ATI RN
NCLEX Medication Administration Questions Questions
Question 1 of 5
A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare?
Correct Answer: D
Rationale: Intradermal injections (e.g., TB screening) require a tuberculin syringe with a small, fine needle (26-gauge, 1/2-inch) for shallow administration.
Question 2 of 5
A patient has been prescribed to receive 0.3 mL of U-500 insulin. Which syringe will the nurse use to administer the medication?
Correct Answer: D
Rationale: Because there is no syringe currently designed to prepare U-500 insulin, many medication errors result with this kind of insulin. To prevent errors, ensure that the order for U-500 specifies units and volume (e.g., 150 units, 0.3 mL of U-500 insulin), and use tuberculin syringes to draw up the doses. A 3 mL and U-100 can result in inaccurate dosing. A needleless syringe will not be acceptable in this situation.
Question 3 of 5
The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's action?
Correct Answer: A
Rationale: The reduced glomerular filtration rate delays excretion, increasing chance for toxicity by the kidneys. In older adults, gastric motility, and liver mass decrease. Esophageal stricture is not a physiological change associated with normal aging.
Question 4 of 5
A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?
Correct Answer: A
Rationale: The nurse should follow Nurse Practice Acts and safe narcotic administration guidelines by having a nurse witness the 'wasted' medication. The nurse cannot return the wasted medication to the medication dispenser. Wasted portions of medications are not placed in sharps containers. The nurse should not leave the narcotic unattended and call the health care provider to obtain matching dosages; the nurse is expected to obtain the correct dose.
Question 5 of 5
Which patient using an inhaler would benefit most from using a spacer?
Correct Answer: B
Rationale: A spacer is indicated for a patient who has difficulty coordinating the steps, like patients with limited mobility/coordination. An alert adolescent with a repaired cleft palate would not need a spacer. Hearing impairment may make teaching the patient to use the inhaler difficult, but it does not indicate the need for a spacer. Although a patient with left-sided hemiparesis could have coordination problems, a patient using a dry powder inhaler does not require the use of spacers.