ATI RN
NCLEX Questions Medication Administration Questions
Question 1 of 5
When mixing powdered medications into water for administration, you must:
Correct Answer: A
Rationale: A separate spoon prevents cross-contamination.
Question 2 of 5
The nurse is caring for a patient who is taking warfarin. The nurse notes the presence of gross hematuria and large areas of bruising on the patient's body. The nurse notifies the health care prescriber and anticipates what medication will be ordered?
Correct Answer: C
Rationale: Warfarin is an anticoagulant that inhibits vitamin K-dependent clotting factors, and excessive anticoagulation can cause bleeding (e.g., hematuria, bruising). Phytonadione (Vitamin K, Choice C) reverses warfarin's effects by restoring clotting factor synthesis, making it the anticipated treatment. Heparin sulfate (A) is another anticoagulant and would worsen bleeding. Protamine sulfate (B) reverses heparin, not warfarin. Potassium supplements (D) are unrelated to anticoagulation reversal.
Question 3 of 5
A nurse is utilizing the PQRST pain assessment method to determine if a client is experiencing pain. Which questions would the nurse ask according to the P portion of the assessment? Select all that apply.
Correct Answer: C
Rationale: In the PQRST method, the 'P' stands for Palliative and Provocative factors. 'Is there anything that makes the pain better?' (palliative) and 'What aggravates the pain?' (provocative) directly relate to this portion. The other options pertain to Quality (Q), Region/Radiation (R), or Severity (S).
Question 4 of 5
A nurse is administering lithium to a Japanese patient. What cultural factor should the nurse consider regarding the effects of the medications?
Correct Answer: A
Rationale: Genetic variations in some Asian populations may lead to slower lithium metabolism, causing elevated serum levels and potential toxicity, requiring careful monitoring.
Question 5 of 5
What must a nurse do each time medications are administered to ensure that medication errors do not occur?
Correct Answer: D
Rationale: The three checks (label, preparation, administration) and five rights (patient, drug, dose, route, time) are standard to prevent errors.