NCAS Pharmacology and Medication Administration 3

Question 1

A nurse is providing discharge medication teaching to a patient with heart failure. Which instruction is most critical for medication safety at home?

Accepted Answer

Never stop a prescribed medication without consulting the provider first

Answer

Store all medications in the bathroom for easy access

Answer

Share leftover antibiotics with family who have similar symptoms

Answer

Double the dose if symptoms worsen before the next scheduled dose

Question 2

Which pharmacokinetic process refers to the biotransformation of a drug into active or inactive metabolites?

Accepted Answer

Metabolism

Answer

Absorption

Answer

Distribution

Answer

Excretion

Question 3

A patient is prescribed lithium carbonate for bipolar disorder. Which monitoring parameters are most critical due to this medication's narrow therapeutic index?

Accepted Answer

Serum lithium levels and renal function tests

Answer

Liver function tests and serum bilirubin

Answer

Complete blood count and hemoglobin levels

Answer

Thyroid-stimulating hormone and lipid panel

Question 4

Which antihypertensive medication class is considered first-line therapy for patients with both hypertension and type 2 diabetes due to its additional renal protective effects?

Accepted Answer

ACE inhibitors

Answer

Beta-blockers

Answer

Loop diuretics

Answer

Non-dihydropyridine calcium channel blockers

Question 5

While preparing a sterile injection using aseptic technique, the nurse accidentally touches the needle against a non-sterile surface. What is the correct action?

Accepted Answer

Discard the contaminated needle and obtain a new sterile one

Answer

Wipe the needle with a 70% alcohol swab and proceed with the injection

Answer

Document the contamination in the medical record and continue

Answer

Rinse the needle under sterile water before use

Question 6

A nurse is administering a course of gentamicin, an aminoglycoside antibiotic. Which two serious adverse effects require close monitoring throughout therapy?

Accepted Answer

Nephrotoxicity and ototoxicity

Answer

Hepatotoxicity and pancreatitis

Answer

Pulmonary fibrosis and pneumonitis

Answer

Bone marrow suppression and agranulocytosis

Question 7

Which of the following correctly identifies the five rights of medication administration that nurses must verify before giving any medication?

Accepted Answer

Right patient, right drug, right dose, right route, right time

Answer

Right drug, right patient, right time, right amount, right site

Answer

Right nurse, right patient, right drug, right route, right documentation

Answer

Right patient, right time, right diagnosis, right drug, right dose