ATI LPN
NCLEX Questions Medication Administration Questions
Question 1 of 5
While the nurse is assisting a patient in taking his medications, the medication cup falls to the floor, spilling the tablets. What is the nurse's best action at this time?
Correct Answer: A
Rationale: Medications that fall to the floor must be discarded, and the procedure must be repeated with new medications. The other actions are not appropriate.
Question 2 of 5
The nurse is preparing to give an aqueous intramuscular (IM) injection to an average-sized adult. Which actions are appropriate? (Select one that does not apply.)
Correct Answer: C
Rationale: In general, aqueous medications can be given with a 22- to 27-gauge needle, and average needle lengths for adults range from 1 to 1 1/2 inches. Insert the needle at a 90-degree angle. Checking for blood return is also part of the technique for IM injections to prevent inadvertent administration into the bloodstream. The ventrogluteal site is the preferred site for IM injections in adults. The dorsogluteal site is to be avoided because of proximity to nerves and blood vessels. (Note: Options E and F are 'Insert the needle at a 90-degree angle' and 'Before injecting the medication, withdraw the plunger to check for blood return,' respectively, as corrected from the document's typo of 40 degrees.)
Question 3 of 5
A patient claims to be allergic to sulfa medications, which have caused him to suffer major body rashes. Is it necessary to alert anesthesia of the reported allergy to sulfas because some forms of propofol contain sulfites?
Correct Answer: A
Rationale: Yes, it is necessary to alert anesthesia because some formulations of propofol contain sulfites, which can cause allergic reactions in patients with sulfa allergies. Although sulfa drugs and sulfites are chemically distinct, cross-sensitivity is possible, and anesthesia should be informed to assess risk and choose an appropriate alternative if needed.
Question 4 of 5
A nurse is caring for a client who has a surgical incision with sutures. The nurse observes that the edges of the wound are well approximated and there is minimal drainage from the site. The nurse documents this type of wound healing as:
Correct Answer: A
Rationale: Primary intention is a type of wound healing that occurs when the edges of the wound are well approximated and there is minimal tissue loss or infection. It results in minimal scarring and fast healing.
Question 5 of 5
A client with a burn wound on the chest has a silver sulfadiazine (Silvadene) cream applied to the wound. Which adverse reaction should the nurse monitor for in this client?
Correct Answer: D
Rationale: Silver sulfadiazine (Silvadene) is a topical antimicrobial agent used to prevent or treat infection in burn wounds. The nurse should monitor for hypersensitivity or allergic reaction, such as rash, itching, swelling, or difficulty breathing; and leukopenia or decreased white blood cell count, which can increase the risk of infection. The nurse should obtain a baseline complete blood count (CBC) before applying the cream and repeat it every few days during treatment.