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Clinical Application, Priority Actions & Medication Safety – Quiz 4

Question 1 of 60

A nurse is preparing to administer digoxin. Which finding requires holding the medication?

Select one answer.

Review all questions in this quiz

Clinical Application, Priority Actions & Medication Safety – Quiz 4 Practice Questions

Review these Clinical Application, Priority Actions & Medication Safety – Quiz 4 nursing practice questions with answer choices and explanations.

Question 1

A nurse is preparing to administer digoxin. Which finding requires holding the medication?

  1. Heart rate of 58/min
  2. Blood pressure 130/80 mmHg
  3. Respiratory rate 18/min
  4. Temperature 37°C
View answer and explanation

Correct answer:

  1. Heart rate of 58/min

Explanation: Digoxin should be held if heart rate is below 60/min due to risk of bradycardia.

Question 2

A nurse is administering insulin. Which action is most important?

  1. Check blood glucose
  2. Check blood pressure
  3. Check temperature
  4. Check weight
View answer and explanation

Correct answer:

  1. Check blood glucose

Explanation: Blood glucose must be checked before insulin to avoid hypoglycemia.

Question 3

Which medication should be given before meals?

  1. Omeprazole
  2. Ibuprofen
  3. Aspirin
  4. Metformin
View answer and explanation

Correct answer:

  1. Omeprazole

Explanation: Omeprazole is taken before meals for maximum effect.

Question 4

Which medication should be taken with food?

  1. Levothyroxine
  2. NSAIDs
  3. Omeprazole
  4. Iron
View answer and explanation

Correct answer:

  1. NSAIDs

Explanation: NSAIDs should be taken with food to prevent gastric irritation.

Question 5

A nurse should question which prescription for a client with asthma?

  1. Albuterol
  2. Prednisone
  3. Propranolol
  4. Montelukast
View answer and explanation

Correct answer:

  1. Propranolol

Explanation: Beta blockers can cause bronchospasm in asthma.

Question 6

A nurse should monitor for which adverse effect of opioids?

  1. Diarrhea
  2. Respiratory depression
  3. Hypertension
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Respiratory depression

Explanation: Respiratory depression is the most serious opioid adverse effect.

Question 7

Which finding indicates warfarin is effective?

  1. Normal WBC
  2. Elevated INR
  3. Low glucose
  4. Normal sodium
View answer and explanation

Correct answer:

  1. Elevated INR

Explanation: Warfarin effectiveness is measured by INR.

Question 8

A nurse should monitor which value for a client taking heparin?

  1. INR
  2. aPTT
  3. Platelets
  4. Hemoglobin
View answer and explanation

Correct answer:

  1. aPTT

Explanation: Heparin therapy is monitored using aPTT.

Question 9

Which medication should be given sublingually?

  1. Nitroglycerin
  2. Aspirin
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Nitroglycerin

Explanation: Nitroglycerin is given sublingually for rapid effect.

Question 10

A nurse should monitor for which adverse effect of ACE inhibitors?

  1. Dry cough
  2. Diarrhea
  3. Tachycardia
  4. Fever
View answer and explanation

Correct answer:

  1. Dry cough

Explanation: ACE inhibitors commonly cause a dry cough.

Question 11

Which medication requires monitoring for hypokalemia?

  1. Spironolactone
  2. Furosemide
  3. Lisinopril
  4. Losartan
View answer and explanation

Correct answer:

  1. Furosemide

Explanation: Loop diuretics cause potassium loss.

Question 12

Which medication requires monitoring for hyperkalemia?

  1. Furosemide
  2. Spironolactone
  3. Hydrochlorothiazide
  4. Mannitol
View answer and explanation

Correct answer:

  1. Spironolactone

Explanation: Potassium-sparing diuretics increase potassium.

Question 13

A nurse should instruct a client taking levothyroxine to:

  1. Take at night
  2. Take with food
  3. Take in the morning on empty stomach
  4. Take only when needed
View answer and explanation

Correct answer:

  1. Take in the morning on empty stomach

Explanation: Levothyroxine is taken in the morning before meals.

Question 14

Which medication requires monitoring for bleeding?

  1. Metformin
  2. Warfarin
  3. Insulin
  4. Omeprazole
View answer and explanation

Correct answer:

  1. Warfarin

Explanation: Warfarin increases bleeding risk.

Question 15

Which medication requires monitoring for respiratory depression?

  1. Morphine
  2. Aspirin
  3. Metformin
  4. Omeprazole
View answer and explanation

Correct answer:

  1. Morphine

Explanation: Opioids suppress breathing.

Question 16

Which medication is used for emergency treatment of asthma attack?

  1. Salmeterol
  2. Albuterol
  3. Montelukast
  4. Beclomethasone
View answer and explanation

Correct answer:

  1. Albuterol

Explanation: Albuterol is a rescue bronchodilator.

Question 17

Which medication is used for long-term asthma control?

  1. Albuterol
  2. Salmeterol
  3. Epinephrine
  4. Oxygen
View answer and explanation

Correct answer:

  1. Salmeterol

Explanation: Salmeterol is a long-acting bronchodilator.

Question 18

A nurse should monitor for which adverse effect of insulin?

  1. Hyperglycemia
  2. Hypoglycemia
  3. Hypertension
  4. Hyperkalemia
View answer and explanation

Correct answer:

  1. Hypoglycemia

Explanation: Insulin lowers blood glucose.

Question 19

Which symptom indicates hypoglycemia?

  1. Dry skin
  2. Sweating
  3. Polyuria
  4. Polydipsia
View answer and explanation

Correct answer:

  1. Sweating

Explanation: Sweating is a key sign of hypoglycemia.

Question 20

Which medication is used to treat hypoglycemia?

  1. Insulin
  2. Glucagon
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Glucagon

Explanation: Glucagon raises blood sugar.

Question 21

Which medication should not be given with alcohol?

  1. Metformin
  2. Acetaminophen
  3. Insulin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Acetaminophen

Explanation: Alcohol increases liver toxicity with acetaminophen.

Question 22

Which medication may cause drowsiness?

  1. Antihistamines
  2. Antibiotics
  3. Insulin
  4. Diuretics
View answer and explanation

Correct answer:

  1. Antihistamines

Explanation: Antihistamines commonly cause sedation.

Question 23

Which medication requires avoiding grapefruit juice?

  1. Simvastatin
  2. Insulin
  3. Metformin
  4. Aspirin
View answer and explanation

Correct answer:

  1. Simvastatin

Explanation: Grapefruit increases statin levels.

Question 24

Which medication requires monitoring for muscle pain?

  1. Simvastatin
  2. Metformin
  3. Insulin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Simvastatin

Explanation: Statins can cause muscle damage.

Question 25

Which medication is used to treat anaphylaxis?

  1. Epinephrine
  2. Warfarin
  3. Insulin
  4. Metformin
View answer and explanation

Correct answer:

  1. Epinephrine

Explanation: Epinephrine is first-line treatment.

Question 26

Which medication is used to treat hypertension?

  1. Lisinopril
  2. Insulin
  3. Metformin
  4. Omeprazole
View answer and explanation

Correct answer:

  1. Lisinopril

Explanation: ACE inhibitors lower blood pressure.

Question 27

Which medication requires monitoring for cough?

  1. Lisinopril
  2. Furosemide
  3. Insulin
  4. Metformin
View answer and explanation

Correct answer:

  1. Lisinopril

Explanation: ACE inhibitors cause dry cough.

Question 28

Which medication should not be stopped abruptly?

  1. Beta blockers
  2. Antibiotics
  3. Antacids
  4. Insulin
View answer and explanation

Correct answer:

  1. Beta blockers

Explanation: Abrupt withdrawal can cause rebound hypertension.

Question 29

Which medication requires monitoring for GI bleeding?

  1. NSAIDs
  2. Insulin
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. NSAIDs

Explanation: NSAIDs irritate the stomach.

Question 30

Which medication is used for pain relief?

  1. Ibuprofen
  2. Insulin
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Ibuprofen

Explanation: Ibuprofen is an analgesic NSAID.

Question 31

A nurse is preparing to administer digoxin. Which finding requires holding the medication?

  1. Heart rate of 58/min
  2. Blood pressure 130/80 mmHg
  3. Respiratory rate 18/min
  4. Temperature 37°C
View answer and explanation

Correct answer:

  1. Heart rate of 58/min

Explanation: Digoxin should be held if heart rate is below 60/min due to risk of bradycardia.

Question 32

A nurse is administering insulin. Which action is most important?

  1. Check blood glucose
  2. Check blood pressure
  3. Check temperature
  4. Check weight
View answer and explanation

Correct answer:

  1. Check blood glucose

Explanation: Blood glucose must be checked before insulin to avoid hypoglycemia.

Question 33

Which medication should be given before meals?

  1. Omeprazole
  2. Ibuprofen
  3. Aspirin
  4. Metformin
View answer and explanation

Correct answer:

  1. Omeprazole

Explanation: Omeprazole is taken before meals for maximum effect.

Question 34

Which medication should be taken with food?

  1. Levothyroxine
  2. NSAIDs
  3. Omeprazole
  4. Iron
View answer and explanation

Correct answer:

  1. NSAIDs

Explanation: NSAIDs should be taken with food to prevent gastric irritation.

Question 35

A nurse should question which prescription for a client with asthma?

  1. Albuterol
  2. Prednisone
  3. Propranolol
  4. Montelukast
View answer and explanation

Correct answer:

  1. Propranolol

Explanation: Beta blockers can cause bronchospasm in asthma.

Question 36

A nurse should monitor for which adverse effect of opioids?

  1. Diarrhea
  2. Respiratory depression
  3. Hypertension
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Respiratory depression

Explanation: Respiratory depression is the most serious opioid adverse effect.

Question 37

Which finding indicates warfarin is effective?

  1. Normal WBC
  2. Elevated INR
  3. Low glucose
  4. Normal sodium
View answer and explanation

Correct answer:

  1. Elevated INR

Explanation: Warfarin effectiveness is measured by INR.

Question 38

A nurse should monitor which value for a client taking heparin?

  1. INR
  2. aPTT
  3. Platelets
  4. Hemoglobin
View answer and explanation

Correct answer:

  1. aPTT

Explanation: Heparin therapy is monitored using aPTT.

Question 39

Which medication should be given sublingually?

  1. Nitroglycerin
  2. Aspirin
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Nitroglycerin

Explanation: Nitroglycerin is given sublingually for rapid effect.

Question 40

A nurse should monitor for which adverse effect of ACE inhibitors?

  1. Dry cough
  2. Diarrhea
  3. Tachycardia
  4. Fever
View answer and explanation

Correct answer:

  1. Dry cough

Explanation: ACE inhibitors commonly cause a dry cough.

Question 41

Which medication requires monitoring for hypokalemia?

  1. Spironolactone
  2. Furosemide
  3. Lisinopril
  4. Losartan
View answer and explanation

Correct answer:

  1. Furosemide

Explanation: Loop diuretics cause potassium loss.

Question 42

Which medication requires monitoring for hyperkalemia?

  1. Furosemide
  2. Spironolactone
  3. Hydrochlorothiazide
  4. Mannitol
View answer and explanation

Correct answer:

  1. Spironolactone

Explanation: Potassium-sparing diuretics increase potassium.

Question 43

A nurse should instruct a client taking levothyroxine to:

  1. Take at night
  2. Take with food
  3. Take in the morning on empty stomach
  4. Take only when needed
View answer and explanation

Correct answer:

  1. Take in the morning on empty stomach

Explanation: Levothyroxine is taken in the morning before meals.

Question 44

Which medication requires monitoring for bleeding?

  1. Metformin
  2. Warfarin
  3. Insulin
  4. Omeprazole
View answer and explanation

Correct answer:

  1. Warfarin

Explanation: Warfarin increases bleeding risk.

Question 45

Which medication requires monitoring for respiratory depression?

  1. Morphine
  2. Aspirin
  3. Metformin
  4. Omeprazole
View answer and explanation

Correct answer:

  1. Morphine

Explanation: Opioids suppress breathing.

Question 46

Which medication is used for emergency treatment of asthma attack?

  1. Salmeterol
  2. Albuterol
  3. Montelukast
  4. Beclomethasone
View answer and explanation

Correct answer:

  1. Albuterol

Explanation: Albuterol is a rescue bronchodilator.

Question 47

Which medication is used for long-term asthma control?

  1. Albuterol
  2. Salmeterol
  3. Epinephrine
  4. Oxygen
View answer and explanation

Correct answer:

  1. Salmeterol

Explanation: Salmeterol is a long-acting bronchodilator.

Question 48

A nurse should monitor for which adverse effect of insulin?

  1. Hyperglycemia
  2. Hypoglycemia
  3. Hypertension
  4. Hyperkalemia
View answer and explanation

Correct answer:

  1. Hypoglycemia

Explanation: Insulin lowers blood glucose.

Question 49

Which symptom indicates hypoglycemia?

  1. Dry skin
  2. Sweating
  3. Polyuria
  4. Polydipsia
View answer and explanation

Correct answer:

  1. Sweating

Explanation: Sweating is a key sign of hypoglycemia.

Question 50

Which medication is used to treat hypoglycemia?

  1. Insulin
  2. Glucagon
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Glucagon

Explanation: Glucagon raises blood sugar.

Question 51

Which medication should not be given with alcohol?

  1. Metformin
  2. Acetaminophen
  3. Insulin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Acetaminophen

Explanation: Alcohol increases liver toxicity with acetaminophen.

Question 52

Which medication may cause drowsiness?

  1. Antihistamines
  2. Antibiotics
  3. Insulin
  4. Diuretics
View answer and explanation

Correct answer:

  1. Antihistamines

Explanation: Antihistamines commonly cause sedation.

Question 53

Which medication requires avoiding grapefruit juice?

  1. Simvastatin
  2. Insulin
  3. Metformin
  4. Aspirin
View answer and explanation

Correct answer:

  1. Simvastatin

Explanation: Grapefruit increases statin levels.

Question 54

Which medication requires monitoring for muscle pain?

  1. Simvastatin
  2. Metformin
  3. Insulin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Simvastatin

Explanation: Statins can cause muscle damage.

Question 55

Which medication is used to treat anaphylaxis?

  1. Epinephrine
  2. Warfarin
  3. Insulin
  4. Metformin
View answer and explanation

Correct answer:

  1. Epinephrine

Explanation: Epinephrine is first-line treatment.

Question 56

Which medication is used to treat hypertension?

  1. Lisinopril
  2. Insulin
  3. Metformin
  4. Omeprazole
View answer and explanation

Correct answer:

  1. Lisinopril

Explanation: ACE inhibitors lower blood pressure.

Question 57

Which medication requires monitoring for cough?

  1. Lisinopril
  2. Furosemide
  3. Insulin
  4. Metformin
View answer and explanation

Correct answer:

  1. Lisinopril

Explanation: ACE inhibitors cause dry cough.

Question 58

Which medication should not be stopped abruptly?

  1. Beta blockers
  2. Antibiotics
  3. Antacids
  4. Insulin
View answer and explanation

Correct answer:

  1. Beta blockers

Explanation: Abrupt withdrawal can cause rebound hypertension.

Question 59

Which medication requires monitoring for GI bleeding?

  1. NSAIDs
  2. Insulin
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. NSAIDs

Explanation: NSAIDs irritate the stomach.

Question 60

Which medication is used for pain relief?

  1. Ibuprofen
  2. Insulin
  3. Metformin
  4. Warfarin
View answer and explanation

Correct answer:

  1. Ibuprofen

Explanation: Ibuprofen is an analgesic NSAID.