NMC OSCE Medicine Administration

Question 1

According to NMC standards, what are the five rights of medication administration that must be verified before giving any medicine?

Accepted Answer

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

Answer

Right patient, right drug, right dose, right nurse, right documentation

Answer

Right patient, right drug, right ward, right consultant, right time

Answer

Right patient, right drug, right dose, right cost, right pharmacy

Question 2

A patient is prescribed insulin via subcutaneous injection. Which sites are appropriate for subcutaneous insulin injection and what technique should be used?

Accepted Answer

Abdomen (avoiding 5cm around the umbilicus), outer thigh, upper arm, or buttock; inject at 90 degrees into a skin fold using a short needle

Answer

Only the deltoid muscle at 90 degrees

Answer

The antecubital fossa at 45 degrees

Answer

Any site on the torso at 15 degrees

Question 3

You need to administer an intramuscular injection to an adult patient. Using the ventrogluteal site, what is the correct landmark technique?

Accepted Answer

Place the palm over the greater trochanter, the index finger on the anterior superior iliac spine, and the middle finger towards the iliac crest — inject into the V formed between the fingers

Answer

Divide the buttock into four quadrants and inject into the upper outer quadrant

Answer

Inject into the middle of the lateral thigh

Answer

Inject 2 inches below the acromion process

Question 4

A patient has a known penicillin allergy documented as anaphylaxis. The doctor prescribes co-amoxiclav (Augmentin). What should the nurse do?

Accepted Answer

Withhold the medication and immediately contact the prescriber, as co-amoxiclav contains amoxicillin which is a penicillin

Answer

Administer the medication as prescribed since co-amoxiclav is different from penicillin

Answer

Give a test dose and observe for 30 minutes

Answer

Administer with antihistamine cover

Question 5

When administering a controlled drug (Schedule 2) in a hospital setting, what specific procedure must be followed according to NMC and UK regulations?

Accepted Answer

Two registered practitioners must check, prepare, and witness administration; the entry must be recorded in the controlled drug register with both signatures

Answer

A single nurse can administer after checking with the pharmacist by phone

Answer

Only doctors can administer controlled drugs

Answer

No special procedures are needed beyond standard drug administration

Question 6

A prescription states: 'Amoxicillin 500mg TDS PO for 7 days.' How many doses should the patient receive in total?

Accepted Answer

21 doses (3 times daily for 7 days)

Answer

7 doses

Answer

14 doses

Answer

28 doses