ATI LPN
ATI LPN Pharmacology Exam I Questions
Extract:
Question 1 of 5
When the nurse brings pills to the patient, the patient is unable to hold the paper cup with the medications. What should the nurse do?
Correct Answer: B
Rationale: Crushing pills can alter drug efficacy and safety, especially for medications with controlled-release properties, making this inappropriate without specific provider instructions. Requesting a liquid form accommodates the patient's physical limitations, maintaining therapeutic integrity and ensuring safe and effective medication administration. Introducing pills directly into the patient's mouth risks aspiration and violates safe administration practices, emphasizing the need for alternative methods. If the patient struggles to hold the cup, self-administration becomes impractical. Assistance through appropriate alternative forms ensures compliance and safety.
Question 2 of 5
When the nurse brings pills to the patient, the patient is unable to hold the paper cup with the medications. What should the nurse do?
Correct Answer: B
Rationale: Crushing pills can alter drug efficacy and safety, especially for medications with controlled-release properties, making this inappropriate without specific provider instructions. Requesting a liquid form accommodates the patient's physical limitations, maintaining therapeutic integrity and ensuring safe and effective medication administration. Introducing pills directly into the patient's mouth risks aspiration and violates safe administration practices, emphasizing the need for alternative methods. If the patient struggles to hold the cup, self-administration becomes impractical. Assistance through appropriate alternative forms ensures compliance and safety.
Question 3 of 5
The technique in which the practitioner alters body energy fields by passing his hands over the patient to determine where tensions exist is the practice of:
Correct Answer: D
Rationale: Biofeedback uses devices to monitor physiological signals (e.g., heart rate); it doesn't involve hands altering energy fields, focusing on self-regulation instead. Allopathic is conventional medicine (e.g., drugs, surgery); it relies on empirical science, not energy field manipulation, differing from the described technique. Imagery involves mental visualization for relaxation; it's cognitive, not physical, and lacks the hands-on energy assessment central to the practice. Therapeutic touch uses hand passes to sense and adjust energy fields; it aims to reduce tension, aligning precisely with the described holistic method.
Question 4 of 5
An arthritic patient will be discharged home with a variety of medications. The best way for the home health nurse to assist the patient who lives alone in taking his medications is to:
Correct Answer: C
Rationale: Verbal instructions alone risk forgetting; arthritis may impair memory or dexterity, making a physical aid more effective for consistent adherence. Childproof caps hinder access; arthritic hands struggle with them, potentially causing missed doses rather than aiding safe administration. A pill organizer simplifies timing and dosage; it compensates for arthritis-related dexterity issues, ensuring accurate intake for a solo patient. Outdated drugs risk toxicity or inefficacy; keeping them confuses regimens, endangering the patient rather than supporting current treatment needs.
Question 5 of 5
The nurse administering medications to a client is aware that the primary reason that most drugs are administered orally is because the oral route:
Correct Answer: B
Rationale: While reliability exists, the oral route is less predictable than IV administration due to variability in absorption caused by digestive factors, making it less reliable for rapid or consistent onset. Convenience is the primary advantage of oral administration. It allows ease of self-administration, enabling clients to manage their medications without healthcare provider intervention, making it the most frequently used route. While many clients tolerate oral medications well, others may face challenges, such as difficulty swallowing or gastric irritation, meaning tolerability varies and is not a universal advantage of this route. The oral route does not ensure fast action due to time required for digestion, absorption, and metabolism, making it slower compared to routes like IV or sublingual administration.