ATI RN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 of 5
The patient is to receive phenytoin at 0900. When will be the ideal time for the nurse to schedule a trough level?
Correct Answer: B
Rationale: Trough levels are generally drawn 30 minutes before the drug is administered. If the medication is administered at 0900, the trough should be drawn at 0830.
Question 2 of 5
What is the nurse's priority action to protect a patient from medication error?
Correct Answer: A
Rationale: One step to take to prevent medication errors is to read labels at least 3 times before administering the medication. The nurse should address the family's concerns about medications before administering them. Do not discount their anxieties. The medication administration record should be checked against the patient's hospital identification band; a room number is not an acceptable identifier. Medications should be given when scheduled, and medications with special assessment indications should be separated. Giving medications at one time can cause the patient to aspirate.
Question 3 of 5
The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?
Correct Answer: C
Rationale: The supervising nurse must intervene with the nurse who is drawing up the NPH insulin first; if regular and intermediate-acting (NPH) insulin is ordered, prepare the regular insulin first to prevent the regular insulin from becoming contaminated with the intermediate-acting insulin. All the other actions are appropriate and do not need follow-up. The CDC no longer recommends aspiration when administering immunizations to reduce discomfort. In some cases, especially with a smaller gauge (22) IV needle, blood return is not aspirated, even if the IV is patent. If the IV site shows no signs of infiltration and IV fluid is infusing without difficulty, proceed with IV push slowly. Oral meds are contraindicated in patients with nasogastric suction.
Question 4 of 5
A nurse is administering oral medications to patients. Which action will the nurse take?
Correct Answer: B
Rationale: Placing medications that require pre-administration assessment in a separate cup serves as a reminder to check before the medication is given, making it easier for the nurse to withhold medication if necessary. Medications should not be removed from their package until they are in the patient's room because this makes identification of the pill easier and reduces contamination. When measuring a liquid, the nurse should use the meniscus level to measure; make sure it is at eye level on a hard surface like a countertop. Enteric coated medications should not be crushed.
Question 5 of 5
A patient has been prescribed morphine 8 mg 2-3 hourly PRN for pain. Unit stock of morphine is 10 mg/1 mL. How much morphine should be drawn up for the patient?
Correct Answer: D
Rationale: To calculate: 8 mg ÷ 10 mg/mL = 0.8 mL. Thus, 0.80 mL is the correct volume to draw up for an 8 mg dose from a 10 mg/mL solution.