ATI RN
NCLEX Medication Administration Questions Questions
Question 1 of 5
The geriatric nurse is administering nightly medications to a 65-year-old woman with dysphagia. The patient is able to swallow crushed medications with thickened liquids. Which of the following medications should the nurse not crush?
Correct Answer: A
Rationale: Pantoprazole ER (extended release) must not be crushed as it disrupts the coating, leading to rapid absorption instead of the intended delayed release.
Question 2 of 5
The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's action?
Correct Answer: A
Rationale: The reduced glomerular filtration rate delays excretion, increasing chance for toxicity by the kidneys. In older adults, gastric motility, and liver mass decrease. Esophageal stricture is not a physiological change associated with normal aging.
Question 3 of 5
A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?
Correct Answer: A
Rationale: The nurse should follow Nurse Practice Acts and safe narcotic administration guidelines by having a nurse witness the 'wasted' medication. The nurse cannot return the wasted medication to the medication dispenser. Wasted portions of medications are not placed in sharps containers. The nurse should not leave the narcotic unattended and call the health care provider to obtain matching dosages; the nurse is expected to obtain the correct dose.
Question 4 of 5
Which patient using an inhaler would benefit most from using a spacer?
Correct Answer: B
Rationale: A spacer is indicated for a patient who has difficulty coordinating the steps, like patients with limited mobility/coordination. An alert adolescent with a repaired cleft palate would not need a spacer. Hearing impairment may make teaching the patient to use the inhaler difficult, but it does not indicate the need for a spacer. Although a patient with left-sided hemiparesis could have coordination problems, a patient using a dry powder inhaler does not require the use of spacers.
Question 5 of 5
An older-adult patient needs an intramuscular (IM) injection of antibiotic. Which site is best for the nurse to use?
Correct Answer: C
Rationale: The ventrogluteal site is the preferred and safest site for all adults, children, and infants. While the vastus lateralis is a large muscle that could be used, it is not the preferred and safest. The dorsal gluteal site is a location for a subcutaneous injection, and this patient requires an IM injection. The deltoid is easily accessible, but this muscle is not well developed and is not the preferred site.