ATI LPN
Medication Administration Test Questions and Answers Questions
Question 1 of 5
The nurse has an order to administer an intramuscular (IM) immunization to a 2-month-old child. Which site is considered the best choice for this injection?
Correct Answer: D
Rationale: The vastus lateralis is the preferred site of injection of drugs such as immunizations for infants. The other sites are not appropriate for infants. The ventrogluteal site is the preferred site for adults and children. The deltoid site is used only for the administration of immunizations to toddlers, older children, and adults (not infants) and only for small volumes of medication. The dorsogluteal site is no longer recommended because of the possibility of nerve injury.
Question 2 of 5
The nurse is about to give a rectal suppository to a patient. Which technique would facilitate the administration and absorption of the rectal suppository?
Correct Answer: D
Rationale: Position the patient on his or her left side for rectal suppository insertion. The suppository is then lubricated with a small amount of water-soluble lubricant, not petroleum-based substances. The patient is told to take a deep breath and exhale through the mouth during insertion. Then the patient needs to remain lying on the left side for 15 to 20 minutes to allow absorption of the drug.
Question 3 of 5
A patient says he prefers to chew rather than swallow his pills. One of the pills has the abbreviation SR behind the name of the medication. The nurse needs to remember which correct instruction regarding how to give this medication?
Correct Answer: C
Rationale: Sustained-release (SR) and enteric-coated tablets or capsules are forms of medications that must not be crushed before administration so as to protect the gastrointestinal lining or the medication itself. Do not break, dissolve, or crush these tablets before administering.
Question 4 of 5
Which of the following is the most commonly diverted medication, according to the Drug Enforcement Administration?
Correct Answer: C
Rationale: According to the Drug Enforcement Administration, fentanyl is the most commonly diverted medication due to its high potency and widespread use in healthcare settings, contributing significantly to the opioid crisis. It is frequently targeted by healthcare workers with access to controlled substances.
Question 5 of 5
A patient indicates a 'significant allergy' to Percocet on an admission report. The PRN list for pain management lists several drugs and looks like the example below (the checkmarks indicate the prescriber's endorsed orders). What's your next step? If the patient cannot take Percocet, administer fentanyl 50 mcg x 1; may repeat in 15 minutes one time only; Oxycodone with APAP x1 as needed one time only; Tramadol 50 mg PRN for pain; Acetaminophen with Codeine #3 PRN for pain; Dilaudid 2 mg PO x1 if oxycodone/APAP is ineffective.
Correct Answer: B
Rationale: Percocet contains oxycodone and acetaminophen, so the patient’s allergy likely relates to oxycodone or the combination. The order includes oxycodone/APAP, which should be avoided. Fentanyl is an opioid alternative, but tramadol or Dilaudid might be safer depending on the allergy specifics. Contacting the prescriber to clarify the allergy and adjust the order is the safest next step, as nurses cannot assume alternatives without confirmation.