NCNZ Medication Management (NZ Regulations)

Question 1

Under the Medicines Act 1981, which schedule classification applies to prescription medicines in New Zealand?

Accepted Answer

Prescription Medicine (formerly Rx)

Answer

Controlled Drug

Answer

Restricted Medicine

Answer

General Sale Medicine

Question 2

What are the 'Five Rights' of medication administration?

Accepted Answer

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

Answer

Right patient, right drug, right dose, right nurse, right notes

Answer

Right drug, right dose, right route, right allergies, right documentation

Answer

Right patient, right drug, right route, right time, right prescriber

Question 3

A nurse is about to administer an IV medication when they notice the patient's wristband name does not match the medication chart. What should they do?

Accepted Answer

Stop and clarify the identity discrepancy before administering — do not proceed until verified

Answer

Administer the drug and report the discrepancy afterwards

Answer

Ask the patient to state their name without checking the wristband

Answer

Proceed as the doctor prescribed the medication

Question 4

Under the Misuse of Drugs Act 1975, which of the following is a legal requirement when administering a Class B controlled drug (e.g., morphine) in a hospital?

Accepted Answer

Two nurses must verify the drug, dose, and patient; the controlled drug register must be signed by both

Answer

One nurse may administer and sign the register alone

Answer

No register is required for oral opioids

Answer

Only the charge nurse may administer controlled drugs

Question 5

A patient is prescribed gentamicin IV. Which monitoring parameter is most critical for detecting early toxicity?

Accepted Answer

Renal function (serum creatinine, eGFR) and drug levels (trough/peak)

Answer

Blood glucose

Answer

Liver function tests

Answer

Thyroid function tests

Question 6

Which of the following is the correct action if a nurse suspects a patient is having an allergic reaction to a recently administered antibiotic?

Accepted Answer

Stop the antibiotic immediately, assess the patient using ABCDE, call for help, and prepare for anaphylaxis management

Answer

Continue the antibiotic at a slower rate

Answer

Administer oral antihistamine and continue the infusion

Answer

Document the reaction and complete the infusion before reporting