ATI RN
Medication Administration NCLEX Questions Questions
Question 1 of 5
An adult with diabetes receives 20 units of insulin each morning and evening. How will the nurse teach the patient to administer the insulin?
Correct Answer: D
Rationale: Insulin syringes are calibrated in units, so 20 units of insulin is directly measured and administered using an insulin syringe.
Question 2 of 5
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
Correct Answer: A
Rationale: Children up to 3 years of age should have the auricle pulled down and back, children 3 years of age to adults should have the auricle pulled upward and outward. Solution should be instilled 1 cm (1/2 in) above the opening of the ear canal. The patient should remain in the side-lying position 2 to 3 minutes. If a cotton ball is needed, place it into the outermost part of the ear canal.
Question 3 of 5
The nurse is planning to administer a tuberculin test with a 27-gauge, 5/8-inch needle. At which angle will the nurse insert the needle?
Correct Answer: A
Rationale: A 27-gauge, 5/8-inch needle is used for intradermal injections such as a tuberculin test, which should be inserted at a 5- to 15-degree angle, just under the dermis of the skin. Placing the needle at 30, 45, or 90 degrees will place the medication too deep.
Question 4 of 5
A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?
Correct Answer: A
Rationale: Gaseous and volatile medications are excreted through gas exchange (lungs). Deep breathing and coughing will assist in clearing the medication more quickly. It is a gaseous medication and cannot be suctioned out of the lungs. It is not excreted through the kidneys, so fluids and voiding will not help.
Question 5 of 5
Which patient does the nurse most closely monitor for an unintended synergistic effect?
Correct Answer: D
Rationale: The 72-year-old seeing four different providers is likely to experience polypharmacy. Polypharmacy places the patient at risk for unintended mixing of medications that potentiate each other. When two medications have a synergistic effect, their combined effect is greater than the effect of the medications when given separately. The child taking too much of a medication by mistake could experience overdose or toxicity. The 50 year old is prescribed two different blood pressure medications for their synergistic effect, but this is a desired, intended event. A patient taking meth and mixing chemicals can be toxic.