ATI LPN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 5
What is the most reliable method to calculate a pediatric patients medication dosage?
Correct Answer: C
Rationale: The most reliable method is by proportional amount of BSA or body weight. Because of the differences in weight among children, age is not a reliable method. Because of the differences in height among children, this is not a reliable method. Placement on a growth scale identifies how the child corresponds to other children on a percentile. Although it is determined by a specific measurement, the percentile identified would not be a specific measurement; therefore, this is not a reliable method.
Question 2 of 5
Who defines the standards of care for the practice of nursing? (Select one that does not apply.)
Correct Answer: B
Rationale: Standards of care are defined by state boards of nursing, federal laws regulating health care facilities, The Joint Commission, and professional nursing associations such as the American Nurses Association. Individual hospital policies and procedures incorporate federal and state guidelines into their respective policies and procedures and are often more stringent than state and federal regulations.
Question 3 of 5
Which lab test(s) would be used to assess liver and/or renal function before administering medications? (Select one that does not apply.)
Correct Answer: A
Rationale: Liver function tests include LDH (lactic dehydrogenase) and ALT (alanine aminotransferase). Renal function tests include Crs (serum creatinine) and BUN (blood urea nitrogen). Although a CBC (complete blood count) and an aPTT are useful in assessing the patient before administration of medication, they are not renal or hepatic function tests.
Question 4 of 5
A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size. The nurse will perform which action?
Correct Answer: A
Rationale: Enteric-coated and extended-release 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 or extended-release tablets should not be dissolved in liquid. The nurse should contact the provider to discuss another form of the medication.
Question 5 of 5
A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer. The patient asks why the spacer is necessary. The nurse will explain that the spacer
Correct Answer: B
Rationale: Spacers are used to enhance the delivery of medication to the lower, smaller airways. They do not allow higher dosing or minimize drug side effects.