Review these IV Therapy, Drug Levels, Toxicity & Special Populations – Quiz 6 nursing practice questions with answer choices and explanations.
A nurse is administering IV potassium. Which action is correct?
Correct answer:
Explanation: IV potassium must be diluted and infused slowly to prevent cardiac arrest.
Which medication should never be given IV push?
Correct answer:
Explanation: IV potassium can cause fatal arrhythmias if given rapidly.
A nurse notes redness and swelling at an IV site. What is the priority action?
Correct answer:
Explanation: Signs of infiltration require stopping infusion immediately.
Which lab value indicates digoxin toxicity risk?
Correct answer:
Explanation: Low potassium increases digoxin toxicity.
Which finding indicates gentamicin toxicity?
Correct answer:
Explanation: Aminoglycosides cause ototoxicity.
A nurse should draw a trough level for vancomycin:
Correct answer:
Explanation: Trough is measured just before the next dose.
Which medication requires peak level monitoring?
Correct answer:
Explanation: Aminoglycosides require peak and trough monitoring.
Which medication is used to reverse acetaminophen toxicity?
Correct answer:
Explanation: Acetylcysteine protects the liver.
Which medication is used to reverse benzodiazepines?
Correct answer:
Explanation: Flumazenil reverses benzodiazepines.
Which medication is used to reverse opioids?
Correct answer:
Explanation: Naloxone reverses opioid effects.
Which medication is contraindicated in renal failure?
Correct answer:
Explanation: Metformin can cause lactic acidosis in renal failure.
Which medication should be used cautiously in older adults due to fall risk?
Correct answer:
Explanation: They cause sedation and increase fall risk.
Which medication is safe during pregnancy?
Correct answer:
Explanation: Insulin does not cross placenta.
Which medication is contraindicated in pregnancy?
Correct answer:
Explanation: Warfarin causes fetal bleeding.
Which medication is used to treat iron overdose?
Correct answer:
Explanation: Deferoxamine binds excess iron.
Which medication is used to treat heparin overdose?
Correct answer:
Explanation: Protamine reverses heparin.
Which medication is used to treat warfarin overdose?
Correct answer:
Explanation: Vitamin K reverses warfarin.
Which medication should be avoided in children with viral illness?
Correct answer:
Explanation: Aspirin can cause Reye’s syndrome.
Which medication may cause gray baby syndrome?
Correct answer:
Explanation: Chloramphenicol is toxic to neonates.
Which medication can cause red man syndrome?
Correct answer:
Explanation: Rapid infusion of vancomycin causes flushing.
Which medication requires slow IV administration to prevent hypotension?
Correct answer:
Explanation: Rapid infusion causes red man syndrome.
Which medication is used to treat severe hypoglycemia?
Correct answer:
Explanation: Glucagon raises blood sugar.
Which medication should be held before surgery due to bleeding risk?
Correct answer:
Explanation: Anticoagulants increase surgical bleeding.
Which medication requires monitoring for QT prolongation?
Correct answer:
Explanation: Macrolides can cause arrhythmias.
Which medication requires avoiding sun exposure?
Correct answer:
Explanation: Tetracycline causes photosensitivity.
Which medication is used for emergency cardiac arrest?
Correct answer:
Explanation: Epinephrine is used in resuscitation.
Which medication requires monitoring for pulmonary toxicity?
Correct answer:
Explanation: Amiodarone can cause lung damage.
Which medication causes blue-green vision?
Correct answer:
Explanation: Visual halos indicate digoxin toxicity.
Which medication requires monitoring for bradycardia?
Correct answer:
Explanation: Beta blockers slow heart rate.
Which medication can cause gynecomastia?
Correct answer:
Explanation: Spironolactone affects hormone levels.