Free Practice Quiz Question List

8 Integrated High-Alert Medication Practice Online Quiz Questions

Use this free practice quiz with 20 questions to review 8 Integrated High-Alert Medication Practice, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: A medication is considered high-alert because errors involving it can have more severe consequences, not necessarily because errors are more likely.

A
True
B
False

Written response

1 point

Besides bleeding, what other risk must be considered during anticoagulant therapy?

Written response

1 point

Which medication may be given, when indicated and authorized, to temporarily reverse opioid effects during an opioid-related respiratory emergency?

Fill in the blank

1 point

If antineoplastic extravasation is suspected, and activate the drug- and facility-specific procedure. Generally, leave the access device in place initially and .

True or false

1 point

True or false: If a second person has double-checked a high-alert medication, the administering clinician does not need to understand what was checked.

A
True
B
False

Fill in the blank

1 point

If the order, product, calculation, patient status, or monitoring data do not agree, before administration.

Open ended

1 point

You are preparing routine medications for a stable patient when another patient, recently given an opioid, becomes unresponsive with inadequate breathing. Explain which task takes priority and describe the immediate response and how to manage the routine task.

True or false

1 point

True or false: Concentrated potassium chloride must not be administered by IV push.

A
True
B
False

Written response

1 point

A nurse sees an order for concentrated potassium chloride. Which route of administration is explicitly prohibited for this medication?

Choose one

1 point

Before administering a high-alert medication, which approach best follows the required safety checks?

A
Proceed if the medication label matches the order, then verify the patient after administration.
B
Verify the patient and medication, dose, route, timing, allergies, relevant assessment findings, and required monitoring results before administration.
C
Rely on a second clinician’s check instead of reviewing the patient’s current condition.
D
Give the medication first, then check whether required laboratory results are available.

Choose one

1 point

A medication protocol requires an independent double-check. Which action uses this safeguard appropriately?

A
Treat the second clinician’s approval as sufficient even if the order remains unclear.
B
Skip the check when the medication is familiar to the administering clinician.
C
Perform the required independent verification while understanding what is being checked.
D
Use the double-check instead of reviewing required monitoring data.

Written response

1 point

A patient’s meal is delayed and the current glucose result is lower than expected. Which type of scheduled rapid-acting insulin dose should the nurse pause while reassessing and clarifying the plan?

Choose one

1 point

During an antineoplastic infusion, a patient reports burning at the IV site and swelling is developing. What should the nurse do first?

A
Flush the line to clear the medication, then remove the access device.
B
Stop the infusion immediately, activate the specific procedure, and initially leave the access device in place without flushing.
C
Continue the infusion at a slower rate while contacting the oncology clinician.
D
Remove the access device immediately and apply a standard compress for every antineoplastic drug.

Choose one

1 point

Before an antineoplastic infusion, the drug label’s dose or cycle/day conflicts with the treatment plan, and a required laboratory result is unavailable. What is the safest decision?

A
Hold the infusion, reconcile the discrepancy with the oncology prescriber and pharmacist, and review the required result against treatment parameters before proceeding.
B
Start the infusion on schedule and ask the prescriber to review the discrepancy afterward.
C
Use the drug label instead of the treatment plan and proceed if the patient feels well.
D
Proceed with the planned dose while waiting for the required laboratory result.

Choose one

1 point

A patient receiving an IV heparin infusion becomes pale and confused and develops new, heavy bleeding. Which response is most appropriate?

A
Wait for the next routine laboratory result before taking action.
B
Stop the infusion independently and complete documentation before assessing the patient.
C
Immediately assess the patient and activate urgent assistance as indicated; follow the applicable protocol or authorized order for the infusion.
D
Ask the patient to rest and reassess after the next scheduled vital signs.

Choose one

1 point

After receiving an opioid, a patient is difficult to arouse and has very slow, shallow breathing. What is the priority response?

A
Allow the patient to sleep while completing routine medication tasks.
B
Stop further opioid administration, summon emergency help, and support airway and breathing according to training and protocol.
C
Wait for a routine clinician round before intervening.
D
Administer another opioid dose to improve the patient’s comfort.

Choose one

1 point

You are preparing routine medications for a stable patient when another patient, recently given an opioid, becomes unresponsive with inadequate breathing. Which task takes priority?

A
Respond to the breathing emergency first, summon help, and support airway and breathing; delegate or safely pause routine tasks as appropriate.
B
Finish preparing the stable patient’s routine medications before checking on the unresponsive patient.
C
Continue routine medication preparation while asking someone to check on the patient when available.
D
Prioritize the routine medication because it was scheduled first.

Choose one

1 point

A medication error may have occurred, and the patient may need urgent care. What should the nurse do first?

A
Complete the medication-event documentation before assessing the patient.
B
Assess the patient and address urgent care needs; complete documentation afterward.
C
Wait to act until the event report has been reviewed.
D
Ask a colleague to complete the report before deciding whether care is needed.

Choose all

1 point

A patient may have been harmed by a medication error. Select all actions that are appropriate in responding to the situation.

A
Assess the patient.
B
Wait to assess until the medication event report is submitted.
C
Stabilize the patient and escalate care as needed.
D
Promptly notify the appropriate clinician and pharmacist.
E
Assume no response is needed if the patient has not yet reported symptoms.

Choose all

1 point

A required protocol for a high-alert medication is not available, and a colleague suggests improvising a dose from memory. Select all actions consistent with safe practice.

A
Follow current orders and facility policy.
B
Use a dose remembered from a previous situation if the required protocol is unavailable.
C
Do not guess at a dose.
D
Do not substitute a self-created process for a required protocol.
E
Proceed even if the action is outside your scope of practice.