ATI RN
Fundamentals of Nursing Medication Administration Questions Questions
Question 1 of 5
You must administer the medication within ____ of the scheduled time.
Correct Answer: A
Rationale: Administering within 30 minutes of the scheduled time maintains therapeutic efficacy and safety, aligning with most healthcare facility policies.
Question 2 of 5
You are a resident invited to a dinner given by a pharmaceutical company. In addition to the dinner there is a lecture given on a medical subject as well as a $\$ 500$ gift certificate to a department store for attending the presentation. Which of the following is the most appropriate action in this case?
Correct Answer: C
Rationale: Drug companies constantly surround physicians in an attempt to influence prescribing patterns. It is ethically acceptable to participate in educational activities sponsored by the pharmaceutical industry. Modest meals are also ethically acceptable. Although the speaker may accept a cash honorarium for preparing and giving the lecture, it is not ethically acceptable for members of the audience to accept direct monetary payment for participating. Hence, it is ethically acceptable to attend the lecture and the meal, but not to accept a check for cash for the participants.
Question 3 of 5
Mr. M. consents to a procedure on his left ear. After the patient is anesthetized Dr. W. discovers that the right ear is in greater need of surgery. What should the surgeon do?
Correct Answer: B
Rationale: You must obtain informed consent by specific procedure. Consent for another procedure or clear medical necessity cannot infer consent for another procedure. Neither the medical necessity of the procedure, the seriousness of the condition, nor the assumption that any reasonable person would consent is sufficient to assume that consent is given. The patient is not aware of his surroundings and condition because of the sedation. You cannot have an 'informed consent' without waking up and informing the patient. Another example would be a blood transfusion in a Jehovah's Witness. If, during a procedure, a clear but unexpected necessity for blood transfusion arises, you must wake the patient up and ask about the patient's wishes to have or not have blood. The consent or refusal must be informed. You cannot say that because of the necessity or sedation, that you should just give the blood. On the other hand, just because a patient is a Jehovah's Witness, you cannot assume that he will refuse the blood. A refusal must be informed as well. The patient could, after all, be a Jehovah's Witness who does not agree with that religion's teaching on blood. Each procedure must undergo an individual consent process.
Question 4 of 5
When sending individuals home for a home visit, you must:
Correct Answer: C
Rationale: Sending medications in pharmacy packaging with the MAR ensures continuity of care and accurate administration during the visit.
Question 5 of 5
You receive a phone call from your home manager telling you not to give a prescribed medication to an individual. You should:
Correct Answer: C
Rationale: Only the RN trainer or physician can authorize changes to medication orders, requiring clarification.