ATI RN
Medical Administrative Assistant Exam Questions Questions
Question 1 of 5
The pediatric nurse must convince a 4-year-old boy to take his medication. Which phrase is the most acceptable?
Correct Answer: D
Rationale: The correct answer, option D, "Your mother and I need you to take your medicine now," is the most acceptable phrase to convince a 4-year-old boy to take his medication for several reasons. Firstly, this statement conveys a sense of authority and responsibility, emphasizing the importance of following through with taking the medication as instructed by trusted adults. It also avoids using bribes or false promises, which can be detrimental to building trust with the child. By involving the mother and emphasizing the collective need for the medication, it reinforces a sense of teamwork and cooperation in the child's mind. Option A, "If you don't take your medicine now, you will need to take a time-out," is not the best choice because it introduces a punitive consequence for not taking the medication, which can lead to negative associations with medication and create anxiety or fear in the child. Option B, "Will you please take your medication for us?" lacks the authoritative tone needed to effectively convince a young child to take medication. It also places the decision-making power solely in the child's hands, which may not be appropriate in this situation. Option C, "It is time to take your medicine. It tastes just like candy!" is misleading and could lead the child to distrust the caregiver in the future if the medication does not actually taste like candy. This option relies on deception rather than clear communication and honesty. In an educational context, it is crucial to teach caregivers and healthcare professionals effective communication strategies when interacting with children, especially in situations involving medical treatment. Using clear, firm, and honest language, such as the rationale behind option D, can help establish trust, promote cooperation, and ensure the child's well-being. It is important to prioritize the child's health and safety while maintaining a positive and respectful relationship with them.
Question 2 of 5
A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?
Correct Answer: D
Rationale: Aspirin is an analgesic, an antipyretic, and an anti-inflammatory medication. The provider wrote the medication to be given for a fever (febrile). Fevers are common in infections. If a child is bleeding, aspirin would be contraindicated; aspirin increases the likelihood of bleeding. Although it can be used for inflammatory problems (sprained ankle) and pain/analgesia (severe headache), this is not how the order was written.
Question 3 of 5
The nurse has prepared a pain injection for a patient but was called to check on another patient. When asked to give the medication what action by the new nurse is best?
Correct Answer: A
Rationale: Because the nurse who administers the medication is responsible for any errors related to it, nurses administer only the medications they prepare. You cannot delegate preparation of medication to another person and then administer the medication to the patient. The right medication cannot be verified by the new nurse; do not violate the six rights. Do not administer the medication even one time. Do not administer the medication regardless of the pain rating. Avoiding the issue is not appropriate or safe.
Question 4 of 5
A nurse is caring for a patient who is receiving pain medication through a saline lock. After flushing the patient's peripheral IV and obtaining a good blood return, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse's initial action?
Correct Answer: A
Rationale: In this scenario, the correct initial action for the nurse to take is option A) Do not administer the pain medication. The presence of a red streak that is warm and tender to the touch indicates phlebitis, an inflammation of the vein. Administering the pain medication can exacerbate the condition and lead to further complications. Option B) Administer the pain medication slowly is incorrect because giving the medication, regardless of the speed, can worsen the phlebitis. The priority is to address the underlying issue causing the pain before administering any further medication. Option C) Apply a warm compress to the site is incorrect as applying heat to an already inflamed area like phlebitis can increase the inflammation and discomfort for the patient. Option D) Apply a cool compress to the site is also incorrect as cold therapy is not the first-line treatment for phlebitis. Educationally, it is important for healthcare professionals to prioritize patient safety and understand the implications of administering medications in the presence of complications such as phlebitis. Recognizing the signs of phlebitis and knowing the appropriate actions to take can prevent further harm to the patient and ensure quality care delivery. It is vital for medical administrative assistants to be aware of these nursing interventions as they may be involved in communicating with healthcare providers about patient conditions and treatment plans.
Question 5 of 5
A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?
Correct Answer: B
Rationale: Before going to the patient's room, compare the patient's name and name of medication on the label of prepared drugs with MAR for the second accuracy check. Selecting the correct medication from the stock supply, unit-dose drawer, or automated dispensing system (ADS) is the first check. The third accuracy check is comparing names of medications on labels with MAR at the patient's bedside. Checking the orders is not one of the three accuracy checks but should be done if there is any confusion about an order.