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Medication Safety Quiz: Check Your Knowledge

Quick, free medication safety test. Instant results and explanations.

Editorial: Review CompletedCreated By: Lexi KreklauUpdated Aug 25, 2025
Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art illustrating a quiz on medication safety knowledge

This medication safety quiz helps you review safe prescribing, dispensing, and administration so you can spot common errors and feel more confident in everyday practice. For deeper practice, try our pharmacology quiz, build number skills with a medication calculation quiz, or explore field scenarios in a paramedic medication quiz.

Which two patient identifiers are best practice before administering a medication?
Full name and date of birth matched to the order and wristband
Primary physician and insurance ID
Room number and bed number
Diagnosis and age
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The 'five rights' of medication administration primarily include right patient, drug, dose, route, and time. Which additional 'right' is often emphasized to improve safety?
Right documentation
Right prescriber
Right insurance authorization
Right brand
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Which action best prevents look-alike/sound-alike drug mix-ups?
Use Tall Man lettering and keep drugs separated
Store all similar drugs together
Rely on memory for similar names
Disable barcode scanning to speed workflow
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Which dosing device is most accurate for measuring a 2.5 mL liquid medication for a child?
Household teaspoon
Oral dosing syringe with mL markings
Medicine dropper without markings
Kitchen tablespoon
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What is the safest practice regarding trailing zeros in medication orders?
Use trailing zeros to show precision (eg, 1.0 mg)
Use trailing zeros only for IV meds
Use trailing zeros for pediatric doses only
Never use trailing zeros (eg, write 1 mg)
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Medication errors should be reported because they primarily:
Improve systems and prevent future harm
Satisfy regulatory quotas
Assign blame to individuals
Increase paperwork metrics
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Which approach is safest for patient education at discharge?
Use teach-back to confirm understanding
Provide written instructions only
Use medical jargon to be precise
Assume caregiver will explain later
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Which pair is a classic look-alike/sound-alike risk mitigated by Tall Man lettering?
omeprazole vs esomeprazole
acetaminophen vs ibuprofen
amoxicillin vs penicillin
hydrOXYzine vs hydrALAZINE
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Which route mismatch poses a serious safety risk if labels are confused?
Ear drops given in the eye
Oral tablets taken with water
Topical cream applied to skin
Sublingual tablet placed under tongue
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For adults, which statement about acetaminophen daily dosing is safest?
Extended-release forms have no maximum limit
Do not exceed 8,000 mg per day
Do not exceed 4,000 mg per day from all sources unless directed by clinician
Topical forms count toward 4,000 mg limit
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Which statement about beyond-use dates (BUD) for compounded products is safest?
BUD is based on stability and sterility limits, not the manufacturer expiry
BUD can be set indefinitely if refrigerated
BUD is optional for sterile products
BUD equals the bottle expiration date
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Which opioid reversal agent should be readily available to treat respiratory depression?
Vitamin K
Protamine
Flumazenil
Naloxone
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Which drug requires a REMS program in many indications due to teratogenicity?
Isotretinoin
Cetirizine
Amoxicillin
Acetaminophen
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Which electrolyte should never be given IV push due to risk of fatal arrhythmias?
Sodium chloride
Potassium chloride
Calcium gluconate
Magnesium sulfate
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Which is the safest strategy for transdermal fentanyl patches?
Use for opioid-naive acute pain
Apply multiple patches for faster onset
Avoid external heat sources over the patch
Cut patches to adjust dose
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Which precaution reduces chemotherapy handling risk for staff?
Use appropriate PPE and closed-system transfer devices
Dispose in regular trash
Remove gloves to improve dexterity
Crush tablets in open air
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Which action is safest when converting between different opioid formulations?
Skip clinician verification for chronic users
Assume all routes are equivalent
Use equianalgesic tables and reduce for incomplete cross-tolerance
Match milligram for milligram between opioids
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Which anticoagulant reversal pairing is correct?
Warfarin and vitamin K
Heparin and idarucizumab
Apixaban and protamine
Dabigatran and vitamin K
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Which step best reduces errors when reconstituting powdered antibiotics?
Estimate volume by eye
Shake first, then add diluent
Use any sterile water volume available
Use the exact diluent type and volume specified on the label
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Which statement about hepatic impairment and drug dosing is most accurate?
Only IV drugs are impacted
Hepatic function rarely affects dosing
Transaminases alone define dosing changes for all drugs
Drugs with extensive first-pass metabolism may require dose reductions
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Learning Outcomes

  1. Identify common medication errors and their causes
  2. Apply best practices for safe drug administration
  3. Evaluate risk factors in medication management scenarios
  4. Demonstrate strategies to prevent dosage mistakes
  5. Master proper labeling and documentation of prescriptions
  6. Analyse patient information to ensure accurate dosing

Cheat Sheet

  1. Understand Common Medication Errors and Their Causes - Medication mishaps can happen any time from the doctor's pen to the patient's palm thanks to human fatigue, confusing systems, or mixed-up messages. By recognizing where and why these errors pop up, you'll be one step ahead in preventing them.
  2. Implement Best Practices for Safe Drug Administration - Think of the "Five Rights" as your superhero squad: right patient, right drug, right dose, right route, right time. Sticking to these core rules turns chaotic medicine rounds into a smooth, error-free mission.
  3. Evaluate Risk Factors in Medication Management - When workloads spike, staff training lags, or the environment is noisy, the chances of slip-ups climb. Spotting and tackling these risk hotspots keeps patient safety front and center.
  4. Prevent Dosage Mistakes with Double-Checking - A quick second set of eyes can be a game-changer, especially for high-risk meds. This simple buddy system catches potential dose blunders before they reach the patient.
  5. Ensure Proper Labeling and Documentation - Clear, unambiguous labels and thorough records act like a GPS for medication use. Ditch shady abbreviations and stick to standard formats to avoid confusion.
  6. Analyze Patient Information for Accurate Dosing - Age, weight, kidney function, and other personal details are your secret weapons when calculating the perfect dose. Tailoring treatment to each patient cuts risks and boosts effectiveness.
  7. Recognize the Impact of Health Literacy - Patients who don't fully understand instructions are more likely to stumble over their meds. Clear explanations and teach-back methods ensure everyone's on the same page.
  8. Address Environmental Factors Contributing to Errors - Loud alarms, poor lighting, and constant interruptions can turn a simple task into a risky puzzle. Designing a calm, well-lit workspace keeps focus sharp and errors low.
  9. Utilize Technology to Reduce Errors - Barcode scanning, e-prescribing, and automated alerts are like having a digital safety net under every prescription. Embrace these tools to verify patient-med matches and eliminate legibility woes.
  10. Promote a Culture of Safety and Reporting - When teams feel safe admitting near-misses without blame, they unlock powerful lessons. Honest reporting drives improvements and builds a bulletproof shield around patient care.
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