Medication Knowledge Assessment: Key Questions and Answers

According to the Australian Department of Health, quality use of medications involves the selection of a medication that is… Question 1 Answer a. wise, necessary, safe and convenient b. wise, necessary, safe and effective c. wise, necessary, safe and minimalist d. none of the above Feedback The correct answer is: wise, necessary, safe and effective Question 2 When should you complete a pain assessment on a patient? Question 2 Answer a. As your 5 th vital sign b. As part of the admission process c. Before and after you administer analgesia d. All of the above Question 3 Question text The purpose of the Numerical Pain Intensity Scale is to…

Question 3 Answer a. rate pain severity b. quantify pain quality c. assess pain d. diagnose pain Feedback The correct answer is: rate pain severity Question 4 Correct Mark 1.00 out of 1.00 Flag question Question text Morphine can cause sedation, bradycardia and …? Question 4 Answer a. Hypothermia b. Hypotension c. Hypothyroidism d.

Hypoglycaemia Feedback The correct answer is: Hypotension Question 5 Correct Mark 1.00 out of 1.00 Flag question Question text A patient is prescribed metoprolol 200mg. available stock is 50mg tablets. How many tablets are required to administer one dose? Question 5 Answer a. 2 tablets b. 3 tablets c. 4 tablets d. None of the above Feedback The correct answer is: 4 tablets Question 6 Correct Mark 1.00 out of 1.00 Flag question

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Question text A solution contains Frusemide at a concentration of 10 mg per 1 ml. How many milligrams of Frusemide are in 6.5 ml? Question 6 Answer a. 62mg b. 63mg c. 64mg d. 65mg Feedback The correct answer is: 65mg Question 7 Correct Mark 1.00 out of 1.00 Flag question Question text A syrup contains amoxicillin 25 mg per 5 ml. How many milligrams of amoxicillin are in 30 ml? Question 7 Answer a. 140mg b. 145mg

c. 150mg d. 155mg Feedback The correct answer is: 150mg Question 8 Correct Mark 1.00 out of 1.00 Flag question Question text A patient is prescribed a STAT dose 15 mg of morphine to be administered via intramuscular route. Available stock ampules are 30 mg/2ml. Calculate the volume required. Question 8 Answer a. 1ml b. 2ml c. 3ml d. 10ml Feedback The correct answer is: 1ml

Question 9 Correct Mark 1.00 out of 1.00 Flag question Question text The medication naming system includes the generic name, the trade name and the chemical name of a drug. Question 9 Select one: True False Feedback The correct answer is 'True'. Question 10 Correct Mark 1.00 out of 1.00 Flag question Question text A pain assessment is often referred to as the 5 th vital sign. Question 10 Select one: True False Feedback The correct answer is 'True'. Question 11 Correct Mark 1.00 out of 1.00 Flag question

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Question text The Therapeutic Goods Act sets out the requirements for the regulation of all drugs developed in and imported into Australia. Question 11 Select one: True False Feedback The correct answer is 'True'. Question 12 Correct Mark 1.00 out of 1.00 Flag question Question text You are required to administer 75mg of pethidine via intramuscular injection. Available stock is 100mg per 2ml. Calculate the volume you would administer to the patient. * Normally, we always include the unit of measure with our medication calculation responses. However; for the purposes of this revision exercise, please do NOT include the unit of measure in your response or the LMS system will mark it as incorrect. * Answer: Question 12 Feedback The correct answer is: 1.5 Question 13 Correct Mark 1.00 out of 1.00 Flag question Question text You are required to administer 0.125mg of digoxin to a patient via oral route. The stock strength is 0.25mg tablets. How many tablets would you administer to the patient? * Please provide your response as a decimal; not a fraction.*

* Normally, we always include the unit of measure with our medication calculation responses. However; for the purposes of this revision exercise, please do NOT include the unit of measure in your response or the LMS system will mark it as incorrect. * Answer: Question 13 Feedback The correct answer is: 0.5 Question 14 Correct Mark 1.00 out of 1.00 Flag question Question text A Schedule 3 medicine is… Question 14 Answer a. an over the counter medicine b. a pharmacist only medicine c. a prescription only medicine d. a poison Feedback The correct answer is: a pharmacist only medicine Question 15 Correct Mark 1.00 out of 1.00 Flag question Question text A Schedule 10 medicine is… Question 15 Answer

a. a poison b. a dangerous poison c. a substance of such danger to health that it’s sale, supply and use are prohibited d. None of the above Feedback The correct answer is: a substance of such danger to health that it’s sale, supply and use are prohibited Question 16 Correct Mark 1.00 out of 1.00 Flag question Question text Sharp, transient fast pain signals are transmitted to the spinal cord by: Question 16 Answer a. Thalamus and cerebral cortex b. Nociceptors c. A -delta fibres d. C- fibres Feedback

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The correct answer is: A -delta fibres Question 17 Incorrect Mark 0.00 out of 1.00 Flag question Question text Which of the following opioid analgesics are more likely to cause serotonin syndrome when taken with other serotonergic agents: Question 17 Answer a. Dextropropoxyphene and Morphine b. Hydromorphone and Fentanyl c. Codeine and Fentanyl d. Tramadol and Pethidine Feedback The correct answer is: Codeine and Fentanyl Question 18 Correct Mark 1.00 out of 1.00 Flag question Question text

The metabolite of pethidine (norpethidine) that is produced in the liver can accumulate and cause the adverse effect: Question 18 Answer a. Constipation b. Neurotoxicity c. Nephrotoxicity d. Hepatotoxicity Feedback The correct answer is: Neurotoxicity Question 19 Correct Mark 1.00 out of 1.00 Flag question Question text An inflammatory mediator that lowers the threshold of nociceptors to other mediators is: Question 19 Answer a. Glutamate b. Prostaglandins c.

5-HT d. Noradrenalin Feedback The correct answer is: Prostaglandins Question 20 Correct Mark 1.00 out of 1.00 Flag question Question text Compared to chronic pain, acute pain is best described as: Question 20 Answer a. generally sharp, localised and may radiate b. generally dull and aching c. generally persistent and diffuse in character d. generally associated with absent physiological responses Feedback The correct answer is: generally sharp, localised and may radiate Question 21 Correct Mark 1.00 out of 1.00

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Flag question Question text Pain occurring between doses of regular analgesics in patients with severe chronic pain is referred to as: Question 21 Answer a. nociceptive pain b. breakthrough pain c. psychogenic pain d. neuropathic pain Feedback The correct answer is: breakthrough pain Question 22 Correct Mark 1.00 out of 1.00 Flag question Question text The gradual decrease in the effectiveness of a drug given repeatedly over a period of time is best defined as: Question 22 Answer a. antagonism b.

tolerance c. up-regulation d. dependence Feedback The correct answer is: tolerance Question 23 Correct Mark 1.00 out of 1.00 Flag question Question text Tolerance develops to all of the following opioid effects, EXCEPT: Question 23 Answer a. constipation b. sedation c. nausea and vomiting d. analgesia Feedback The correct answer is: constipation

Question 24 Correct Mark 1.00 out of 1.00 Flag question Question text Doses of morphine are titrated carefully depending on clinical response and adverse effects. The depth of respiratory depression can be correlated with the: Question 24 Answer a. analgesic effect b. extent of nausea and vomiting c. depth of sedation d. degree of constipation Feedback The correct answer is: depth of sedation Question 25 Correct Mark 1.00 out of 1.00 Flag question Question text An example of an opioid receptor antagonist is: Question 25 Answer a.

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Bodeine b. Buprenorphine c. Naloxone d. Methadone Feedback The correct answer is: Naloxone Question 26 Correct Mark 1.00 out of 1.00 Flag question Question text An example of a full mu-opioid receptor agonist is: Question 26 Answer a. Naltrexone b. Buprenorphine c. Morphine d. Naloxone Feedback

The correct answer is: Morphine Question 27 Correct Mark 1.00 out of 1.00 Flag question Question text The serum half-life of Naloxone is: Question 27 Answer a. 0.5 - 1 hour b. 2 - 4 hours c. 4 - 8 hours d. 12 hours Feedback The correct answer is: 0.5 - 1 hour Question 28 Correct Mark 1.00 out of 1.00 Flag question Question text Which of the following injection sites is NOT recommended for intramuscular injections?

Question 28 Answer a. Deltoid muscle of the arm b. Dorsogluteal muscles of the buttocks c. Ventrogluteal muscle of the hip d. Vastus Lateralis muscle of the thigh Feedback The correct answer is: Dorsogluteal muscles of the buttocks Question 29 Correct Mark 1.00 out of 1.00 Flag question Question text Lipohypertrophy is a complication that can occur as the result of an… Question 29 Answer a. accumulation of scar tissue at the site of a subcutaneous injection. b. accumulation of scar tissue at the site of multiple intramuscular injections. c. accumulation of fat and scar tissue at the site of a subcutaneous or intramuscular injection. d. accumulation of fat and scar tissue at the site of multiple subcutaneous injections.

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Feedback The correct answer is: accumulation of fat and scar tissue at the site of multiple subcutaneous injections. Question 30 Correct Mark 1.00 out of 1.00 Flag question Question text Dispensing of restricted schedule 4 and schedule 8 medications requires… Question 30 Answer a. 2 nurses; one of which must be an RN b. that the remaining number of ampules be recorded in the restricted S4 or S8 register c. that the name and strength of each ampule of the medication be checked to ensure they are correct. d. that the nurse administering the medication completes the register. e. A, B and C only f. All of the above Feedback The correct answer is: All of the above Question 31

Incorrect Mark 0.00 out of 1.00 Flag question Question text The PQRST acronym is used to assess a patient's pain. Which of the following best represents the P of the PQRST acronym? Question 31 Answer a. Prompting factors b. Provoking factors c. Pressurising factors d. Proceeding factors Feedback The correct answer is: Provoking factors Question 32 Correct Mark 1.00 out of 1.00 Flag question Question text The term used to describe when a patient who normally has good pain control reports a rapid onset of intense pain. Question 32 Answer a. Referred pain

b. Somatic pain c. Neuropathic pain d. Breakthrough pain Feedback The correct answer is: Breakthrough pain Question 33 Correct Mark 1.00 out of 1.00 Flag question Question text A patient with chronic neck pain is seen in the pain clinic for follow-up. To evaluate whether the pain management is effective, which question is best for the nurse to ask? Question 33 Answer a. “Does the pain keep you from activities that you enjoy?” b. “How would you rate your pain on a 0 to 10 scale?” c. "Has there been a change in pain location?” d. “Can you describe the quality of your pain?” Feedback The correct answer is:

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“Does the pain keep you from activities that you enjoy?” Question 34 Correct Mark 1.00 out of 1.00 Flag question Question text Step 2 of the WHO analgesic ladder recommends the administration of which classes of medication? Question 34 Answer a. Antipyretics only b. Opioids only c. Non-steroidal anti-inflammatory drugs and opioids d. Non-steroidal anti-inflammatory drugs only Feedback The correct answer is: Non-steroidal anti-inflammatory drugs and opioids Question 35 Correct Mark 1.00 out of 1.00 Flag question Question text A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis. The patient’s spouse asks the nurse how these techniques work. Which response by the nurse is accurate?

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Question 35 Answer a. “These techniques block the pain pathways of the nerves.” b. "The therapies slow the release of chemicals in the spinal cord that cause pain.” c. "These strategies prevent transmission of stimuli from the back to the brain.” d. “The strategies work by affecting the perception of pain.” Feedback The correct answer is: “The strategies work by affecting the perception of pain.” Question 36 Correct Mark 1.00 out of 1.00 Flag question Question text According to the MIMS online database, the adult dose range of Fentanyl is... Question 36 Answer a. 25-100 micrograms b. 20-100 micrograms c. 50-100 micrograms d. 10-100 micrograms

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Feedback The correct answer is: 25-100 micrograms Question 37 Correct Mark 1.00 out of 1.00 Flag question Question text Which of the following is NOT an adverse effect associated with fentanyl? Question 37 Answer a. Apnoea b. Muscular excitability c. Bradycardia d. Respiratory depression Feedback The correct answer is: Muscular excitability Question 38 Correct Mark 1.00 out of 1.00 Flag question Question text Morphine can cause sedation, bradycardia and...

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Question 38 Answer a. hypothyroidism b. hypothermia c. hypotension d. hypoglycaemia Feedback The correct answer is: hypotension Question 39 Correct Mark 1.00 out of 1.00 Flag question Question text Morphine exerts its primary effects on the central nervous system and organs that containAnswer Question 39 _______________. Feedback The correct answer is: smooth muscle Question 40 Correct Mark 1.00 out of 1.00 Flag question Question text Morphine acts as...

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Question 40 Answer a. an antagonist, binding to receptors in the brain and spinal cord only. b. an agonist, binding to receptors in the brain and spinal cord only. c. an agonist, binding to receptors in the brain, spinal cord and other tissues. d. an antagonist, binding to receptors in the brain, spinal cord and other tissues. Feedback The correct answer is: an agonist, binding to receptors in the brain, spinal cord and other tissues. Question 41 Correct Mark 1.00 out of 1.00 Flag question Question text In relation to pain physiology, the process of modulation involves... Question 41 Answer a. the release of substances such as prostaglandins, which activate nociceptors. b. the transmission of action potentials to the thalamus for processing. c. the conscious experience of pan. d. the release of substances that inhibit nociceptive impulses.

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Feedback The correct answer is: the release of substances that inhibit nociceptive impulses. Question 42 Correct Mark 1.00 out of 1.00 Flag question Question text In relation to nociception, the process of 'Transduction' involves... Question 42 Answer a. the conscious experience of pan. b. the transmission of action potentials to the thalamus for processing. c. the release of substances such as prostaglandins, which activate nociceptors. d. inhibition of nociceptive impulses. Feedback The correct answer is: the release of substances such as prostaglandins, which activate nociceptors. Question 43 Correct Mark 1.00 out of 1.00 Flag question Question text During the process of 'Transduction', Blank 1 Question 43

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stimuli cause cell Blank 2 Question 43 with the release of Blank 3 Question 43 chemicals including Blank 4 Question 43 . Feedback The correct answer is: During the process of 'Transduction', [noxious] stimuli cause cell [damage] with the release of [sensitising ] chemicals including [histamine]. Question 44 Correct Mark 1.00 out of 1.00 Flag question Question text Ondansetron exerts its action by blocking Blank 1 Question 44 receptors in the Blank 2 Question 44 trigger zone and Blank 3 Question 44 located in the Blank 4 Question 44 , therefore Blank 5 Question 44 the vomit reflex Feedback The correct answer is: Ondansetron exerts its action by blocking [serotonin] receptors in the [chemoreceptor] trigger zone and [vomit centre] located in the [medulla oblongata], therefore [inhibiting] the vomit reflex Question 45 Correct Mark 1.00 out of 1.00 Flag question Question text Metoclopramide exerts its actions by stimulating motility in the GI tract and by inhibiting dopamine and Answer Question 45 receptors.

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week 2 revision questions

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