OSCE OSCE Pharmacology and Medication Administration 5

Question 1

A patient is given IV morphine and develops pinpoint pupils, respiratory rate of 6 breaths/min, and decreased consciousness. What is the immediate treatment?

Accepted Answer

Naloxone 0.4–2 mg IV/IM

Answer

Supportive oxygen via nasal cannula

Answer

Flumazenil 0.2 mg IV

Answer

Activated charcoal via NG tube

Question 2

Which medication requires administration through a filter needle when drawing from an ampule?

Accepted Answer

Glass ampule medications

Answer

Normal saline

Answer

Insulin

Answer

Heparin from multi-dose vials

Question 3

A nurse is preparing to give oral medications to a patient with dysphagia. Which action is most appropriate?

Accepted Answer

Assess swallowing ability and consult pharmacy before crushing

Answer

Crush all tablets and mix with water

Answer

Dissolve medications in juice for palatability

Answer

Administer medications rapidly to prevent aspiration

Question 4

A child weighing 20 kg is prescribed amoxicillin 40 mg/kg/day divided every 8 hours. What is the correct dose per administration?

Accepted Answer

267 mg

Answer

133 mg

Answer

400 mg

Answer

800 mg

Question 5

Which statement about transdermal drug patches is correct?

Accepted Answer

Old patch must be removed before applying a new one

Answer

Apply new patch on top of the old one for continuous dosing

Answer

Apply patches only to hairy skin for better adhesion

Answer

Cut patches to adjust the dose as needed

Question 6

A patient is receiving vancomycin IV and develops flushing, erythema, and hypotension during the infusion. What is the most likely cause?

Accepted Answer

Red Man Syndrome from rapid infusion

Answer

Anaphylactic allergic reaction

Answer

Vancomycin-induced nephrotoxicity

Answer

Septic phlebitis at the IV site

Question 7

When performing medication reconciliation on hospital admission, what is the primary goal?

Accepted Answer

Compare home medication list with ordered medications to identify discrepancies

Answer

Automatically discontinue all home medications

Answer

Reduce the total number of medications prescribed

Answer

Ensure all medications are covered by insurance