ATI LPN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 5
A patient is to receive a penicillin intramuscular (IM) injection in the ventrogluteal site. The nurse will use which angle for the needle insertion?
Correct Answer: D
Rationale: The proper angle for IM injections is 90 degrees. The other angles are incorrect.
Question 2 of 5
When giving a buccal medication to a patient, which action by the nurse is appropriate?
Correct Answer: C
Rationale: Buccal medications are properly administered between the upper or lower molar teeth and the cheek. Caution the patient against swallowing, and do not administer with water. Medications given under the tongue are sublingually administered.
Question 3 of 5
A patient with asthma is to begin medication therapy using a metered-dose inhaler. What is an important reminder to include during teaching sessions with the patient?
Correct Answer: B
Rationale: Position the inhaler to an open mouth, with the inhaler 1 to 2 inches away from the mouth, or attach a spacer to the mouthpiece of the inhaler, or place the mouthpiece in the mouth. To administer, press down on the inhaler to release the medication while inhaling slowly. Wait 1 to 2 minutes between puffs if a second puff of the same medication has been ordered.
Question 4 of 5
A patient is to receive hydromorphone (Dilaudid) 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. Identify how many milliliters will the nurse administer for this dose.
Correct Answer: B
Rationale: The calculation is as follows: 2 mg : 1 mL = 1.5 mg : x mL. Solving for x: (2 × x) = (1 × 1.5); 2x = 1.5; x = 0.75. Therefore, the nurse will administer 0.75 mL.
Question 5 of 5
How much dantrolene is needed to treat malignant hyperthermia in a patient weighing 70 kg?
Correct Answer: B
Rationale: The standard initial dose of dantrolene for malignant hyperthermia is 2.5 mg/kg IV, repeated as needed up to a maximum of 10 mg/kg. For a 70 kg patient, 2.5 mg/kg × 70 kg = 175 mg initially. However, the total dose may reach 10 mg/kg × 70 kg = 700 mg. Given the options, 600 mg is closest to a practical total dose in a crisis, though typically it’s administered in increments. (Note: Multiple '600 mg' listings appear to be an OCR error; only one is valid.)