Nursing Pharmacology & Ward Administration
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📘 Comprehensive Syllabus & Examination Guide
Nursing Pharmacology & Ward Administration
Official curriculum roadmap, subject/topic distribution, negative marking rules, pacing guidelines, and solved sample questions.
🎯 Mapped Subjects & Topic Question Distribution
Total Question Pool
100%
37 MCQs
Combined Active Syllabus
Nursing Pharmacology & Ward Administration
37 MCQs
Topic Pool
📊 Question Pool Structure
37 MCQs across fundamental, intermediate, and advanced concept tiers.
⚡ Recommended Pacing
45 to 60 seconds per MCQ. Flag complex problems and preserve 10 minutes for final revision.
⚖️ Scoring & Negative Marking
+1 mark per correct answer. In competitive tests with negative marking, -0.25 applies for incorrect guesses.
💡 Strategic Preparation & Exam Hall Guidelines
To maximize your score on Nursing Pharmacology & Ward Administration, candidates are advised to follow a structured three-pass approach. In the First Pass, solve all direct recall and formula-based questions within 30 seconds each to secure foundational marks. In the Second Pass, tackle multi-step analytical and quantitative reasoning problems. In the Third Pass, review marked questions and verify calculations.
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Showing 10 solved representative questions
📝 Pre-Rendered Solved Sample Questions & Detailed Solutions
Review the solved problems below to understand question phrasing, answer choices, and step-by-step solution logic prior to starting the full interactive practice drill:
Sample Question 1
Nursing Pharmacology & Ward Administration
Easy • Nursing
What are the traditional 'Five Rights' (now extended to Six/Eight) of medication administration that every nurse must verify?
A
Right Hospital, Right Doctor, Right Bed, Right Time, Right Chart
B
Right Patient, Right Drug, Right Dose, Right Route, Right Time, and Right Documentation
C
Right Price, Right Brand, Right Ward, Right Date, Right Shelf
D
Right Room, Right Nurse, Right Diagnosis, Right Needle, Right Syringe
✓ Correct Answer: B - Right Patient, Right Drug, Right Dose, Right Route, Right Time, and Right Documentation
📖 Step-by-Step Solution & Conceptual Rationale:
The core rights of medication administration ensure patient safety: Right patient, drug, dose, route, time, documentation, and checking for allergies.
Sample Question 2
Nursing Pharmacology & Ward Administration
Medium • Nursing
A physician orders 1,000 mL of 0.9% Normal Saline to be infused intravenously over 8 hours. The drop factor of the infusion set is 15 drops/mL. What is the calculated flow rate in drops per minute (gtts/min)?
A
15 gtts/min
B
31 gtts/min
C
52 gtts/min
D
60 gtts/min
✓ Correct Answer: B - 31 gtts/min
📖 Step-by-Step Solution & Conceptual Rationale:
Flow rate = (Total Volume in mL × Drop Factor) / Time in minutes. (1000 × 15) / (8 × 60) = 15000 / 480 ≈ 31.25 drops/min (31 gtts/min).
Sample Question 3
Nursing Pharmacology & Ward Administration
Easy • Nursing
Prior to administering a prescribed dose of Digoxin, the nurse should routinely assess which vital sign and withhold the drug if it is below 60 bpm in an adult?
A
Respiratory rate
B
Apical pulse for one full minute
C
Radial pulse for 10 seconds
D
Blood pressure
✓ Correct Answer: B - Apical pulse for one full minute
📖 Step-by-Step Solution & Conceptual Rationale:
Digoxin is a cardiac glycoside that slows AV conduction; apical pulse must be counted for 60 seconds and the drug held if heart rate < 60 bpm to prevent toxic bradycardia.
Sample Question 4
Nursing Pharmacology & Ward Administration
Easy • Nursing
Which laboratory parameter must be closely monitored by the nurse in a patient receiving continuous intravenous unfractionated heparin therapy?
A
Prothrombin Time (PT / INR)
B
Activated Partial Thromboplastin Time (aPTT)
C
Serum Creatinine
D
Serum Amylase
✓ Correct Answer: B - Activated Partial Thromboplastin Time (aPTT)
📖 Step-by-Step Solution & Conceptual Rationale:
Unfractionated heparin therapy is titrated against the aPTT (target typically 1.5 to 2.5 times the control baseline). In contrast, Warfarin is monitored with PT/INR.
Sample Question 5
Nursing Pharmacology & Ward Administration
Easy • Nursing
When storing high-alert controlled substances such as Morphine, Pethidine, and Fentanyl in a hospital ward, what is the mandatory regulatory protocol?
A
Stored in the general open medication tray
B
Kept in a locked cupboard (double lock system) with a formal register tracking every ampoule, patient name, and wasted dose
C
Kept on the nurse's desk
D
Stored with general oral vitamins
✓ Correct Answer: B - Kept in a locked cupboard (double lock system) with a formal register tracking every ampoule, patient name, and wasted dose
📖 Step-by-Step Solution & Conceptual Rationale:
Dangerous and scheduled controlled drugs require double-locked storage, dual-nurse sign-off for waste, and meticulous accountability logs according to narcotics control legislation.
Sample Question 6
Nursing Pharmacology & Ward Administration
Medium • Nursing
Which needle gauge and length is typically selected by a nurse for an intradermal injection (such as a Mantoux tuberculin test)?
A
18 gauge, 1.5 inch
B
21 gauge, 1.0 inch
C
26 to 27 gauge, 3/8 to 1/2 inch
D
14 gauge, 2.0 inch
✓ Correct Answer: C - 26 to 27 gauge, 3/8 to 1/2 inch
📖 Step-by-Step Solution & Conceptual Rationale:
Intradermal injections require a very fine, short needle (26-27 gauge, 3/8 to 1/2 inch) inserted bevel-up at a 5-15 degree angle to create a visible wheal.
Sample Question 7
Nursing Pharmacology & Ward Administration
Easy • Nursing
In a hospital shift handover, which standardized communication framework is widely recommended to ensure patient safety and transfer of critical clinical information?
A
SOAP format only
B
SBAR (Situation, Background, Assessment, Recommendation)
C
Informal verbal chat
D
Written memo on whiteboard
✓ Correct Answer: B - SBAR (Situation, Background, Assessment, Recommendation)
📖 Step-by-Step Solution & Conceptual Rationale:
SBAR provides a structured, concise method for communicating patient condition between nurses and physicians, significantly reducing clinical communication errors.
Sample Question 8
Nursing Pharmacology & Ward Administration
Easy • Nursing
The specific antidote kept readily available on the ward for rapid reversal of unfractionated Heparin overdose is:
A
Vitamin K
B
Protamine sulfate
C
Calcium gluconate
D
Naloxone
✓ Correct Answer: B - Protamine sulfate
📖 Step-by-Step Solution & Conceptual Rationale:
Protamine sulfate is a strongly basic protein that binds strongly acidic heparin to form an inactive stable salt, neutralizing its anticoagulant effects.
Sample Question 9
Nursing Pharmacology & Ward Administration
Easy • Nursing
Which of the following describes the ethical nursing principle of 'Autonomy'?
A
The duty to do good and promote patient well-being
B
Respecting the patient's right to make their own informed decisions about their care
C
The obligation to treat all patients fairly and equitably
D
The duty to do no harm (non-maleficence)
✓ Correct Answer: B - Respecting the patient's right to make their own informed decisions about their care
📖 Step-by-Step Solution & Conceptual Rationale:
Autonomy is the ethical principle upholding a competent patient's right to self-determination, informed consent, and refusal of treatment.
Sample Question 10
Nursing Pharmacology & Ward Administration
Easy • Nursing
When administering an subcutaneous injection of regular insulin, which site has the fastest and most consistent rate of systemic absorption?
A
Anterior thigh
B
Abdomen (avoiding a 2-inch radius around umbilicus)
C
Outer upper arm
D
Gluteal area
✓ Correct Answer: B - Abdomen (avoiding a 2-inch radius around umbilicus)
📖 Step-by-Step Solution & Conceptual Rationale:
The abdomen provides the most rapid and consistent absorption of subcutaneous insulin, followed by the arms, thighs, and buttocks.
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