LVN Medication Administration 4

Question 1

Which of the following is considered a high-alert medication requiring extra verification steps before administration?

Accepted Answer

Insulin

Answer

Acetaminophen (Tylenol)

Answer

Docusate sodium (Colace)

Answer

Famotidine (Pepcid)

Question 2

The LVN discovers a medication error after the drug has been given. The correct sequence of actions is:

Accepted Answer

Assess the patient, notify the charge nurse and provider, document per facility policy, and complete an incident report

Answer

Document the error in the patient chart and say nothing until the next shift

Answer

Administer an antidote immediately without notifying anyone

Answer

Do nothing if the patient appears fine

Question 3

A patient's MAR shows warfarin 5 mg PO daily. The patient's INR today is 4.8. The LVN should:

Accepted Answer

Hold the dose and notify the provider

Answer

Administer the dose as ordered

Answer

Administer half the dose

Answer

Double the dose to compensate

Question 4

Which statement about look-alike/sound-alike (LASA) medications is correct?

Accepted Answer

LASA medications should be stored separately and labeled with tall-man lettering to reduce errors

Answer

LASA medications are always stored together for convenience

Answer

LASA medications are only a concern in pediatric settings

Answer

LASA medication errors are rare and not a significant safety concern

Question 5

Before drawing up insulin from a vial, the LVN should check the label at which points?

Accepted Answer

When removing from storage, when drawing up, and at the bedside before administration

Answer

Only when removing the vial from the refrigerator

Answer

Only at the bedside immediately before giving it

Answer

Once at the start of the shift for all medications

Question 6

A patient reports they take St. John's Wort daily. The LVN should alert the provider because this herbal supplement can interact with which class of medications by reducing their effectiveness?

Accepted Answer

Anticoagulants and many prescription drugs metabolized by CYP450 enzymes

Answer

Antacids

Answer

Topical corticosteroids

Answer

Calcium supplements

Question 7

The nurse is administering potassium chloride (KCl) intravenously. The correct practice is to:

Accepted Answer

Administer it as a diluted solution via controlled infusion pump, never undiluted IV push

Answer

Give it as a rapid IV push to ensure complete delivery

Answer

Mix it with normal saline in a syringe and push over 2 minutes

Answer

Administer undiluted only in emergencies