ATI RN
NCLEX Medication Administration Questions Questions
Question 1 of 5
A physician orders Cipro 500 mg, PO q 12 h for a patient with bronchial pneumonia. The nurse has Cipro 250 mg on hand. How many tablets would the nurse dispense?
Correct Answer: C
Rationale: 500 mg ordered ÷ 250 mg per tablet = 2 tablets, administered every 12 hours as per the order.
Question 2 of 5
A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare?
Correct Answer: D
Rationale: Intradermal injections (e.g., TB screening) require a tuberculin syringe with a small, fine needle (26-gauge, 1/2-inch) for shallow administration.
Question 3 of 5
The geriatric nurse is administering nightly medications to a 65-year-old woman with dysphagia. The patient is able to swallow crushed medications with thickened liquids. Which of the following medications should the nurse not crush?
Correct Answer: A
Rationale: Pantoprazole ER (extended release) must not be crushed as it disrupts the coating, leading to rapid absorption instead of the intended delayed release.
Question 4 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 5 of 5
The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's action?
Correct Answer: A
Rationale: The reduced glomerular filtration rate delays excretion, increasing chance for toxicity by the kidneys. In older adults, gastric motility, and liver mass decrease. Esophageal stricture is not a physiological change associated with normal aging.