ATI LPN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 of 5
A client with venous insufficiency has a venous stasis ulcer on the lower leg. Which instruction should the nurse give to the client to promote wound healing?
Correct Answer: D
Rationale: The client with venous insufficiency has impaired venous return from the lower extremities, which causes edema, inflammation, and skin breakdown. The nurse should instruct the client to apply compression stockings or bandages to improve blood flow and reduce swelling; avoid crossing the legs or wearing tight-fitting clothing that can constrict blood vessels; and keep the leg elevated when sitting or lying down to facilitate venous return.
Question 2 of 5
A client is scheduled for a skin graft surgery to treat a large wound on the arm. The nurse explains to the client that the graft will be taken from the thigh. What term should the nurse use to describe this type of graft?
Correct Answer: A
Rationale: An autograft is a type of skin graft that uses the client's own skin as the donor site. This is the preferred type of graft, as it has the lowest risk of rejection and infection, and provides the best cosmetic and functional results.
Question 3 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 4 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 5 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.