LVN Medication Administration 5

Question 1

A patient taking an MAOI (monoamine oxidase inhibitor) asks if they can eat aged cheese. The LVN should advise:

Accepted Answer

Avoid aged cheese because tyramine in it can cause a hypertensive crisis

Answer

Aged cheese is safe and has no interaction with MAOIs

Answer

Aged cheese will decrease the drug's effectiveness only

Answer

Aged cheese is fine in small amounts

Question 2

After administering a new antibiotic, the LVN observes the patient develop hives, facial swelling, and wheezing. The priority action is:

Accepted Answer

Stop the antibiotic immediately, call for help, and prepare to administer epinephrine

Answer

Document the reaction and reassess in 30 minutes

Answer

Slow the infusion rate and continue monitoring

Answer

Administer an antihistamine and continue the infusion

Question 3

Which documentation entry is correct after administering a medication?

Accepted Answer

Document immediately after administration, including time, dose, route, and patient response

Answer

Document the medication before administration to save time

Answer

Documentation is optional if no adverse effects occurred

Answer

Document only if the patient refused the medication

Question 4

A patient refuses their scheduled medication. The LVN's best response is to:

Accepted Answer

Respect the refusal, document it, and notify the provider

Answer

Crush the medication and hide it in food

Answer

Insist the patient take it by explaining it is required

Answer

Discharge the patient for non-compliance

Question 5

When teaching a patient about a new prescription for iron supplements, the LVN should include which key instruction?

Accepted Answer

Stools may appear dark or tarry — this is expected and not a sign of bleeding

Answer

Take iron with milk to reduce stomach upset

Answer

Iron works best when taken with antacids

Answer

Avoid all foods containing vitamin C while taking iron

Question 6

The LVN is reviewing orders and notes a medication prescribed at 10 times the normal adult dose. The appropriate action is to:

Accepted Answer

Call the provider to clarify the order before administration

Answer

Administer the dose because the provider ordered it

Answer

Administer half the ordered dose as a compromise

Answer

Ask another nurse to administer the dose instead

Question 7

Which action should the LVN take when disposing of an unused controlled substance after partial administration?

Accepted Answer

Waste the remainder in the presence of a witness and document per facility policy

Answer

Pour it down the sink alone without documentation

Answer

Store the remaining controlled substance in a personal locker until the next dose is due

Answer

Return it to the pharmacy without documentation