Medication Administration NCLEX Questions 2025
Guarateed A+
A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg. Which of the
following is least appropriate for the administration of this medication?
A. A 5/8-inch needle is used at a 45-degree angle to the skin
B. Pinching the skin before administration is necessary
C. Aspirating the syringe before injecting the medication is a priority
D. Using a 25-gauge needle would be best - ansC. Aspirating the syringe before injecting the medication is a
priority
A 76-year-old client lives alone and takes medications without supervision. Which of the following is the most
appropriate question for his home health nurse to ask in regard to his medication regimen?
A. "How much do you weigh?"
B. "What medications are you currently taking?"
C. "We'll have to take away your sedatives if you keep taking them during the day. "
D. "Have you been taking other substances than those ordered by the physician?" - ansD. "Have you been
taking other substances than those ordered by the physician?"
A clinet is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-nausea)
medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered. - ansC. A parenteral route is the route of choice.
,A nurse accidently gives a patient the medications that were ordered for the patient's roommate. What is the
nurse's first priority?
A. Complete an occurrence report.
B. Notify the health care provider.
C. Inform the charge nurse of the error.
D. Assess the patient for adverse effects. - ansD. Assess the patient for adverse effects.
A nurse admits a 72-year-old patient with a medical history of hypertension, heart failure, renal failure, and
depression to a general medical patient care unit. The nurse reviews the patient's medication orders and notes
that the patient has three health care providers who have ordered a total of 13 medications. What is the most
appropriate action for the nurse to take next?
A. Give the medications after identifying the patient using two patient identifiers
B. Provide medication education to the patient to help with adherence to the medical plan
C. Review the list of medications with the health care providers to ensure that the patient needs all 13
medications
D. Set up a medication schedule for the patient that is least disruptive to the expected treatment schedule in
the hospital - ansC. Review the list of medications with the health care providers to ensure that the patient
needs all 13 medications
a nurse receives an order to administer 8 units regular insulin and 20 units NPH insulin before breakfast. Using
a U-100 syringe, the nurse would prepare this dos in which of the following ways?
a. drawing up 8 units NPH, then 20 units regular in the same syringe.
b. drawing up 9 units regular in one syringe, and 20 units NPH in a separate syringe.
c. drawing up 8units regular, then 20 units NPH in the same syringe
d. giving the 20 units NPH insulin 15 min before food, and the 8 units of regular when the food arrives. - ansc.
drawing up 8units regular, then 20 units NPH in the same syringe
A nursing student is administering ampicillin PO. The expiration date on the medication wrapper was
yesterday. What is the appropriate action for the nursing student to take next?
, A. Ask the nursing professor for advice
B. Return the medication to pharmacy and get another tablet
C. Call the health care provider after discussing this situation with the charge nurse
D. Administer the medication since medications are good for 30 days after their expiration date - ansB. Return
the medication to pharmacy and get another tablet
A nursing student is administering medications to a patient through a gastric tube (G-tube). Which of the
following actions taken by the nursing student requires the nursing instructor to intervene?
A. The nursing student places all the patient's medications in different medicine cups.
B. The nursing student evaluates each medication and holds the tube feeding before administering a
medication that needs to be administered on an empty stomach.
C. The nursing student flushes the tube with 30 mL of water between each medication.
D. The nursing student crushes a nifedipine extended-release tablet and mixes it with water before
administering it. - ansD. The nursing student crushes a nifedipine extended-release tablet and mixes it with
water before administering it.
A patient complains about the taste of the the sublingual nitroglycerin and admits that the swallows it rather
then holding it under his tongue. The nurse explains that sublingual medications.
a. should not be swallowed because it alters the absorption potential.
b. can be inserted rectally without loss of absorption potential
c. can be held against the roof of the mouth with the tongue to reduce taste.
d. can be taken between the cheek and tongue to diminish taste. - ansa. should not be swallowed because it
alters the absorption potential.
A patient is to receive nitroglycerin ointment, 1 inch STAT, for elevated blood pressure. What must the nurse
do before giving this drug?
a. shave the hair off the patient's chest
b. place the patient on a heart monitor
Guarateed A+
A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg. Which of the
following is least appropriate for the administration of this medication?
A. A 5/8-inch needle is used at a 45-degree angle to the skin
B. Pinching the skin before administration is necessary
C. Aspirating the syringe before injecting the medication is a priority
D. Using a 25-gauge needle would be best - ansC. Aspirating the syringe before injecting the medication is a
priority
A 76-year-old client lives alone and takes medications without supervision. Which of the following is the most
appropriate question for his home health nurse to ask in regard to his medication regimen?
A. "How much do you weigh?"
B. "What medications are you currently taking?"
C. "We'll have to take away your sedatives if you keep taking them during the day. "
D. "Have you been taking other substances than those ordered by the physician?" - ansD. "Have you been
taking other substances than those ordered by the physician?"
A clinet is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-nausea)
medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered. - ansC. A parenteral route is the route of choice.
,A nurse accidently gives a patient the medications that were ordered for the patient's roommate. What is the
nurse's first priority?
A. Complete an occurrence report.
B. Notify the health care provider.
C. Inform the charge nurse of the error.
D. Assess the patient for adverse effects. - ansD. Assess the patient for adverse effects.
A nurse admits a 72-year-old patient with a medical history of hypertension, heart failure, renal failure, and
depression to a general medical patient care unit. The nurse reviews the patient's medication orders and notes
that the patient has three health care providers who have ordered a total of 13 medications. What is the most
appropriate action for the nurse to take next?
A. Give the medications after identifying the patient using two patient identifiers
B. Provide medication education to the patient to help with adherence to the medical plan
C. Review the list of medications with the health care providers to ensure that the patient needs all 13
medications
D. Set up a medication schedule for the patient that is least disruptive to the expected treatment schedule in
the hospital - ansC. Review the list of medications with the health care providers to ensure that the patient
needs all 13 medications
a nurse receives an order to administer 8 units regular insulin and 20 units NPH insulin before breakfast. Using
a U-100 syringe, the nurse would prepare this dos in which of the following ways?
a. drawing up 8 units NPH, then 20 units regular in the same syringe.
b. drawing up 9 units regular in one syringe, and 20 units NPH in a separate syringe.
c. drawing up 8units regular, then 20 units NPH in the same syringe
d. giving the 20 units NPH insulin 15 min before food, and the 8 units of regular when the food arrives. - ansc.
drawing up 8units regular, then 20 units NPH in the same syringe
A nursing student is administering ampicillin PO. The expiration date on the medication wrapper was
yesterday. What is the appropriate action for the nursing student to take next?
, A. Ask the nursing professor for advice
B. Return the medication to pharmacy and get another tablet
C. Call the health care provider after discussing this situation with the charge nurse
D. Administer the medication since medications are good for 30 days after their expiration date - ansB. Return
the medication to pharmacy and get another tablet
A nursing student is administering medications to a patient through a gastric tube (G-tube). Which of the
following actions taken by the nursing student requires the nursing instructor to intervene?
A. The nursing student places all the patient's medications in different medicine cups.
B. The nursing student evaluates each medication and holds the tube feeding before administering a
medication that needs to be administered on an empty stomach.
C. The nursing student flushes the tube with 30 mL of water between each medication.
D. The nursing student crushes a nifedipine extended-release tablet and mixes it with water before
administering it. - ansD. The nursing student crushes a nifedipine extended-release tablet and mixes it with
water before administering it.
A patient complains about the taste of the the sublingual nitroglycerin and admits that the swallows it rather
then holding it under his tongue. The nurse explains that sublingual medications.
a. should not be swallowed because it alters the absorption potential.
b. can be inserted rectally without loss of absorption potential
c. can be held against the roof of the mouth with the tongue to reduce taste.
d. can be taken between the cheek and tongue to diminish taste. - ansa. should not be swallowed because it
alters the absorption potential.
A patient is to receive nitroglycerin ointment, 1 inch STAT, for elevated blood pressure. What must the nurse
do before giving this drug?
a. shave the hair off the patient's chest
b. place the patient on a heart monitor
