All of ATI Medication Administration

A nurse is preparing to administer a medication to a client who has an enteral feeding tube. which of the following actions should the nurse take?

Mix the medication with the client's feeding infusion.

Flush the feeding tube with 10 mL of water prior to administration of the medication.

Administer the medication to the client in a liquid form.

Place the client in a supine position prior to administering the medication.

Administer the medication to the client in a liquid form.

A nurse is assisting with teaching a client about self-administration of insulin. which of the following actions should the nurse take?

Repeat the least important information to the client.

Have the client perform a return demonstration of the procedure.

Provide the client with educational materials written at an 8th-grade reading level.

Dim the lights in the client's room before beginning the teaching.

Have the client perform a return demonstration of the procedure.

A nurse is providing discharge teaching to a client. Which of the following strategies should the nurse include?

Use closed-ended questions.

Provide written material at a 9th-grade reading level.

Use passive listening skills.

Encourage the client to ask questions.

Encourage the client to ask questions.

A nurse is reviewing measurement systems to perform dosage calculations with a newly licensed nurse. Which of the following instructions should the nurse include?

To convert g to mg, move the decimal point 3 places to the right.

Liters is a unit of measurement for distance.

The metric system uses fractions rather than decimals.

Grains is used as a measurement of weight in the metric system.

To convert g to mg, move the decimal point 3 places to the right.

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?

A client who has a respiratory infection

A client who has rheumatoid arthritis

A client who has impaired kidney function

A client who has hyperthyroidism

A client who has impaired kidney function

A nurse is participating in a committee to reduce medication errors on a medical unit. Which of the following interventions should the nurse recommend?

Mark the area around the automated medication dispensing system.

Encourage the use of cell phones while dispensing medications.

Override the automated medication dispensing system during emergencies.

Provide the nurse administering medications with a vest.

Double check dosages of high-alert medications.

Mark the area around the automated medication dispensing system.

Provide the nurse administering medications with a vest.

Double check dosages of high-alert medications.

A nurse is assisting with teaching a newly licensed nurse about administering a transdermal nitroglycerin patch to a client. Which of the following instructions should the nurse include?

Place a new transdermal patch over the same site as an old patch.

Apply no more than two transdermal patches at a time.

Expect the transdermal medication to absorb rapidly.

Wear clean gloves to apply the transdermal medication.

Wear clean gloves to apply the transdermal medication.

A nurse is assisting with teaching a client who has a new prescription for a nitroglycerin patch. Which of the following actions should the nurse take?

Ask the client what they know about the nitroglycerin patch.

Find out whether the client is able to pay for the medication.

Determine the client's ability to apply the patch.

Check the client's reading comprehension level.

Use medical terminology to instruct the client about the patch.

Ask the client what they know about the nitroglycerin patch.

Determine the client's ability to apply the patch.

Check the client's reading comprehension level.

A nurse is scheduled to administer a medication to a client who is currently in the bathroom. which of the following actions should the nurse plan to take?

Leave the medication at the client's bedside.

Prepare the medication to administer later.

Document the medication was given prior to administration.

Come back in a few minutes to administer the medication

Come back in a few minutes to administer the medication

A nurse is reviewing the pharmacokinetics of medications with a newly licensed nurse. The nurse should include that which of the following factors can affect the rate of absorption? (select all)

Age of the client

First pass effect

Lipid solubility of a medication

Route of administration

Metabolism of the medication

Age of the client

Lipid solubility of a medication

Route of administration

A nurse is performing a medication reconcillation for a client who is being transferred to a long-term care facility. which of the following actions should the nurse take (select all)

Place the medication reconciliation form with the client's transfer documents.

Reinforce teaching about the medications to the client upon discharge.

Add medications the client is no longer taking in the medication reconciliation.

Include over-the-counter medications in the medication reconciliation.

Compare the client's home medications with prescribed discharge medication

Place the medication reconciliation form with the client's transfer documents.

Reinforce teaching about the medications to the client upon discharge.

Include over-the-counter medications in the medication reconciliation.

Compare the client's home medications with prescribed discharge medication

A nurse is preparing to administer medications ot a preschooler. which of the following information should the nurse keep in mind when administering medications to this client?

The dosage is calculated by height.

The preschooler is unable to take capsules.

Preschoolers receive the same amount of medication as adults.

The deltoid muscle can be used to administer intramuscular injections

The deltoid muscle can be used to administer intramuscular injections

A nurse is preparing to administer medications to a client. The nurse should identify that which of the following factors contributes to medication errors? (select all)

The use of automated dispensing systems

Administering a generic medication

Administering medication outside of prescribed time intervals

Failing to administer a medication

Incorrect dose of the prescribed medication administered to the client

Administering medication outside of prescribed time intervals

Failing to administer a medication

Incorrect dose of the prescribed medication administered to the client

A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. which of the following should the nurse include to demonstrate this method?

Provide the client with an internet link to research the medications.

Refer the client to the American Heart Association.

Give the client written educational material about the medication.

Ask the client to explain the information using their own words.

Ask the client to explain the information using their own words.

A nurse is collecting data on a client who is receiving vancomycin IV. the nurse observes the client has a rash on their neck, chest, and back. Which of the following actions should the nurse take first?

Notify the client's provider.

Stop the infusion of the vancomycin.

Administer diphenhydramine to the client.

Document the incident in the client's chart.

Stop the infusion of the vancomycin.

A nurse is preparing to administer an intradermal injection to a client. At which of the following degree angles should the nurse insert the needle?

60° angle

90° angle

45° angle

10° angle

10° angle

A nurse is reinforcing reaching with a client who has a new prescription for an antibiotic to treat a urinary tract infection. Which of the following statements should the nurse make?

"You can expect to experience a rash while taking this medication."

"Natural supplements do not interact with antibiotics."

"This medication is used to treat a viral infection."

"Finish the entire course of the prescription."

"Finish the entire course of the prescription."

A nurse is preparing to administer medications to a client who is not wearing an identification bracelet. Which of the following actions should the nurse take before administering the medication?

Verify the client's identity using their diagnosis.

Use one identifier to confirm the client's identity.

Use the client's room number to identify the client.

Have the client confirm their name and date of birth.

Have the client confirm their name and date of birth.

A nurse is preparing to administer insulin to a client. Which of the following actions should the nurse take first?

Document the insulin administration.

Assist with teaching the client about the insulin.

Have a second nurse confirm the insulin dose.

Monitor the client for adverse effects of the insulin.

Have a second nurse confirm the insulin dose.

A nurse has received a prescription to administer a medication STAT to a client. Which of the following actions should the nurse take?

Administer the medication whenever the client reports specific manifestations, such as pain.

Administer the medication at specific times until directed by health care provider.

Administer the medication at regular intervals of 4 hr.

Administer the medication within 30 min of the health care provider prescribing the medication.

Administer the medication within 30 min of the health care provider prescribing the medication.

A charge nurse is reviewing routes of medication administration with a newly licensed nurse when providing care to a client. Which of the following routes of administration should the charge nurse include as having the slowest onset of action?

Intramuscular

Oral

Buccal

Intravenous

Oral

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk for developing medication toxicity?

A client who has impaired kidney function

A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. Which of the following should the nurse include to demonstrate this method?

Ask the client to explain the information using their own words

A nurse is reviewing measurement systems to perform dosage calculations with a newly licensed nurse. Which of the following instructions should the nurse include?

To covert g to mg, move the decimal point 3 places to the right

A nurse is collecting data on a client who is receiving vancomycin IV. The nurse observes the client has a rash on their neck, chest, and back. Which of the following actions should he nurse take first?

Stop the infusion of the vancomycin

A nurse is scheduled to administer a medication to a client who is currently in the bathroom. Which of the following actions should the nurse plan to take?

Come back in a few minutes to administer the medication

A nurse is preparing to administer clindamycin 0.3 g IM to a client. Available is clindamycin 150 mg/mL. How many mL should the nurse administer?

2 mL

A nurse is reviewing the pharmacokinetics of medications with a newly licensed nurse. The nurse should include that which of the following factors can affect the rate of absorption?

Age of the client, Lipid Solubility of a Medication, Route of Administration

A nurse is performing a medication reconciliation for a client who is being transferred to a long-term care facility. Which of the following actions should the nurse take?

Place the medication reconciliation from with the client's transfer documents, reinforce teaching about the medications to the client upon discharge, Include over-the-counter medications in the medication reconciliation, Compare the client's home medications with prescribed discharge medications

A nurse is preparing to administer phenytoin suspension 300 mg PO, twice per day. The amount available is phenytoin suspension 125 mg/5 mL. How many mL should the nurse administer per dose?

12 mL

A nurse is preparing to administer amikacin 7mg/kg/day IM to a client who weights 165 pounds. Available is amikacin 250 mg/mL solution for injection. How many mL should the nurse administer per dose?

2.1 mL

A nurse is preparing to administer medication to a preschooler. Which of the following information should the nurse keep in mind when administering medication to this client?

The deltoid muscle can be used to administer intramuscular injection

A nurse is preparing to administer a medication to a client who has an enteral feeding tube. Which of the following actions should the nurse take?

Administer the medication to the client in a liquid form

A nurse is preparing to administer insulin to a client. Which of the following actions should the nurse take first?

Have a second nurse confirm the insulin dose

A nurse is providing discharge teaching to a client. Which of the following strategies should the nurse include?

Encourage the client to ask questions

A nurse is assisting with teaching a client who has a new prescription for a nitroglycerin patch. Which of the following actions should the nurse take?

Ask the client what they know about the nitroglycerin patch, Determine the client's ability to apply the patch, Check the client's reading comprehension level

A nurse is preparing to administer medications to a client. The nurse should identify that which of the following factors contributes to medication errors?

Administering medication outside of prescribed time intervals, Failing to administer a medication, Incorrect dose of the prescribed medication administered to the client

A nurse has received a prescription to administer a medication STAT to a client. Which of the following actions should the nurse take?

Administer the medication within 30 min of the health care provider prescribing the medication

A nurse is participating in a committee to reduce medication errors on a medical unit. Which interventions should the nurse recommend?

Mark the area around the automated medication dispensing system, Provide the nurse administering medication with a vest, Double check dosages of high alert medications

A charge nurse is reviewing routes of medication administration with a newly licensed nurse when providing care to a client. Which of the following routes of administration should the charge nurse include as having the slowest onset of action?

Oral

A nurse is preparing to administer acetaminophen 320 mg oral solution to a school-age child. The amount available is acetaminophen 160 mg/5 mL. How many mL should the nurse administer?

10 mL

The nurse is preparing to administer an intradermal injection to a client. At which of the following degree angles should the nurse insert the needle?

10 degree angle

A nurse is reinforcing teaching with a client who has a new prescription for an antibiotic to treat a UTI. Which of the following statements should the nurse make?

"Finish the entire course of the prescription"

A nurse is assisting with teaching a client about the self-administration of insulin. Which of the following actions should the nurse take?

Have the client perform a return demonstration of the procedure

A nurse is preparing to administer medications to a client who is not wearing an identification bracelet. Which of the following actions should the nurse take before administering the medications?

Have the client confirm their name and date of birth

A nurse is assisting with teaching a newly licensed nurse about administering a transdermal nitroglycerin patch to a client. Which of the following instructions should the nurse include?

Wear clean gloves to apply the transdermal medication

A nurse is teaching a class about error-prone abbreviations in medication prescriptions. The nurse should include that which of the following prescriptions has acceptable abbreviations.

Metoclopramide 10 mg IM Q6H PRN nausea

A nurse is preparing to medication and calculates the dosage as 1.42 mL. Rounding this amount to the nearest tenth, the nurse should administer how many mL?

1.4

A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hr. Available is diphenhydramine syrup 12.5mg/5mL. How many tsp should the nurse administer per dose?

2tsp

A nurse is preparing a medication and calculates the dosage as 6.25 mL. Rounding this amount to the nearest tenth, the nurse should administer how many mL?

6.3mL

A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 12 hr. Available is erythromycin ethylsuccinate suspension 400mg/5mL. How many mL should the nurse administer per dose?

10mL

A nurse is preparing to administer sucralfate 1 g PO twice daily to a client. Available is sucralfate 1,000 mg tablets. How many tablets should the nurse administer per dose?

1 tab

A nurse is preparing to administer dextrose 5% in water 2 L to infuse over 6 hr. The nurse should administer how many mL?

2,000mL

A nurse is preparing to administer digoxin 250 mcg PO daily. Available is digoxin 0.125 mg tablets. How many tablets should the nurse administer?

2 tab

A nurse is preparing a medication and calculates the dosage as 0.893 mL. Rounding this amount to the nearest hundredth, the nurse should administer how many mL?

0.89mL

A nurse is preparing to administer furosemide 40 mg PO in 0.5 oz of orange juice. How many mL of orange juice should the nurse administer?

15mL

A nurse is preparing to administer codeine oral solution 30 mg PO to a client. The amount available is codeine 10mg/5 mL. How many Tbsp should the nurse administer?

1 Tbsp

A nurse is preparing to administer haloperidol 5 mg IM at 1715. At which of the following times should the nurse administer the medication?

5:15 PM

A nurse is preparing to administer cephalexin 500 mg PO every 6 hr. Available is cephalexin suspension 250mg/5 mL. How many mL should the nurse administer per dose?

10mL

A nurse is preparing to administer digoxin 0.125 mg PO at 9:00 a.m. At which of the following times should the nurse administer the medication?

0900

A nurse is preparing to administer 0.9% sodium chloride 2,500 mL to infuse over 12 hr. The nurse should administer how many L?

2.5

A nurse should use which of the following units when measuring weight?

Gram

A nurse is preparing to administer potassium chloride powder 20 mEq PO in 6 oz of water. How many mL should the nurse administer?

180mL

A nurse is preparing to administer levothyroxine 0.075 mg PO to a client. Available is levothyroxine 25 mcg tablets. How tablets should the nurse administer?

3 tab

A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN for pain. The client last received the medication at 1 p.m. The earliest the nurse should administer the next dose is at which of the following times?

1700

A nurse is preparing to administer glipizide 5 mg PO ac. At which of the following times should the nurse administer the medication?

before meals

A nurse is preparing to administer cephalexin 0.25 g PO every 6 hr. Available is cephalexin 500 mg tablets. How many tablets should the nurse administer per dose?

0.5 Tab

A nurse is preparing to administer regular insulin 15 units and isophane insulin 40 units subcutaneous at 6:30 a.m. At which of the following times should the nurse administer the medication?

0630

A nurse is preparing a medication and calculates the dosage as 0.547 mL. Rounding this amount to the nearest hundredth, the nurse shoulf administer how many mL?

0.55mL

A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. The amount available is acetaminophen syrup 160mg/5 mL. How many tsp should the nurse administer per dose?

4 tsp

A nurse is preparing to administer epinephrine hydrochloride 0.5 mg subcutaneous stat. How many mcg should the nurse administer?

500 mcg