ATI LPN
NCLEX Questions Medication Administration Questions
Question 1 of 5
A 2-year-old child is to receive eardrops. The nurse is teaching the parent about giving the eardrops. Which statement reflects the proper technique for administering eardrops to this child?
Correct Answer: C
Rationale: In an infant or a child younger than 3 years of age, the ear canal is straightened by pulling the pinna down and back. In adults, the pinna is pulled up and outward. Pulling the lobe and administering eardrops without pulling on the ear lobe are not appropriate actions.
Question 2 of 5
A patient claims to be allergic to sulfa medications, which have caused him to suffer major body rashes. Is it necessary to alert anesthesia of the reported allergy to sulfas because some forms of propofol contain sulfites?
Correct Answer: A
Rationale: Yes, it is necessary to alert anesthesia because some formulations of propofol contain sulfites, which can cause allergic reactions in patients with sulfa allergies. Although sulfa drugs and sulfites are chemically distinct, cross-sensitivity is possible, and anesthesia should be informed to assess risk and choose an appropriate alternative if needed.
Question 3 of 5
A nurse is caring for a client who has a surgical incision with sutures. The nurse observes that the edges of the wound are well approximated and there is minimal drainage from the site. The nurse documents this type of wound healing as:
Correct Answer: A
Rationale: Primary intention is a type of wound healing that occurs when the edges of the wound are well approximated and there is minimal tissue loss or infection. It results in minimal scarring and fast healing.
Question 4 of 5
A client with a burn wound on the chest has a silver sulfadiazine (Silvadene) cream applied to the wound. Which adverse reaction should the nurse monitor for in this client?
Correct Answer: D
Rationale: Silver sulfadiazine (Silvadene) is a topical antimicrobial agent used to prevent or treat infection in burn wounds. The nurse should monitor for hypersensitivity or allergic reaction, such as rash, itching, swelling, or difficulty breathing; and leukopenia or decreased white blood cell count, which can increase the risk of infection. The nurse should obtain a baseline complete blood count (CBC) before applying the cream and repeat it every few days during treatment.
Question 5 of 5
A nurse is assessing a client with a pressure ulcer on the sacrum. Which finding indicates a potential complication of the wound?
Correct Answer: C
Rationale: Foul-smelling greenish discharge from the wound indicates a possible infection, which can delay wound healing and increase the risk of sepsis. The nurse should notify the provider and obtain a wound culture to identify the causative organism and guide antibiotic therapy.