01
True or false
1 point
True or false: A patient’s paralysis during a continuous neuromuscular blocking agent (NMBA) infusion proves that the patient is unconscious.
Free Practice Quiz Question List
7 Safety with Other High-Alert Medications Online Quiz Questions
Use this free practice quiz with 20 questions to review 7 Safety with Other High-Alert Medications, test your knowledge, and prepare for your next test or exam.
20 questions
02
Fill in the blank
1 point
Accidental administration of an NMBA can be fatal because it can paralyze the muscles needed to .
03
Choose one
1 point
A nurse finds a vial of rocuronium in an unlocked medication drawer on a general medical unit. What is the safest action?
- A
Leave it in the drawer but add a warning label.
- B
Remove it from general stock and follow facility policy for securing or returning it.
- C
Keep it available for emergencies and tell the next shift.
- D
Place it beside sedatives so both can be found quickly.
04
True or false
1 point
True or false: During procedural sedation, a nurse should wait for oxygen saturation to fall before responding to shallow, slow respirations.
- A
True
- B
False
05
Written response
1 point
A nurse titrating a vasoactive infusion must stay within the limits authorized by what?
06
Fill in the blank
1 point
When available, a clinician should use the smart-pump when setting up an infusion.
07
Choose one
1 point
During procedural sedation, a patient becomes difficult to arouse and has shallow, slow respirations. What should the nurse do first?
- A
Give the next sedative dose so the procedure can be completed.
- B
Recognize possible respiratory compromise, summon help, and support airway and breathing while following the emergency protocol.
- C
Wait for oxygen saturation to fall before intervening.
- D
Leave to obtain a reversal medication before assessing the patient.
08
Choose all
1 point
A mechanically ventilated patient is receiving a continuous NMBA infusion. Which nursing actions are essential? Select all that apply.
- A
Assess sedation and analgesia.
- B
Use movement as the sole measure of pain.
- C
Maintain ventilatory support.
- D
Continue appropriate monitoring.
09
Choose all
1 point
A nurse is preparing a prescribed norepinephrine infusion. Which practices help reduce medication-administration risk? Select all that apply.
- A
Verify the order, drug, and concentration.
- B
Check the patient and pump settings against the prescribed titration parameters.
- C
Trace and label the tubing so the infusion can be followed to the patient.
- D
Complete an independent check when required by facility policy.
10
Written response
1 point
When tracing an infusion from its container through the pump, what endpoint should the tubing be followed to?
11
Choose one
1 point
A patient’s blood pressure drops, and the norepinephrine tubing appears disconnected near the IV access. What is the safest response?
- A
Flush the tubing rapidly to restore the ordered dose.
- B
Assess the patient, trace and inspect the infusion, restore prescribed delivery safely, and seek assistance according to protocol.
- C
Increase the pump rate temporarily without checking the order.
- D
Connect the infusion to another line without checking its contents.
12
Choose one
1 point
A nurse is preparing norepinephrine for a patient who received it during a previous admission. Which approach is safest?
- A
Use the concentration from the patient’s previous admission.
- B
Choose a rate based on the last time the patient received the medication.
- C
Verify the current order and prescribed concentration before setting the infusion.
- D
Select whichever available concentration allows the pump to run.
13
True or false
1 point
True or false: Completing an independent medication check removes the need for careful patient assessment during a high-alert infusion.
- A
True
- B
False
14
Open ended
1 point
Describe a safe setup process for a prescribed norepinephrine infusion. Include the key items to verify, how to reduce pump and line-tracing risks, and what limits apply to titration.
15
Written response
1 point
A unit stocks one approved strength of a high-alert infusion instead of several interchangeable strengths. What safety control is this?
16
Choose one
1 point
You find rocuronium in an unlocked medication drawer on a general medical unit. What is the safest action?
- A
Leave it where it is and tell the next shift to monitor the drawer.
- B
Remove it from general stock and follow facility policy for securing or returning it.
- C
Move it beside sedatives so it is easier to find.
- D
Add a warning label but leave the drawer unlocked.
17
Written response
1 point
A patient receiving a continuous neuromuscular blocking agent is motionless and cannot communicate. What category of prescribed treatment must be ensured to address pain?
18
Choose one
1 point
When planning procedural sedation, which preparation best supports a safe response to possible airway complications?
- A
Staff who can complete the procedure without monitoring the patient's responsiveness.
- B
Personnel who can obtain a reversal agent if one is needed, but need not assess airway complications.
- C
Appropriate monitoring and personnel able to recognize and respond to airway complications.
- D
A plan to intervene only after oxygen saturation falls.
19
Choose one
1 point
During procedural sedation, a patient becomes difficult to arouse and develops shallow, slow respirations. What should you do first?
- A
Wait for oxygen saturation to decline before taking action.
- B
Summon help and support airway and breathing while following the emergency protocol.
- C
Give the next sedative dose to complete the procedure.
- D
Leave to obtain a reversal medication before assessing the patient.
20
Choose one
1 point
You are preparing a prescribed norepinephrine infusion. Which approach best verifies the setup and helps ensure the medication reaches the intended patient?
- A
Use the concentration from the patient's previous admission.
- B
Connect to any available IV line without checking what else is attached.
- C
Verify the order, medication, concentration, patient, and pump settings, then trace the tubing to the patient.
- D
Choose a concentration based on what is already prepared, then adjust the pump to match.