ATI RN
NCLEX Medication Administration Questions Questions
Question 1 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 2 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A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication.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 3 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.
Question 4 of 5
An older-adult patient needs an intramuscular (IM) injection of antibiotic. Which site is best for the nurse to use?
Correct Answer: C
Rationale: The ventrogluteal site is the preferred and safest site for all adults, children, and infants. While the vastus lateralis is a large muscle that could be used, it is not the preferred and safest. The dorsal gluteal site is a location for a subcutaneous injection, and this patient requires an IM injection. The deltoid is easily accessible, but this muscle is not well developed and is not the preferred site.
Question 5 of 5
The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. mL
Correct Answer: A
Rationale: The nurse needs to first determine how many milligrams are in each milliliter of the elixir. Then the nurse calculates how many milliliters would contain 250 mg. 1000 mg / 5 mL = 200 mg / 1 mL. 250 mg / (X mL) = 200 mg / mL = 1.25 mL. OR Dose ordered over dose on hand (250 / 1000) x volume or amount on hand (5). 250 / 1000 = 0.25 x 5 = 1.25 mL.