ATI RN
Medication Administration Test Questions and Answers Questions
Question 1 of 5
Which part of a syringe is pushed to move the fluid out?
Correct Answer: D
Rationale: The plunger is pushed to expel fluid from the syringe, creating pressure to move the medication through the needle.
Question 2 of 5
You have a patient who is an HIV-positive physician. He has recently found out that he is HIV-positive. He is very concerned about confidentiality and you are the only one who knows he is HIV-positive. He asks you who you are legally obligated to inform. What should you tell him?
Correct Answer: D
Rationale: Patients with HIV have a right to privacy as long as they are not putting others at risk. You have no mandatory obligation to inform the state, his insurance, or his employer. You and the patient do not have a mandatory obligation to inform his patients of his HIV status even if he is a surgeon. This is because an HIV-positive physician poses no significant risk of transmission to a patient. Universal precautions are supposed to prevail in order to prevent transmission. Every patient requires management as if he were HIV-positive in order to interrupt transmission. This is the meaning of 'universal' precautions.
Question 3 of 5
Mr. Sakiewiec is a 32-year-old man with severe mental retardation who has been institutionalized since childhood. He is noncommunicative and has never been able to verbalize his preferences on any decision. His parents are dead and the institution and a court-appointed guardian manages him. He has developed leukemia that is severe and incurable. Chemotherapy involves significant risk and discomfort and only a small chance of prolonging his survival. What should be done in terms of his medical treatment?
Correct Answer: D
Rationale: This patient has never been competent so there is no possibility of trying to determine what he had wanted for himself. There is no family to act in his best interests. You cannot substitute judgment for a person that has never had judgment. This case involves decision making on the least accurate of the decision-making standard, which is to determine what would be in the best interests of the patient. The reason this is the least accurate method of giving or withholding consent is that there is no way to be sure what the patient would have wanted for himself. With a best interests standard we have the difficult problem of determining whether the guardian is basing their decision on what the patient would need, or the guardian's own subjective standard of what they would want for themselves. In this case, the burden of therapy for no chance of cure is worse than the option of simply deferring therapy. If there is a court-appointed guardian, then there is no point of an 'expert panel.' The question here is not one of what the best medical therapy is, but what is in the best interests of a patient too mentally impaired to make his own decisions.
Question 4 of 5
If you find that you are giving a PRN medication regularly (at least every day), you should:
Correct Answer: D
Rationale: Regular PRN use suggests a need for reassessment by the nurse and physician for a scheduled dose or alternative treatment.
Question 5 of 5
When a woman is taking birth control pills, it is best to:
Correct Answer: B
Rationale: Smoking increases cardiovascular risks with birth control pills, making cessation critical.