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

Insulin is a high-alert medication with a narrow therapeutic window; errors can cause life-threatening hypoglycemia or DKA.

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

Patient safety requires immediate assessment and notification, followed by thorough documentation and an incident report per facility protocol.

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

An INR of 4.8 is supratherapeutic and indicates a high bleeding risk; the dose should be held and the provider notified for further orders.

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

Separating LASA medications and using tall-man lettering (e.g., hydrOXYzine vs. hydrALAzine) are evidence-based strategies to reduce mix-up errors.

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

The three-check system requires verifying the medication label when removing it, when preparing it, and at the bedside before administration.

(LVN) Licensed Vocational Nurse Practice Test