ATI RN
NCLEX Medication Administration Questions Questions
Question 1 of 5
When a resident goes on an outing you may:
Correct Answer: B
Rationale: Sending one day's medication ensures continuity of care during an outing, aligning with practical and safe practice in residential care.
Question 2 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 3 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 4 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.
Question 5 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.