ATI RN
NCLEX Questions Medication Administration Questions
Question 1 of 5
A nurse is utilizing the PQRST pain assessment method to determine if a client is experiencing pain. Which questions would the nurse ask according to the P portion of the assessment? Select all that apply.
Correct Answer: C
Rationale: In the PQRST method, the 'P' stands for Palliative and Provocative factors. 'Is there anything that makes the pain better?' (palliative) and 'What aggravates the pain?' (provocative) directly relate to this portion. The other options pertain to Quality (Q), Region/Radiation (R), or Severity (S).
Question 2 of 5
What must a nurse do each time medications are administered to ensure that medication errors do not occur?
Correct Answer: D
Rationale: The three checks (label, preparation, administration) and five rights (patient, drug, dose, route, time) are standard to prevent errors.
Question 3 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Rationale: Injecting air equal to the volume of liquid withdrawn maintains vial pressure, making it easier to draw the medication.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 4 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 5 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.