ATI LPN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 5
After administering an intradermal (ID) injection for a skin test, the nurse notices a small bleb at the injection site. The best action for the nurse to take at this time is to:
Correct Answer: C
Rationale: The formation of a small bleb is expected after an ID injection for skin testing. The other actions are not appropriate.
Question 2 of 5
A patient with asthma is to begin medication therapy using a metered-dose inhaler. What is an important reminder to include during teaching sessions with the patient?
Correct Answer: B
Rationale: Position the inhaler to an open mouth, with the inhaler 1 to 2 inches away from the mouth, or attach a spacer to the mouthpiece of the inhaler, or place the mouthpiece in the mouth. To administer, press down on the inhaler to release the medication while inhaling slowly. Wait 1 to 2 minutes between puffs if a second puff of the same medication has been ordered.
Question 3 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 4 of 5
How much dantrolene is needed to treat malignant hyperthermia in a patient weighing 70 kg?
Correct Answer: B
Rationale: The standard initial dose of dantrolene for malignant hyperthermia is 2.5 mg/kg IV, repeated as needed up to a maximum of 10 mg/kg. For a 70 kg patient, 2.5 mg/kg × 70 kg = 175 mg initially. However, the total dose may reach 10 mg/kg × 70 kg = 700 mg. Given the options, 600 mg is closest to a practical total dose in a crisis, though typically it’s administered in increments. (Note: Multiple '600 mg' listings appear to be an OCR error; only one is valid.)
Question 5 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.