1 :

Hint : Choose non-dominant, stable, and straight veins in the forearm.

Correct Answers:

  • No dominant forearm basilica vein

Rationale :
The non-dominant forearm is preferred for comfort and reduced risk of complications; the basilic vein is commonly used due to accessibility.
Distractor Analysis :

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2 :

Hint : Digoxin = think “vision changes + bradycardia.”

Correct Answers:

  • Visual disturbances

Rationale :
Blurred vision, halos, and yellow-green vision are classic signs of digoxin toxicity.
Distractor Analysis :

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3 :

Hint : "NOW" = not STAT, but ASAP → call the pharmacy!

Correct Answers:

  • Notify the pharmacy to send the medication immediately.

Rationale :
A “NOW” order means as soon as possible, usually within 15–30 minutes, but not later than 60 minutes.
Distractor Analysis :

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4 :

Hint : Watch for ABC changes: airway, breathing, circulation = hypotension is key.

Correct Answers:

  • Hypotension

Rationale :
Hypotension may signal a systemic allergic reaction or anaphylaxis; monitor and act immediately.
Distractor Analysis :

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5 :

Hint : Metformin is first for Type 2 or prediabetes unless contraindicated.

Correct Answers:

  • Metformin

Rationale :
An HbA1c of 6% suggests prediabetes. Metformin is typically the first-line oral medication.
Distractor Analysis :

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6 :

Hint : Naloxone = emergency use only, not routine.

Correct Answers:

  • Naloxone

Rationale :
Naloxone is a reversal agent for opioids and should be PRN, not scheduled. Clarify if it's listed as a routine medication.
Distractor Analysis :

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7 :

Hint : Too much NS = too much fluid → lungs get “frothy.”

Correct Answers:

  • Pink, frothy sputum

Rationale :
Pink, frothy sputum indicates pulmonary edema, a sign of fluid volume overload.
Distractor Analysis :

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8 :

Hint : Go higher (proximal) when replacing an IV.

Correct Answers:

  • A vein proximal to the previous site

Rationale :
If restarting IV, choose a site above (proximal) to the prior insertion to avoid vein damage.
Distractor Analysis :

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9 :

Hint : Pio = puff up (fluid retention risk).

Correct Answers:

  • Fluid retention

Rationale :
Pioglitazone can cause fluid retention, worsening heart failure.
Distractor Analysis :

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10 :

Hint : Safety first — check the patient before paperwork.

Correct Answers:

  • Assess the client for adverse reactions.

Rationale :
Always assess the client first before other actions like reporting or documenting.
Distractor Analysis :

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Total Questions: 10

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