1 :

Hint : Always check respiration before giving opioids.Level of consciousness

Correct Answers:

  • Respiratory rate

Rationale :
Meperidine is an opioid analgesic that can cause respiratory depression. Assessing respiratory rate is the top priority before administration.
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2 :

Hint : Think kidneys before giving metformin.

Correct Answers:

  • Creatinine level

Rationale :
Metformin is contraindicated in clients with renal impairment due to the risk of lactic acidosis. Creatinine level helps assess kidney function.
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3 :

Hint : Rifampin = Red/orange secretions.

Correct Answers:

  • This medication can cause your urine to turn orange."

Rationale :
Rifampin can discolor body fluids (urine, tears, saliva). This is harmless but alarming if unexpected.
Distractor Analysis :

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4 :

Hint : Safety first — always report.

Correct Answers:

  • Report the incident to the nurse manager.

Rationale :
Explanation: Even if the medication wasn’t administered, near-miss errors should be reported to improve safety.
Distractor Analysis :

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5 :

Hint : Anticholinergics dry you out — even sweat.

Correct Answers:

  • Urinary incontinence

Rationale :
Oxybutynin is an anticholinergic that can impair sweating, causing heat-related complications like hyperthermia.
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6 :

Hint : Verapamil slows the heart — risky in failure.

Correct Answers:

  • History of heart failure

Rationale :
Verapamil, a calcium channel blocker, can worsen heart failure by reducing contractility.
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7 :

Hint : Always flag heart rhythm changes.

Correct Answers:

  • Bradycardia

Rationale :
Paclitaxel can cause serious cardiac issues; bradycardia should be reported immediately.
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8 :

Hint : “Cipro = check tendons!”

Correct Answers:

  • Tendon pain when walking

Rationale :
Ciprofloxacin can cause tendon rupture; pain in tendons should be immediately reported.
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9 :

Hint : Gentamicin = ear damage risk.

Correct Answers:

  • Tinnitus

Rationale :
Gentamicin is ototoxic; ringing in the ears is an early sign of toxicity.
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10 :

Hint : TPN = Total fluid load. Watch for swelling.

Correct Answers:

  • peripheral pitting Edema

Rationale :
Edema indicates fluid overload, a possible complication of TPN.
Distractor Analysis :

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Total Questions: 10

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