1 :

Hint : Mixed opioids + morphine = don't mix!

Correct Answers:

  • Nalbuphine

Rationale :
Nalbuphine is a mixed opioid agonist-antagonist and can counteract morphine's effects—contraindicated with PCA morphine.
Distractor Analysis :

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2 :

Hint : Narcotics = witnessed disposal required.

Correct Answers:

  • Dispose of the remaining medication while another nurse observes.

Rationale :
Controlled substances must be wasted with a witness and documented.
Distractor Analysis :

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3 :

Hint : Nitroprusside = monitor BP closely.

Correct Answers:

  • Blood pressure

Rationale :
Nitroprusside is a potent vasodilator—titrate dose based on BP to avoid hypotension.
Distractor Analysis :

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4 :

Hint : Interferon = flu-like symptoms.

Correct Answers:

  • fever

Rationale :
Fever is a common adverse effect of interferon therapy.
Distractor Analysis :

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5 :

Hint : Atropine + glaucoma = risk!

Correct Answers:

  • Glaucoma

Rationale :
Atropine increases intraocular pressure—contraindicated in clients with glaucoma.
Distractor Analysis :

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6 :

Hint : Med timing error = incident report.

Correct Answers:

  • A client receives their insulin 1 hr before scheduled.

Rationale :
Timing of insulin is critical; early administration can lead to hypoglycemia.
Distractor Analysis :

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7 :

Hint : PRN for what? Clarify.

Correct Answers:

  • Reason

Rationale :
All prescriptions must include the indication (PRN for what?). Hint:
Distractor Analysis :

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8 :

Hint : Warfarin + bleeding = urgent.

Correct Answers:

  • Hair loss

Rationale :
Black, tarry stools indicate GI bleeding—a serious adverse effect of warfarin.
Distractor Analysis :

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9 :

Hint : Always verify with a reference.

Correct Answers:

  • Consult a drug reference guide for possible interactions.

Rationale :
Most reliable and professional resource for checking interactions.
Distractor Analysis :

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10 :

Hint : Enoxaparin = love handle shot.

Correct Answers:

  • Administer the medication into the anterolateral or posterolateral abdominal area.

Rationale :
This site is preferred for subcutaneous enoxaparin.
Distractor Analysis :

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Total Questions: 10

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