ATI LPN
Medication Administration Test Questions and Answers Questions
Question 1 of 5
A patient indicates a 'significant allergy' to Percocet on an admission report. The PRN list for pain management lists several drugs and looks like the example below (the checkmarks indicate the prescriber's endorsed orders). What's your next step? If the patient cannot take Percocet, administer fentanyl 50 mcg x 1; may repeat in 15 minutes one time only; Oxycodone with APAP x1 as needed one time only; Tramadol 50 mg PRN for pain; Acetaminophen with Codeine #3 PRN for pain; Dilaudid 2 mg PO x1 if oxycodone/APAP is ineffective.
Correct Answer: B
Rationale: Percocet contains oxycodone and acetaminophen, so the patient’s allergy likely relates to oxycodone or the combination. The order includes oxycodone/APAP, which should be avoided. Fentanyl is an opioid alternative, but tramadol or Dilaudid might be safer depending on the allergy specifics. Contacting the prescriber to clarify the allergy and adjust the order is the safest next step, as nurses cannot assume alternatives without confirmation.
Question 2 of 5
A client is admitted to the hospital with a burn injury covering 30% of the body surface area. The nurse anticipates that the client will require which type of dressing for wound care?
Correct Answer: D
Rationale: Silver dressing is a type of antimicrobial dressing that contains silver ions, which have bactericidal properties and can prevent or treat wound infections. Silver dressing can also reduce pain, inflammation, and odor from the wound. Silver dressing is often used for burn injuries, as they are at high risk of infection due to loss of skin integrity and exposure to pathogens.
Question 3 of 5
A client has an arterial ulcer on the left lower leg. The nurse observes that the ulcer has a pale pink base, minimal drainage, and no signs of infection. What is an appropriate dressing for this ulcer?
Correct Answer: D
Rationale: Hydrogel dressings are water-based or glycerin-based gels that hydrate the wound and provide a moist environment for healing. They are suitable for dry wounds, such as arterial ulcers, as they help to rehydrate the wound bed and facilitate autolytic debridement.
Question 4 of 5
A nurse is assessing a client who has a pressure ulcer on the sacrum. Which finding should the nurse report to the wound care specialist?
Correct Answer: B
Rationale: The wound has a yellowish-green drainage, which indicates infection and possible necrosis of the wound tissue. This finding should be reported to the wound care specialist for further evaluation and treatment.
Question 5 of 5
A client with arterial insufficiency has an arterial ulcer on the dorsum of the foot. Which assessment finding should alert the nurse to a potential complication?
Correct Answer: D
Rationale: Gangrene or necrosis of the toes indicates severe tissue death that can lead to amputation if not treated promptly. The nurse should report this finding to the provider immediately and monitor for signs of infection or sepsis.