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Monitoring After First Dose Practice 2026- VERSION WITH QUESTIONS AND RECTIFIED ANSWERS 100% CORRECT. 1. A patient receives the first dose of a sedative-hypnotic. What is the priority assessment within the first hour? A. Appetite B. Respiratory

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Monitoring After First Dose Practice 2026- VERSION WITH QUESTIONS AND RECTIFIED ANSWERS 100% CORRECT. 1. A patient receives the first dose of a sedative-hypnotic. What is the priority assessment within the first hour? A. Appetite B. Respiratory rate C. Skin integrity D. Bowel sounds Answer: B. Respiratory rate Respiratory depression is the most immediate and life-threatening adverse effect after first dosing. 2. Which vital sign change is most concerning after the first dose? A. HR 88 bpm B. BP 118/76 mmHg C. RR 8/min D. Temp 36.8°C Answer: C. RR 8/min Respiratory depression (10/min) indicates potential overdose or excessive CNS suppression. 3. A nurse administers the first dose of a CNS depressant. When should reassessment occur? A. After 24 hours B. Immediately and frequently C. Only if symptoms appear D. At discharge Answer: B. Immediately and frequently Early monitoring detects rapid onset adverse effects like sedation and respiratory depression.

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Monitoring After First
Dose Practice 2026-
VERSION WITH
QUESTIONS AND
RECTIFIED ANSWERS
100% CORRECT.

1.
A patient receives the first dose of a
sedative-hypnotic. What is the priority
assessment within the first hour?

,A. Appetite
B. Respiratory rate
C. Skin integrity
D. Bowel sounds
Answer: B. Respiratory rate
Respiratory depression is the most
immediate and life-threatening adverse
effect after first dosing.


2.
Which vital sign change is most
concerning after the first dose?
A. HR 88 bpm
B. BP 118/76 mmHg

,C. RR 8/min
D. Temp 36.8°C
Answer: C. RR 8/min
Respiratory depression (<10/min)
indicates potential overdose or excessive
CNS suppression.


3.
A nurse administers the first dose of a
CNS depressant. When should
reassessment occur?
A. After 24 hours
B. Immediately and frequently
C. Only if symptoms appear
D. At discharge

, Answer: B. Immediately and frequently
Early monitoring detects rapid onset
adverse effects like sedation and
respiratory depression.


4.
Which patient requires the MOST
intensive monitoring after first dose?
A. Young adult
B. Middle-aged athlete
C. Elderly patient
D. Teenager
Answer: C. Elderly patient
Elderly patients have increased
sensitivity and slower drug metabolism.

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