NMBI Medication Administration 2

Question 1

When administering insulin, what should a nurse check before the injection?

Accepted Answer

Blood glucose level, correct insulin type, dose, expiry date, and correct technique

Answer

Insulin administration requires multiple checks: blood glucose (to confirm need), correct insulin type (different insulins have very different actions), dose, expiry, and aseptic injection technique.

Question 2

A patient is prescribed 0.5g of a drug. The available tablets are 250mg each. How many tablets should be given?

Accepted Answer

2

Answer

0.5g = 500mg. Each tablet = 250mg. 500 ÷ 250 = 2 tablets.

Question 3

What is the most serious side effect to monitor for when a patient is receiving IV vancomycin?

Accepted Answer

Nephrotoxicity and ototoxicity

Answer

Vancomycin can cause nephrotoxicity (kidney damage) and ototoxicity (hearing damage). Regular monitoring of renal function and drug levels (therapeutic drug monitoring) is essential.

Question 4

Which class of drug requires special monitoring because it has a narrow therapeutic index?

Accepted Answer

Digoxin, warfarin, lithium

Answer

Drugs with a narrow therapeutic index (NTI) — like digoxin, warfarin, and lithium — have a very small difference between therapeutic and toxic doses. Regular blood level monitoring is essential.

Question 5

Before administering any blood product, what must a nurse complete?

Accepted Answer

Two-nurse identity check at the bedside against the prescription and blood bag label

Answer

Blood product administration requires a two-person bedside check, verifying patient identity (wristband, verbal confirmation), blood group, cross-match number, expiry date, and bag integrity.

NMBI Practice Test

NMBI Practice Test

NMBI Medication Administration 2