ATI LPN
NCLEX Questions Medication Administration Questions
Question 1 of 5
The nursing assessment identifies that the client is nauseated and cannot take acetaminophen (Tylenol) orally. Which is true regarding the substitution of this medication to suppository form?
Correct Answer: D
Rationale: One dosage form of medication should never be substituted for another unless the prescriber is consulted; there can be a great variation in the absorption rate of the medication through different routes of administration. The substitution of one form for another is not standard practice, and is not acceptable or preferable without the prescribers order.
Question 2 of 5
Which statement(s) is/are true regarding computerized prescriber order entry (CPOE)? (Select one that does not apply.)
Correct Answer: D
Rationale: CPOE systems integrate patient information, provide instant access, facilitate review of ordered medications for potential drug interactions, and facilitate review of drugs for appropriateness of dosages. Alleviation of the need to perform mathematical computations is not a component of the CPOE system.
Question 3 of 5
A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to swallow. How will the nurse respond to the patient?
Correct Answer: A
Rationale: Enteric-coated tablets must be swallowed whole to maintain a therapeutic drug level since they are designed to be absorbed in the small intestine. If crushed, an initial excessive release of the drug may occur, causing toxicity. Enteric-coated tablets should not be dissolved in liquid.
Question 4 of 5
When administering topical medications, which is an important nursing action?
Correct Answer: D
Rationale: To avoid contact with the medication, nurses should wear gloves when applying topical medications. Some topical medications are applied sparingly. Skin should be clean and dry, but it is not necessary to use alcohol. It is not always necessary to use sterile technique.
Question 5 of 5
The nurse is teaching an overweight patient to administer subcutaneous heparin. Which statement by the patient indicates understanding of the teaching?
Correct Answer: A
Rationale: Patients giving subcutaneous medication should be taught not to aspirate after inserting the needle. They should not apply pressure. The needle should be inserted at a 45- to 90-degree angle. Absorption is slower with this route than with the intramuscular and intravenous (IV) routes.