Free Practice Quiz Question List

1 High-Alert Medication Safety Fundamentals Online Quiz Questions

Use this free practice quiz with 20 questions to review 1 High-Alert Medication Safety Fundamentals, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: Medication errors involving high-alert medications are not necessarily more frequent, but their consequences may be more severe.

A
True
B
False

Written response

1 point

Which medication class is named as an example of a high-alert medication?

True or false

1 point

True or false: Every care setting uses exactly the same high-alert medication list and safeguards.

A
True
B
False

Written response

1 point

Which medication may be included in an opioid-rescue protocol when indicated?

Fill in the blank

1 point

Document care and findings accurately in the health record; use the separately according to policy.

Fill in the blank

1 point

When a nurse discovers that a patient received more medication than ordered, the first priority is to .

Choose one

1 point

An insulin order specifies “10 units” but does not identify the insulin or route. What should the nurse do?

A
Administer the insulin the patient usually receives.
B
Ask another nurse to guess which insulin was intended.
C
Hold the dose and clarify the medication and route with the prescriber or pharmacist.
D
Give the dose after checking the patient’s blood glucose.

Choose one

1 point

A prescriber requests concentrated potassium chloride (KCl) by IV push. What is the safest response?

A
Administer it slowly through a central line.
B
Dilute it at the bedside and give it by IV push.
C
Do not administer it by IV push; stop and urgently clarify the order through the appropriate clinical chain.
D
Ask the patient whether they have received it this way before.

Choose one

1 point

A patient receiving an anticoagulant has new bleeding from an IV site and reports feeling faint. What is the priority nursing response?

A
Continue the medication and reassess at the next scheduled vital-sign check.
B
Assess the patient promptly, follow the relevant hold or escalation protocol, and notify the appropriate clinician.
C
Give the next dose early to maintain therapeutic effect.
D
Document the findings but wait to notify anyone unless bleeding worsens.

Choose one

1 point

After receiving an opioid, a patient becomes difficult to rouse and has slow, shallow breathing. What should the nurse do?

A
Leave the patient to obtain the next scheduled dose.
B
Promptly assess and support the patient, activate emergency assistance as indicated, and follow the opioid-rescue protocol.
C
Wait for the patient to wake before reporting the change.
D
Document the finding and reassess in an hour.

Choose one

1 point

Before an antineoplastic medication is administered, its patient, dose, and route do not match the verified treatment plan. What is the safest action?

A
Administer it if the medication name is correct.
B
Pause and do not administer until the discrepancy is resolved with the appropriate oncology and pharmacy team; follow required hazardous-drug precautions.
C
Change the label to match the treatment plan.
D
Ask the patient to decide which route is correct.

Choose all

1 point

Which storage and selection practices can help reduce the chance of choosing the wrong high-alert medication? Select all that apply.

A
Secure high-risk products according to facility policy.
B
Segregate products or concentrations where policy specifies.
C
Keep labels visible.
D
Select the exact product and strength.
E
Remove labels from similar-looking products to reduce clutter.

Choose all

1 point

A facility requires an independent double-check for a high-alert infusion. Which actions are consistent with that requirement? Select all that apply.

A
The second nurse independently verifies the patient and medication.
B
The second nurse independently verifies the dose and concentration.
C
The second nurse independently checks the calculation and route.
D
The second nurse independently checks the pump settings and line.
E
The second nurse signs after the infusion has started.

Open ended

1 point

A nurse preparing an antineoplastic medication finds that the patient, dose, and route on its label do not match the verified treatment plan. Explain what the nurse should do before administration and how the nurse should address occupational exposure risk.

True or false

1 point

True or false: After naloxone is given for suspected opioid-induced respiratory depression, continued monitoring may still be needed because its reversal may not last.

A
True
B
False

Choose one

1 point

Which storage practice best reduces the chance of selecting the wrong high-alert medication?

A
Store every concentration together for convenience.
B
Use any unlocked storage location as long as staff can see the medications.
C
Follow policy to secure and, where specified, segregate high-risk products or concentrations; keep labels visible and select the exact product and strength.
D
Remove labels from similar-looking products to reduce visual clutter.

Written response

1 point

An insulin order says “10 units” but does not identify the insulin or route. What action must be taken before administering a dose?

Written response

1 point

After receiving an opioid, a patient is difficult to rouse and has slow, shallow breathing. Which medication may be included in the opioid-rescue protocol when indicated?

Choose one

1 point

Before administering an antineoplastic medication, you find that the patient, dose, and route on the product label do not match the verified treatment plan. What should you do?

A
Administer it if the medication name is correct.
B
Pause; do not administer until the discrepancy is resolved with the appropriate oncology and pharmacy team, and follow required hazardous-drug handling precautions.
C
Change the label to match the treatment plan.
D
Ask the patient to decide which route is correct.

Choose one

1 point

You realize that a patient received more medication than the order specified. What is the best initial response?

A
Wait to see whether symptoms develop before telling anyone.
B
Promptly assess the patient, take immediate safety actions, notify the appropriate clinician and pharmacist, and follow monitoring and reporting procedures.
C
Alter the medication record so it matches the order.
D
File an incident report instead of providing patient care.