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WorksheetsMedication and Nursing Assessment Quiz
Total questions: 20
Worksheet time: 10mins
Patient is prescribed a new medication. Which assessment finding requires the nurse to hold the medication and notify the provider?
BP 118/74 mmHg
Creatinine 2.4 mg/dL
Potassium 4.1 mEq/L
Albumin 4.0 g/dL
A patient has the following data: Albumin: 2.0 g/dL, Drug ordered: highly protein-bound medication. What is the nurse’s primary concern?
Decreased absorption
Reduced metabolism
Increased free drug and toxicity
Reduced therapeutic effect
A medication has a low therapeutic index. Which nursing action is most appropriate?
Administer medication with meals
Monitor peak and trough levels
Increase dosing interval
Assess bowel sounds before administration
A patient receiving an oral medication has severe liver disease. Which pharmacokinetic process will be most affected?
Absorption
Distribution
Metabolism
Excretion
Which findings place a patient at increased risk for medication toxicity? Select all that apply.
Creatinine 2.8 mg/dL
Albumin 2.4 g/dL
Age 82 years
BP 120/76 mmHg
BMI 24
The nurse notes an order for an extended-release tablet to be crushed and administered via NG tube. What is the best action?
Crush the tablet finely
Administer with food
Hold and clarify the order
Give half the dose
Which medication requires documentation of patient response after administration?
Acetaminophen
Ondansetron
Multivitamin
Atorvastatin
A patient on haloperidol presents with lip smacking, tongue protrusion, and facial grimacing. Which condition does the nurse suspect?
Neuroleptic malignant syndrome
Acute dystonia
Tardive dyskinesia
Serotonin syndrome
A patient on antipsychotics has the following data: Temp: 104.2°F (40.1°C), HR: 132 bpm, BP: 178/98 mmHg, Muscle rigidity. What is the nurse’s priority action?
Administer benztropine
Apply cooling blanket only
Stop medication and notify provider
Reassure the patient
A patient receiving lorazepam also reports drinking alcohol daily. What is the greatest risk?
Hypertension
Seizures
Respiratory depression
Extrapyramidal symptoms
A patient started on sertraline reports improved energy after 1 week but still feels depressed. What is the greatest nursing concern?
Hypertensive crisis
Medication nonadherence
Increased suicide risk
Liver toxicity
A patient taking phenelzine reports eating pepperoni pizza and aged cheese. Which assessment finding is most concerning?
HR 62 bpm
BP 198/110 mmHg
Glucose 110 mg/dL
Temperature 99°F
A patient on lithium has the following labs: Lithium: 1.6 mEq/L, Sodium: 131 mEq/L. What is the nurse’s priority action?
Encourage fluid restriction
Administer next lithium dose
Hold lithium and notify provider
Increase caffeine intake
Which lab value indicates a therapeutic lithium level?
0.5 mEq/L
0.7 mEq/L
1.0 mEq/L
1.9 mEq/L
A patient taking NSAIDs presents with black tarry stools, dizziness, and Hgb 9.2 g/dL. Which complication does the nurse suspect?
Renal failure
GI bleeding
Hepatic toxicity
Infection
Which effect is most likely related to COX-1 inhibition?
Reduced inflammation
Pain relief
Gastric ulceration
Fever reduction
A child with influenza is prescribed aspirin. What is the nurse’s best response?
Administer with food
Reduce the dose
Question the order
Monitor liver enzymes
A patient receiving prednisone for arthritis asks why the medication cannot be stopped suddenly. What is the best explanation?
It may cause rebound inflammation
It increases infection risk
It prevents adrenal insufficiency
It worsens glucose control
A patient with gout is prescribed allopurinol. Which teaching is most important?
Avoid all protein
Increase fluid intake
Take only during acute attacks
Restrict sodium
Which findings suggest NSAID-related complications? Select all that apply.
Peripheral edema
Creatinine elevation
Tinnitus
Hyperglycemia
GI ulceration
