ATI RN
NCLEX Medication Administration Questions Questions
Question 1 of 5
When a medication is transferred with a resident, the medication should:
Correct Answer: A
Rationale: Counting medications during transfer ensures accuracy and accountability, maintaining the original pharmacy container for safety.
Question 2 of 5
A 35-year-old male patient with testicular cancer is joking and playing cards with his roommate. When assessed by the pain management nurse, the patient rates his pain as a 7 on the Numeric Pain Rating Scale of 0 to 10. The nurse concludes that the patient's behavior:
Correct Answer: D
Rationale: Pain is subjective; the nurse must accept the patient's rating despite behavior, as coping mechanisms vary.
Question 3 of 5
When assessing an eight-month-old patient for pain, the pain management nurse recognizes that:
Correct Answer: B
Rationale: Infants experience pain similarly to adults; physiologic/behavioral cues (not verbal scales like FACES) are key for assessment.
Question 4 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 5 of 5
You are a resident in the emergency department. An irate parent comes to you furious because the social worker has been asking him about striking his child. The child is a 5-year-old boy who has been in the emergency department four times this year with several episodes of trauma that did not seem related. Today, the child is brought in with a child complaint of 'slipping into a hot bathtub' with a bum wound on his legs. The parent threatens to sue you and says 'How dare you think that about me? I love my son!' What should you do?
Correct Answer: D
Rationale: Although, in general, it is better to address issues directly with patients and their families, this is not the case when you strongly suspect child abuse. Reporting of child abuse is mandatory even based on suspicion alone. Although it is frightening to be confrontational with the family, the caregiver is legally protected even if there turns out to be no abuse as long as the report was made honestly and without malice. You do not have the authority to remove the child from the custody of the parents. Only child protective services or the courts can do that. The police would be appropriate for an assault happening at that exact moment, but the police are not appropriate to investigate child abuse. When you have a suspicion of child abuse, it doesn't matter what the parents say. That is why talking directly to the mother or father is incorrect. When you suspect abuse, even if the family denies it, you must still report.