CPNRE Safe Medication Administration 2

Question 1

A client is prescribed metoprolol (Lopressor) 50 mg oral twice daily. The heart rate is 48 bpm before administration. What should the practical nurse do?

Accepted Answer

Hold the medication, document the heart rate, and notify the physician

Answer

Administer since it is within therapeutic range

Answer

Crush and mix in applesauce since the client has difficulty swallowing

Answer

Administer half the dose since the heart rate is low

Question 2

A client's INR result is 4.8 and they are prescribed warfarin. What should the practical nurse do?

Accepted Answer

Hold the warfarin dose and notify the physician with the INR result

Answer

Administer since it may be within therapeutic range for some conditions

Answer

Double the warfarin dose since high INR means poor anticoagulation

Answer

Administer and schedule a repeat INR in 24 hours

Question 3

A client is to receive amoxicillin (Amoxil) 500 mg. Available is amoxicillin 250 mg/5 mL oral suspension. How many mL should be administered?

Accepted Answer

10 mL

Answer

5 mL

Answer

7.5 mL

Answer

15 mL

Question 4

A client receiving IV vancomycin develops diffuse flushing, erythema, and pruritus over the face and upper body during the infusion. No dyspnea or hypotension is noted. What should the practical nurse do?

Accepted Answer

Slow the infusion rate and notify the physician, consistent with Red Man Syndrome

Answer

Stop the infusion immediately and administer epinephrine

Answer

Continue at the same rate since the reaction is not anaphylaxis

Answer

Stop the infusion permanently as the client is allergic to vancomycin

Question 5

A client is prescribed insulin glargine (Lantus) 20 units at bedtime. Which practice is incorrect?

Accepted Answer

Mixing glargine with regular insulin in the same syringe

Answer

Drawing up glargine in a separate syringe

Answer

Injecting glargine subcutaneously in the abdomen

Answer

Administering glargine at the same time each day

Question 6

Which high-alert medication requires a two-nurse independent double-check (IDC) per Canadian medication safety standards?

Accepted Answer

Concentrated electrolytes (e.g., KCl 40 mEq/100 mL IV)

Answer

Acetaminophen (Tylenol) 650 mg oral

Answer

Metformin (Glucophage) 500 mg oral

Answer

Pantoprazole (Pantoloc) 40 mg IV