ATI RN
Fundamentals of Nursing Medication Administration Practice Questions Questions
Question 1 of 5
Which statement indicates the development of opioid tolerance?
Correct Answer: A
Rationale: Opioid tolerance is characterized by needing higher doses over time to achieve the same pain relief due to reduced receptor sensitivity.
Question 2 of 5
A patient utilizes a heating pad at home for the treatment of a muscle spasm. The pain management nurse notes the patient is on a fentanyl transdermal patch (Duragesic). What will the nurse include in the patient's education?
Correct Answer: A
Rationale: Heat over a fentanyl patch increases absorption, risking overdose; patients must avoid direct heat application.
Question 3 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 4 of 5
You are working at the desk in your hospital when another employee of the hospital asks for information about a patient who was admitted last night with a pulmonary embolus secondary to cancer. You know the details of the case. The person requesting the information states that he is a close friend and co-worker of your patient. He shows you proper identification proving he really is a co-worker of your patient who also works in the hospital. Which of the following is the most appropriate response to this request?
Correct Answer: C
Rationale: Confidentiality is a fundamental right of all patients. As part of maintaining the patient's autonomy in revealing information only to those they wish to be informed of their condition you must refuse to release any specific information of the patient's medical history or current medical problems without direct permission from the patient. Respect this right even if the person asking is, indeed, a co-worker-or even their superior. You have no idea if medical information may be used to discriminate against the patient. Separate from this, third parties have no automatic right to a patient's medical information unless they are directly involved in the care of the patient. This would hold true even if the person seeking information is a health-care worker if they are not directly involved in the care of the patient. Have the patient- not the person requesting the information-sign the consent form for release of information confirming that they are giving you permission to release information.
Question 5 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.