ATI LPN
ATI LPN Pharmacology Exam I Questions
Extract:
Question 1 of 5
The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?
Correct Answer: B
Rationale: 5 mL gives 125 mg
Question 2 of 5
A nurse has prepared the 9:00 AM client medications for administration but is called off the unit briefly. Who can distribute these medications to clients?
Correct Answer: B
Rationale: Pharmacy technicians are not authorized to administer medications. Their scope involves preparation and dispensing under supervision, ensuring safety and compliance. Safe practice standards dictate that the preparing nurse administers the medications to ensure accuracy and accountability, minimizing potential errors. Delegating to the head nurse violates medication administration protocols, as accountability rests with the nurse who prepared the medications. Allowing other licensed nurses to distribute medications increases the risk of errors due to lack of firsthand knowledge of preparation specifics.
Question 3 of 5
When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:
Correct Answer: C
Rationale: Checking medications only once increases the likelihood of errors. Safe practice requires multiple verification steps. While better than a single check, verifying only twice may still miss potential discrepancies in drug or dosage accuracy. The three-check system (when retrieving, preparing, and administering medication) minimizes errors, ensuring patient safety through consistent validation at each step. Excessive verification may delay administration, reducing practicality without significantly improving safety beyond three checks.
Question 4 of 5
The patient's medication is ordered to be administered TID. Which times will be entered into the patient's medication schedule?
Correct Answer: C
Rationale: Four times (6:00 a.m., noon, 6:00 p.m., midnight) is QID, not TID; TID means three times daily, and this schedule overdoses the patient unnecessarily. Six times daily is every 4 hours, not TID; this exceeds the three-dose requirement, risking toxicity or side effects from excessive administration frequency. 9:00 a.m., 1:00 p.m., 5:00 p.m. is TID; spaced 8 hours apart, it aligns with standard three-times-daily dosing, ensuring consistent therapeutic levels safely. Meal and bedtime timing is vague; without fixed hours, it risks uneven dosing intervals, potentially disrupting pharmacokinetics and efficacy of the medication.
Question 5 of 5
The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:
Correct Answer: D
Rationale: Permission respects autonomy; without religious affiliation, the patient may decline, and consent ensures ethical care aligned with individual beliefs. Assuming the patient’s preference without asking dismisses autonomy, endorsing without consent risks imposing unwanted activity, and a doctor’s order is unnecessary for prayer, which is a chaplain’s role.