ATI RN
NCLEX Questions Medication Administration Questions
Question 1 of 5
A nurse is administering lithium to a Japanese patient. What cultural factor should the nurse consider regarding the effects of the medications?
Correct Answer: A
Rationale: Genetic variations in some Asian populations may lead to slower lithium metabolism, causing elevated serum levels and potential toxicity, requiring careful monitoring.
Question 2 of 5
A nurse is preparing an injection by withdrawing the solution from a multidose vial. What is necessary to facilitate withdrawing a medication from the vial?
Correct Answer: A
Rationale: Injecting air equal to the volume of liquid withdrawn maintains vial pressure, making it easier to draw the medication.
Question 3 of 5
The nurse is preparing to administer an intramuscular (IM) injection to a 4.8 pound infant. The nurse should position the needle at which angle?
Correct Answer: D
Rationale: While 90 degrees is standard for IM injections, a 45-degree angle is used for very small infants (e.g., 4.8 lbs) to avoid penetrating too deeply into limited muscle mass.
Question 4 of 5
A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method?
Correct Answer: C
Rationale: The Z-track is indicated when the medication being administered has the potential to irritate sensitive tissues. It is recommended that, when administering IM injections, the Z-track method be used to minimize local skin irritation by sealing the medication in muscle tissue. The Z-track method is not meant to reduce discomfort from the procedure. If a patient is allergic to a medication, it should not be administered. If a patient has additional subcutaneous tissue to go through, a needle of a different size may be selected.
Question 5 of 5
The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?
Correct Answer: B
Rationale: Blood return upon aspiration indicates improper placement, and the injection should not be given. Instead withdraw the needle, dispose of the syringe and needle properly, and prepare the medication again. Administering the medication into a blood vessel could have dangerous adverse effects, and the medication will be absorbed faster than intended owing to increased blood flow. Holding pressure is not an appropriate intervention. Pulling back the needle slightly does not guarantee proper placement of the needle and medication administration.