ATI RN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 5
If a resident refuses to take his medication
Correct Answer: D
Rationale: Forcing medication is unethical and illegal. The physician should be notified promptly (not delayed 14 days) to reassess, making none of the options fully correct; however, D aligns with rejecting A-C.
Question 2 of 5
An older adult patient is discharged from the hospital with nortriptyline hydrochloride (Pamelor) for neuropathic pain. Which statement indicates the patient's need for additional education?
Correct Answer: B
Rationale: Nortriptyline causes dry mouth; carbonated beverages may worsen discomfort, unlike sugarless gum or humidifiers, indicating a need for education.
Question 3 of 5
A patient utilizes a heating pad at home for the treatment of a muscle spasm. The pain management nurse notes the patient is on a fentanyl transdermal patch (Duragesic). What will the nurse include in the patient's education?
Correct Answer: A
Rationale: Heat over a fentanyl patch increases absorption, risking overdose; patients must avoid direct heat application.
Question 4 of 5
What is the minimum number of times that you check the medication label before administering the medication?
Correct Answer: C
Rationale: Checking the label three times (before removing from storage, before preparing, and before administering) ensures accuracy and prevents errors, per standard medication safety protocols.
Question 5 of 5
You are working at the desk in your hospital when another employee of the hospital asks for information about a patient who was admitted last night with a pulmonary embolus secondary to cancer. You know the details of the case. The person requesting the information states that he is a close friend and co-worker of your patient. He shows you proper identification proving he really is a co-worker of your patient who also works in the hospital. Which of the following is the most appropriate response to this request?
Correct Answer: C
Rationale: Confidentiality is a fundamental right of all patients. As part of maintaining the patient's autonomy in revealing information only to those they wish to be informed of their condition you must refuse to release any specific information of the patient's medical history or current medical problems without direct permission from the patient. Respect this right even if the person asking is, indeed, a co-worker-or even their superior. You have no idea if medical information may be used to discriminate against the patient. Separate from this, third parties have no automatic right to a patient's medical information unless they are directly involved in the care of the patient. This would hold true even if the person seeking information is a health-care worker if they are not directly involved in the care of the patient. Have the patient- not the person requesting the information-sign the consent form for release of information confirming that they are giving you permission to release information.