ATI LPN
NCLEX Questions Medication Administration Questions
Question 1 of 5
The nurse is giving an intradermal (ID) injection and will choose which syringe for this injection?
Correct Answer: B
Rationale: The proper size syringe for ID injection is 1-mL tuberculin. The other syringes pictured are incorrect. Insulin syringes (marked in units) are not used for intradermal injections.
Question 2 of 5
While the nurse is assisting a patient in taking his medications, the medication cup falls to the floor, spilling the tablets. What is the nurse's best action at this time?
Correct Answer: A
Rationale: Medications that fall to the floor must be discarded, and the procedure must be repeated with new medications. The other actions are not appropriate.
Question 3 of 5
A 2-year-old child is to receive eardrops. The nurse is teaching the parent about giving the eardrops. Which statement reflects the proper technique for administering eardrops to this child?
Correct Answer: C
Rationale: In an infant or a child younger than 3 years of age, the ear canal is straightened by pulling the pinna down and back. In adults, the pinna is pulled up and outward. Pulling the lobe and administering eardrops without pulling on the ear lobe are not appropriate actions.
Question 4 of 5
The nurse is preparing to give an aqueous intramuscular (IM) injection to an average-sized adult. Which actions are appropriate? (Select one that does not apply.)
Correct Answer: C
Rationale: In general, aqueous medications can be given with a 22- to 27-gauge needle, and average needle lengths for adults range from 1 to 1 1/2 inches. Insert the needle at a 90-degree angle. Checking for blood return is also part of the technique for IM injections to prevent inadvertent administration into the bloodstream. The ventrogluteal site is the preferred site for IM injections in adults. The dorsogluteal site is to be avoided because of proximity to nerves and blood vessels. (Note: Options E and F are 'Insert the needle at a 90-degree angle' and 'Before injecting the medication, withdraw the plunger to check for blood return,' respectively, as corrected from the document's typo of 40 degrees.)
Question 5 of 5
A patient claims to be allergic to sulfa medications, which have caused him to suffer major body rashes. Is it necessary to alert anesthesia of the reported allergy to sulfas because some forms of propofol contain sulfites?
Correct Answer: A
Rationale: Yes, it is necessary to alert anesthesia because some formulations of propofol contain sulfites, which can cause allergic reactions in patients with sulfa allergies. Although sulfa drugs and sulfites are chemically distinct, cross-sensitivity is possible, and anesthesia should be informed to assess risk and choose an appropriate alternative if needed.