True or false: Medication toxicity can develop even when a person takes the prescribed dose, such as when kidney function declines or an interacting medicine is added.
3 Drug Toxicity and Overdose Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Drug Toxicity and Overdose, test your knowledge, and prepare for your next test or exam.
In the United States, what service can provide guidance for a suspected medication exposure when the person has no emergency signs?
After responding to a medication error, report it according to .
True or false: For high-alert medicines, use required safeguards and medication-specific monitoring rather than relying on a single symptom or laboratory value.
- A
True
- B
False
When responding to a suspected poisoning, do not .
Which medication can reverse opioid effects when it is available?
Which circumstances can increase a person's risk of medication toxicity? Select all that apply.
- A
Reduced kidney or liver function
- B
A newly added interacting medicine
- C
Taking multiple products with the same active ingredient
- D
Dehydration or another change in fluid and electrolyte balance
- E
Following the prescribed dose and monitoring plan
A stable patient taking a prescribed medicine develops new confusion and tremor, and toxicity is suspected. Which action is the best immediate first step?
- A
Wait for a laboratory result before assessing the patient.
- B
Assess airway, breathing, circulation, level of consciousness, vital signs, and relevant symptoms.
- C
Treat the new symptoms without assessing the patient's stability.
- D
Ask the patient to take the next dose so the medication's effects can be observed.
Which approaches are appropriate when caring for a patient receiving a high-alert medicine? Select all that apply.
- A
Use required safeguards for the medicine.
- B
Use medication-specific monitoring.
- C
Consider the overall assessment instead of relying on one symptom or laboratory value.
- D
Use the same monitoring approach for every medication, regardless of its risks.
- E
Skip safeguards if the patient has no symptoms.
A patient taking lithium has had vomiting and diarrhea and now has a coarse tremor, unsteady gait, and slurred speech. What is the priority response?
- A
Recommend taking the next dose with food and reassess tomorrow.
- B
Advise doubling the next dose after the gastrointestinal symptoms stop.
- C
Recognize possible lithium toxicity and obtain urgent clinical assessment.
- D
Wait for the next routine appointment because the dose was prescribed.
A patient taking digoxin develops nausea, yellow-green visual changes, and an irregular pulse as kidney function worsens. Which assessment plan should the nurse anticipate under clinical direction?
- A
A vision screening only, because the kidney change is unrelated.
- B
An ECG and relevant tests such as digoxin level, kidney function, potassium, and magnesium.
- C
A urine test only, with no further assessment unless symptoms worsen.
- D
No tests, because nausea and visual changes are expected during treatment.
A person is difficult to awaken and has slow, shallow breathing after taking an opioid. What is the most appropriate response?
- A
Let the person sleep and check again in an hour.
- B
Call 911 immediately, support breathing as trained, and give naloxone if available according to its instructions.
- C
Offer food and water, then contact the prescriber during routine office hours.
- D
Wait to see whether the person becomes easier to awaken.
A person may have taken too much acetaminophen but feels well. Explain why waiting for symptoms before seeking help is unsafe, and describe the appropriate timing of the response.
When assessing suspected digoxin toxicity, what medication-specific blood test may the clinician order?
In the United States, what telephone number should you call for Poison Control guidance about a suspected exposure when there are no emergency signs?
True or false: For a high-alert medicine, relying on a single symptom or laboratory value is an adequate substitute for required safeguards and medication-specific monitoring.
- A
True
- B
False
A patient takes two over-the-counter products and a prescribed medicine. Which finding most clearly increases the risk of toxicity?
- A
The patient uses each product only at its labeled dose.
- B
The patient takes two products that contain the same active ingredient.
- C
The patient follows the prescribed monitoring plan.
- D
The patient takes the medicines at different times of day.
A patient has taken a medication as prescribed, but their kidney function has declined. Why can this change increase the risk of toxicity?
- A
The patient has taken every dose at the prescribed time.
- B
The medication is taken with water.
- C
Reduced kidney function can impair drug clearance, allowing the medication to accumulate and cause harmful effects.
- D
The patient has no new symptoms.
A patient may have taken a medication incorrectly. Which information should the nurse obtain to help guide the assessment?
- A
Obtain the medication name, dose, route, and timing.
- B
Wait to collect details until symptoms become severe.
- C
Ask only whether the patient has taken this medication before.
- D
Record the patient's preferred pharmacy and defer the exposure history.
After responding to a medication error, how should the nurse address documentation and reporting?
- A
Document only if the patient develops symptoms.
- B
Record the event only in a personal note.
- C
Wait for the next shift to decide whether to document it.
- D
Document findings and actions, and report the error according to facility policy.