ATI RN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 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 2 of 5
You have a patient with a strong family history of breast cancer. As a matter of the patient's request, you perform a BRCA genetic test to see if there is an increased risk for breast cancer. The patient's employer is requesting a copy of any genetic testing that may have been done. What should you do?
Correct Answer: D
Rationale: The employer has no right to the genetic information of a patient. Cancer is not transmissible to fellow employees. None of the genetic tests have an impact on job performance or job safety, which are the only forms of information that an employer has a claim to.
Question 3 of 5
A 52-year-old man with cerebral palsy is being evaluated for screening colonoscopy. He has a mental age of 8 and a second grade reading level in terms of comprehension. He lives alone and survives on a combination of public assistance and a low paying part-time job sweeping floors. You have thoroughly explained the procedure to him in terms of risks and benefits. He repeatedly refuses the procedure entirely on the basis of 'I just don't want it.' What should you do?
Correct Answer: C
Rationale: Just because a patient may be incompetent in certain areas of his life does not mean that he is not able to consent for medical procedures. The patient described has a severe and permanent cognitive impairment; however, he is still able to refuse the procedure. A patient can be considered incompetent for financial issues but still have the ability to make medical decisions. It would not be advisable to recommend routine medical procedures against the will of the patient. This would mean literally forcing him into the endoscopy through restraints or sedation. Incompetence in one area does not mean total incompetence. The court recognizes a much lower standard of cognitive ability to reliably consent or refuse procedures compared with financial decisions. It is easier to be declared incompetent for financial decisions than it is for medical decisions.
Question 4 of 5
Another authorized direct care staff member asks you to administer a medication they have prepared. You should:
Correct Answer: D
Rationale: Staff must not administer medications they didn't prepare to ensure the 'right medication' and avoid errors, per safety protocols.
Question 5 of 5
You notice that an individual no longer has a rash on his abdomen but still has a topical ointment prescribed for the rash every HS. You should:
Correct Answer: B
Rationale: The nurse must assess and adjust the order if the condition resolves, as staff cannot alter prescriptions.