NURS 1150 • MEDICATION SAFETY • 2026/2027
NURS 1150
MEDICATION SAFETY PRACTICE EXAM
(2026/2027) | Nursing Pharmacology Review
65 ORIGINAL A–D PRACTICE QUESTIONS
How to Use This Exam
Attempt each question before reviewing the answer. Focus on identifying the immediate safety
threat, required assessment, medication-specific risk, appropriate escalation, and patient
teaching.
This is independently created educational practice material, not an official, leaked, or
guaranteed exam. NURS 1150 content varies by institution; compare this guide with your course
syllabus, instructor guidance, and assigned resources.
Medication Safety Competency Map
• Medication rights, identity/allergy checks, complete orders, dose calculations, and high-
alert medications
• Medication reconciliation, duplicate therapy, OTC/herbal products, drug interactions, and
missed-dose precautions
• Pre-administration assessment, vital signs, renal/hepatic considerations, and laboratory
monitoring
• Recognition and response to anaphylaxis, angioedema, severe rash, respiratory depression,
bleeding, and toxicity
• Insulin/hypoglycemia, anticoagulants, digoxin, diuretics, lithium, opioids, and other high-risk
medicines
• Safe handling of modified-release formulations, inhalers, eye/ear drops, and IV
complications
NURS 1150 Medication Safety Practice Exam | Original educational material
, NURS 1150 • MEDICATION SAFETY • 2026/2027
• Patient education, adherence barriers, discharge reconciliation, and medication-error
response
Practice Questions, Answers & Rationales
Question 1. A drug with a narrow therapeutic index requires particular
attention to:
A. Routine monitoring and consistent dosing
B. Taking extra doses when symptoms return
C. Sharing doses with family
D. Skipping labs when feeling well
Correct Answer: A
Detailed Rationale: A narrow therapeutic index means the margin between effective and
toxic concentrations is small; follow monitoring and dosing instructions carefully.
Why the Other Options Are Incorrect
B. Extra doses may cause toxicity.
C. Sharing medication is unsafe.
D. Symptoms alone may not reveal an unsafe level.
Key Medication Safety Concept: Therapeutic drug monitoring
Question 2. An order is for 600 mg. Tablets contain 200 mg each. How many
tablets are required?
A. 1
B. 2
C. 3
D. 4
NURS 1150 Medication Safety Practice Exam | Original educational material
, NURS 1150 • MEDICATION SAFETY • 2026/2027
Correct Answer: C
Detailed Rationale: 600 mg ÷ 200 mg per tablet = 3 tablets. Verify the order and formulation
before administration.
Why the Other Options Are Incorrect
A. One tablet provides 200 mg.
B. Two tablets provide 400 mg.
D. Four tablets provide 800 mg.
Key Medication Safety Concept: Dose calculation
Question 3. An order is for 450 mg. Liquid available is 150 mg per 5 mL. How
many mL should be administered?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
Correct Answer: C
Detailed Rationale: 450 mg ÷ 150 mg × 5 mL = 15 mL.
Why the Other Options Are Incorrect
A. 5 mL provides 150 mg.
B. 10 mL provides 300 mg.
D. 20 mL provides 600 mg.
Key Medication Safety Concept: Liquid dose calculation
Question 4. A medication order omits the route. What is the safest action?
A. Use the usual route
B. Clarify the order before administration
C. Ask the client to choose
NURS 1150 Medication Safety Practice Exam | Original educational material
, NURS 1150 • MEDICATION SAFETY • 2026/2027
D. Give by the fastest route
Correct Answer: B
Detailed Rationale: An incomplete order must be clarified with an authorized prescriber
before administration; do not guess.
Why the Other Options Are Incorrect
A. Usual practice does not authorize guessing.
C. The client cannot complete a prescription order.
D. Route depends on the drug and prescribed plan.
Key Medication Safety Concept: Order verification
Question 5. A nurse is interrupted while preparing a high-alert medication.
What should the nurse do?
A. Continue from memory
B. Restart required verification steps before administration
C. Skip the second check
D. Ask the client to calculate the dose
Correct Answer: B
Detailed Rationale: Interruptions increase medication-error risk. Resume using the full
verification process and required independent checks.
Why the Other Options Are Incorrect
A. Memory alone is insufficient.
C. Time pressure does not justify skipping checks.
D. Clients do not replace clinical verification.
Key Medication Safety Concept: High-alert medication safety
NURS 1150 Medication Safety Practice Exam | Original educational material
NURS 1150
MEDICATION SAFETY PRACTICE EXAM
(2026/2027) | Nursing Pharmacology Review
65 ORIGINAL A–D PRACTICE QUESTIONS
How to Use This Exam
Attempt each question before reviewing the answer. Focus on identifying the immediate safety
threat, required assessment, medication-specific risk, appropriate escalation, and patient
teaching.
This is independently created educational practice material, not an official, leaked, or
guaranteed exam. NURS 1150 content varies by institution; compare this guide with your course
syllabus, instructor guidance, and assigned resources.
Medication Safety Competency Map
• Medication rights, identity/allergy checks, complete orders, dose calculations, and high-
alert medications
• Medication reconciliation, duplicate therapy, OTC/herbal products, drug interactions, and
missed-dose precautions
• Pre-administration assessment, vital signs, renal/hepatic considerations, and laboratory
monitoring
• Recognition and response to anaphylaxis, angioedema, severe rash, respiratory depression,
bleeding, and toxicity
• Insulin/hypoglycemia, anticoagulants, digoxin, diuretics, lithium, opioids, and other high-risk
medicines
• Safe handling of modified-release formulations, inhalers, eye/ear drops, and IV
complications
NURS 1150 Medication Safety Practice Exam | Original educational material
, NURS 1150 • MEDICATION SAFETY • 2026/2027
• Patient education, adherence barriers, discharge reconciliation, and medication-error
response
Practice Questions, Answers & Rationales
Question 1. A drug with a narrow therapeutic index requires particular
attention to:
A. Routine monitoring and consistent dosing
B. Taking extra doses when symptoms return
C. Sharing doses with family
D. Skipping labs when feeling well
Correct Answer: A
Detailed Rationale: A narrow therapeutic index means the margin between effective and
toxic concentrations is small; follow monitoring and dosing instructions carefully.
Why the Other Options Are Incorrect
B. Extra doses may cause toxicity.
C. Sharing medication is unsafe.
D. Symptoms alone may not reveal an unsafe level.
Key Medication Safety Concept: Therapeutic drug monitoring
Question 2. An order is for 600 mg. Tablets contain 200 mg each. How many
tablets are required?
A. 1
B. 2
C. 3
D. 4
NURS 1150 Medication Safety Practice Exam | Original educational material
, NURS 1150 • MEDICATION SAFETY • 2026/2027
Correct Answer: C
Detailed Rationale: 600 mg ÷ 200 mg per tablet = 3 tablets. Verify the order and formulation
before administration.
Why the Other Options Are Incorrect
A. One tablet provides 200 mg.
B. Two tablets provide 400 mg.
D. Four tablets provide 800 mg.
Key Medication Safety Concept: Dose calculation
Question 3. An order is for 450 mg. Liquid available is 150 mg per 5 mL. How
many mL should be administered?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
Correct Answer: C
Detailed Rationale: 450 mg ÷ 150 mg × 5 mL = 15 mL.
Why the Other Options Are Incorrect
A. 5 mL provides 150 mg.
B. 10 mL provides 300 mg.
D. 20 mL provides 600 mg.
Key Medication Safety Concept: Liquid dose calculation
Question 4. A medication order omits the route. What is the safest action?
A. Use the usual route
B. Clarify the order before administration
C. Ask the client to choose
NURS 1150 Medication Safety Practice Exam | Original educational material
, NURS 1150 • MEDICATION SAFETY • 2026/2027
D. Give by the fastest route
Correct Answer: B
Detailed Rationale: An incomplete order must be clarified with an authorized prescriber
before administration; do not guess.
Why the Other Options Are Incorrect
A. Usual practice does not authorize guessing.
C. The client cannot complete a prescription order.
D. Route depends on the drug and prescribed plan.
Key Medication Safety Concept: Order verification
Question 5. A nurse is interrupted while preparing a high-alert medication.
What should the nurse do?
A. Continue from memory
B. Restart required verification steps before administration
C. Skip the second check
D. Ask the client to calculate the dose
Correct Answer: B
Detailed Rationale: Interruptions increase medication-error risk. Resume using the full
verification process and required independent checks.
Why the Other Options Are Incorrect
A. Memory alone is insufficient.
C. Time pressure does not justify skipping checks.
D. Clients do not replace clinical verification.
Key Medication Safety Concept: High-alert medication safety
NURS 1150 Medication Safety Practice Exam | Original educational material
