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

Naloxone rapidly reverses opioid-induced respiratory depression and is the antidote of choice for opioid overdose.

Question 2

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

Accepted Answer

Glass ampule medications

Answer

Glass ampule medications should be drawn up with a filter needle (5-micron) to remove potential glass shards before switching to a regular needle for injection.

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

Not all tablets can be safely crushed (e.g., extended-release, enteric-coated); pharmacy must be consulted and swallowing assessed before crushing any oral medication.

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

40 mg/kg/day × 20 kg = 800 mg/day ÷ 3 doses = 267 mg per dose every 8 hours.

Question 5

Which statement about transdermal drug patches is correct?

Accepted Answer

Old patch must be removed before applying a new one

Answer

The old transdermal patch must always be removed before applying a new one to prevent dose stacking and toxicity.

OSCE Practice Test

OSCE Practice Test

OSCE OSCE Pharmacology and Medication Administration 5