RPN Safe Medication Administration 4

Question 1

An RPN is administering an IM injection to an adult patient. Which is the preferred site for a large-volume IM injection?

Accepted Answer

Ventrogluteal site

Answer

The ventrogluteal site is preferred for large-volume IM injections in adults because it is free of major nerves and blood vessels.

Question 2

Which of the following is an example of a pharmacokinetic drug interaction?

Accepted Answer

One drug altering the metabolism of another drug in the liver

Answer

Pharmacokinetic interactions involve one drug altering the absorption, distribution, metabolism, or excretion of another drug.

Question 3

A nurse must administer 250 mg of a medication available as 125 mg/5 mL. How many mL should be administered?

Accepted Answer

10 mL

Answer

Using the formula: (desired dose ÷ available dose) × volume = (250 ÷ 125) × 5 = 10 mL.

Question 4

When using the Z-track technique for IM injection, what is the primary purpose?

Accepted Answer

Prevent leakage of irritating medication into subcutaneous tissue

Answer

The Z-track technique seals the medication in the muscle by displacing the skin and subcutaneous tissue, preventing irritating drugs from tracking back through the needle path.

Question 5

A patient on digoxin reports nausea, visual disturbances, and seeing yellow-green halos. The nurse's priority action is to:

Accepted Answer

Hold the dose, assess heart rate, and notify the prescriber

Answer

These are classic signs of digoxin toxicity; the nurse must withhold the dose, check the apical pulse, and promptly notify the prescriber.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Safe Medication Administration 4