ATI RN
Medication Administration Test Questions and Answers Questions
Question 1 of 5
Ethel is an 80-year-old woman who was admitted for dehydration. The nurse reports that she is not making 30 mL/hr of urine and the physician orders a bolus of 250 ml to be infused within 30 minutes. What is the correct drip rate for Ethel's infusion?
Correct Answer: D
Rationale: The minimum urine output is 30 mL/hr. To calculate the drip rate: Volume / (Minutes / 60) = Rate. For Ethel: 250 mL / (30 / 60) = 250 / 0.5 = 500 mL/hr, ensuring rapid fluid replacement.
Question 2 of 5
The nurse is preparing to administer an injection into the deltoid muscle of an adult patient weighing approximately 160 lb. Which needle size and length will the nurse choose?
Correct Answer: C
Rationale: For an intramuscular injection into an adult deltoid muscle, a 25-gauge, 1-inch needle is recommended. An 18-gauge needle is too big. While a 23-gauge needle can be used, a 1/2-inch needle is too small. A 27-gauge, 5/8-inch needle is used for intradermal.
Question 3 of 5
While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?
Correct Answer: A
Rationale: Acidic medications pass through the gastric mucosa rapidly. Medications that are basic are not absorbed before reaching the small intestine.
Question 4 of 5
A patient refuses medication. Which is the nurse's first action?
Correct Answer: D
Rationale: The first response is to explore reasons the patient does not want the medication. After the assessment, the nurse can decide what to do next. Educating is important, but it is not the first action. Ultimately, the patient does have the right to refuse the medication; however, the nurse should first try to find out reasons for the refusal and provide education if needed based upon the assessment findings. Hiding medication and deceiving a patient into taking a medication is unethical and violates right to autonomy.
Question 5 of 5
The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error?
Correct Answer: B
Rationale: The nurse should ask the patient to verify identity and should check the patient's ID bracelet against the medication record to ensure right patient. Acceptable patient identifies include the patient's name, an identification number assigned by a health care facility, or a telephone number. Do not use the patient's room number as an identifier. To identify a patient correctly in an acute care setting, compare the patient identifiers on the MAR with the patient's identification bracelet while at the patient's bedside. Right medication, right dose, and right route are equally as important, but in this situation, right patient is the priority (two patients with the same last name).