ATI LPN
ATI LPN Pharmacology Exam II Questions
Question 1 of 5
The nurse is reinforcing medication teaching with a client. The nurse explains that side effects are most likely to occur.
Correct Answer: A
Rationale: The correct answer is A, as side effects are most likely to occur at the start of medication therapy due to the body adjusting to the new substance. Initially, the body may react negatively to the medication, causing side effects. This is known as the "initial dose response."
Choices B and C are incorrect because side effects are not necessarily related to whether the medication is taken on an empty stomach or at high doses.
Choice D is incorrect because taking multiple medications can increase the risk of drug interactions, but it does not specifically relate to the timing of side effects.
Question 2 of 5
A nurse is assisting with teaching a client about a new medication. Which of the following strategies should the nurse to use?
Correct Answer: D
Rationale: The correct answer is D: Use teach back method and active learning. This strategy ensures client understanding by having them repeat back information in their own words. This promotes active engagement and helps identify any misunderstandings.
Choice A is incorrect as it discourages client questions.
Choice B may not be appropriate for all clients and could potentially oversimplify important information.
Choice C is ineffective as it may confuse the client by presenting information in a non-sequential manner.
Question 3 of 5
A nurse is calculating the fluid intake for an infant at the end of an 8-hr shift. For oral intake, the infant had 10 ml of medication, 3 oz of formula, and 2 oz of juice. In addition, the infant had IV fluid infusing at 20 mL/hr via an IV pump. The nurse should record how many ml of intake on the client's record? (Round the answer to the nearest whole number, enter numeric value only)
Correct Answer: 320
Rationale: The correct answer is 320 ml.
To calculate total intake, add up oral intake (10 ml medication + 3 oz formula + 2 oz juice = 10 ml + 90 ml + 60 ml = 160 ml) and IV intake (20 ml/hr x 8 hr = 160 ml).
Total intake = 160 ml + 160 ml = 320 ml. This sum represents the total fluid intake for the infant during the 8-hour shift. Other choices are incorrect because they do not accurately reflect the sum of oral and IV intake for the infant in this scenario.
Question 4 of 5
In what syringe should a 625 ml of a drug solution be measured?
Correct Answer: D
Rationale: The correct answer is D, a 5 ml slip tip syringe. The rationale is that a 625 ml drug solution cannot be accurately measured using an insulin syringe (
A) due to its small volume capacity. Similarly, a 1 ml TB syringe (
B) is too small for this volume. A 3 ml syringe (
C) may not provide enough capacity to accurately measure 625 ml.
Therefore, the most suitable option is a 5 ml slip tip syringe (
D) as it has sufficient capacity to hold and accurately measure the 625 ml drug solution.
Question 5 of 5
A client ordered grapefruit juice for breakfast. The nurse should review the client's medication record for medications metabolized by the:
Correct Answer: B
Rationale: The correct answer is B: Liver. Grapefruit juice contains compounds that can inhibit liver enzymes responsible for drug metabolism. Reviewing the client's medication record for medications metabolized by the liver is crucial to prevent potential drug interactions. The other choices (A: Gall bladder, C: Kidney, D: Small bowel) are not involved in drug metabolism but rather in digestion, filtration, and absorption processes, respectively. It is important to focus on the liver as it plays a significant role in drug metabolism.