Medical Knowledge Clinical Procedures 2 — Questions and Answers
Question 1: What are the 'five rights' of medication administration?
- Right patient, drug, dose, route, time (Correct answer)
- Right patient, drug, dose, nurse, chart
- Right medication, patient, family, chart, side
- Right drug, day, ward, hospital, name
Correct answer: Right patient, drug, dose, route, time
The five rights of medication administration are: right patient, right drug, right dose, right route, and right time.
Question 2: How is oxygen saturation measured non-invasively at the bedside?
- Arterial blood gas sampling
- Pulse oximetry (Correct answer)
- Capnography
- Spirometry
Correct answer: Pulse oximetry
Pulse oximetry uses light absorption differences between oxygenated and deoxygenated hemoglobin to estimate arterial oxygen saturation (SpO2).
Question 3: What does the SAMPLE mnemonic stand for in patient history taking?
- Signs, Allergies, Medications, Problems, Last meal, Events
- Signs, Assessment, Mechanism, Pain, Labs, Exam
- Symptoms, Allergies, Medications, Pertinent history, Last oral intake, Events (Correct answer)
- Situation, Allergies, Medications, Past history, Latest vitals, Events
Correct answer: Symptoms, Allergies, Medications, Pertinent history, Last oral intake, Events
SAMPLE stands for Symptoms, Allergies, Medications, Pertinent past history, Last oral intake, and Events leading to the complaint.
Question 4: What is the correct angle for a subcutaneous injection?
- 90 degrees always
- 45–90 degrees depending on tissue depth (Correct answer)
- 15 degrees
- 30 degrees
Correct answer: 45–90 degrees depending on tissue depth
Subcutaneous injections are typically given at 45 degrees in lean patients or 90 degrees when adequate subcutaneous tissue is present.
Question 5: What is the Glasgow Coma Scale (GCS) used to assess?
- Pain level using a numeric scale
- Neurological function and level of consciousness (Correct answer)
- Respiratory effort and oxygenation
- Cardiac output and hemodynamic status
Correct answer: Neurological function and level of consciousness
The GCS assesses level of consciousness based on eye opening, verbal response, and motor response, with total scores ranging from 3 to 15.
Question 6: What is the purpose of culturing a wound swab?
- Measure wound depth and dimensions
- Identify infecting microorganisms and their antibiotic sensitivities (Correct answer)
- Check for occult bleeding
- Assess tissue oxygenation and viability
Correct answer: Identify infecting microorganisms and their antibiotic sensitivities
Wound cultures identify the specific bacteria causing infection and guide targeted antibiotic therapy through sensitivity testing.
What are the 'five rights' of medication administration?