ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse is preparing to identify a client prior to medication administration. Which of the following questions should the nurse ask to determine the client's identity?
Correct Answer: C
Rationale: Asking the client to confirm their name (e.g., 'Is your name Sarah Jones?') is a direct, reliable identity check. Phone numbers, room numbers, and age are less specific or stable identifiers.
Question 2 of 5
A nurse is reviewing the medication history of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction?
Correct Answer: B
Rationale: Scopolamine, an anticholinergic drug, can cause urinary retention by blocking acetylcholine, which affects bladder muscle contraction and urinary sphincter relaxation. Donepezil treats Alzheimer's and doesn't cause this effect. Metoprolol, a beta-blocker, and acetaminophen, a pain reliever, are not typically associated with urinary retention.
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Correct Answer: D
Rationale: Instructing visitors not to operate the PCA pump prevents overdose, a key safety teaching. PCA reduces toxicity risk, constipation (not diarrhea) is common, and pain checks should be more frequent than every 8 hours.
Question 4 of 5
A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The Z-track technique prevents leakage into subcutaneous tissue for IM injections like those for gonorrhea. Umbilicus distance applies to subcutaneous injections, aspiration is standard, and a 27-gauge needle is too small.
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Renal excretion slows with age, increasing drug levels and side effect risks in older adults. Hepatic metabolism slows (not speeds), brain sensitivity varies, and gastric emptying decreases.