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Nursing Medication Administration Quiz

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

A nurse is preparing to administer IV potassium chloride to a patient. Which action by the nurse requires immediate correction?

a)

Diluting the drug in normal saline

b)

Administering the drug as IV push*

c)

Checking the patient’s urine output

d)

Verifying the prescription with another nurse

2.

Before administering medication to a patient, the MOST important nursing action to prevent error is to:

a)

Explain the drug to the patient

b)

Check the expiry date

c)

Confirm the patient’s identity*

d)

Document the medication

3.

A nurse discovers that a patient received a wrong dose of medication 30 minutes earlier. What is the FIRST action the nurse should take?

a)

Document the incident

b)

Inform the nurse manager

c)

Monitor the patient closely*

d)

Notify the physician

4.

A patient refuses to take an oral medication prescribed. The nurse’s BEST response is to:

a)

Leave the medication at the bedside

b)

Document refusal and inform the doctor*

c)

Encourage the patient forcefully

d)

Discard the medication immediately

5.

Which situation BEST illustrates the principle of the “right time” in medication administration?

a)

Administering drugs within a 30-minute window*

b)

Giving medication after meals

c)

Administering drugs at bedtime

d)

Giving medication during ward round

6.

A nurse is to administer insulin subcutaneously. Which site is MOST appropriate for rapid absorption?

a)

Thigh

b)

Buttock

c)

Abdomen*

d)

Upper arm

7.

While administering IV medication, the patient complains of burning pain at the site. The nurse should FIRST:

a)

Reassure the patient

b)

Slow the infusion

c)

Stop the infusion*

d)

Apply a warm compress

8.

A medication error is MOST likely to occur when:

a)

The ward is understaffed

b)

Drugs have similar packaging*

c)

The nurse is experienced

d)

Medications are administered orally

9.

Which nursing action best ensures the “right documentation”?

a)

Writing after ward round

b)

Recording immediately after administration*

c)

Asking another nurse to document

d)

Writing at the end of shift

10.

A nurse administers morphine to a patient and observes respiratory depression. Which drug should the nurse anticipate administering?

a)

Atropine

b)

Naloxone*

c)

Adrenaline

d)

Diazepam

11.

During administration of blood transfusion, a patient develops chills and fever. The nurse should FIRST:

a)

Slow the transfusion

b)

Stop the transfusion*

c)

Give antipyretics

d)

Inform the laboratory

12.

A nurse is checking a drug order and notices the handwriting is unclear. The BEST action is to:

a)

Ask a senior nurse

b)

Guess based on experience

c)

Clarify with the prescriber*

d)

Omit the medication

13.

Which factor MOST influences drug absorption from intramuscular injection?

a)

Age of the patient

b)

Muscle perfusion*

c)

Drug packaging

d)

Time of administration

14.

A patient vomits immediately after taking oral medication. The nurse should FIRST:

a)

Repeat the dose

b)

Document and inform the doctor*

c)

Give antiemetic

d)

Ignore the incident

15.

The nurse understands that the purpose of the “right route” is to:

a)

Reduce cost

b)

Increase patient comfort

c)

Ensure therapeutic effect*

d)

Promote compliance

16.

A patient with chest pain radiating to the left arm is MOST likely experiencing:

a)

Angina pectoris

b)

Heart failure

c)

Myocardial infarction*

d)

Cardiac arrest

17.

Which symptom is MOST characteristic of heart failure?

a)

Sharp chest pain

b)

Sudden loss of consciousness

c)

Dyspnoea on exertion*

d)

Hematemesis

18.

The pain of angina pectoris is BEST described as:

a)

Sudden and stabbing

b)

Crushing and relieved by rest*

c)

Sharp and persistent

d)

Localized to the right chest

19.

Which nursing intervention is PRIORITY for a patient suspected of myocardial infarction?

a)

Encourage ambulation

b)

Administer oxygen*

c)

Provide oral fluids

d)

Apply warm compress

20.

A patient with left-sided heart failure is MOST likely to present with:

a)

Ascites

b)

Peripheral edema

c)

Pulmonary congestion*

d)

Jugular vein distension

21.

Which condition results from inadequate blood supply to the myocardium without permanent damage?

a)

Cardiac arrest

b)

Myocardial infarction

c)

Angina pectoris*

d)

Heart failure

22.

The MOST important nursing observation in a patient with acute myocardial infarction is:

a)

Bowel sounds

b)

Level of pain

c)

Cardiac rhythm*

d)

Urine output

23.

A patient diagnosed with heart failure is placed in a sitting position primarily to:

a)

Reduce anxiety

b)

Improve lung expansion*

c)

Prevent pressure sores

d)

Facilitate feeding

24.

Which drug is commonly used to relieve acute angina pectoris?

a)

Digoxin

b)

Nitroglycerin*

c)

Furosemide

d)

Propranolol

25.

A nurse is caring for a patient with cardiac attack. Which symptom should be reported immediately?

a)

Mild nausea

b)

Profuse sweating*

c)

Chest discomfort

d)

Fatigue

26.

Before administering digoxin, the nurse MUST check the patient’s:

a)

Blood pressure

b)

Respiratory rate

c)

Apical pulse*

d)

Temperature

27.

Which pulse rate would cause the nurse to withhold digoxin in an adult patient?

a)

90 beats/min

b)

78 beats/min

c)

64 beats/min

d)

56 beats/min*

28.

A common sign of digoxin toxicity is:

a)

Hypertension

b)

Greenish vision*

c)

Dry cough

d)

Hyperactivity

29.

Digoxin is primarily used in the management of:

a)

Hypertension

b)

Heart failure*

c)

Angina pectoris

d)

Myocardial infarction

30.

Which electrolyte imbalance increases the risk of digoxin toxicity?

a)

Hypernatremia

b)

Hyperkalemia

c)

Hypokalemia*

d)

Hypercalcemia

31.

Circulatory stimulants are MOST useful in conditions involving:

a)

Hypertension

b)

Shock*

c)

Anemia

d)

Infection

32.

The primary action of circulatory stimulants is to:

a)

Reduce blood pressure

b)

Depress cardiac activity

c)

Improve cardiac output*

d)

Promote diuresis

33.

Which drug is classified as a circulatory stimulant?

a)

Furosemide

b)

Adrenaline*

c)

Amlodipine

d)

Digoxin

34.

Antihypertensive drugs are mainly prescribed to:

a)

Cure hypertension

b)

Reduce blood volume only

c)

Prevent complications*

d)

Increase cardiac workload

35.

A sudden withdrawal of antihypertensive medication may lead to:

a)

Hypotension

b)

Rebound hypertension*

c)

Bradycardia

d)

Heart block

36.

Which class of antihypertensive drugs reduces blood pressure by promoting sodium excretion?

a)

Beta blockers

b)

Diuretics*

c)

ACE inhibitors

d)

Calcium channel blockers

37.

The nurse should advise a patient on antihypertensive therapy to:

a)

Stop medication once BP is normal

b)

Avoid regular BP monitoring

c)

Take drugs consistently*

d)

Increase salt intake

38.

Which antihypertensive drug may cause a persistent dry cough?

a)

Atenolol

b)

Furosemide

c)

Enalapril*

d)

Nifedipine

39.

A patient on antihypertensive therapy complains of dizziness on standing. This is MOST likely due to:

a)

Drug allergy

b)

Orthostatic hypotension*

c)

Hypertensive crisis

d)

Cardiac failure

40.

The MOST important nursing role in managing a patient on digoxin and antihypertensives is to:

a)

Encourage exercise

b)

Monitor vital signs*

c)

Restrict fluid intake

d)

Provide high-salt diet