NCLEX MEDICATION ADMINISTRATION
QUESTIONS AND DETAILED ANSWERS| 2025
LATEST EXAM ALL QUESTIONS WITH VERIFIED
ANSWERS
A client is in the bathroom when the nurse enters to give a prescribed medication.
What should the nurse do? - ans -. Return shortly to the client's room and remain
there until the client takes the medication.
A nurse must verify a client's identity before administering medication. The safest
way to verify identity is to: - ans -. check the client's identification band and ask
the client his name.
After knee replacement surgery, a client is being discharged with a prescription
for acetaminophen and codeine tablets, 30 mg, for pain. During discharge
preparation, the nurse should include which instruction? - ans -. "Avoid driving a
car while taking this medication."
A nurse is teaching a client about a newly prescribed drug. What could cause a
geriatric client to have difficulty learning about prescribed medications? - ans -.
Sensory deficits
The nurse has an order to administer an I.M. injection using the Z-track technique.
When carrying out this order, what should the nurse do? - ans -. Simultaneously
withdraw the needle and release the skin.
After a client receives an I.M. injection, he complains of burning pain in the
injection site. Which nursing action would be the best to take at this time? - ans -.
Apply a warm compress to dilate the blood vessels.
The physician prescribes 250 mg of a drug. The drug vial reads 500 mg/ml. How
much of the drug should the nurse give? - ans -½ ml
When preparing to give a client a prescribed drug, the nurse realizes that the drug
is one the nurse has never administered before. No drug references on the
,nursing unit contain information about the drug in question. What should the
nurse do? - ans -. Contact a pharmacist to obtain information about the drug.
The nurse is using the Z-track method of I.M. injection to administer iron dextran
to a client with iron deficiency anemia. Which techniques should the nurse use to
give this injection?
Select all that apply: - ans -. Confirm the client's identity before administering the
iron dextran.
. Change the needle after drawing up the iron dextran.
. Before inserting the needle, displace the skin laterally by pulling it away from the
injection site.
. Inject the iron dextran after aspirating for a blood return.
After intentionally taking an overdose of amitriptyline (Elavil), a client is admitted
to the emergency department. The nurse knows that the activated charcoal given
to the client will: - ans -. bind with the ingested drug.
Which I.M. sites are appropriate for the nurse to use in an adult client?
Select all that apply: - ans -. Dorsogluteal muscle
. Deltoid muscle
. Vastus lateralis muscle
. Rectus femoris muscle
The nurse is caring for a 62-year-old client with type 2 diabetes. The client takes
an oral antidiabetic to control blood glucose levels. The physician prescribed
ramipril (Altace) to help treat this client's elevated blood pressure. The nurse
should be alert for which drug interaction? - ans -Hypoglycemia
A client with hypothyroidism is prescribed levothyroxine (Synthroid) 0.05 mg by
mouth daily before breakfast. As the nurse gives the client the medication, the
client states, "What dose am I getting? I've been taking 0.15 mg every day for
years." Which action by the nurse is most appropriate? - ans -. Verifying the dose
with the physician's order on the client's medical record
, Metoprolol (Lopressor) is prescribed to control angina in a client with type 1
diabetes. The nurse should be aware that: - ans -. metoprolol alters insulin
requirements in previously stabilized clients.
The nurse is caring for a 72-year-old client with heart failure. When administering
drug therapy, the nurse must stay especially alert for adverse effects. Which
factor makes geriatric clients more vulnerable than younger clients to adverse
drug effects? - ans -. Hepatic and renal changes
A facility has a system for transcribing medication orders to a Kardex as well as a
computerized medication administration record (MAR). A physician writes the
following order for a client: "Prednisone 5 mg by mouth daily for 3 days." The
order is correctly transcribed on the Kardex. However, the nurse who transcribes
the order onto the MAR neglects to place the limitation of 3 days on the
prescription. On the 4th day after the order was instituted, a nurse administers
prednisone 5 mg by mouth. During an audit of the chart, the error is identified.
The person most responsible for the error is the: - an -. nurse who administered
the erroneous dose.
When giving an I.M. injection, the nurse should insert the needle into the muscle
at an angle of: - ans - 90 degrees.
The nurse is preparing to administer a flu shot to an elderly client. How should the
nurse proceed? Rank in chronological order. Use all the options. - ans -. Put gloves
on
Locate the Deltoid muscle
. Clean the injection site with an alcohol pad
. Expel air bubbles from the syringe
. Gently stretch the skin taut at the sites
. Inject it into the muscle at a 90 degree angle
When checking a client's I.V. insertion site, the nurse notes normal color and
temperature at the site and no swelling. However, the I.V. solutions haven't
infused at the ordered rate; the flow rate is slow even with the roller clamp wide
open. When the nurse lowers the I.V. fluid bag, no blood returns to the tubing.
What should the nurse do first? - ans - Check the tubing for kinks and reposition
the client's wrist and elbow.
QUESTIONS AND DETAILED ANSWERS| 2025
LATEST EXAM ALL QUESTIONS WITH VERIFIED
ANSWERS
A client is in the bathroom when the nurse enters to give a prescribed medication.
What should the nurse do? - ans -. Return shortly to the client's room and remain
there until the client takes the medication.
A nurse must verify a client's identity before administering medication. The safest
way to verify identity is to: - ans -. check the client's identification band and ask
the client his name.
After knee replacement surgery, a client is being discharged with a prescription
for acetaminophen and codeine tablets, 30 mg, for pain. During discharge
preparation, the nurse should include which instruction? - ans -. "Avoid driving a
car while taking this medication."
A nurse is teaching a client about a newly prescribed drug. What could cause a
geriatric client to have difficulty learning about prescribed medications? - ans -.
Sensory deficits
The nurse has an order to administer an I.M. injection using the Z-track technique.
When carrying out this order, what should the nurse do? - ans -. Simultaneously
withdraw the needle and release the skin.
After a client receives an I.M. injection, he complains of burning pain in the
injection site. Which nursing action would be the best to take at this time? - ans -.
Apply a warm compress to dilate the blood vessels.
The physician prescribes 250 mg of a drug. The drug vial reads 500 mg/ml. How
much of the drug should the nurse give? - ans -½ ml
When preparing to give a client a prescribed drug, the nurse realizes that the drug
is one the nurse has never administered before. No drug references on the
,nursing unit contain information about the drug in question. What should the
nurse do? - ans -. Contact a pharmacist to obtain information about the drug.
The nurse is using the Z-track method of I.M. injection to administer iron dextran
to a client with iron deficiency anemia. Which techniques should the nurse use to
give this injection?
Select all that apply: - ans -. Confirm the client's identity before administering the
iron dextran.
. Change the needle after drawing up the iron dextran.
. Before inserting the needle, displace the skin laterally by pulling it away from the
injection site.
. Inject the iron dextran after aspirating for a blood return.
After intentionally taking an overdose of amitriptyline (Elavil), a client is admitted
to the emergency department. The nurse knows that the activated charcoal given
to the client will: - ans -. bind with the ingested drug.
Which I.M. sites are appropriate for the nurse to use in an adult client?
Select all that apply: - ans -. Dorsogluteal muscle
. Deltoid muscle
. Vastus lateralis muscle
. Rectus femoris muscle
The nurse is caring for a 62-year-old client with type 2 diabetes. The client takes
an oral antidiabetic to control blood glucose levels. The physician prescribed
ramipril (Altace) to help treat this client's elevated blood pressure. The nurse
should be alert for which drug interaction? - ans -Hypoglycemia
A client with hypothyroidism is prescribed levothyroxine (Synthroid) 0.05 mg by
mouth daily before breakfast. As the nurse gives the client the medication, the
client states, "What dose am I getting? I've been taking 0.15 mg every day for
years." Which action by the nurse is most appropriate? - ans -. Verifying the dose
with the physician's order on the client's medical record
, Metoprolol (Lopressor) is prescribed to control angina in a client with type 1
diabetes. The nurse should be aware that: - ans -. metoprolol alters insulin
requirements in previously stabilized clients.
The nurse is caring for a 72-year-old client with heart failure. When administering
drug therapy, the nurse must stay especially alert for adverse effects. Which
factor makes geriatric clients more vulnerable than younger clients to adverse
drug effects? - ans -. Hepatic and renal changes
A facility has a system for transcribing medication orders to a Kardex as well as a
computerized medication administration record (MAR). A physician writes the
following order for a client: "Prednisone 5 mg by mouth daily for 3 days." The
order is correctly transcribed on the Kardex. However, the nurse who transcribes
the order onto the MAR neglects to place the limitation of 3 days on the
prescription. On the 4th day after the order was instituted, a nurse administers
prednisone 5 mg by mouth. During an audit of the chart, the error is identified.
The person most responsible for the error is the: - an -. nurse who administered
the erroneous dose.
When giving an I.M. injection, the nurse should insert the needle into the muscle
at an angle of: - ans - 90 degrees.
The nurse is preparing to administer a flu shot to an elderly client. How should the
nurse proceed? Rank in chronological order. Use all the options. - ans -. Put gloves
on
Locate the Deltoid muscle
. Clean the injection site with an alcohol pad
. Expel air bubbles from the syringe
. Gently stretch the skin taut at the sites
. Inject it into the muscle at a 90 degree angle
When checking a client's I.V. insertion site, the nurse notes normal color and
temperature at the site and no swelling. However, the I.V. solutions haven't
infused at the ordered rate; the flow rate is slow even with the roller clamp wide
open. When the nurse lowers the I.V. fluid bag, no blood returns to the tubing.
What should the nurse do first? - ans - Check the tubing for kinks and reposition
the client's wrist and elbow.
