ATI LPN
NCLEX Questions Medication Administration Questions
Question 1 of 5
The nurse will plan to use the Z-track method of intramuscular (IM) injections for which situation?
Correct Answer: A
Rationale: The Z-track method is used for medications known to irritate tissues or for medications that are painful or cause stains to the tissues. It also prevents the deposit of medication into more sensitive subcutaneous tissues. The other options are not appropriate situations for the Z-track method.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is caring for a client who has a surgical incision with sutures. The nurse observes that the edges of the wound are well approximated and there is minimal drainage from the site. The nurse documents this type of wound healing as:
Correct Answer: A
Rationale: Primary intention is a type of wound healing that occurs when the edges of the wound are well approximated and there is minimal tissue loss or infection. It results in minimal scarring and fast healing.