ATI LPN
LPN Pharmacology Multiple Choice Questions Questions
Question 1 of 5
The primary care NP sees a 65-year-old patient in October. The patient has a history of COPD and has not had any vaccines for more than 20 years. The NP should administer:
Correct Answer: D
Rationale: The correct answer is D because adults over 65 with COPD need PPV 23, annual influenza, and TdaP every 10 years.
Choice A is incorrect (misses PPV 23).
Choice B is wrong (misses TdaP).
Choice C is inaccurate (Td less comprehensive than TdaP).
Question 2 of 5
Drugs that are contraindicated in men with benign prostatic hyperplasia include:
Correct Answer: B
Rationale:
Choice B is correct because anticholinergics worsen urinary retention in BPH by relaxing bladder muscles, contraindicated per urology guidelines.
Choice A is incorrect as testosterone's role is debated, not absolute.
Choice C is wrong because alpha blockers treat BPH.
Choice D is incorrect since only anticholinergics apply.
Question 3 of 5
A parent brings a 5-year-old child to a clinic for a hospital follow-up appointment. The child is taking a medication at a dose equal to an adult dose. The parent reports that the medication is not producing the desired effects. The NP should:
Correct Answer: D
Rationale: The correct answer is D because children’s vigorous liver metabolism may require higher doses, verified by serum levels.
Choice A is incorrect (renal tests aren’t indicated).
Choice B is wrong (switching isn’t first step).
Choice C is inaccurate (discontinuing premature without levels).
Question 4 of 5
Requirements for generic drugs include:
Correct Answer: A
Rationale:
Choice A is correct because the FDA mandates generics have the same active ingredient, dosage, and route as brand-name drugs for bioequivalence.
Choice B is incorrect as cost isn't a requirement—it varies.
Choice C is wrong because color isn't regulated.
Choice D is incorrect since only A is required.
Question 5 of 5
The primary care NP should understand that a drug is at a therapeutic level when it is:
Correct Answer: D
Rationale: The correct answer is D because therapeutic level is defined as between minimal effective and toxic concentrations.
Choice A is incorrect as peak levels may exceed therapeutic range.
Choice B is wrong since half-lives relate to steady state, not therapeutic level directly.
Choice C is inaccurate as steady state doesn’t ensure therapeutic range.