ATI RN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?
Correct Answer: C
Rationale: The supervising nurse must intervene with the nurse who is drawing up the NPH insulin first; if regular and intermediate-acting (NPH) insulin is ordered, prepare the regular insulin first to prevent the regular insulin from becoming contaminated with the intermediate-acting insulin. All the other actions are appropriate and do not need follow-up. The CDC no longer recommends aspiration when administering immunizations to reduce discomfort. In some cases, especially with a smaller gauge (22) IV needle, blood return is not aspirated, even if the IV is patent. If the IV site shows no signs of infiltration and IV fluid is infusing without difficulty, proceed with IV push slowly. Oral meds are contraindicated in patients with nasogastric suction.
Question 5 of 5
A nurse is administering oral medications to patients. Which action will the nurse take?
Correct Answer: B
Rationale: Placing medications that require pre-administration assessment in a separate cup serves as a reminder to check before the medication is given, making it easier for the nurse to withhold medication if necessary. Medications should not be removed from their package until they are in the patient's room because this makes identification of the pill easier and reduces contamination. When measuring a liquid, the nurse should use the meniscus level to measure; make sure it is at eye level on a hard surface like a countertop. Enteric coated medications should not be crushed.