10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
Before a resident's regularly scheduled metoprolol, the aide measures a pulse of 68/min and blood pressure of 118/72 mm Hg. The order says to withhold the dose and notify the nurse for a pulse below 60/min or systolic pressure below 100 mm Hg. The resident feels well; yesterday's pulse was 80/min. All other administration checks are complete. How should today's readings affect the medication pass?
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Correct answer: C - Record the readings, then administer the scheduled dose.
Question 2
An 84-year-old resident with stable mild dementia takes digoxin and furosemide. After two days of poor intake, the resident develops nausea, a newly irregular pulse, and increased confusion. The resident says, 'The lights have yellow rings around them.' Which concern best connects these findings for the report to the nurse?
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Correct answer: A - Possible digoxin toxicity.
Question 3
At a Texas nursing facility, the pharmacy supplies a scored tablet that its product information allows to be split. The licensed nurse has calculated the resident's dose, and the medication administration record (MAR) directs the aide to give one-half tablet. This is an established medication, and the aide is trained to give it. Which preparation method follows Texas medication-aide requirements?
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Correct answer: D - The administering aide personally splits the tablet as documented.
Question 4
At 9 a.m., a facility nurse authorized an aide to give a resident's ordered PRN pain medicine. The aide administered it, documented the required information, and obtained the nurse's co-signature. At 4 p.m., pain returns. The symptoms match the ordered indication, and the minimum dosing interval has elapsed. What effect does the morning co-signature have on permission to give another dose?
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Correct answer: B - It documents the earlier episode; the aide must obtain nurse permission again.
Question 5
Forty-five minutes after a prescribed oral oxycodone dose, a resident reports pain of 2/10, down from 8/10. The resident then drifts back to sleep, is difficult to awaken, and has shallow respirations at 8/min. Which response takes priority over completing the pain-reassessment entry?
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Correct answer: A - Summon the nurse and emergency help; remain with the resident.
Question 6
At shift change in a Texas nursing facility, a resident's oxycodone record shows 24 tablets at the start of the shift, 10 tablets received, and 4 tablets administered. Another tablet was dropped and destroyed; the authorized waste and witness signatures are documented. The two staff members count 29 tablets. Which reconciliation is correct?
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Correct answer: C - Expected 29 tablets; authenticate the reconciled count.
Question 7
A resident's evening medicines include a long-standing glaucoma eye drop and an ophthalmic ointment for the same eye. The pharmacy directions require at least five minutes between the products. With clean hands and uncontaminated applicators, which sequence uses correct eye-medication technique?
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Correct answer: B - Place the drop in the lower conjunctival sac, wait five minutes, then apply the ointment.
Question 8
An adult with an intellectual disability uses a communication board reliably. When offered the usual antiseizure medicine, the resident repeatedly selects 'no,' even after the aide explains its purpose using the board. The resident's sister asks the aide to hide the tablet in pudding. How should the aide respond to the expressed refusal?
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Correct answer: D - Respect the refusal, notify the nurse, and document what occurred.
Question 9
A resident's medication card contains documented nurse authorization to crush oral medicines. The aide checks the exact potassium chloride product supplied by the pharmacy and finds that it is an extended-release tablet labeled 'Do not crush or chew.' The resident cannot swallow this tablet whole. Which interpretation reconciles the authorization with the product information?
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Correct answer: C - The restriction still applies; request nurse and pharmacist review of an alternative form.
Question 10
Five days after haloperidol is started, a resident stops joining seated activities. During a conversation, the resident rocks, repeatedly stands, and paces, explaining, 'I want to sit, but I feel driven to move.' This pattern is most consistent with:
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Correct answer: D - Akathisia.
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