ATI RN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 5
A registered nurse interprets that a scribbled medication prescription reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?
Correct Answer: D
Rationale: Ultimately, the person administering the medication is responsible for ensuring that it is correct. The nurse administered the medication, so in this case it is the nurse. Accept full accountability and responsibility for all actions surrounding the administration of medications. Do not assume that a medication that is ordered for a patient is the correct medication or the correct dose. This is the importance of verifying the six rights of medication administration. The ultimate responsibility and accountability are with the nurse, not the health care provider, pharmacist, or hospital.
Question 2 of 5
The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority?
Correct Answer: D
Rationale: The dosage range is 200 to 400 mg a day (5 x 40 = 200 and 10 x 40 = 400). The prescribed dose is 100 mg/day (4 x 25 = 100), which is below therapeutic range. The nurse should notify the health care provider first and ask for clarification on the order. The dose is not above the therapeutic range and is not at a toxic level. The nurse should never alter an order without the prescriber's approval and consent.
Question 3 of 5
A nurse is preparing an intravenous (IV) piggyback infusion. In which order will the nurse perform the steps, starting with the first one? 1. Compare the label of the medication with the medication administration record at the patient's bedside. 2. Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port. 3. Hang the piggyback medication bag above the level of the primary fluid bag. 4. Clean the main IV-line port with an antiseptic swab. 5. Connect the infusion tubing to the medication bag. 6. Regulate flow.
Correct Answer: D
Rationale: When preparing and administering IV piggybacks, use the following steps: Compare the label of medication with the medication administration record at the patient's bedside; connect the infusion tubing to the medication bag; hang the piggyback medication bag above the level of the primary fluid bag; clean the main IV-line port with an antiseptic swab; connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port; and regulate flow.
Question 4 of 5
The patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250 mg/5 mL. How many milliliters will the nurse administer for one dose? Record your answer using a whole number. mL
Correct Answer: B
Rationale: The drug is dispensed at 250 mg / 5 mL. The nurse is to give 500 mg, which is 10 mL. OR Dose ordered over dose on hand (500 / 250) x volume or amount on hand (5). 500 / 250 x 5 = 10 mL.
Question 5 of 5
Prior to surgery a patient is to have nothing to eat or drink. This is necessary to
Correct Answer: C
Rationale: Fasting (NPO) prevents aspiration of stomach contents during anaesthesia, a life-threatening risk.