ATI LPN
ATI LPN Pharmacology Exam I Questions
Extract:
Question 1 of 5
During a period of time when the computerized medication order system was down, the prescriber wrote admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?
Correct Answer: B
Rationale: The correct action for the nurse in this situation is to contact the prescriber to clarify the order (
Choice
B). This is important for patient safety as accurate medication administration is crucial. Waiting for the prescriber to make rounds (
Choice
A) may delay treatment. Asking a colleague (
Choice
C) is not appropriate as it does not involve the prescriber directly. Asking the patient (
Choice
D) what medications they take at home is not a reliable method to clarify the specific order. Overall, contacting the prescriber directly is the most effective and efficient way to ensure the accurate transcription of the medication order.
Question 2 of 5
A nurse is preparing to administer an intramuscular injection for a client of average weight. At what angle would the nurse insert the needle?
Correct Answer: A
Rationale: The correct answer is A: 90-degree. When administering an intramuscular injection to a client of average weight, the nurse should insert the needle at a 90-degree angle. This angle ensures that the medication is delivered into the muscle tissue rather than subcutaneously. Inserting the needle at a 45-degree angle (
B) would lead to the medication being delivered into the subcutaneous tissue, which can affect absorption and effectiveness.
Choices C and D are too shallow angles for intramuscular injections and may not reach the muscle tissue effectively.
Therefore, the correct angle of 90-degrees (
A) is crucial for proper administration of the medication.
Question 3 of 5
The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtts/mL. Calculate the flow rate in drops per minute.
Correct Answer: B
Rationale:
To calculate the flow rate in drops per minute, we first find the total volume to be infused per minute. 250 mL over 2 hours = 125 mL per hour = 125 mL/60 min = 2.08 mL/min. Next, convert mL to drops using the drop factor: 2.08 mL/min x 15 gtts/mL = 31.2 gtts/min, which rounds to 31 gtts/min.
Therefore, the correct answer is A.
Choice B (62 gtts/min) is incorrect as it does not align with the calculations.
Choices C and D are also incorrect, as they are not derived from the correct calculations.
Question 4 of 5
Which is the priority action of the nurse immediately after administration of an intramuscular injection?
Correct Answer: C
Rationale: The correct answer is C: Engage the safety sheath over the needle. This is the priority action because it ensures safe disposal of the needle to prevent accidental needlestick injuries. Informing the patient (
A) can wait until the procedure is fully completed. Assessing comfort (
B) is important but not as critical as ensuring safety. Ensuring no bleeding (
D) is important, but engaging the safety sheath takes precedence to prevent injuries.
Question 5 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: The correct answer is B: Sign out the drug on a narcotic control inventory sheet. This is the responsibility of the nurse when working with schedule II drugs to ensure proper tracking and accountability. By signing out the drug on a narcotic control inventory sheet, the nurse is adhering to legal requirements and helping prevent drug diversion or errors.
Summary:
A: Asking another nurse to check the dose is important but not the primary responsibility when dealing with schedule II drugs.
C: Leaving the medication in a cup at the bedside is not safe practice and does not ensure proper administration or documentation.
D: Instructing the patient to drink extra water with the pill is not directly related to the nurse's responsibility with schedule II drugs.