ATI RN
NCLEX Questions Medication Administration Questions
Question 1 of 5
A 12-year-old patient, who has cancer and is receiving in-home care, needs medication for breakthrough pain. The patient does not have IV access. The pain management nurse's most effective route of administration to recommend is:
Correct Answer: C
Rationale: Oral transmucosal (e.g., fentanyl lozenge) provides rapid relief for breakthrough pain without IV access, ideal for home use.
Question 2 of 5
A man arrives at the emergency department on a ventilator after an accident. He is brain dead by all criteria. He has an organ-donor card in his wallet indicating his desire to donate. The organ-donor team contacts the family. The family refuses to sign consent for the donation. What should be done?
Correct Answer: D
Rationale: Although the organ-donor card indicates the patient's wish to donate his organs, it is still unacceptable to harvest organs against the direct wish of the family. If we were to overrule the family, then there would be no point in asking them to consent. Why ask consent for donation, if we would take the organs anyway even if they said no? The organ-donor card is an indication of the patient's wishes but it is not fully binding.
Question 3 of 5
An 87-year-old man comes to see you for follow-up to a minor concussion sustained a few weeks ago. He was in a minor motor vehicle accident in which his head hit the dashboard but he did not lose consciousness. Your patient has glaucoma and presbycussis. He renewed his driver's license by mail two years ago and the only restriction is that he must wear glasses. You are uncertain whether the patient should be driving. What should you do?
Correct Answer: D
Rationale: The laws concerning the impaired driver are not universal between states except for drunk driving. There is no national law guiding physician reporting of an impaired driver for reasons of age, cognitive impairment such as Alzheimer's, or neurological diseases such as multiple sclerosis or Parkinson disease. A few states require mandatory reporting to the Department of Motor Vehicles in order to restrict or remove a driver's license. Most do not. Some states offer protection for physicians in case the report is not honored. Most do not. The rates of motor vehicle accidents remained stable in older patients until the age of 70 when there is a slight rise. However, the highest rate of motor vehicle accidents in all age groups is in those above 85. This group of the very old exceeds even teenagers in terms of the rate of motor vehicle accidents. Because the standards for reporting of the impaired driver varies based on the state, there can be no question where the correct answer is either to report or not to report because this is a national examination. All that can be universally agreed upon is that you should encourage a potentially impaired driver at any age to seek alternate forms of transportation or to have someone else drive.
Question 4 of 5
Staff authorized to administer (give) medications should only perform which of these medication administration duties.
Correct Answer: C
Rationale: Authorized staff must only perform tasks they are trained for by the Nurse-Trainer to ensure competency and safety, per Administrative Rule 116.
Question 5 of 5
It is important to know any dietary restrictions so you can monitor the individual's food intake.
Correct Answer: A
Rationale: Dietary restrictions impact medication efficacy and safety (e.g., interactions with food), requiring monitoring.