NMC-CBT Medicines Management and Pharmacology Flashcards
7 cards from real NMC CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 NMC-CBT Medicines Management and Pharmacology flashcards as text
A patient is prescribed warfarin and starts taking ibuprofen for joint pain. What is the primary concern with this drug interaction?
Answer: Increased bleeding risk due to enhanced anticoagulant effect
NSAIDs like ibuprofen inhibit platelet function and can displace warfarin from protein binding sites, significantly increasing bleeding risk.
When calculating a drug dose for a child weighing 18 kg who requires 5 mg/kg of amoxicillin, what is the correct dose?
Answer: 90 mg
5 mg/kg × 18 kg = 90 mg is the correct calculated dose.
A nurse discovers a medication error where a patient received double the prescribed dose of metformin. What is the FIRST priority action?
Answer: Assess the patient's current condition
Patient safety is always the first priority; assessing for signs of lactic acidosis or hypoglycemia must occur before documentation or reporting.
Which route of administration provides the fastest onset of drug action in an emergency?
Answer: Intravenous
Intravenous administration delivers the drug directly into the bloodstream, providing the fastest onset of action.
A patient on morphine reports severe constipation. Which medication is most appropriate to manage opioid-induced constipation?
Answer: Senna with docusate
A stimulant laxative (senna) combined with a softener (docusate) is the standard first-line treatment for opioid-induced constipation.
Which of the following is an example of a Schedule 2 Controlled Drug under UK legislation?
Answer: Morphine
Morphine is a Schedule 2 Controlled Drug requiring a special register, full prescribing requirements, and witnessed destruction.
A patient has a penicillin allergy documented. The prescriber orders co-amoxiclav. What should the nurse do?
Answer: Withhold the drug and contact the prescriber immediately
Co-amoxiclav contains amoxicillin (a penicillin), so administering it to a penicillin-allergic patient is unsafe; the nurse must withhold it and contact the prescriber.