WorksheetsNursing Medication Administration Quiz
Total questions: 40
Worksheet time: 20mins
A nurse is preparing to administer IV potassium chloride to a patient. Which action by the nurse requires immediate correction?
Diluting the drug in normal saline
Administering the drug as IV push*
Checking the patient’s urine output
Verifying the prescription with another nurse
Before administering medication to a patient, the MOST important nursing action to prevent error is to:
Explain the drug to the patient
Check the expiry date
Confirm the patient’s identity*
Document the medication
A nurse discovers that a patient received a wrong dose of medication 30 minutes earlier. What is the FIRST action the nurse should take?
Document the incident
Inform the nurse manager
Monitor the patient closely*
Notify the physician
A patient refuses to take an oral medication prescribed. The nurse’s BEST response is to:
Leave the medication at the bedside
Document refusal and inform the doctor*
Encourage the patient forcefully
Discard the medication immediately
Which situation BEST illustrates the principle of the “right time” in medication administration?
Administering drugs within a 30-minute window*
Giving medication after meals
Administering drugs at bedtime
Giving medication during ward round
A nurse is to administer insulin subcutaneously. Which site is MOST appropriate for rapid absorption?
Thigh
Buttock
Abdomen*
Upper arm
While administering IV medication, the patient complains of burning pain at the site. The nurse should FIRST:
Reassure the patient
Slow the infusion
Stop the infusion*
Apply a warm compress
A medication error is MOST likely to occur when:
The ward is understaffed
Drugs have similar packaging*
The nurse is experienced
Medications are administered orally
Which nursing action best ensures the “right documentation”?
Writing after ward round
Recording immediately after administration*
Asking another nurse to document
Writing at the end of shift
A nurse administers morphine to a patient and observes respiratory depression. Which drug should the nurse anticipate administering?
Atropine
Naloxone*
Adrenaline
Diazepam
During administration of blood transfusion, a patient develops chills and fever. The nurse should FIRST:
Slow the transfusion
Stop the transfusion*
Give antipyretics
Inform the laboratory
A nurse is checking a drug order and notices the handwriting is unclear. The BEST action is to:
Ask a senior nurse
Guess based on experience
Clarify with the prescriber*
Omit the medication
Which factor MOST influences drug absorption from intramuscular injection?
Age of the patient
Muscle perfusion*
Drug packaging
Time of administration
A patient vomits immediately after taking oral medication. The nurse should FIRST:
Repeat the dose
Document and inform the doctor*
Give antiemetic
Ignore the incident
The nurse understands that the purpose of the “right route” is to:
Reduce cost
Increase patient comfort
Ensure therapeutic effect*
Promote compliance
A patient with chest pain radiating to the left arm is MOST likely experiencing:
Angina pectoris
Heart failure
Myocardial infarction*
Cardiac arrest
Which symptom is MOST characteristic of heart failure?
Sharp chest pain
Sudden loss of consciousness
Dyspnoea on exertion*
Hematemesis
The pain of angina pectoris is BEST described as:
Sudden and stabbing
Crushing and relieved by rest*
Sharp and persistent
Localized to the right chest
Which nursing intervention is PRIORITY for a patient suspected of myocardial infarction?
Encourage ambulation
Administer oxygen*
Provide oral fluids
Apply warm compress
A patient with left-sided heart failure is MOST likely to present with:
Ascites
Peripheral edema
Pulmonary congestion*
Jugular vein distension
Which condition results from inadequate blood supply to the myocardium without permanent damage?
Cardiac arrest
Myocardial infarction
Angina pectoris*
Heart failure
The MOST important nursing observation in a patient with acute myocardial infarction is:
Bowel sounds
Level of pain
Cardiac rhythm*
Urine output
A patient diagnosed with heart failure is placed in a sitting position primarily to:
Reduce anxiety
Improve lung expansion*
Prevent pressure sores
Facilitate feeding
Which drug is commonly used to relieve acute angina pectoris?
Digoxin
Nitroglycerin*
Furosemide
Propranolol
A nurse is caring for a patient with cardiac attack. Which symptom should be reported immediately?
Mild nausea
Profuse sweating*
Chest discomfort
Fatigue
Before administering digoxin, the nurse MUST check the patient’s:
Blood pressure
Respiratory rate
Apical pulse*
Temperature
Which pulse rate would cause the nurse to withhold digoxin in an adult patient?
90 beats/min
78 beats/min
64 beats/min
56 beats/min*
A common sign of digoxin toxicity is:
Hypertension
Greenish vision*
Dry cough
Hyperactivity
Digoxin is primarily used in the management of:
Hypertension
Heart failure*
Angina pectoris
Myocardial infarction
Which electrolyte imbalance increases the risk of digoxin toxicity?
Hypernatremia
Hyperkalemia
Hypokalemia*
Hypercalcemia
Circulatory stimulants are MOST useful in conditions involving:
Hypertension
Shock*
Anemia
Infection
The primary action of circulatory stimulants is to:
Reduce blood pressure
Depress cardiac activity
Improve cardiac output*
Promote diuresis
Which drug is classified as a circulatory stimulant?
Furosemide
Adrenaline*
Amlodipine
Digoxin
Antihypertensive drugs are mainly prescribed to:
Cure hypertension
Reduce blood volume only
Prevent complications*
Increase cardiac workload
A sudden withdrawal of antihypertensive medication may lead to:
Hypotension
Rebound hypertension*
Bradycardia
Heart block
Which class of antihypertensive drugs reduces blood pressure by promoting sodium excretion?
Beta blockers
Diuretics*
ACE inhibitors
Calcium channel blockers
The nurse should advise a patient on antihypertensive therapy to:
Stop medication once BP is normal
Avoid regular BP monitoring
Take drugs consistently*
Increase salt intake
Which antihypertensive drug may cause a persistent dry cough?
Atenolol
Furosemide
Enalapril*
Nifedipine
A patient on antihypertensive therapy complains of dizziness on standing. This is MOST likely due to:
Drug allergy
Orthostatic hypotension*
Hypertensive crisis
Cardiac failure
The MOST important nursing role in managing a patient on digoxin and antihypertensives is to:
Encourage exercise
Monitor vital signs*
Restrict fluid intake
Provide high-salt diet
