing to administer a medication intravenously. What is the first step the nurse should take?
a) Verify the patient’s ID
b) Inspect the IV site
c) Verify the physician’s order
d) Prepare the medication
Answer: c) Verify the physician’s order
Which of the following best describes the “right time” when administering medications?
a) Administering medications within 30 minutes before or after the scheduled time
b) Administering medications as early as possible
c) Administering medications after checking the patient’s temperature
d) Administering medications after the physician’s office visit
Answer: a) Administering medications within 30 minutes before or after the scheduled time
What is the most important factor when administering a medication via a patient-controlled analgesia (PCA) pump?
a) Verifying the drug dosage with the patient
b) Ensuring the patient is educated on PCA use
c) Monitoring the patient’s blood pressure continuously
d) Ensuring the patient has a high fluid intake
Answer: b) Ensuring the patient is educated on PCA use
Which of the following is a common side effect of antihistamines?
a) Drowsiness
b) Insomnia
c) Diarrhea
d) Tachycardia
Answer: a) Drowsiness
What is the nurse’s responsibility before administering a medication?
a) Ask the patient if they are allergic to any medications
b) Observe the patient for any side effects from previous medications
c) Verify the medication order, patient identity, and drug
d) Inform the family about the medication schedule
Answer: c) Verify the medication order, patient identity, and drug
Which medication would be most appropriate for treating a patient with a bacterial infection?
a) Acetaminophen
b) Amoxicillin
c) Lorazepam
d) Diphenhydramine
Answer: b) Amoxicillin
A patient is prescribed a medication that is a teratogen. Which of the following should be done before administration?
a) Ensure the patient is not pregnant
b) Increase the dose for non-pregnant patients
c) Administer with a contraceptive
d) Only administer the medication in the morning
Answer: a) Ensure the patient is not pregnant
Which of the following is an example of a medication given by the intradermal route?
a) Influenza vaccine
b) Insulin
c) Tuberculosis test
d) Vitamin B12 injection
Answer: c) Tuberculosis test
A nurse is administering a medication to a pediatric patient. Which is the correct method for calculating the correct pediatric dosage?
a) Using the patient’s age and weight
b) Using the patient’s height and gender
c) Using the adult dose as a baseline
d) Using the average weight for children of the same age
Answer: a) Using the patient’s age and weight
Which of the following is an appropriate action when a patient is being administered a drug that may cause sedation?
a) Instruct the patient to rest and avoid activities that require concentration
b) Encourage the patient to drink caffeine
c) Instruct the patient to perform light exercises
d) Withhold the medication if the patient complains of drowsiness
Answer: a) Instruct the patient to rest and avoid activities that require concentration
Which of the following is the best method to verify that a medication is correctly administered to the right patient?
a) Ask the patient their name
b) Check the patient’s wristband
c) Ask the family member for confirmation
d) Compare the medication with the patient’s chart
Answer: b) Check the patient’s wristband
Which of the following is an example of a non-parenteral route of medication administration?
a) Intravenous
b) Subcutaneous
c) Oral
d) Intramuscular
Answer: c) Oral
When administering a controlled substance, which is the nurse’s responsibility?
a) Document the patient’s vital signs
b) Double-check the drug with a second nurse
c) Administer the medication at the prescribed time
d) Ensure the patient is comfortable and relaxed
Answer: b) Double-check the drug with a second nurse
What is the most common route of administration for insulin?
a) Oral
b) Subcutaneous
c) Intramuscular
d) Intravenous
Answer: b) Subcutaneous
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