ATI RN
NCLEX Medication Administration Questions Questions
Question 1 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 2 of 5
A 67-year-old woman is diagnosed with breast cancer. She is fully alert and very specifically both verbally and in writing tells you that she does not want to have surgery on her breast to remove the tumor. She fully understands her condition and treatment options. This is a decision her husband and son both disagree with. Over the next several weeks the patient becomes confused and loses the capacity to understand the details of her medical care. The husband and son now approach you to perform the surgery. Which of the following is most appropriate?
Correct Answer: A
Rationale: The patient in this question gave a clear advance directive while she still had decision-making capacity. This must be followed. This case is especially clear because it states there is both a clear verbal as well as written advance directive. Cases in which there is no clear advance directive are much harder. It does not matter if the family's request is in writing. The case would be considered too straightforward to warrant the intervention of an ethics committee. Even if the ethics committee for some reason recommended the surgery, you would still have to refuse because your duty is to follow the patient's wishes, no one else's. You cannot refuse a decision made while competent simply because the patient later becomes incompetent. If this were not so, then all wills would be invalid. A person's will is a form of advance directive for their property after they become unable to speak for themselves directly.
Question 3 of 5
What must be monitored when an individual is a diabetic?
Correct Answer: D
Rationale: Diabetes management requires monitoring blood sugar, diet, and circulation to prevent complications like hypoglycemia or neuropathy.
Question 4 of 5
You have been assigned to a new house but you have not received medication training for the individuals in that home. However, since most of the medications are the same you have administered before, it is okay to administer the medications.
Correct Answer: B
Rationale: Staff must be trained specifically for each individual's medications to ensure competency, per regulations.
Question 5 of 5
Many medication trade names have extra initials at the end of the name such as SR, SA, CR, or EC. Why are they important?
Correct Answer: C
Rationale: Initials like SR (sustained release) indicate formulations that release slowly and cannot be crushed, affecting administration.