ATI LPN
ATI LPN Pharmacology safety Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a newly licensed nurse regarding sources of medication information. Which of the following resources should the nurse include as reliable references for the nurse to use to evaluate medication information? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. Physicians' Desk Reference (PDR) is a comprehensive source of medication information vetted by healthcare professionals. Published journals provide evidence-based information on medications. Pharmacists are trained professionals who have in-depth knowledge of medications. Pharmaceutical sales representatives may have biased or promotional information, making them less reliable. Other choices are not as reliable due to potential conflicts of interest or lack of expertise.
Question 2 of 5
A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Check the client's vital signs. This should be done first to assess the immediate impact of the wrong medication on the client's health. Vital signs provide crucial information about the client's current condition and any potential adverse effects of the medication error. This step is essential for prompt identification of any complications and to guide subsequent actions.
Option A (Notify the charge nurse) can be done after checking vital signs to inform the appropriate personnel. Option B (Fill out an incident report) is important but not immediate. Option C (Document the client's condition) can be done after addressing the immediate concern of vital signs.
Question 3 of 5
A nurse is preparing a medication for a client and is converting grams to milligrams. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Move the decimal point 3 places to the right.
To convert grams to milligrams, you need to multiply by 1000 since 1 gram is equal to 1000 milligrams. Moving the decimal point 3 places to the right accomplishes this conversion.
Choices A, B, and D would lead to incorrect conversions because they do not align with the correct conversion factor of 1000.
Question 4 of 5
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: The correct answer is B: 2 tablets per dose.
To get the total dose of 0.25 mg, the nurse must administer 2 tablets of 0.125 mg each (0.125 mg + 0.125 mg = 0.25 mg). Choosing 1 tablet (
A) would result in an insufficient dose. Selecting 3 tablets (
C) or 4 tablets (
D) would exceed the prescribed dose.
Question 5 of 5
A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Apply the ointment in a thin line into the conjunctival sac. This is correct because applying the ointment into the conjunctival sac ensures that the medication comes into direct contact with the affected area, promoting optimal absorption and effectiveness. Wiping from the outer to the inner canthus (
A) is incorrect as it can introduce debris and bacteria into the eye. Using a sterile glove and applicator (
B) is unnecessary and may lead to unnecessary waste. Keeping the eye open for 30 sec (
D) is not necessary for ointments, as blinking will distribute the medication.