ATI LPN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 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 2 of 5
A client has a wound on the lower leg that is covered with dry, yellow crusts. The nurse recognizes this as an indication of:
Correct Answer: A
Rationale: Slough is dead tissue that is shed from the surface of the wound. It may be white, yellow, green, or brown in color and may have a soft, moist, or dry texture. It should be removed to promote wound healing.
Question 3 of 5
A client with a surgical wound on the abdomen has a negative pressure wound therapy (NPWT) device attached to the wound. Which action should the nurse take when caring for this client?
Correct Answer: C
Rationale: Negative pressure wound therapy (NPWT) is a device that applies subatmospheric pressure to the wound bed, which promotes granulation tissue formation, removes excess fluid and debris, and reduces edema and bacterial colonization. The nurse should ensure that the dressing is sealed and airtight around the wound to maintain negative pressure and prevent air leaks.
Question 4 of 5
A client with diabetes mellitus has a diabetic foot ulcer on the left heel. The nurse is preparing to apply a hydrocolloid dressing to the wound. What is an advantage of using this type of dressing?
Correct Answer: D
Rationale: Hydrocolloid dressings are occlusive or semi-occlusive dressings that adhere to the skin and form a gel-like substance over the wound. This creates a moist environment that stimulates autolytic debridement, which is the natural breakdown of necrotic tissue by enzymes in the wound fluid.
Question 5 of 5
A nurse is preparing to change a dressing on a client's surgical incision. Which type of dressing should the nurse use to promote autolytic debridement of the wound?
Correct Answer: D
Rationale: The nurse should use a hydrogel dressing to promote autolytic debridement of the wound. Autolytic debridement is a natural process that uses the body's own enzymes and moisture to liquefy and remove necrotic tissue from a wound. Hydrogel dressings provide hydration and moisture to dry wounds and facilitate autolytic debridement.