ATI LPN
Medication Administration Test Questions and Answers Questions
Question 1 of 5
A patient says he prefers to chew rather than swallow his pills. One of the pills has the abbreviation SR behind the name of the medication. The nurse needs to remember which correct instruction regarding how to give this medication?
Correct Answer: C
Rationale: Sustained-release (SR) and enteric-coated tablets or capsules are forms of medications that must not be crushed before administration so as to protect the gastrointestinal lining or the medication itself. Do not break, dissolve, or crush these tablets before administering.
Question 2 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 3 of 5
A nurse is evaluating the effectiveness of negative pressure wound therapy (NPWT) on a client with a chronic wound. Which of the following outcomes would indicate that the therapy is successful?
Correct Answer: B
Rationale: The wound has decreased in drainage is an outcome that would indicate that NPWT is successful. NPWT is a type of therapy that uses a vacuum device to apply negative pressure to the wound, which removes excess fluid, debris, and infectious material from the wound bed. This reduces edema, inflammation, and bacterial load, and promotes blood flow, oxygenation, and granulation tissue formation.
Question 4 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 5 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.