SKILLED NURSE COMPETENCY QUIZ
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
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MEDICATION TEST FOR NURSES
A. ABBREVIATIONS (matching)
1. A.C means:
*
Before Meals
Ounce
Right Eye
Drop
2. DC Means:
*
Dram
Greater Than
Discontinue
Less Than
3. ml stands for:
*
of each
milliliter
cubic centimeter
drop
4. H.S means:
*
minim
elixir
hours of sleep
after meals
5. fl. Oz stands for:
*
ointment
fluid ounce
of each
milligram
6. > stands for:
*
Greater than
Less than
Equal to
Most
7. < stands for:
*
Greater than
Less than
Equal to
Most
8. Q4H means:
*
Every hour
Two times a day
Every 4 Hours
Every 2 hours
9. TID means"
*
3 times a day
2 times a day
Touchdown
1 time a day
10. GTT stands for:
*
Drop
Dram
Gram
Grain
11. Q.D stands for:
*
Yesterday
Today
Every day
Hello
12. IVP stands for:
*
Four times a day
Intravenous
Elixir
Intravenous Push
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MEDICATION TEST FOR NURSES
B. COMMON DRUGS AND THEIR IDENTIFICATIONS (matching)
Common Drugs
1. Morphine is used to:
*
Relieve severe pain, narcotic
Relieve insomnia, hypnotic
Increase strength of heartbeat, affects rate and rhythm
Increase urine output, diuretic
2. Dilantin is used for:
*
Insomnia
Seizures and Convulsions
Infections
Moderate Pain
3. Atropine is used for:
*
Blood clotting
Sedation
Antispasmodic and antisecretory effects
Anti-inflammatory
4. Coumadin is used to:
*
Increase heartbeat
Increase urine output
Control Seizures
Slow blood clotting
5. Phenergan is used to control:
*
Vomiting
Heartbeat
Pain
Infection
6. Lasix is used to:
*
Increase urine output
Relieve Pain
Work as a laxative
Sedate
7. Valium is used for:
*
Tension and anxiety
High blood pressure
Insomnia
Infection
8. Digoxin is used to:
*
Relieve constipation
Produce light sleep
Strengthen Heartbeat
Increase urine output
9. Milk of Magnesia is used for:
*
Hypnosis
Severe pain
Inflammation
Laxative and antacid affects
10. Ibuprofen is used for:
*
Inflammation and minor pain
Tension
Blood clotting
Seizures
11. Demoral is used for:
*
Infection
Pre-operative medication, narcotic
Insomnia
Hunger
12. Prednisone is for its:
*
Anti-inflammatory effects
Sleep agent
Pain relief
Sedation
13. Keflex is used to:
*
Sedate
Fight Infection
Reduce pain
Reduce inflammation
14. Ambien is used for:
*
Minor pain
Severe pain
Blood clotting
Insomnia
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MEDICATION TEST FOR NURSES
C. Drug Classifications
1. Analgesic:
*
Calms and relaxes
Produces bowel moveements
Relieves pain
Produces vomiting
2. Hypnotic:
*
Produces sleep
Produces bowel movements
Relieves pain
Calms and relaxes
3. Diuretic:
*
Produces bowel movements
Reduces pain
Produces sleep
Increases urine output
4. Tranquilizer:
*
Controls diarrhea
Calms and relaxes
Relieves stomach acids
Analgesic
5. Anti-Emetic:
*
Controls nausea and vomiting
Produces sleep
Relieves pain
Urinary antiseptic
6. Antihistamine:
*
Relieves stomach acid
Produces vomiting
Produces sleep
Relieves allergic reactions
7. Antimicrobial:
*
Prevents the development of disease-causing action of microbes
Neutralizes stomach acids
Produces sleep
Calm and relaxes
8. Laxative:
*
Relieves stomach acids
Produces vomiting
Produces sleep
Produces bowel movements
9. Antacid:
*
Neutralizes stomach acids
Calms and relaxes
Controls diarrhea
Produces vomiting
10. Narcotic:
*
Neutralizes stomach acids
Calms and relaxes
Produces vomiting
Analgesic drug controlled by law
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MEDICATION TEST FOR NURSES
D. COMPUTATIONS: Read each statement. Circle the ONE best answer.
1. You are to give Milk of Magnesia 30ml. How many fluid ounces should you give?
*
2
2.5
3
1
2. The MD orders Glyburide 2.5mg to be given daily. The patient has Glyburide 5mg pills. How many pills should you instruct the patient to take?
*
1 tablet
1/2 tablet
2 tablets
3 tablets
3. The MD orders Aspirin 650mg to be given. You have Aspirin 325mg tablets available. How many tablets should you give?
*
2
2.5
3
1
4. The MD order you to add KCL 30meq to an IV solution. You have KCL 40meq/20ml. How much should you use?
*
10ml
15ml
20ml
40ml
5. Order: D51/2NS 1000ml to be infused over 8 hours. You give ____________ gtts/min with a drip factor of 15 ggts/ml.
*
29gtts/min
31gtts/min
25gtts/min
18gtts/min
6. Order: D5RL 500ml to be infused over 10 hours. You give ___________gtts/,im with a drip factor of 60 gtts/ml.
*
30gtts
40gtts
50gtts
60gtts
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MEDICATION TEST FOR NURSES
E. DRUG FACTS: Read each statement. Circle the ONE best answer.
1. The greatest use of Morphine is its ability to act as a:
*
a. antispasmodic
b. analgesic
c. cough remedy
d. antidiuretic
2. The chief danger in giving an intramuscular injection into the wrong area of the buttocks is:
*
a. poor absorption of the drug
b. damage to the sciatic nerve or penetration of a large blood vessel
c. formation of an abscess resulting from contamination of the needle
d. none of the above
3. The most serious complication that may arise from the administration of drugs such as Heparin and Coumadin is:
*
a. blood clots in major blood vessels
b. rapid fall in blood pressure
c. hemorrhage
d. infection
4. The most important action of digoxin in treating heart failure is:
*
a. diuresis
b. improved force of contraction of the hear
c. reduction of ventricular rate
d. none of the above
5. A pro-thrombin time is performed when a patient is receiving
*
a. Vitamin K
b. Coumadin
c. Aspirin
d. Heparin
6. The purpose of administering a diuretic is to:
*
a. combat infection
b. produce the antiseptic effect in the urine
c. decrease urine output
d. increase urine output
7. After administering regular insulin, when should you expect it to start to work?
*
a. 30 min to 1 hour
b. 2-3 hours
c. 5-10 hours
d. 6-10 hours
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MEDICATION TEST FOR NURSES
F. NURSING INTERVENTIONS: Read each statement. Circle the ONE best answer.
1. Pt is a 55 year old female that had a right hip replacement last week. Pt claims that her rightleg hurts more now when she walks than right it did right after surgery. Her right foot has adecreased pulse and poor cap refill. What should you do?
*
a. Nothing. It is normal to have leg pain after hip surgery.
b. Tell the patient to continue to take her pain medication and elevate her leg.
c. Call the doctor with this assessment, but it’s probably nothing.
d. Call the doctor because she may have a blood clot in her leg.
2. Pt is a 88 year old male that smokes, has COPD, and dyspnea at times. Pt states he has beenreally tired lately and has been more short of breath than normal. You listen to his lungs andthere are crackles, his O2 sat is 90% on room air, and he has 2+ pitting pedal edema. Whatshould you do?
*
a. Call the doctor and ask for nebulizer treatments.
b. Call the doctor and ask for an oxygen order for 3L/min
c. Nothing, these are normal for his age and disease.
d. Call the doctor and ask for Lasix as he could also have CHF.
3. Pt is a 90 year old female being seen by the nurse for IV antibiotics. After teaching the familyhow to do the IV, you review the patient’s oral medication and notice that the pt has not beentaking the medication correctly. Two of her medications are for Dementia, but she only takesthem “as needed”. What should you do?
*
a. Explain the medication to the patient and tell her how to take them
b. Explain to the family that they must help the pt fill her pill box correctly.
c. Let the pt take her medication as she chooses.
d. Call the doctor about pt’s non-compliance.
4. You get to a new patient’s house, she is lying in bed, diaper and bed are soaked with urine and feces. The family states they work all day and leave the pt alone for 8-10 hours a day. The pt is bed bound, has Alzheimer’s, and is a total care pt. What should you do?
*
a. Don’t do the SOC, call the DON, then call DCF
b. Do the SOC, clean the pt up, call the DON, then call DCF
c. Do the SOC, clean the pt up, continue services as ordered
d. Don’t do the SOC, call the DON, and go to your next patient
5. Pt is a 66 year old man that has Parkinson’s disease and walks with a walker. You notice that he has an unsteady gait and almost falls when he walks to you. What should you do?
*
a. Nothing, this is normal with Parkinson’s patients.
b. Call the doctor and ask for a PT Evaluation.
c. Call the doctor and ask for an OT Evaluation.
d. Call the doctor and ask for a home health aide for pt.
6. Pt is a 45 year old new insulin dependent diabetic. When you arrive, she is flushed, not feeling well, and sweating. What is the first thing you should do?
*
a. Call 911
b. Call her doctor
c. Check her blood sugar
d. Give her insulin
7. You check a patient’s blood sugar and it is 45. What is the first thing you do?
*
a. Call 911
b. Give orange juice to drink
c. Make patient a sandwich
d. Call the doctor
8. You are verifying medications for a SOC patient. You notice he is taking Amlodipine 20mg in the morning and Norvasc 10mg in the morning, both ordered by his PCP. What should you do?
*
a. Educate pt to take them as ordered.
b. Educate pt to talk to his PCP about his medication.
c. Call the PCP yourself to verify meds.
d. Do nothing as this is normal doses for these medications.
9. Pt’s wound has more drainage and odor today than 2 days ago. What should you do?
*
a. Call the pt’s doctor with assessment
b. Call the DON and let her know.
c. Send the pt to the ER.
d. Take a wound culture and send it to the lab.
10. Your patient for today cancels because she “doesn’t feel well”. What do you do?
*
a. Make the visit a Missed Visit and move on to your next pt.
b. Try to see the pt later in the week.
c. Try to talk the pt into letting you see her today to assess her illness.
d. Skip her and go to lunch with your friend.
Total Point is
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