NCLEX MEDICATION ADMINISTRATION

NCLEX MEDICATION ADMINISTRATION

QUESTIONS AND DETAILED ANSWERS

2025 LATEST EXAM DETAILED QUESTIONS

WITH VERIFIED ANSWERS

A physician orders a pain medication for a postoperative patient that is a PRN order. When would the nurse administer this medication?

• a single dose during the postoperative period
• doses administered as needed for pain relief
• one dose administered immediately
• doses routinely administered as a standing order Correct

Answer B) doses administered as needed for pain relief

A nurse is administering a pain medication to a patient. In addition to checking his identification bracelet, the nurse correctly verifies

his identify by:

• asking the patient his name
• reading the patient's name on the sign over the bed
• asking the patient's roommate to verify his name
• asking, "are you mr. brown?" Correct Answer A) asking the

patient his name

The nurse is administering a medication to a patient via a nasogastric tube. Which are accurate guidelines related to this procedure? Select all that applies.

• crush the enteric coated pill for mixing in a liquid
• flush open the tube with 60 mL of very warm water
• check for proper placement of the NG tube 1 / 4

• give each medication separately and flush with water between

each drug.

• lower the head of the bed to prevent reflux
• adjust the amount of water used if patient's fluid intake is

restricted. Correct Answer C) check for proper placement of the NG tube

• give each medication separately and flush with water between

each drug.

• adjust the amount of water used if patient's fluid intake is

restricted.

A mediation order reads: "Hydromorphone, 2 mg IV every 3 to 4

hours PRN pain." The prefilled catridge is available with a label reading "hydromorphone 2 mg/1 mL" the catridge contains 1.2 mL of hydromorphone. Which nursing action is correct?

• give all the medication in teh catridge b/c it expanded when it

was mixed.

• call the pharmacy and request the proper dose
• refuse to give the medication
• dispose of 0.2 mL correctly before administering the drug

Correct Answer D) dispose of 0.2 mL correctly before administering the drug

a nurse discovers that she made medication error. What should be the nurse's first responses?

• record the error in the medication sheet
• notify the physician regarding course of action.
• check the patient's condition to note any possible effect of the

error

• complete an incident report, explaining how the mistake was

made. Correct Answer C) check the patient's condition to note any possible effect of the error

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A nurse is administering a routine medication to a patient. Which of the following medication is "as needed" order?

• lasix 20 mg PO daily
• tylenol 650 mg PO every 4 hours prn temp greater than 101.0

degrees

• benadryl 25 mg IV stat
• Zestril 10 mg PO BID Correct Answer B) tylenol 650 mg PO

every 4 hours prn temp greater than 101.0 degrees

The nurse takes the 8 am medication to the patient and properly identifies her. The patient asks the nurse to leave the medication on the bedside table and states that she will take it with breakfast when it comes. What is the best response to this request?

• leave the medication and return later to make sure that it was

taken.

• tell her that it is against the rules, and take the medication with

you.

• tell her that you cannot leave the medication but will return with

it when breakfast arrives

• take the drug from the room and record it as refused. Correct

Answer C) tell her that you cannot leave the medication but will return with it when breakfast arrives

A nurse is teaching a home care patient how to administer a topical medication. The patient is watching television while the nurse is talking. What might be the result of this interaction?

• the message will likely be misunderstood
• the stimulus for communication is unclear
• the receiver will accurately interpret the message
• the communication will be reciprocal Correct Answer A) the

message will likely be misunderstood

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A patient is newly diagnosed with Hypertension and is being discharged home. What type of order would a physician most likely write to control the patient' blood pressure?

• stat
• p.r.n
• routine
• single Correct Answer C) routine

A nurse is administering a medication that is formulated as enteric coated tablets. What is the rationale for not crushing or chewing enteric coated tablets?

• to prevent absorption in the mouth
• to prevent absorption in the esophagus
• to facilitate absorption in the stomach
• to preven gastric irritation Correct Answer D) to preven gastric

irritation

A nurse is teaching an older adult at home about taking newly prescribed medications. Which of the following would be included?

• "You can identify your medication by their colors"
• " I have written the names of your drugs with times to take

them."

• "You won't forget a medication if you count them every day."
• "don't worry if the label comes off; just look at the shapes."

Correct Answer B) " I have written the names of your drugs with times to take them."

A nurse is conducting a interview with a patient to collect medication history. Which of the following questions would be used to ensure safe medication administration?

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