California Nursing Home Administrator License Practice Exam

Who is authorized to administer PRN or "as needed" medications?

1. Unlicensed staff

2. Family members

3. The Administrator

4. A licensed nurse

The correct answer is: A licensed nurse

The administration of PRN (pro re nata or "as needed") medications is a responsibility that falls under the purview of licensed healthcare professionals, particularly licensed nurses. Licensed nurses possess the necessary training and understanding of pharmacology, clinical assessments, and patient care to determine when it is appropriate to administer these medications based on a resident's condition or specific needs at the moment. They can evaluate symptoms, monitor for potential side effects, and make informed clinical decisions regarding when a PRN medication should be given. This ensures that the care provided is safe, effective, and meets the regulatory standards governing medication administration in nursing facilities. Unlicensed staff, while they may assist with various aspects of resident care, do not have the necessary training or authority to administer medications due to the potential risks and complexities involved. Similarly, family members may not have the requisite clinical knowledge or oversight to safely administer medications, thus putting residents at risk. The administrator, while responsible for overall facility management, does not typically engage in direct patient care or medication administration unless they also hold a nursing license. Therefore, the role of administering PRN medications is specifically designated to qualified licensed nurses.