ATI LPN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 5
When giving a buccal medication to a patient, which action by the nurse is appropriate?
Correct Answer: C
Rationale: Buccal medications are properly administered between the upper or lower molar teeth and the cheek. Caution the patient against swallowing, and do not administer with water. Medications given under the tongue are sublingually administered.
Question 2 of 5
A patient is to receive hydromorphone (Dilaudid) 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. Identify how many milliliters will the nurse administer for this dose.
Correct Answer: B
Rationale: The calculation is as follows: 2 mg : 1 mL = 1.5 mg : x mL. Solving for x: (2 × x) = (1 × 1.5); 2x = 1.5; x = 0.75. Therefore, the nurse will administer 0.75 mL.
Question 3 of 5
How much dantrolene is needed to treat malignant hyperthermia in a patient weighing 70 kg?
Correct Answer: B
Rationale: The standard initial dose of dantrolene for malignant hyperthermia is 2.5 mg/kg IV, repeated as needed up to a maximum of 10 mg/kg. For a 70 kg patient, 2.5 mg/kg × 70 kg = 175 mg initially. However, the total dose may reach 10 mg/kg × 70 kg = 700 mg. Given the options, 600 mg is closest to a practical total dose in a crisis, though typically it’s administered in increments. (Note: Multiple '600 mg' listings appear to be an OCR error; only one is valid.)
Question 4 of 5
A client has a wound on the lower leg that is covered with dry, yellow crusts. The nurse recognizes this as an indication of:
Correct Answer: A
Rationale: Slough is dead tissue that is shed from the surface of the wound. It may be white, yellow, green, or brown in color and may have a soft, moist, or dry texture. It should be removed to promote wound healing.
Question 5 of 5
A client with a surgical wound on the abdomen has a negative pressure wound therapy (NPWT) device attached to the wound. Which action should the nurse take when caring for this client?
Correct Answer: C
Rationale: Negative pressure wound therapy (NPWT) is a device that applies subatmospheric pressure to the wound bed, which promotes granulation tissue formation, removes excess fluid and debris, and reduces edema and bacterial colonization. The nurse should ensure that the dressing is sealed and airtight around the wound to maintain negative pressure and prevent air leaks.