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1
Q

What is the medical term for when a patient’s BSL is above normal range

A

Hyperglycaemia

2
Q

What is the branch of pharmacology concerned with the effects of drugs and their mechanism of action?

A

Pharmacodynamics

3
Q

The INR blood test is taken before the prescription of which medication

A

Warfarin

4
Q

What 3 actions does the RN engage in during the administration phase of the medication management cycle

A

review of medication order, distribution, issue medication

5
Q

What does pharmacokinetic mean

A

the movement of medication, into, through and out the body

6
Q

the movement of medication, into, through and out the body

A

phlebitis

7
Q

Which route is enoxaparin administered via

A

Subcut

8
Q

Insulin infusions use what type of insulin

A

Short acting

9
Q

Why is a person with DM taught to rotate the insulin administration site

A

Prevent lipohypertrophy

10
Q

If a RN makes an error they must

A

assess the patient and report the error

11
Q

Which of the following would be considered a dispensing error of medications

A

patient given the wrong medication

12
Q

What is an advantage of the electronic medication management system

A

eliminates medication errors due to handwriting

13
Q

What is a factor that increases risk of medication error

A

heavy workload

14
Q

The antidote for warfarin overdose is

A

Vitamin K

15
Q

What medication requires an APTT blood test

A

Heparin

16
Q

Who is able to press the administration button on the PCA

A

The patient only

17
Q

What is the maximum oxygen flow delivery rate recommended for Nasal Prongs

A

4 L/min

18
Q

What position should a patient be in when administering a nebuliser medication

A

High fowler’s

19
Q

In what situation can an RN administer oxygen to a patient without doctor’s order

A

Emergency or emergent situations

20
Q

Adverse drug events are

A

Drug reaction to medication

21
Q

Which drug may cause ototoxicity if serum levels rise above normal?

A

Gentamycin

22
Q

Warfarin is a drug given to people to prevent stroke because

A

reduces risk of embolic event

23
Q

What medication is used to treat pulmonary oedema?

A

Diuretics

24
Q

What is the main cause of fluid volume excess

A

Congestive Heart Failure

25
Q

What is the normal blood level for potassium?

A

3.5 - 5.5 mmol/L

26
Q

Which of the following is an example an isotonic solution

A

0.9% Sodium Chloride

27
Q

Which medication are registered nurses able to give during a cardiac arrest

A

Adrenaline

28
Q

What does VTE stand for

A

Venous thromboembolism

29
Q

What is the definition of half life in relation to medications?

A

the rate it takes for the active drug to reduce by 50% in the plasma

30
Q

What is the mode of action of Salbutamol

A

selective Beta 2-receptor agonist

31
Q

Which of the following is the definitive diagnosis used for diabetes mellitus

A

Glycosylated haemoglobin

32
Q

Which of the following is a colloid?

A

Albumin

33
Q

What is a cause of fluid volume deficit

A

Polyuria

34
Q
Factors that increase risk of medication errors by individuals include:
Polypharmacy
Workload
Experience
All of the answers are correct
A

All of the answers are correct

35
Q

How is the starting dose of the heparin infusion worked out?

A

It is worked out based on the weight of the patient

36
Q

What is the normal serum values of Mg?

A

0.7 -1.1 mmol/L

37
Q

What is the preferred site for administering 1 - 2 mL intramuscular injections?

A

Deltoid

38
Q

Which of the following two factors can affect the pharmocodynamics of a medication

A

physiological changes, aging

39
Q

The RN needs to check for allergies prior to medications administration because?

A

determine if the medication is safe to administer

40
Q

The movement of a medication into the body is known as?

A

Pharmacokinetics

41
Q

The 3 identifiers that RN must use to determine the identity of a patient are:

A

UR number, date of birth, first and last name

42
Q

Which of the following is a hypertonic solution?

A

10% Dextrose

43
Q

You are a RN working on the ward another RN smells of alcohol and is administering medications

A

notify the nurse unit manager or team leader

44
Q

What colour is used in Australia for cytotoxic precautions?

A

Purple

45
Q

Which of the following is a local anaesthetic?

A

Lignocaine

46
Q

Which is the normal dose of adrenaline during a cardiac arrest?

A

1 mg or 1mL of 1 : 1,000

47
Q

Which of the following routes is considered parenteral?

A

Intraosseous

48
Q

Why is it important to label your medication devices, fluid bags and lines?

A

all other answers are correct

49
Q

What resource do you use to determine IV medication requirements?

A

Australian Injectable Drug Handbook

50
Q

How do you check the patency of an IV cannula before you give the medication?

A

Flush the IVC with 0.9% NaCl

51
Q

What type of medication is a S3 drug?

A

Pharmacist only

52
Q

Which of the following medications is used as a bronchodilator?

A

Salbutamol

53
Q

The period of time that a patient cannot have another dose from their PCA is called the?

A

Lockout

54
Q

The position to place a patient when administering suppositories is?

A

on the left lateral position with leg flexed

55
Q

What does distribution in regards to medication mean?

A

transport of drug from site of absorption to site of action

56
Q

What does sublingual mean?

A

placed under the tongue

57
Q

What is the best time of the day for a diabetic patient to have surgery?

A

Morning

58
Q
Which of the following drugs are not an analgesic?
Codeine
Pethidine
Ibuprofen
Anginine
A

Anginine

59
Q
Which of the following drugs is NOT an opioid?
Morphine
Endone
Paracetamol
Fentanyl
A

Paracetamol

60
Q

The mode of action of NSAID is?

A

bind to cyclo-oxyenase and inhibits prostaglandin

61
Q

The mode of action of opioids?

A

acts as agonist on opioid receptors in CNS

62
Q
Which of the following is an adverse drug reaction to opioids?
nausea and vomiting
respiratory depression
constipation
all of the other answers are correct
A

all of the other answers are correct

63
Q

For the medication order to be valid it must have:
Route, drug, dose, frequency
Brand name, route, dose, frequency
Drug, route, dose, time
Generic drug name, route, frequency, dose, doctors signature

A

Generic drug name, route, frequency, dose, doctors signature

64
Q

One system factor that contributes to medication errors:
Facilities using untrained staff to administer medications
Crushing medications that should not be crushed
Not checking rights of administration
Knowledge deficits of medicines administered

A

Facilities using untrained staff to administer medications

65
Q

The use of medications for end stage of life is aimed at?

A

Improve quality of life

66
Q

The term hypernatremia refers to?

A

High levels of sodium in the blood

67
Q

What is the appropriate treatment for hyperkalaemia?

A

Diuretics

68
Q
Which of the following is a schedule 2 medication?
Fentanyl
Paracetamol
Diazepam
Temazepam
A

Paracetamol

69
Q
Which medication is ordered if the patient has constipation?
Senekot
Lomotil
Metoclopramide
Buscopan
A

Senekot

70
Q
What is a contraindication for the medication heparin?
Ischaemic stroke
Haemorrhagic stroke
Myocardial infarction
DVT
A

Haemorrhagic stroke

71
Q
Which of the following is a general anaesthetic?
Morphine
Lignocaine
Dexamethasone
Propofol
A

Propofol

72
Q

The doctor has prescribed penicillin for a patient with an allergy what should the nurse do?

A

withhold the medication and report to doctor

73
Q
When calculating medication doses for children, what is important?
Height of the child
Weight of the child
Age of the child
The ability of the child to communicate
A

Weight of the child

74
Q
Which of the following is considered a non parenteral route?
Oral
Intravenous
Intramuscular
Intraosseous
A

oral

75
Q
Document to complete for patient vital signs?
IV fluid order
NIMC
QADDs
FBC
A

QADDs

76
Q
Which of the following is a sign of an infection at an IV site?
pain
Redness
Itchy
Dizzyness
A

Redness

77
Q

What is the time frame for a paper based telephone order to be signed by the doctor?

A

Within 24 hours

78
Q

The advantage of using a Nikki T syringe driver is?
the patient has increased control over when they deliver a dose of drug
increase safety for the patient as the nurse does not check the infusion
more peaks and troughs in pain thresholds
continuous pain control

A

continuous pain control

79
Q
Enoxaparin is used for?
Respiratory depression
VTE prophylactic
Antidote to Warfarin
Dehydration
A

VTE prophylactic

80
Q

A patient has presented with asthma which drug do you expect the doctor to order?

A

Nebulised salbutamol

81
Q

MDI stands for?

A

Metered dose inhaler

82
Q
Which of the following is not an acceptable abbreviation for medications?
mane
nocte
IM
SC
A

SC

83
Q
Which of the following medications relaxes the vascular smooth muscles of the body? 
Glyceryl trinitrate
Metformin
Enoxaparin
Gentamicin
A

Glyceryl trinitrate

84
Q
Heparin is given to people after a myocardial infarction because?
It increases the risk for bleeding
Prevents the formation of clots
Thins the blood
Helps the blood form clots
A

Prevents the formation of clots