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Pharmacology and Medication Safety MCQs
Nursing Professional Review: Clinical Practice and Care · Nursing · 27 practice questions
- Antidotes
- Digoxin Therapy
- Anticoagulation Monitoring
- Therapeutic Drug Monitoring
- Beta-Blockers
- Insulin Administration
- Aminoglycosides and Vancomycin
- MAOIs and Serotonin Syndrome
1. A patient on long-term warfarin therapy has an INR of 5.5 with active bleeding. Which agent should the nurse anticipate administering as the antidote?
- ACalcium gluconate
- BFlumazenil
- CVitamin K
- DProtamine sulfate
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C. Vitamin K Warfarin's antidote is vitamin K, distinct from protamine sulfate which reverses heparin.
2. A provider orders regular insulin to be given via IV push in an emergency hyperglycemic crisis. Which characteristic of regular insulin makes this route appropriate?
- AIt has the longest duration of action among insulins
- BIt is the only insulin type that can be given IV
- CIt is cloudy in appearance
- DIt must always be mixed with NPH before administration
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B. It is the only insulin type that can be given IV Regular insulin is clear and is the only insulin type approved for IV administration.
3. A nurse is preparing to mix regular insulin and NPH insulin in the same syringe for a patient. What is the correct technique?
- ADraw up equal amounts simultaneously from each vial
- BDraw up NPH only, since regular insulin cannot be mixed
- CDraw up NPH first, then regular insulin, since NPH is longer acting
- DDraw up regular (clear) insulin first, then NPH (cloudy)
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D. Draw up regular (clear) insulin first, then NPH (cloudy) The clear (regular) insulin should be drawn before the cloudy (NPH) insulin to prevent contamination of the regular insulin vial with NPH.
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