ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 36 : Administering Oral, Topical, and Mucosal Medications Questions
Question 1 of 5
A patient complains of incision pain after surgery. Two pain medications are ordered: Meperidine (Demerol) 75 mg for moderate to severe pain and hydrocodone with acetaminophen (Lortab) 7.5/500 mg for mild to moderate pain. The patient rates her pain at a 5 on a 0 to 10 scale. Her vital signs are T 98.8, P 86, R 14, and BP 104/60. Your next action would be to
Correct Answer: C
Rationale: A pain rating of 5 is mild to moderate, so Lortab is appropriate. Demerol is for more severe pain, and combining both is unsafe. Waiting an hour delays pain relief unnecessarily.
Question 2 of 5
What is the preferred way of disposing of oral narcotics that must be wasted?
Correct Answer: C
Rationale: Disposing of narcotics in a chemical waste container ensures safe and secure disposal, preventing diversion or environmental contamination.
Question 3 of 5
Why is it necessary to flush a feeding tube with 30 to 60 mL of water before and 20 to 30 mL after administration of medications?
Correct Answer: A,C,E
Rationale: Flushing prevents medication interactions with formula (
A), adherence to the tube (
C), and clogging (E). Fluid intake (
B) and electrolyte balance (
D) are not primary reasons.
Question 4 of 5
When you are administering medications to elderly patients, which assessments will you make?
Correct Answer: B,D,E
Rationale: Elderly patients are prone to side effects and toxicity (
B), require monitoring of liver/kidney function (
D), and are at risk for drug interactions (E). Vital signs (
A) and lung/bowel sounds (
C) are not universally required.
Question 5 of 5
How can you be certain that the medication dose for an infant or child is correct before you administer it?
Correct Answer: B,C,E
Rationale: Double-checking the dose (
B), using an oral syringe for accuracy (
C), and having another nurse verify (E) ensure safety. Calling the pharmacist each time (
A) is impractical, and juice bars (
D) are irrelevant.