Med admin PPT (NCLEX questions)

A nurse is caring for a patient prescribed a medication that is highly lipid-soluble. Which factor will most likely increase the absorption of this medication?

A. Administering the drug through a feeding tube
B. Giving the medication with a large meal
C. Increased blood flow at the site of administration
D. Administering the drug with a highly alkaline solution

C

The nurse prepares to administer a scheduled antibiotic. The patient states, “I don’t want to take this anymore, I feel fine.” Which action is the priority?

A. Document the patient’s refusal in the chart
B. Return the medication to the dispensing system
C. Educate the patient about the importance of completing the prescription
D. Notify the provider that the patient refused

C

The provider orders a subcutaneous injection of heparin. Which site is most appropriate for the nurse to use?

A. Deltoid muscle
B. Abdomen at least 2 inches from the umbilicus
C. Ventrogluteal muscle
D. Vastus lateralis

B

When documenting administration of a controlled substance, the nurse should include all of the following EXCEPT:

A. Patient’s name
B. Amount of substance used
C. Nurse’s initials only
D. Time medication was given

C

A patient receiving a new antibiotic develops shortness of breath, wheezing, and swelling of the face. What is the priority action?

A. Document the adverse drug reaction in the patient’s chart
B. Notify the primary care provider immediately
C. Stop the medication and maintain airway
D. Prepare to administer a laxative

C

The order is for 1.5 g of a medication. Available is 500 mg tablets. How many tablets should the nurse administer?

A. 2
B. 3
C. 4
D. 5

B

A nurse is selecting an injection site for an adult patient requiring an intramuscular flu vaccine. Which site is recommended?

A. Vastus lateralis
B. Deltoid
C. Dorsogluteal
D. Abdomen

B

A nurse accidentally administers a double dose of a patient’s antihypertensive medication. What is the nurse’s first action?

A. Notify the charge nurse and provider
B. Complete a medication error report
C. Check the patient’s blood pressure and monitor for adverse effects
D. Document the error in the MAR

C

The nurse is educating a patient about home medication use. Which statement indicates the need for further teaching?

A. “I’ll stop taking my antibiotics once I feel better.”
B. “I’ll use a pill organizer to help me remember doses.”
C. “I won’t share my prescription medications with anyone.”
D. “I’ll take my medication at the same time every day.”

A

The nurse prepares to give a scheduled IV antibiotic. Upon scanning the barcode, the system alerts that the medication was already given by another nurse 30 minutes ago. What should the nurse do?

A. Administer the medication as ordered to ensure timely dosing
B. Verify with the other nurse, then document a duplicate dose
C. Hold the medication and notify the provider of the duplicate dose
D. Report the issue to pharmacy for medication reconciliation

C

A patient is prescribed an oral pain medication. Which condition would most likely delay absorption?

A. Increased blood flow to the GI tract
B. The drug is highly lipid-soluble
C. The patient has diarrhea
D. The patient just ate a large fatty meal

D

Which order requires the nurse to administer the medication immediately?

A. Standing order
B. PRN order
C. Single order
D. Stat order

D

A patient receiving morphine for pain develops increasing tolerance. What action should the nurse anticipate?

A. The provider will increase the dose for the same effect
B. The provider will discontinue the drug immediately
C. The nurse should hold the medication until reassessment
D. The nurse should administer the drug every hour instead of every 4 hours

A

The provider orders 2 mg of medication. The medication is supplied as 500 mcg tablets. How many tablets will the nurse administer?

A. 2
B. 3
C. 4
D. 5

C

Which situation demonstrates a violation of the “right route”?

A. Crushing a sustained-release tablet for a patient with dysphagia
B. Giving oral medication with 8 oz of water
C. Using the ventrogluteal site for an intramuscular injection
D. Administering a drug intravenously during an emergency

A

The nurse prepares a PPD test. Which technique is correct?

A. Injecting into the subcutaneous tissue at 90°
B. Using a 25-gauge needle, 1 inch long
C. Administering into the dermis at a 10° angle
D. Giving the injection into the vastus lateralis muscle

C

The nurse discovers that the patient received the wrong dose of medication. What is the first step?

A. Fill out an incident report
B. Call the provider immediately
C. Assess the patient for adverse effects
D. Document the error in the MAR

C

The provider orders two medications that have synergistic effects. What should the nurse expect?

A. One drug cancels the other out
B. Both drugs are metabolized more slowly
C. One drug increases the effectiveness of the other
D. The drugs act independently without interaction

C

Which injection site is no longer recommended for intramuscular medications due to risk of nerve injury?

A. Deltoid
B. Vastus lateralis
C. Ventrogluteal
D. Dorsogluteal

D

Which medication administration should the nurse document immediately after giving?

A. “Tylenol 500 mg PO given for pain at 0800”
B. “Morphine 2 mg IV pushed for pain relief at 0700, site: left forearm”
C. “Patient refused medication at 0900”
D. All of the above

D

A drug has a half-life of 4 hours. If a patient is given 100 mg at 0800, how much drug remains in the body at 1600?

A. 50 mg
B. 25 mg
C. 12.5 mg
D. 75 mg

B

The nurse enters a room to administer medications. Which method of identification is most reliable?

A. Ask the patient their name
B. Ask a family member to confirm
C. Check the ID bracelet against the MAR/eMAR
D. Call the patient by their room number

C

Which statement about IV medications is correct?

A. They have a slower onset but longer duration
B. They can be reversed if an error occurs
C. They act immediately and cannot be recalled
D. They are less dangerous than oral medications

C

A patient prescribed an antibiotic states, “I’ll take this until I feel better.” What is the nurse’s best response?

A. “That’s fine as long as you feel healthy again.”
B. “You must complete the full prescription even if symptoms improve.”
C. “You can stop the medication once your fever goes away.”
D. “If you feel better, you should take only half the dose.”

B

Which statement about subcutaneous injections is correct?

A. The deltoid muscle is the most common site
B. Absorption is faster than intramuscular injections
C. Common sites include abdomen, thigh, and upper arm
D. The injection is given at a 10° angle

C

When should the nurse perform the third medication check?

A. When retrieving the medication from the drawer
B. After scanning the patient’s ID bracelet
C. Before giving the medication to the patient
D. After documenting in the MAR

C

A patient’s prescription is for 0.25 grams of medication. The medication is supplied as 125 mg tablets. How many tablets should the nurse give?

A. 1
B. 2
C. 3
D. 4

B