ATI RN
Medication Administration NCLEX Questions Questions
Question 1 of 5
The new pediatric nurse has just given a suppository to a 5-year-old boy. He has a bowel movement 7 minutes post administration. Which action should the nurse take next?
Correct Answer: B
Rationale: Examining the stool determines if the suppository was expelled before absorption. This guides whether a repeat dose is needed, after consulting the physician.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best?
Correct Answer: B
Rationale: Children often have difficulties taking medication, but it can be less traumatic for the child if the parent administers the medication and the nurse supervises. Another nurse should help restrain a child if needed; the parent acts as a comforter, not a restrainer. Holding down the child is not the best option because it may further upset the child. Never administer an oral medication to a sleeping child. Don't mix medications into the child's favorite foods because the child might start to refuse the food.