ATI RN
NCLEX Medication Administration Questions Questions
Question 1 of 5
What is NOT an appropriate action when a patient, who is legally responsible for their care, refuses medication?
Correct Answer: D
Rationale: Forcing a patient to take medication violates their autonomy and right to refuse, per ethical and legal standards. Notifying the physician, documenting, and educating are appropriate steps.
Question 2 of 5
Which of the following most accurately describes the participation of prisoners in clinical trials and research?
Correct Answer: D
Rationale: Prisoners have the right to participate in clinical research trials. They are also entitled to monetary compensation for their participation. Participation cannot be used as a criterion for shortening their prison sentence. Essentially, prisoners have all the same rights in terms of their participation in clinical research as nonprisoners. This also includes the right to refuse participation. It is not unethical for them to participate. The ethical difficulties begin when the power of choice and informed consent are removed from the prisoner. Incarceration does not reduce the prisoner to the subhuman, animal-like status of unfair treatment or not having the right to refuse participation. Clinical trials that occur in a prison must undergo the same review process by an institutional review board (IRB) as those occurring outside the prison. You cannot force someone into research just because he is a prisoner. You cannot coerce them into participating by suggesting it will shorten the prison sentence.
Question 3 of 5
A 67-year-old woman is diagnosed with breast cancer. She is fully alert and very specifically both verbally and in writing tells you that she does not want to have surgery on her breast to remove the tumor. She fully understands her condition and treatment options. This is a decision her husband and son both disagree with. Over the next several weeks the patient becomes confused and loses the capacity to understand the details of her medical care. The husband and son now approach you to perform the surgery. Which of the following is most appropriate?
Correct Answer: A
Rationale: The patient in this question gave a clear advance directive while she still had decision-making capacity. This must be followed. This case is especially clear because it states there is both a clear verbal as well as written advance directive. Cases in which there is no clear advance directive are much harder. It does not matter if the family's request is in writing. The case would be considered too straightforward to warrant the intervention of an ethics committee. Even if the ethics committee for some reason recommended the surgery, you would still have to refuse because your duty is to follow the patient's wishes, no one else's. You cannot refuse a decision made while competent simply because the patient later becomes incompetent. If this were not so, then all wills would be invalid. A person's will is a form of advance directive for their property after they become unable to speak for themselves directly.
Question 4 of 5
What must be monitored when an individual is a diabetic?
Correct Answer: D
Rationale: Diabetes management requires monitoring blood sugar, diet, and circulation to prevent complications like hypoglycemia or neuropathy.
Question 5 of 5
You have been assigned to a new house but you have not received medication training for the individuals in that home. However, since most of the medications are the same you have administered before, it is okay to administer the medications.
Correct Answer: B
Rationale: Staff must be trained specifically for each individual's medications to ensure competency, per regulations.