ATI LPN
ATI LPN Pharmacology Exam I Questions
Extract:
Question 1 of 5
A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.
Correct Answer: B
Rationale: The correct answer is B (710 mL).
To calculate the intake from 6 AM to 6 PM, add up the volumes consumed for each meal: 120 mL + 120 mL + 260 mL + 90 mL + 120 mL = 710 mL. This total includes all the liquids consumed during the shift. The other choices are incorrect because they do not accurately add up the volumes consumed during the specified time frame.
Choice A (610 mL) does not include all the liquids consumed, while choices C (810 mL) and D (910 mL) overestimate the total intake.
Question 2 of 5
A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?
Correct Answer: D
Rationale: The correct answer is D, into the fatty tissue of the patient's abdomen. Subcutaneous injections are given into the fatty layer just below the skin. The abdomen provides a good site for subcutaneous injections due to the presence of an adequate fat layer. This allows for a slower, sustained release of insulin into the bloodstream.
Choices A and B are intramuscular injection sites, not appropriate for subcutaneous administration.
Choice C, into the patient's intravenous line, is incorrect as subcutaneous injections are not meant for administration through IV lines. In summary, the correct choice is D as it aligns with the intended route of administration for subcutaneous injections, while the other choices do not.
Question 3 of 5
A patient is scheduled to have biofeedback therapy for migraine headaches. On arrival to the clinic, the patient appears anxious and fearful and tells the nurse that she does not want electric shocks. The most reassuring response by the nurse is:
Correct Answer: C
Rationale: The correct answer is C: "There are no electrical shocks involved; the doctor is looking at your body's activity." This response addresses the patient's fear of electric shocks by providing accurate information about the procedure. Biofeedback therapy does not involve electric shocks; instead, it monitors and provides feedback on the body's physiological activities. By reassuring the patient and clarifying the misconception, the nurse can alleviate the patient's anxiety and build trust.
Option A is incorrect as rescheduling the procedure may not address the patient's fear and could further increase anxiety. Option B is incorrect as it does not directly address the patient's concerns and may come off as dismissive. Option D is incorrect as it provides a vague reassurance without addressing the specific fear of electric shocks.
Question 4 of 5
What are the concepts considered to be rights of medication administration? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: The correct concepts for rights of medication administration are A,B,D,E. The right patient ensures the medication is given to the correct individual. The right drug confirms the correct medication is administered. The right route ensures the medication is given through the correct method. The right time guarantees the medication is administered at the appropriate time for optimal effectiveness.
Choices C, F, G are incorrect as medication color is not a standard right, and F and G are not provided as options.
Question 5 of 5
Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?
Correct Answer: A
Rationale: The correct answer is A because aspirating blood indicates the needle is in a blood vessel, increasing the risk of injecting medication into the bloodstream. Removing the syringe, discarding the medication, and starting over ensures safe administration.
Choice B is incorrect as it can lead to medication entering the bloodstream.
Choice C is unnecessary and may introduce infection risk.
Choice D is unsafe as omitting the dose neglects the patient's prescribed treatment.