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Exam (elaborations)

PN MEDICATION ADMINISTRATION EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED SOLUTIONS………...

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Preview 4 out of 52 pages

PN MEDICATION ADMINISTRATION EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED SOLUTIONS………...

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PN MEDICATION ADMINISTRATION EXAM QUESTIONS AND ANSWERS ALREADY GRADED
A+| 100% VERIFIED SOLUTIONS………...

Core Domains
Principles of Medication Administration
Medication Calculations and Dosage
Routes of Administration
Pharmacology and Drug Classifications
Safety and Error Prevention
Legal and Ethical Considerations
Patient Education and Adherence
High-Alert Medications
Pediatric and Geriatric Considerations
Documentation and Reporting

Introduction
The PN Medication Administration Exam assesses essential knowledge and clinical judgment
required for safe medication administration in practical nursing practice. This examination
evaluates proficiency in the six rights of medication administration, dosage calculations, various
routes of administration, pharmacological principles, and error prevention strategies. The multiple-
choice and scenario-based format emphasizes safety, legal compliance, patient education, and
critical thinking. Questions require synthesis of theoretical foundations with real-world application
to ensure safe, effective, and patient-centered medication management. This assessment prepares
candidates for professional practice and regulatory competency in medication administration.

,SECTION ONE: QUESTIONS 1-100

Question 1
A nurse is preparing to administer medication to a client. Which action demonstrates the "right
client" principle?

A. Checking the medication label three times
B. Verifying the client's identity using two identifiers
C. Confirming the medication dose with another nurse
D. Documenting the medication after administration

🟢 B. Verifying the client's identity using two identifiers
🔴 RATIONALE: The "right client" principle requires verification using two identifiers, such as
name and date of birth or medical record number. This prevents medication errors by ensuring
the correct client receives the medication.

Question 2
A nurse is calculating a medication dose. The provider orders 500 mg of a medication. The
available concentration is 250 mg per 5 mL. How many milliliters should the nurse administer?

A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL

,🟢 B. 10 mL
🔴 RATIONALE: Using the formula Desired/Have times Quantity: 500 mg divided by 250 mg
times 5 mL equals 2 times 5 mL, which equals 10 mL.

Question 3
A nurse is preparing to administer an intramuscular injection. Which needle angle is correct?

A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 30 degrees

🟢 C. 90 degrees
🔴 RATIONALE: Intramuscular injections are administered at a 90-degree angle to ensure the
medication reaches the muscle tissue. Subcutaneous injections use a 45 or 90-degree angle.

Question 4
A nurse is administering a medication to a client who has difficulty swallowing pills. Which action
is most appropriate?

A. Crushing all medications and mixing with food
B. Checking with the pharmacist before crushing medications
C. Placing the medication in the client's mouth without water
D. Withholding the medication

, 🟢 B. Checking with the pharmacist before crushing medications
🔴 RATIONALE: Not all medications can be crushed, as some are designed for extended release
or have enteric coatings. The pharmacist should be consulted before altering medication form.

Question 5
A nurse is preparing to administer a subcutaneous injection of heparin. Which action is correct?

A. Aspirating before injecting
B. Massaging the injection site after injection
C. Using a 25-gauge needle
D. Injecting into the deltoid muscle

🟢 C. Using a 25-gauge needle
🔴 RATIONALE: Heparin is administered subcutaneously using a small-gauge needle, typically 25
to 27 gauge. Aspiration and massage are avoided to prevent hematoma formation.

Question 6
A nurse is preparing to administer eye drops. Which action is correct?

A. Instilling the drops directly onto the cornea
B. Having the client look up during instillation
C. Touching the dropper to the eye
D. Applying pressure to the inner canthus after instillation

🟢 D. Applying pressure to the inner canthus after instillation

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