NCLEX CRUSADE ACADEMY TEST - 7 SAFE MEDICATION ADMINISTRATION

1. In medication safety, the nurse is considered the: First prescriber. Final sentinel. Pharmacist assistant. Documentation clerk.

2. The 'Rule of Two' requires verification of: Room number and bed number. Patient name and DOB. Insurance and address. Diagnosis and allergies only.

3. A Black Box Warning indicates: Mild side effects. Routine precautions. Serious or life-threatening risks. Pediatric dosing only.

4. Medication reconciliation prevents primarily: Allergies. Drug duplication. Low potassium. IV infiltration.

5. Which is a forbidden action?. Clarifying unclear orders. Administering medications prepared by another nurse. Checking labels carefully. Using barcode scanning.

6. Unapproved abbreviations (e.g., U, IU, QD) are dangerous because they: Save time. Reduce documentation. Compromise safety. Increase efficiency.

7. Barcode scanning verifies: Drug potency. Right patient and right drug. Lab values. Insurance coverage.

8. The antidote for acetaminophen overdose is: Naloxone. Flumazenil. Acetylcysteine. Vitamin K.

9. The antidote for opioid overdose is: Atropine. Naloxone. Protamine. Digibind.

10. Lithium toxicity typically occurs at levels above: 0.5 mEq/L. 1.0 mEq/L. 1.52.0 mEq/L. 3.0 mEq/L.

11. Digoxin toxicity occurs at levels above: 1.0 ng/mL. 1.5 ng/mL. 2.0 ng/mL. 5.0 ng/mL.

12. Theophylline toxicity occurs at levels above: 10 mcg/mL. 15 mcg/mL. 20 mcg/mL. 25 mcg/mL.

13. Recognizing toxicity involves which FIRST step?. Administer antidote. Observation. Documentation. Discharge patient.

14. Drugs ending in -caine are typically: Beta blockers. Local anesthetics. Antibiotics. Diuretics.

15. Drugs ending in -olol are: Opioids. Steroids. Beta blockers. ACE inhibitors.

16. Drugs ending in -pril are: Diuretics. ACE inhibitors. Opioids. Steroids.

17. Grapefruit juice increases drug toxicity by: Enhancing elimination. Inhibiting intestinal enzymes. Increasing renal clearance. Lowering absorption.

18. Grapefruit juice should be avoided with: Penicillin. Calcium channel blockers. Insulin. Vitamin C.

19. The Safety Sentinel Checklist includes monitoring: Cosmetic effects. Lithium and digoxin levels. Patient hobbies. Bed linens.

20. The central message of safe medication administration is that safety requires: Memorization only. Speed. Vigilance. Delegation.