ATI LPN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 of 5
Which medication route provides the most rapid onset of a medication, but also poses the greatest risk of adverse effects?
Correct Answer: D
Rationale: IV medications are delivered directly into the bloodstream and avoid the first pass effect of the liver. Intradermal, subcut, and IM administration have a slower absorption rate.
Question 2 of 5
What must the nurse have before administering any medication? (Select one that does not apply.)
Correct Answer: D
Rationale: Physicians must be licensed to prescribe medications; nurses must be licensed to administer medications. Safe medication administration includes knowledge of the medication, pathophysiology of patient diagnoses, and pharmacodynamics of the ordered medication on the pathophysiology. It is not necessary for the nurse to consult with a pharmacist each time medication is to be administered to a patient.
Question 3 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 4 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 5 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.