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Paper II: 20 Medication and Care Planning Questions — October 2026 Set B

MINI NURSES • OCTOBER 2026 PRACTICE

Paper II: 20 Medication and Care Planning Questions — October 2026 Set B

20 questions • Self-paced • One best answer • Score and explanations

Choose an answer for every question, then select Check my answers. Review the explanations and retry the questions you missed. This is a focused revision session, not a complete examination.

Original independent practice, not official, recalled or leaked NMCN examination questions. Paper labels organise Mini Nurses revision topics and do not claim an official examination blueprint. Apply current local protocols in clinical care.

1. A prescription is illegible. What should the nurse do?
Review answer and explanation

Answer: Clarify it with the authorised prescriber

Unclear prescriptions must be resolved before administration.

2. The patient states an allergy absent from the chart. What is appropriate?
Review answer and explanation

Answer: Pause and reconcile the allergy before giving the medicine

New allergy information must be assessed, documented and communicated.

3. Which notation is safest?
Review answer and explanation

Answer: 0.5 mg

Leading zeros and avoiding unnecessary trailing zeros reduce decimal errors.

4. A dose of 500 mg is prescribed; tablets contain 250 mg each. How many tablets?
Review answer and explanation

Answer: 2

500 divided by 250 equals two tablets, after routine prescription checks.

5. A liquid contains 125 mg per 5 mL. What volume provides 250 mg?
Review answer and explanation

Answer: 10 mL

250 divided by 125, multiplied by 5, equals 10 mL.

6. A prescribed 1000 mL infusion runs over 8 hours. What pump rate is calculated?
Review answer and explanation

Answer: 125 mL/hour

Divide total volume by duration: 1000 divided by 8 equals 125.

7. An infusion is prescribed at 60 mL/hour using 20 drops/mL. What is the calculated drip rate?
Review answer and explanation

Answer: 20 drops/minute

60 times 20 divided by 60 gives 20 drops each minute.

8. Which route avoids gastrointestinal absorption?
Review answer and explanation

Answer: Intravenous

An intravenous medicine enters the circulation directly.

9. What should happen before crushing a modified-release tablet?
Review answer and explanation

Answer: Check suitability with the pharmacist or approved reference

Crushing modified-release products can alter drug release and cause harm.

10. Which action is medication reconciliation?
Review answer and explanation

Answer: Comparing current medicines across transitions of care

Reconciliation identifies omissions, duplications and discrepancies.

11. A patient refuses a prescribed tablet. What is appropriate?
Review answer and explanation

Answer: Explore reasons, explain and document the refusal

Informed refusal requires respectful assessment and appropriate escalation.

12. A medicine error has just occurred. What comes first?
Review answer and explanation

Answer: Assess the patient and arrange necessary clinical support

Immediate patient safety precedes reporting and system review.

13. Why check renal function for some medicines?
Review answer and explanation

Answer: Reduced clearance may require dose adjustment

Accumulation of renally cleared medicines increases toxicity risk.

14. Which observation is especially relevant after opioid administration?
Review answer and explanation

Answer: Respiratory rate and sedation level

Opioids can cause sedation and respiratory depression, requiring monitoring.

15. Which instruction is appropriate for a patient prescribed anticoagulants?
Review answer and explanation

Answer: Report unusual bleeding and check before new medicines

Bleeding and interactions require prompt review under the treatment plan.

16. Which practice reduces insulin administration errors?
Review answer and explanation

Answer: Verify insulin type, dose, timing and current glucose

Insulin safety depends on correct product, device and patient-specific checks.

17. What is the purpose of a nursing diagnosis?
Review answer and explanation

Answer: Identify patient responses needing nursing care

Nursing diagnoses guide interventions addressing actual or potential patient responses.

18. Which care plan outcome is patient-centred and measurable?
Review answer and explanation

Answer: Patient demonstrates safe walker use before discharge

Observable demonstration with a timeframe supports evaluation.

19. A treatment goal is unmet. What should the nurse do?
Review answer and explanation

Answer: Reassess barriers and revise the care plan

Evaluation feeds back into assessment and care planning.

20. Which record is correct when a dose is withheld pending clarification?
Review answer and explanation

Answer: Document withholding, reason and escalation

Accurate records distinguish withholding from administration or refusal.

Ready when you are. Your answers stay on this page and are not submitted to Mini Nurses.

How to use your result

For each missed answer, explain the underlying principle in your own words. Review the relevant textbook chapter or clinical policy before another attempt. This practice score is not a prediction of your council result.

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