ATI LPN
NCLEX Questions Medication Administration Questions
Question 1 of 5
Which action will the nurse take if a dosage is unclear on a health care providers order?
Correct Answer: D
Rationale: Any questionable orders should be verified by the health care provider who wrote the orders. The patient is not a reliable source of verification. The physician who wrote the order should verify it. It would be a medication error to withhold the dose instead of verifying it.
Question 2 of 5
A patients liquid cough medicine has been discontinued with one half of the bottle remaining. The home health nurse is aware that according to the U.S. Food and Drug Administration (FDA) guidelines on prescription medication disposal, the next step should be to:
Correct Answer: C
Rationale: The nurse must follow specific disposal instructions on the drug label or in the patient information leaflet that accompanies the medication. Prescription medications should not be shared among patients. Prescription drugs should not be flushed down the toilet unless specifically instructed to do so by the manufacturer. The first action to be taken is to follow disposal instructions on the label. If the drug label indicates it should be emptied into a hazardous waste container, measures should be taken to prevent leaking and/or accidental ingestion.
Question 3 of 5
Which statement(s) is/are true regarding computerized prescriber order entry (CPOE)? (Select one that does not apply.)
Correct Answer: D
Rationale: CPOE systems integrate patient information, provide instant access, facilitate review of ordered medications for potential drug interactions, and facilitate review of drugs for appropriateness of dosages. Alleviation of the need to perform mathematical computations is not a component of the CPOE system.
Question 4 of 5
A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to swallow. How will the nurse respond to the patient?
Correct Answer: A
Rationale: Enteric-coated 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 tablets should not be dissolved in liquid.
Question 5 of 5
When administering topical medications, which is an important nursing action?
Correct Answer: D
Rationale: To avoid contact with the medication, nurses should wear gloves when applying topical medications. Some topical medications are applied sparingly. Skin should be clean and dry, but it is not necessary to use alcohol. It is not always necessary to use sterile technique.