1 :

Hint : Think "TRAMP" – Time, Route, Amount, Medication, Patient.

Correct Answers:

  • Right route
  • Right dose
  • Right person
  • Right documentation

Rationale :
The five rights are: right patient, drug, dose, route, and time. Documentation is essential for safety, but "right to refuse" is a patient right, not part of the original five.
Distractor Analysis :

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2 :

Hint : Metoprolol = monitor lungs in asthma!

Correct Answers:

  • Wheezing

Rationale :
Beta-blockers like metoprolol can cause bronchoconstriction, especially in asthmatic patients. Wheezing indicates airway narrowing.
Distractor Analysis :

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3 :

Hint : No TPN? Use D10W to keep glucose stable.

Correct Answers:

  • Dextrose 10% in water

Rationale :
D10W prevents hypoglycemia when TPN is delayed, as it provides glucose until the new bag arrives.
Distractor Analysis :

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4 :

Hint : “Sparing” = keeps K⁺ — watch for too much!

Correct Answers:

  • Serum potassium level of 5.5 mEq/L

Rationale :
This indicates hyperkalemia (normal is 3.5–5.0), which is a dangerous adverse effect of potassium-sparing diuretics.
Distractor Analysis :

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5 :

Hint : Tolerance = “body gets used to it.”

Correct Answers:

  • Tolerance

Rationale :
Tolerance is when a patient needs a higher dose for the same effect after long-term use.
Distractor Analysis :

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6 :

Hint : Always check for allergy risks with inactive ingredients!

Correct Answers:

  • Allergy to corn

Rationale :
Some formulations of metoclopramide (Reglan) contain corn-based ingredients — serious risk if allergic.
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7 :

Hint : Flex the muscles, but feel sleepy!

Correct Answers:

  • Drowsiness

Rationale :
Cyclobenzaprine (Flexeril) is a central muscle relaxant and commonly causes sedation.
Distractor Analysis :

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8 :

Hint : Bad kidneys = lower the dose!

Correct Answers:

  • Decreasing the dose to prevent toxicity

Rationale :
Poor kidney function slows drug excretion → increased risk of accumulation and toxicity.
Distractor Analysis :

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9 :

Hint : Lorazepam + liquor = life-threatening!

Correct Answers:

  • Alcohol

Rationale :
Alcohol + benzodiazepines = CNS depression, respiratory suppression, and increased sedation risk.
Distractor Analysis :

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10 :

Hint : Albuterol = breathing improves, but watch the heart!

Correct Answers:

  • "It feels like my heart is racing."

Rationale :
Albuterol stimulates beta-2 receptors (lungs) and beta-1 (heart) at higher doses → causes tachycardia.
Distractor Analysis :

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Total Questions: 10

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