1 :

Hint : 🔢 Dose ÷ strength = tablets

Correct Answers:

  • 2


Rationale :

Formula

Dose ÷ strength = tablets

🔷The prescribed dose is 0.2 mg of clonidine.

🔷 The available strength is 0.1 mg per tablet.

↪ Divide 0.2 mg ÷ 0.1 mg

👉= 2 tablets.


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2 :

Hint : 🛏️ Prevent aspiration first

Correct Answers:

  • Elevate the head of the bed.


Rationale :

🟠 Elevating the head of the bed reduces the risk of aspiration, which is a critical safety measure when administering enteral medications.

🟠 This positioning allows for proper gastric emptying and promotes medication flow through the GI tract.

🟠 It is considered a priority action in safe enteral medication administration.

🟠 Performing this step first ensures airway protection and reduces pulmonary complications.


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3 :

Hint : 💧 Apply on clean dry skin

Correct Answers:

  • "I will clean and dry the area before applying the patch."


Rationale :

🟤 Cleaning and drying the skin before applying a transdermal patch is essential to ensure optimal absorption of the medication.

🟤 Applying patches to clean skin prevents contamination or infection and improves adhesion.

🟤 Moist or oily skin can impair medication delivery or cause the patch to fall off.

🟤 This response shows the client comprehends proper application technique at home.


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4 :

Hint : ❤️ Assess client condition first

Correct Answers:

  • Check the client's vital signs.


Rationale :

🟢 The first priority in any medication error is the client’s safety, so assessing for changes in vital signs is essential.

🟢 This allows the nurse to identify early signs of adverse reactions or toxicity.

🟢 Prompt assessment guides the next clinical steps, including necessary interventions.

🟢 While reporting is important, client assessment always comes first.


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5 :

Hint : 🛏️ Verify at bedside

Correct Answers:

  • At the client's bedside before administration


Rationale :

🟣 Performing the final medication check at the bedside ensures the correct medication, dose, route, and patient.

🟣 This is the last chance to catch errors before administration, aligning with the "Three Checks" of medication safety.

🟣 It confirms safe practice by cross-verifying with the patient and MAR (medication administration record).

🟣 This action supports the "Five Rights" of medication administration.


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6 :

Hint : 🗣️ Let them explain back

Correct Answers:

  • Teach-back


Rationale :

🔻 Teach-back is an effective method to assess the client’s comprehension of instructions.

🔻 It encourages the client to repeat the information in their own words, verifying understanding.

🔻 This method helps identify gaps in knowledge and allows for further clarification.

🔻 It improves client safety and supports health literacy in medication and procedure education.


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7 :

Hint : 💊 Divide ordered by available

Correct Answers:

  • 2


Rationale :

Formula

Divide ÷ available

🔶 The prescribed dose is 650 mg of aspirin.

🔶 The available tablet strength is 325 mg.

Calculation:

🔶 Divide 650 mg ÷ 325 mg

👉= 2 tablets.


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8 :

Hint : 🧪 Avoid drug interaction

Correct Answers:

  • To prevent interaction of medication with each other


Rationale :

🔺 Flushing the feeding tube between medications prevents drug-drug interactions that could occur inside the tubing.

🔺 It ensures that each medication delivers its full therapeutic effect without mixing or clogging.

🔺 Flushing also maintains patency of the tube and prevents occlusions.

🔺 This is a critical step in safe enteral medication administration.


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9 :

Hint : 💉 Vitamin K = warfarin antidote

Correct Answers:

  • Vitamin K


Rationale :

⏹️ Vitamin K is the specific antidote for reversing the anticoagulant effects of warfarin.

⏹️ It promotes the synthesis of clotting factors that warfarin normally inhibits.

⏹️ In case of overdose, administering Vitamin K prevents bleeding complications and stabilizes coagulation.

⏹️ The nurse should always ensure availability of antidotes when high-risk medications are in use.


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10 :

Hint : 🌬️ Bronchodilation relieves asthma symptoms

Correct Answers:

  • The medication will prevent wheezing
  • The medication will decrease coughing episodes.
  • The medication will open the airways.


Rationale :

The medication will prevent wheezing

🔷 Albuterol is a beta2-adrenergic agonist that causes bronchodilation, helping to prevent and relieve wheezing in asthma.

🔷 By opening the airways, it reduces the resistance to airflow and prevents bronchospasm episodes.

🔷 This leads to improved breathing patterns and reduced audible wheezing during exacerbations.

The medication will decrease coughing episodes

🔷 Albuterol relieves airway constriction, reducing the irritation that triggers coughing.

🔷 It improves air movement and reduces bronchial spasms, leading to fewer reflexive coughs.

🔷 Cough reduction is a secondary benefit due to the improved airway clearance.

The medication will open the airways

🔷 The primary action of albuterol is to dilate bronchial smooth muscle, allowing better airflow into and out of the lungs.

🔷 It acts rapidly to reverse acute bronchoconstriction, which is common in asthma.

🔷 This mechanism improves ventilation and eases respiratory distress symptoms.


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Total Questions: 10

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