ATI RN
NCLEX Medication Administration Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. mL
Correct Answer: A
Rationale: The nurse needs to first determine how many milligrams are in each milliliter of the elixir. Then the nurse calculates how many milliliters would contain 250 mg. 1000 mg / 5 mL = 200 mg / 1 mL. 250 mg / (X mL) = 200 mg / mL = 1.25 mL. OR Dose ordered over dose on hand (250 / 1000) x volume or amount on hand (5). 250 / 1000 = 0.25 x 5 = 1.25 mL.
Question 5 of 5
While admitting a patient for a surgical procedure they ask you why they need to be weighed. Your best reply would be:
Correct Answer: C
Rationale: Weight is critical for calculating anaesthetic and medication doses, ensuring safety during surgery.