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LPN Nursing School · Pharmacology · 118 questions

Safe Medication Administration practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Safe Medication Administration, practise in the app.

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  1. 1The client is to receive 1000 milliliters (mL) of D5W intravenously over 6 hours. The nurse selects a tubing set with a drop factor of 15 gtt/mL. How many drops per minute are needed to infuse this fluid in the prescribed time? Write the numerical value only. Round to the nearest whole number. _________ gtts/mLAnswer →
  2. 2The nurse is caring for a client who is being treated for a neuromuscular blocking agent overdose. Which medication would the nurse anticipate being ordered?Answer →
  3. 3Which pharmacokinetic process primarily determines the duration of a drug's action and is most significantly affected by impaired kidney function?Answer →
  4. 4A nurse spends extra time with a patient who is hesitant about taking their prescribed chemotherapy due to concerns about hair loss and body image changes. The nurse actively listens, validates their feelings, and offers resources for coping. By addressing these concerns, the nurse is primarily supporting which level of Maslow's Hierarchy?Answer →
  5. 5A nurse is reviewing a client's new prescription for lorazepam 4 mg PO. Which of the following actions should the nurse take?Answer →
  6. 6A nurse is administering medication and notices that the prescription lists the drug by its trade name, but the medication label shows the generic name. How should the nurse proceed to ensure safe medication administration?Answer →
  7. 7A nurse is reinforcing teaching with a young adult client who has a new prescription for ear drops. Which of the following instructions should the nurse include?Answer →
  8. 8The nurse provides care to a client scheduled for surgery. Which action does the nurse delegate to the unlicensed assistive personnel (UAP) to prepare the client for the procedure?Answer →
  9. 9A nurse is assisting with the care of a client who is in labor and has a group B streptococcus infection. The nurse is preparing to administer ampicillin 2.5 g in 0.9% sodium chloride 100 mL via intermittent IV bolus over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mL/hrAnswer →
  10. 10The nurse has provided instructions to the client on how to use Cerumenex for earwax removal. Which statements by the client demonstrates that the education was effective? Select all that apply.Answer →
  11. 11Which preparation is instilled in the external auditory canal and may be used to relieve pain, treat infection, and remove cerumen?Answer →
  12. 12A nurse is reviewing a prescription for a client who has chronic pain and is prescribed hydromorphone. Hydromorphone is classified as a Schedule II controlled medication. What should the nurse understand about this classification?Answer →
  13. 13The nurse is caring for a client with late-stage Alzheimer's disease who is alert and oriented times zero. When preparing to administer namenda, which of the following actions is most appropriate?Answer →
  14. 14A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  15. 15A client diagnosed with interstitial cystitis with a suprapubic urinary catheter is discharged home. Which client teaching is a priority to review with the client to prevent a catheter-associated urinary tract infection (CAUTI)?Answer →
  16. 16The child weighs 53 pounds (lbs). How many kilograms does the child weigh? Write the numerical value only. Round to the nearest whole number. _______________kgAnswer →
  17. 17A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicates an understanding of the teaching?Answer →
  18. 18An older adult client presents to a urology unit with a suspected prostate cancer due to an elevated prostate-specific antigen (PSA). The health care provider recommends a prostate biopsy. Which statement, made by the client to the nurse, demonstrates understanding of the biopsy procedure? (Select all that apply.) 1. "I should stop taking warfarin for a week before the biopsy." 2. "I will lie on my side with my knees drawn up to my chest during the procedure." 3. "I will be informed of the results of the biopsy immediately after the procedure." 4. "My provider will remove a small sample of tissue from my prostate gland." 5. "The procedure can be uncomfortable but should take less than a hour."Answer →
  19. 19Drug receptors play a crucial role in pharmacodynamics. As a nurse, you know that receptors are best described as:Answer →
  20. 20A nurse is preparing to administer a PRN medication to a group of clients. Which of the following clients should the nurse administer medication to first?Answer →
  21. 21A client is ordered 800ml 0.9% Normal Saline to be administered over the next 5 hours. At what rate would you set the pump in ml/hr? Input the numerical value only.Answer →
  22. 22A patient with poorly controlled diabetes is prescribed insulin injections, but the nurse notices a pattern of missed doses during follow-up appointments. Upon further assessment, the patient reveals they live in a rural area, have limited income, and struggle to afford transportation to the pharmacy for refills and to buy necessary supplies like syringes. This situation most directly highlights the impact of which social determinant of health on medication administration?Answer →
  23. 23The nurse provides care for a school-age client diagnosed with sickle cell disease. Which statement indicates to the nurse the client understands the disease? (Select all that apply.)Answer →
  24. 24A nurse is assisting with the care of a client who is in preterm labor and has a prescription for terbutaline 250 mcg subcutaneously every 20 min. Available is terbutaline 1 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.) mLAnswer →
  25. 25A client admitted to the intensive care unit (ICU) receives 3% saline solution IV at 20 mL/hr. The client begins moving legs spontaneously and coughing. Which action is appropriate for the nurse to perform? (Select all that apply.)Answer →
  26. 26A nurse is preparing to administer temazepam 22.5 mg PO to a client before bedtime. Available is temazepam 7.5 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  27. 27A nurse is teaching a patient who has been prescribed a glucocorticoid medication for an inflammatory bowel disorder. Which statement by the patient most indicates a correct understanding regarding the safe use of this medication?Answer →
  28. 28A pharmaceutical company is conducting a large-scale Phase 3 clinical trial for a new antibiotic. From a nursing perspective, which responsibility is paramount during this phase?Answer →
  29. 29A patient is prescribed a medication that acts as an agonist at specific receptors. As the nurse, you understand that this drug's primary action is to:Answer →
  30. 30A nurse is preparing to administer procaine penicillin G 800,000 units IM to a client who is pregnant. Available is procaine penicillin G injection 600,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) mLAnswer →
  31. 31A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?Answer →
  32. 32A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?Answer →
  33. 33A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?Answer →
  34. 34Select whether each medication order is written safely or unsafely according to accepted medication safety guidelines.Answer →
  35. 35When considering the metabolism of drugs, which organ system is primarily involved?Answer →
  36. 36The nurse cares for a client with chronic obstructive pulmonary disease (COPD). The technician tells the nurse the Allen test is positive before the ABG is done. Which interpretation by the nurse is correct?Answer →
  37. 37An older adult client is prescribed intravenous morphine for postoperative pain management. Which action does the nurse take first prior to administering morphine?Answer →
  38. 38An LPN is preparing a patient for general anesthesia prior to surgery. Which of the following is the most important nursing intervention to reduce the risk of complications related to general anesthesia?Answer →
  39. 39A client is ordered to receive an intramuscular injection of ceftriaxone. The nurse correctly identifies which site as the most appropriate injection site?Answer →
  40. 40The nurse is administering pilocarpine eye drops to a client with glaucoma. Which statement, made by the client, indicates the need for further teaching?Answer →
  41. 41Based on the clinical exhibits, which of the following actions by the nurse are reflected in the documentation? (Select all that apply based on available information)Answer →
  42. 42The nurse obtains an assessment and documents vital signs. Drag the choices below to fill in each blank in the following sentence. Each choice will only be used once. The nurse is most concerned about the assessment findings of _, _and _Answer →
  43. 43A nurse is preparing to administer acetaminophen 650 mg rectally. Which of the following actions should the nurse take?Answer →
  44. 44The nurse administers a new prescription for parenteral nutrition (PN) to a client. Which action does the nurse implement while the client receives PN? (Select all that apply.)Answer →
  45. 45A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take?Answer →
  46. 46When providing patient education about the use of a Patient-Controlled Analgesia (PCA) pump, the nurse emphasizes that the pump has limits on the amount and frequency of doses. This information addresses which key nursing responsibility in medication administration?Answer →
  47. 47A nurse is preparing to administer a new medication to a patient. During the Assessment phase of the nursing process, which action is most critical before administering the drug?Answer →
  48. 48A nurse is preparing to administer a 600 mL infusion of sodium chloride 0.9% to a child over 4 hours. The nurse should set the IV pump to deliver how many mL/hr?Answer →
  49. 49The nurse should contribute to the plan of care by administering Target 1 and Target 2 to the client. Drag words from the choices below to fill in each blank.Answer →
  50. 50The nurse is preparing to administer preoperative medication of meperidine and atropine to an elderly client who is scheduled for surgery. The client tells the nurse that he has glaucoma and wants to take his eye drops before going to the operating room. What is the best action for the nurse to take?Answer →
  51. 51The nurse is reviewing the medical records of several clients. Which client is most likely to have a central line for safe administration of vesicant or highly concentrated medications?Answer →
  52. 52A nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-age child who weighs 44 lb. Available is phenobarbital elixir 20 mg/5 mL. How many mL should the nurse plan to administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  53. 53The nurse administers atropine sulfate to a client scheduled for abdominal surgery. The nurse determines that the therapeutic effect of the atropine has been reached if the client demonstrates which finding?Answer →
  54. 54After a medication has received FDA approval and is available to the public, post-market surveillance continues in Phase 4 clinical trials. The main goal of this phase from a patient safety perspective is to:Answer →
  55. 55A nurse in a prenatal clinic is caring for a client who has a new prescription for nystatin cream 100,000 units/g to the affected area. Which of the following elements of the prescription requires clarification by the provider?Answer →
  56. 56A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  57. 57The nurse provides teaching to an older adult client to prepare for insertion of a peripherally inserted central catheter (PICC). Which client statement demonstrates understanding of the pre-procedure teaching? (Select all that apply.)Answer →
  58. 58Based on the clinical information provided, which of the following actions did the nurse take at 1000?Answer →
  59. 59The nurse prepares to transfuse a unit of packed red blood cells to a client who is blood type A negative. The nurse understands which is correct about the unit to be infused?Answer →
  60. 60A nurse is preparing to administer iron dextran 75 mg IM to a client who is pregnant, has iron deficiency anemia, and cannot tolerate oral iron supplements. Available is iron dextran 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) mLAnswer →
  61. 61The nurse provides care for an older adult client with a diagnosis of urinary tract infection and diarrhea. The client's stool tests positive for Clostridioides difficile. The nurse intervenes if which is observed?Answer →
  62. 62A nurse is preparing to administer diphenhydramine 50 mg PO at bedtime to a client who is postpartum to promote sleep. Available is diphenhydramine 12.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Tablet(s)Answer →
  63. 63A nurse is preparing to administer potassium chloride 30 mEq PO every 12 hr. Available are potassium chloride 10 mEq sustained-release tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) tablet(s)Answer →
  64. 64The emergency nurse assesses an unconscious adult client admitted with a closed head injury after a motor vehicle accident. The client exhibits decorticate posturing, and there is clear fluid draining from one nostril. Which action by the nurse is priority?Answer →
  65. 65A nurse is reviewing a client's prescription for buspirone 1 tablet PO every 12 hr. Before administering this medication, the nurse should ask the provider to add which of the following components of a medication prescription?Answer →
  66. 66The newly admitted client is scheduled to receive morning medications. The nurse notes that the client has a documented allergy to sulfa drugs, and the medication list includes sulfamethoxazole. Which nursing action demonstrates the best use of clinical judgment?Answer →
  67. 67A nurse has a prescription to administer 100 mg of haloperidol PO daily to a client. The nurse should administer how many g of haloperidol? Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.Answer →
  68. 68A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  69. 69The client is experiencing post-operative hypotension. The nurse administers a 250 mL normal saline bolus. Which step of the nursing process the nurse demonstrating?Answer →
  70. 70A new drug is being tested in Phase 1 clinical trials. The nurse understands that the primary objective of this phase is to:Answer →
  71. 71Which activity can be delegated to the UAP? (Select all that apply.)Answer →
  72. 72A nurse is preparing to administer lactated Ringer's 1,500 mL IV to infuse over 8 hr to a pregnant client who has gastroenteritis. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mL/hrAnswer →
  73. 73The patient takes two medications. Drug A is taken once per day; drug B is taken every 8 hours. Which conclusion about drugs.Answer →
  74. 74A nurse is preparing to administer 0.9% sodium chloride 1 L IV over 8 hr to a client who is postpartum. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mL/hrAnswer →
  75. 75A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone oral solution 5 mg/5 ml. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  76. 76The nurse should first ___ then ___.Answer →
  77. 77At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  78. 78A nurse is preparing to administer amoxicillin 75 mg/kg/day divided equally every 8 hr to a child who weighs 20 kg. Available is amoxicillin oral suspension 250 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  79. 79A patient is prescribed an ophthalmic medication (eye drops). What is the most important instruction the nurse should provide for proper percutaneous administration?Answer →
  80. 80A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription?Answer →
  81. 81For a patient experiencing acute nausea and vomiting, which route of medication administration would typically be avoided due to unpredictable absorption and potential for immediate expulsion?Answer →
  82. 82The nurse is assessing a client who receives a neuromuscular blocking agent. The nurse knows that which of the following is accurate regarding the medications?Answer →
  83. 83A nurse is caring for a patient of Native American descent who has been prescribed a new medication for hypertension. The patient expresses reluctance to take the medication, stating they prefer to use herbal remedies and are concerned about the "strength" of Western medicine. Applying the principles of culturally responsive nursing practice, what is the nurse's most appropriate initial action?Answer →
  84. 84A patient is prescribed a transdermal patch for pain management. Which instruction is essential for the nurse to provide for safe and effective administration?Answer →
  85. 85Which type of medication administration allows for the most rapid systemic absorption and onset of action because it bypasses the digestive system and liver metabolism?Answer →
  86. 86The nurse cares for a client with an open, granulating wound. The nurse takes which action?Answer →
  87. 87The nurse cares for a client diagnosed with a methicillin-resistant Staphylococcus aureus (MRSA) wound infection. The nurse will intervene if which is observed during the client's care?Answer →
  88. 88The nurse is administering a highly protein-bound medication to a patient with a low serum albumin level. What is a key nursing consideration related to the drug's distribution and potential effect?Answer →
  89. 89A nurse is assisting with the care of a client who has a prescription for magnesium sulfate 2 g/hr via continuous IV infusion. Available is magnesium sulfate 40 g in 1,000 mL of 0.9% sodium chloride. The nurse should confirm that the IV pump is set to administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mL/hrAnswer →
  90. 90A nurse is preparing to administer pyridoxine 1.2 mg PO to a client. How many mcg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mcgAnswer →
  91. 91A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's temperature increases to 39.1° C (102.4° F). Which of the following actions should the nurse take first?Answer →
  92. 92A nurse is reviewing a new prescription for escitalopram 10 mg daily for a client who has depression. Which of the following components of the prescription should the nurse clarify with the provider?Answer →
  93. 93A nurse is reconciling the medications of a client who was newly admitted for management of mania. Which of the following prescriptions should the nurse clarify with the provider?Answer →
  94. 94What is the process by which a drug is transported by circulating body fluids to receptor sites?Answer →
  95. 95The nurse provides care for a client newly diagnosed with a cervical spinal cord injury (SCI). The client has a halo device with traction to stabilize the fracture. Which finding does the nurse report immediately to the health care provider?Answer →
  96. 96The nurse provides care for a client with a tracheostomy who is diagnosed with Streptococcus pneumoniae. Which intervention does the nurse include in the client's plan of care?Answer →
  97. 97A patient who has been prescribed a topical corticosteroid cream for the treatment of a rash tells you that he now has a small, reddened, open wound located on the anterior aspect of the right foot. He asks you if he can apply this same cream to this new wound to reduce the redness. What is your best response?Answer →
  98. 98The post-anesthesia care unit (PACU) nurse cares for an older adult client post-operatively after a total knee replacement. Which intervention does the nurse include? (Select all that apply.)Answer →
  99. 99The healthcare provider has ordered an intravenous (IV) infusion of Lactated Ringer's solution at 125mL/hour. The IV tubing delivers 15 drops per milliliters (mL). How many drops per minute should the nurse set the flow rate? Write the numerical value only. Round to the nearest whole number. ____________ gtt/mLAnswer →
  100. 100A nurse is assisting with collecting data for a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as an indication of magnesium toxicity?Answer →
  101. 101A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) kgAnswer →
  102. 102A nurse cares for a client who has chemotherapy-induced nausea and is prescribed ondansetron 8 mg by mouth every 8 hr. The medication is available as 4 mg/5 mL oral solution. How many milliliters should the nurse administer per dose?Answer →
  103. 103A nurse is reviewing new prescriptions for several clients. Which of the following prescriptions should the nurse clarify with the provider?Answer →
  104. 104Select all the routes for medication administration that are considered parenteral (Select All that Apply.)Answer →
  105. 105An LPN is caring for a patient who is scheduled to receive regional anesthesia (spinal or epidural) for surgery. Which of the following is the most important nursing action before the administration of regional anesthesia?Answer →
  106. 106The nurse cares for a client who suffered a gunshot wound to their left lower extremity. After the client is stabilized, the nurse prepares to administer 2,000 milligrams of intravenous piggyback cefazolin. The prescription states the medication should be infused 1 gram per 30 minutes. How many minutes does the nurse program on the secondary line of the IV pump? Write the numerical value only. ________________Answer →
  107. 107A nurse is preparing to administer 0.45% sodium chloride 1,000 mL IV to infuse over 6 hr to a postpartum client. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mL/hrAnswer →
  108. 108A nurse is preparing to administer dextrose 5% in lactated Ringer's 1,200 mL IV over 14 hr to a client who is pregnant. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) mL/hrAnswer →
  109. 109A nurse is caring for a client who has a new prescription for lithium 450 mg PO every 8 hr. Available is lithium 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  110. 110A patient with newly diagnosed hypertension refuses to take their prescribed antihypertensive medication, stating they feel fine and do not belleve in taking "chemicals." The nurse has already provided education on the benefits and potential risks of not taking the medication. Based upon the concept of autonomy, what is the most appropriate next step for the nurse to take?Answer →
  111. 111Place the steps of medication administration in order as implemented by the nurse.Answer →
  112. 112The nurse assesses the skin of a client who is restricted to bed. Which site does the nurse consider most at risk to develop a pressure injury? (Select all that apply.)Answer →
  113. 113The licensed practical nurse (LPN) is preparing to administer methotrexate to a client prescribed for rheumatoid arthritis. What factor would indicate the need for the LPN to use caution when administering this medication?Answer →
  114. 114A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?Answer →
  115. 115A client arrives at the emergency department complaining of suicidal thoughts. As the nurse interviews the client regarding current medications, the client mentions they take herbal medicines. What does the nurse plan to do before administering any prescribed medications?Answer →
  116. 116The nurse is caring for a client receiving rapid administration of 0.9% normal saline at 999 milliliters per hour (999 mL/hr). Which of the following are anticipated therapeutic effects of this therapy? Select all that apply.Answer →
  117. 117The nurse provides mouth care to a client diagnosed with acquired immunodeficiency syndrome (AIDS). Standard precautions are followed when the nurse performs which action? (Select all that apply.) 1. Places the client in a private room. 2. Wears a mask and face shield. 3. Dons clean gloves. 4. Uses reverse isolation. 5. Wears a fitted respirator.Answer →
  118. 118The provider has ordered Vancomycin 1G IV every 12 hours. The pharmacy has 1G in 250 mL bags on hand. If the infusion should run over 3 hours, at what rate should the nurse set the IV pump? Round to the nearest whole number.Answer →