ATI Fundamentals Chapter 46 Questions with
Correct Answers
A nurse is caring for a client who is 1 day postoperative following a total knee arthroplasty. The
client states his pain level is 10 on a scale of 0 to 10. After reviewing the client's medication
administration record, which of the following medications should the nurse administer?
A. Meperidine (Demerol) 75 mg IM
B. Fentanyl 50 mcg/hr transdermal patch
C. Morphine 2 mg IV
D. Oxycodone 10 mg PO - correct answerC. CORRECT: IV morphine is the best choice because
the onset is rapid, and absorption of the medication into the blood is immediate, which
provides an immediate response for a client who is reporting pain at a level of 10.
A. INCORRECT: Although meperidine is used for pain control, the IM route of administration can
allow for slow absorption delaying the onset of pain relief. The IM route also can cause
additional pain from injection.
B. INCORRECT: Although fentanyl is used for pain control, the transdermal route of
administration can allow for slow absorption delaying the onset of pain relief.
D. INCORRECT: Although oxycodone is used for pain control, the oral route of administration of
this medication can allow for onset of pain relief in 10 to 15 min, which can be a long time for a
client who is reporting pain at a level of 10.
A nurse is teaching a client about taking multiple oral medications at home to include time-
release capsules, liquid medications, enteric-coated pills, and narcotics. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I can open the capsule with the beads in it and sprinkle them on my oatmeal."
, B. "If I am having difficulty swallowing, I will add the liquid medication to a batch of pudding."
C. "The pills with the coating on them can be crushed."
D. "I will eat two crackers with the pain pills." - correct answerD. CORRECT: It is recommended
to administer irritating medications with small amounts of food. This will assist with prevention
of nausea and vomiting so that the medication can be retained and take effect.
A. INCORRECT: Although this may assist a client with swallowing issues, enteric-coated or
timerelease medications should be swallowed whole.
B. INCORRECT: Although it is recommended to add a liquid medication to food if the client is
having difficulty swallowing, it is not recommended to mix the medication with large amounts
of food or beverage in case the client is unable to consume the entire quantity.
C. INCORRECT: Enteric-coated or time-release medications should be swallowed whole and
cannot be crushed.
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of
the following instructions should the nurse include in the teaching?
A. "Flush the tube before and after each medication."
B. "Administer your medications with your enteral feeding."
C. "Administer tablets through the tube slowly."
D. "Mix all the crushed medications prior to dissolving in water." - correct answerA. CORRECT:
The client should flush the tubing before and after each medication with 15 to 30 mL of water
to prevent clogging of the tube.
B. INCORRECT: In order to maximize the therapeutic effect of a medication, it is recommended
to never mix medications with enteral feeding. In addition, if the client does not receive the
entire feeding he does not receive the entire medication. This can also delay the client receiving
the medication.
C. INCORRECT: The client should not administer tablets or undissolved medications through a
jejunostomy tube because they may clog the tube.
Correct Answers
A nurse is caring for a client who is 1 day postoperative following a total knee arthroplasty. The
client states his pain level is 10 on a scale of 0 to 10. After reviewing the client's medication
administration record, which of the following medications should the nurse administer?
A. Meperidine (Demerol) 75 mg IM
B. Fentanyl 50 mcg/hr transdermal patch
C. Morphine 2 mg IV
D. Oxycodone 10 mg PO - correct answerC. CORRECT: IV morphine is the best choice because
the onset is rapid, and absorption of the medication into the blood is immediate, which
provides an immediate response for a client who is reporting pain at a level of 10.
A. INCORRECT: Although meperidine is used for pain control, the IM route of administration can
allow for slow absorption delaying the onset of pain relief. The IM route also can cause
additional pain from injection.
B. INCORRECT: Although fentanyl is used for pain control, the transdermal route of
administration can allow for slow absorption delaying the onset of pain relief.
D. INCORRECT: Although oxycodone is used for pain control, the oral route of administration of
this medication can allow for onset of pain relief in 10 to 15 min, which can be a long time for a
client who is reporting pain at a level of 10.
A nurse is teaching a client about taking multiple oral medications at home to include time-
release capsules, liquid medications, enteric-coated pills, and narcotics. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I can open the capsule with the beads in it and sprinkle them on my oatmeal."
, B. "If I am having difficulty swallowing, I will add the liquid medication to a batch of pudding."
C. "The pills with the coating on them can be crushed."
D. "I will eat two crackers with the pain pills." - correct answerD. CORRECT: It is recommended
to administer irritating medications with small amounts of food. This will assist with prevention
of nausea and vomiting so that the medication can be retained and take effect.
A. INCORRECT: Although this may assist a client with swallowing issues, enteric-coated or
timerelease medications should be swallowed whole.
B. INCORRECT: Although it is recommended to add a liquid medication to food if the client is
having difficulty swallowing, it is not recommended to mix the medication with large amounts
of food or beverage in case the client is unable to consume the entire quantity.
C. INCORRECT: Enteric-coated or time-release medications should be swallowed whole and
cannot be crushed.
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of
the following instructions should the nurse include in the teaching?
A. "Flush the tube before and after each medication."
B. "Administer your medications with your enteral feeding."
C. "Administer tablets through the tube slowly."
D. "Mix all the crushed medications prior to dissolving in water." - correct answerA. CORRECT:
The client should flush the tubing before and after each medication with 15 to 30 mL of water
to prevent clogging of the tube.
B. INCORRECT: In order to maximize the therapeutic effect of a medication, it is recommended
to never mix medications with enteral feeding. In addition, if the client does not receive the
entire feeding he does not receive the entire medication. This can also delay the client receiving
the medication.
C. INCORRECT: The client should not administer tablets or undissolved medications through a
jejunostomy tube because they may clog the tube.
