ATI LPN
ATI LPN Pharm Quiz Final Questions
Extract:
Question 1 of 5
The risk for physical and psychological dependence is high from which class of medications, which is rarely used to treat insomnia or anxiety?
Correct Answer: Barbiturates have high dependence risk and are rarely used for insomnia/anxiety due to safer alternatives like benzodiazepines. NSAIDs, benzodiazepines, and SSRIs don't fit this profile.
Rationale: The correct answer is A: Barbiturates. Barbiturates are known to have a high risk of physical and psychological dependence due to their sedative effects. They are rarely used to treat insomnia or anxiety nowadays because safer alternatives like benzodiazepines are available. Nonsteroidal anti-inflammatory drugs (NSAIDs) are primarily used for pain and inflammation, not for insomnia or anxiety. Benzodiazepines are commonly prescribed for these conditions but have a lower risk of dependence compared to barbiturates. Selective serotonin reuptake inhibitors (SSRIs) are antidepressants and are not typically used for the treatment of insomnia or anxiety.
Therefore, the correct answer is A because barbiturates have a high dependence risk and are not commonly used for these conditions.
Question 2 of 5
Which of the following is a violation of safe practice when administering insulin?
Correct Answer: Subcutaneous administration and insulin syringes are correct. A 3 mL syringe lacks insulin unit markings, risking errors. Verification with another nurse is a safety practice.
Rationale: The correct answer is C: Drawing up the ordered dose in a 3 mL syringe is a violation of safe practice when administering insulin. Here's a detailed rationale:
1. Administering ordered insulin subcutaneously (
Choice
A) is correct as insulin is typically administered subcutaneously.
2. Using an insulin syringe to administer the insulin dose (
Choice
B) is correct, as insulin syringes are specifically designed for accurate insulin dosing.
3. Drawing up the ordered dose in a 3 mL syringe (
Choice
C) is incorrect because 3 mL syringes lack insulin unit markings, increasing the risk of dosing errors.
4. Verifying the drawn-up insulin dose with another nurse (
Choice
D) is a safety practice and is correct to ensure accuracy and prevent errors.
In summary, choice C is incorrect because using a 3 mL syringe can lead to dosing errors, while the other choices are safe practices in administering insulin.
Question 3 of 5
A nurse is reinforcing teaching with a client who was newly prescribed paroxetine (Paxil) (an SSRI) for treatment of panic disorder. Sort the following information by what the nurse should include vs what not to include.
Correct Answer: Bedtime dosing helps with side effects like drowsiness. Herbal combinations risk serotonin syndrome and should be avoided. Weight changes are a side effect to monitor. It takes weeks for full effect, but this was mislabeled; A and C are correct inclusions.
Rationale: The correct answer is G: A,C. The rationale for this is as follows:
1. A: Taking the medication just before bedtime can help minimize side effects like drowsiness, which is common with SSRIs like paroxetine.
2. C: Monitoring for weight changes is important because weight gain or loss can be a side effect of paroxetine.
3. B: Combining herbal medications with paroxetine can increase the risk of serotonin syndrome, a potentially life-threatening condition.
4. D: It is true that it can take several weeks before feeling the full benefits of paroxetine, but this information was not provided in the question stem.
In summary, A and C are the correct inclusions because they provide important information related to the medication's side effects and administration, while B and D are incorrect because they introduce potential risks and irrelevant information.
Question 4 of 5
According to an evidence-based approach, what is the most productive way to treat anxiety disorders?
Correct Answer: Medication alone isn't most productive. Cognitive behavioral therapy addressing anxiety causes is evidence-based. Self-medication and multiple drugs initially are not recommended.
Rationale: The correct answer is B: Uncover and address the cause of anxiety. An evidence-based approach for treating anxiety disorders involves cognitive behavioral therapy (CBT) to address the underlying causes of anxiety. By identifying and working through the root causes of anxiety, clients can develop coping strategies and long-term solutions. Providing powerful medications (
A) may only offer temporary relief and not address the underlying issues. Allowing self-medication with OTC medications (
C) can be dangerous and lead to misuse. Immediately starting multiple-drug therapy (
D) can increase the risk of side effects and interactions without addressing the root cause of anxiety. Thus, focusing on uncovering and addressing the causes of anxiety through CBT is the most productive and evidence-based approach.
Question 5 of 5
When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:
Correct Answer: Lower doses may not reveal reactions. Avoiding prescriptions isn't always necessary. Pharmacist consultation is good but not best for identification. One product at a time isolates reactions.
Rationale: The correct answer is D: Use only one herbal preparation at a time. By using only one herbal preparation at a time, the nurse can accurately identify any allergic or adverse reactions that may occur. This approach allows for clear isolation of the effects of each herb, making it easier to pinpoint the source of any reactions. Taking lower doses (choice
A) may not always reveal reactions as some individuals may still have adverse effects. Never taking herbal products with prescription medications (choice
B) is overly restrictive and not always necessary. Checking with a reputable pharmacist (choice
C) is a good practice for general information but may not be the most effective way to identify specific reactions.