NMBI Medication Administration 3

Question 1

Which medication must never be stopped abruptly without medical guidance?

Accepted Answer

Long-term corticosteroids (e.g., prednisolone)

Answer

Long-term corticosteroid use suppresses the body's natural cortisol production (HPA axis suppression). Abrupt withdrawal can cause adrenal crisis. Doses must be tapered under medical supervision.

Question 2

A nurse is preparing a subcutaneous injection. What needle gauge and length is typically used?

Accepted Answer

25–27 gauge, 16mm length

Answer

Subcutaneous injections are given into the fat layer just below the skin. A fine gauge (25–27G) short needle (16mm) is appropriate. Larger, longer needles would penetrate into muscle.

Question 3

What does 'stat' mean on a medication chart?

Accepted Answer

Give immediately, as a one-off dose

Answer

'Stat' (from Latin 'statim' = immediately) means the dose should be given immediately as a one-time dose, not repeated unless prescribed again.

Question 4

A nurse questions a prescribed dose that appears unusually high. What should she do?

Accepted Answer

Contact the prescriber to clarify before administering

Answer

Nurses have a professional and legal duty to question prescriptions they believe may be unsafe. The prescriber must be contacted before administration. Administering a potentially dangerous dose is not safe practice.

Question 5

Which of the following is a contraindication to ibuprofen?

Accepted Answer

Active peptic ulcer disease

Answer

Ibuprofen (an NSAID) is contraindicated in active peptic ulcer disease because it inhibits prostaglandins that protect the gastric mucosa, worsening or causing gastric bleeding.

NMBI Practice Test

NMBI Practice Test

NMBI Medication Administration 3