ATI LPN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 of 5
A client has a stage 3 pressure ulcer on the left trochanter with moderate serosanguineous drainage. The wound is 4 cm in length, 3 cm in width, and 2 cm in depth. The wound bed is 80% granulation tissue and 20% slough. Which type of dressing should the nurse use for this wound?
Correct Answer: C
Rationale: Alginate is a type of dressing that is derived from seaweed and forms a gel-like substance when in contact with wound exudate. It is highly absorbent and can handle moderate to large amounts of drainage. It also provides a moist wound environment and supports autolytic debridement of slough and eschar. It is suitable for wounds with depth, such as stage 3 or 4 pressure ulcers.
Question 2 of 5
Which medication route provides the most rapid onset of a medication, but also poses the greatest risk of adverse effects?
Correct Answer: D
Rationale: IV medications are delivered directly into the bloodstream and avoid the first pass effect of the liver. Intradermal, subcut, and IM administration have a slower absorption rate.
Question 3 of 5
What is medication reconciliation?
Correct Answer: A
Rationale: Medication reconciliation is the process of comparing a patients current medication orders to all of the medications that the patient is actually taking. Administering high alert medications and completing an incident report are not the same as medication reconciliation. A printout of computerized patient data that identifies the times that all of the ordered medications are to be administered is a description of the medication administration record (MAR), not a description of medication reconciliation.
Question 4 of 5
What must the nurse have before administering any medication? (Select one that does not apply.)
Correct Answer: D
Rationale: Physicians must be licensed to prescribe medications; nurses must be licensed to administer medications. Safe medication administration includes knowledge of the medication, pathophysiology of patient diagnoses, and pharmacodynamics of the ordered medication on the pathophysiology. It is not necessary for the nurse to consult with a pharmacist each time medication is to be administered to a patient.
Question 5 of 5
The nurse is preparing to administer Lanoxin to a patient on the telemetry unit. In addition to understanding the patients diagnosis, the nurse must also know which characteristic(s) of the medication? (Select one that does not apply.)
Correct Answer: A
Rationale: The nurse must understand the individual patients diagnosis and symptoms that correlate with the rationale for drug use. The nurse should also know why a medication is ordered, expected actions, usual dosing, proper dilution, route and rate of administration, adverse effects, and contraindications for the use of a particular drug. It is not required that the nurse know the chemical composition of the medication prior to administration.