ATI RN
NCLEX Questions Medication Administration Questions
Question 1 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 2 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.
Question 3 of 5
Medication placed in the cheek to be absorbed is delivered by what route?
Correct Answer: A
Rationale: Buccal administration involves absorption through the cheek mucosa.
Question 4 of 5
Many medications can be used for more than one problem. For instance, aspirin can be used for headaches, high body temperature and:
Correct Answer: D
Rationale: Aspirin has anticoagulant properties, reducing clotting risk, alongside pain and fever relief.
Question 5 of 5
The symptoms of heat, swelling, redness and pain indicate:
Correct Answer: A
Rationale: These are classic signs of inflammation.