ATI LPN
ATI LPN Pharmacology Exam I Questions
Extract:
Question 1 of 5
A nurse has an order to administer a schedule II drug to a patient. When working with medications of this type, the responsibility of the nurse is to:
Correct Answer: B
Rationale: Checking with another nurse may occur, but it's not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately. Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations. Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely. Extra water is irrelevant to responsibility; it's a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.
Question 2 of 5
The technique in which the practitioner alters body energy fields by passing his hands over the patient to determine where tensions exist is the practice of:
Correct Answer: D
Rationale: Biofeedback uses devices to monitor physiological signals (e.g., heart rate); it doesn't involve hands altering energy fields, focusing on self-regulation instead. Allopathic is conventional medicine (e.g., drugs, surgery); it relies on empirical science, not energy field manipulation, differing from the described technique. Imagery involves mental visualization for relaxation; it's cognitive, not physical, and lacks the hands-on energy assessment central to the practice. Therapeutic touch uses hand passes to sense and adjust energy fields; it aims to reduce tension, aligning precisely with the described holistic method.
Question 3 of 5
A primary health-care provider prescribes a medication that must be administered transdermal. Which information about the route of administration does the nurse understand is related to a drug prescribed to be administered transdermal?
Correct Answer: B
Rationale: Inhalation targets lungs; transdermal means skin absorption, not respiratory, and this route doesn't match the prescribed method's pharmacokinetic profile. Transdermal drugs absorb through skin layers; this delivers medication systemically via dermal capillaries, bypassing first-pass metabolism, as intended by the order. Rectal administration uses suppositories; transdermal is skin-based, not mucosal, and this route doesn't align with the prescribed absorption method. Sublingual dissolves under the tongue; transdermal is cutaneous, not oral, and this differs entirely from the skin-based delivery system specified.
Question 4 of 5
The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?
Correct Answer: D
Rationale: Moderate reactions don't cause breathing difficulty or hypotension. Severe symptoms indicate anaphylaxis, requiring emergency intervention. Symptoms align with anaphylaxis, not food poisoning. Assuming an unrelated cause delays life-saving treatment. Mild reactions lack systemic effects like hypotension and breathing difficulties. Antihistamines alone are insufficient for anaphylaxis. Anaphylaxis involves systemic reactions such as hypotension, airway constriction, and skin symptoms. Immediate interventions prevent progression and save lives.
Question 5 of 5
A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go 'natural' with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can 'avoid taking any drugs.' Which statement by the nurse is correct?
Correct Answer: A
Rationale: Herbal remedies lack FDA safety data; in pregnancy, untested substances risk fetal harm (e.g., teratogenicity), making this a critical caution. Claiming safety is false; many herbs (e.g., St. John's Wort) affect pregnancy adversely, and without evidence, this misleads the patient dangerously. Consistency isn't required; herbal products vary widely in potency, and this false assurance ignores regulatory gaps in supplement standardization. Labels help, but warnings are inconsistent; this shifts responsibility without addressing the lack of proven safety, a more pressing prenatal concern.