ATI RN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 of 5
A student nurse is administering medications through a nasogastric tube connected to continuous suction. How will the student do this accurately?
Correct Answer: C
Rationale: Disconnecting and clamping the tube for 20-30 minutes allows medication absorption without interference from suction.
Question 2 of 5
Jane is a 49-year-old woman who has recently had a peripherally inserted central catheter (PICC) placed. The nurse is teaching Jane how to flush her PICC. She knows that the teaching was effective when Jane states which of the following?
Correct Answer: D
Rationale: A 10 mL syringe or larger is required to flush a PICC line to avoid excessive pressure that could damage the catheter, unlike smaller syringes (e.g., 3 mL). Note: Multiple identical options D-G are treated as one correct answer.
Question 3 of 5
The patient is to receive phenytoin at 0900. When will be the ideal time for the nurse to schedule a trough level?
Correct Answer: B
Rationale: Trough levels are generally drawn 30 minutes before the drug is administered. If the medication is administered at 0900, the trough should be drawn at 0830.
Question 4 of 5
A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which nursing action is vital to ensuring effective absorption?
Correct Answer: C
Rationale: If a medication needs to be given on an empty stomach or is not compatible with the feeding (e.g., phenytoin, carbamazepine, warfarin, fluoroquinolones, proton pump inhibitors), hold the feeding for at least 30 minutes before or 30 minutes after medication administration. Thoroughly shaking the medication mixes the medication before administration but does not affect absorption. Flushing the tube after all medications should be 30 to 60 mL of water; 15 to 30 mL of water is used for flushing between medications. Patients with NG tubes should never be positioned supine but instead should be positioned at least to a 30-degree angle to prevent aspiration, provided no contraindication condition is known.
Question 5 of 5
What is the nurse's priority action to protect a patient from medication error?
Correct Answer: A
Rationale: One step to take to prevent medication errors is to read labels at least 3 times before administering the medication. The nurse should address the family's concerns about medications before administering them. Do not discount their anxieties. The medication administration record should be checked against the patient's hospital identification band; a room number is not an acceptable identifier. Medications should be given when scheduled, and medications with special assessment indications should be separated. Giving medications at one time can cause the patient to aspirate.