NMC CBT NMC-CBT Medicines Management and Pharmacology 2

Question 1

A patient is prescribed warfarin and starts taking ibuprofen for joint pain. What is the primary concern with this drug interaction?

Accepted Answer

Increased bleeding risk due to enhanced anticoagulant effect

Answer

NSAIDs like ibuprofen inhibit platelet function and can displace warfarin from protein binding sites, significantly increasing bleeding risk.

Question 2

When calculating a drug dose for a child weighing 18 kg who requires 5 mg/kg of amoxicillin, what is the correct dose?

Accepted Answer

90 mg

Answer

5 mg/kg × 18 kg = 90 mg is the correct calculated dose.

Question 3

A nurse discovers a medication error where a patient received double the prescribed dose of metformin. What is the FIRST priority action?

Accepted Answer

Assess the patient's current condition

Answer

Patient safety is always the first priority; assessing for signs of lactic acidosis or hypoglycemia must occur before documentation or reporting.

Question 4

Which route of administration provides the fastest onset of drug action in an emergency?

Accepted Answer

Intravenous

Answer

Intravenous administration delivers the drug directly into the bloodstream, providing the fastest onset of action.

Question 5

A patient on morphine reports severe constipation. Which medication is most appropriate to manage opioid-induced constipation?

Accepted Answer

Senna with docusate

Answer

A stimulant laxative (senna) combined with a softener (docusate) is the standard first-line treatment for opioid-induced constipation.

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test