ATI RN
Medication Administration NCLEX Questions Questions
Question 1 of 5
When assisting a resident with medication, the caregiver:
Correct Answer: B
Rationale: Caregivers must verify consumption to ensure compliance and safety, per medication assistance protocols.
Question 2 of 5
The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, right-sided facial pain. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. The nurse suspects:
Correct Answer: D
Rationale: Trigeminal neuralgia causes sudden, electric-like facial pain triggered by touch, matching the patient's description.
Question 3 of 5
All of the following are required sources to confirm the patient's identity before administering medication EXCEPT:
Correct Answer: B
Rationale: The patient's room/bed number is not a reliable source to confirm identity, as it can change or be shared. The identification bracelet, asking the patient, and the chart provide accurate identity verification.
Question 4 of 5
What must be done by the nurse to ensure key steps are followed while administering medication?
Correct Answer: A
Rationale: Checking for discoloration and expiration ensures the medication is safe and effective, a fundamental step in the administration process.
Question 5 of 5
You have a patient with severe multiple sclerosis that is advanced and progressive who now develops renal failure secondary to diabetes. The patient is alert and has elected to put the DNR (Do-Not-Resuscitate) order in place at her own discretion. The patient's potassium level is now markedly elevated at $8 \mathrm{meq} / \mathrm{L}$. Which of the following is the most appropriate management of this patient?
Correct Answer: C
Rationale: A 'Do-Not-Resuscitate' (DNR) order is very specifically defined as refraining from cardiopulmonary resuscitative efforts such as chest compressions, antiarrhythmic medications such as amiodarone or lidocaine, and electrical cardioversion in the event of the patient's cardiopulmonary arrest. A DNR order has nothing to do with any of the other forms of care that the patient is receiving. A DNR order has no impact on the use of dialysis. You should pretend that the DNR order does not exist when evaluating for dialysis. Hyperkalemia is life threatening. It is illogical to use an inferior therapy such as kayexalate for the long-term management of the hyperkalemia of renal failure if dialysis is indicated. This patient is awake, alert, and able to understand his or her own medical problems. The patient's family is not relevant in terms of the decision-making pathway if the patient has the capacity to understand his or her own medical problems.