ATI RN
NCLEX Questions Medication Administration Questions
Question 1 of 5
Herbal Medications:
Correct Answer: C
Rationale: Herbal medications, if used, must follow the same central storage rules as prescriptions for safety and oversight in care facilities.
Question 2 of 5
The pain management nurse notices a patient grimacing as they move from the bed to a chair. The patient tells the nurse that they are not experiencing any pain. The nurse's response is to:
Correct Answer: D
Rationale: Validating nonverbal cues (grimacing) opens dialogue about pain, respecting the patient's report while addressing potential underreporting.
Question 3 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 4 of 5
Which injection is given into the subcutaneous tissues for a sustained release? (insulin)
Correct Answer: B
Rationale: Subcutaneous injections, like insulin, deliver medication into fatty tissue for slow, sustained absorption, ideal for managing conditions like diabetes.
Question 5 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.