ATI RN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 4
Which of the following organs produces bile to help the digestive system to break up fats?
Correct Answer: D
Rationale: The liver produces bile for fat digestion.
Question 2 of 4
After administering inhalers of any type, you must:
Correct Answer: B
Rationale: Alcohol cleaning prevents contamination.
Question 3 of 4
A patient requires a high dose of a new antihypertensive medication because the new medication has a significant first-pass effect. What does this mean?
Correct Answer: C
Rationale: A significant first-pass effect means that a large portion of the medication is metabolized by the liver (and sometimes the gut) before it reaches systemic circulation. This reduces the bioavailability of the drug, requiring a higher oral dose to achieve a therapeutic effect. Choice C accurately describes this process. Choice A is incorrect because the first-pass effect occurs before systemic circulation, not after multiple passes. Choice B relates to renal excretion, not first-pass metabolism. Choice D is a misinterpretation of the term.
Question 4 of 4
A child is receiving methylphenidate. The mother tells the nurse the patient is having trouble sleeping while on the medication. What is the best response by the nurse?
Correct Answer: A
Rationale: Methylphenidate, a stimulant for ADHD, can cause insomnia if taken late in the day. Administering it before 4:00 pm (Choice A) allows its stimulant effects to wear off by bedtime, improving sleep. Giving it at 8:00 pm (B) would worsen insomnia. Stopping it abruptly (C) is unnecessary without medical advice. Adding diphenhydramine (D) treats the symptom but not the cause and requires a prescription.