ATI LPN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 of 5
What is medication reconciliation?
Correct Answer: A
Rationale: Medication reconciliation is the process of comparing a patients current medication orders to all of the medications that the patient is actually taking. Administering high alert medications and completing an incident report are not the same as medication reconciliation. A printout of computerized patient data that identifies the times that all of the ordered medications are to be administered is a description of the medication administration record (MAR), not a description of medication reconciliation.
Question 2 of 5
The nurse is preparing to administer Lanoxin to a patient on the telemetry unit. In addition to understanding the patients diagnosis, the nurse must also know which characteristic(s) of the medication? (Select one that does not apply.)
Correct Answer: A
Rationale: The nurse must understand the individual patients diagnosis and symptoms that correlate with the rationale for drug use. The nurse should also know why a medication is ordered, expected actions, usual dosing, proper dilution, route and rate of administration, adverse effects, and contraindications for the use of a particular drug. It is not required that the nurse know the chemical composition of the medication prior to administration.
Question 3 of 5
The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching?
Correct Answer: D
Rationale: Drugs given sublingually should be placed under the tongue. No foods or fluids should be given, since the tablet must remain under the tongue until it is fully absorbed. Medications ordered to be given 'buccally' should be placed between the cheek and gum.
Question 4 of 5
The nurse is teaching a parent to administer medications using a child's gastrostomy tube. The parent asks why it is necessary to give water after each medication. The nurse explains that the water is given for which purpose?
Correct Answer: C
Rationale: Flushing the tube after the medication is instilled ensures that the medication reaches the stomach, to maintain patency of the tubing. It is not always given to decrease gastrointestinal upset, to dilute the medication, or to improve hydration.
Question 5 of 5
The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran. Which statement by the student indicates understanding of the teaching?
Correct Answer: A
Rationale: The Z-track method is used to prevent staining of the skin. It does not affect absorption. The ventrogluteal site is preferred, and, generally, the needle is a larger bore.