ATI LPN
ATI PN Custom Pharmacology Questions
Extract:
Question 1 of 5
Which difference in pharmacokinetics does the nurse expect in the obese patient as compared with the thin patient with administration of a highly lipid-soluble drug?
Correct Answer: D
Rationale: The correct answer is D: Drug elimination will be slowed in the obese patient compared to the thin patient with a highly lipid-soluble drug. This is because lipid-soluble drugs tend to accumulate in adipose tissue in obese patients, leading to a larger volume of distribution and a prolonged half-life. This results in a slower elimination of the drug from the body.
Choices A, B, and C are incorrect because drug distribution is not necessarily more rapid in obese patients, drug metabolism is not incomplete but rather may be increased due to increased liver size in obesity, and drug absorption is not impaired but may be increased due to increased blood flow in adipose tissue.
Question 2 of 5
Which terminology correctly identifies the NMDS classification system?
Correct Answer: A
Rationale: The correct answer is A: Nursing Minimum Data Set. NMDS refers to a standardized set of data elements for nursing assessment and documentation.
Choice B is incorrect as it does not accurately represent the classification system.
Choice C is incorrect as it does not include the term "Minimum Data Set."
Choice D is incorrect as it combines nursing and medicine, whereas NMDS specifically pertains to nursing data.
Choices E, F, and G are omitted. In summary, the correct answer A aligns with the actual terminology and purpose of the NMDS classification system, making it the most appropriate choice.
Question 3 of 5
Which assessment finding is considered primary objective information?
Correct Answer: D
Rationale: The correct answer is D because objective information is measurable and observable data obtained through physical examination or diagnostic tests. In this case, the patient's temperature of 88.8F is an objective finding that can be measured accurately.
Choice A, B, and C are subjective information as they rely on the patient's or their family's reports, which can be influenced by personal interpretation or bias.
Therefore, they are not considered primary objective information.
Question 4 of 5
Which term accurately describes this result? A patient is taking an antacid concurrently with ketoconazole. The antacid inhibits the dissolution of ketoconazole.
Correct Answer: D
Rationale: The correct answer is D: Drug interaction. Drug interaction occurs when one drug affects the pharmacokinetics or pharmacodynamics of another drug. In this case, the antacid inhibits the dissolution of ketoconazole, leading to a potential decrease in its absorption. This can result in reduced therapeutic effects or increased side effects of ketoconazole.
A: Allergic reaction - This choice is incorrect as an allergic reaction involves the body's immune response to a drug, not a physical interaction between drugs.
B: Displacement - This choice is incorrect as displacement refers to one drug displacing another from protein binding sites, not inhibiting dissolution.
C: Accumulation - This choice is incorrect as accumulation refers to the build-up of a drug in the body over time, not an immediate interaction between drugs.
Question 5 of 5
Which guideline does the nurse follow when administering oral medication to a preschool child?
Correct Answer: A
Rationale: The correct guideline for administering oral medication to a preschool child is using a follow-up rinse with a flavored drink (
Choice
A). This is important because it helps ensure that the child has swallowed the medication completely and reduces the risk of any residue remaining in the mouth. Placing the capsule or tablet under the tongue (
Choice
B) is not recommended as it may cause choking or gagging. Supporting the child's head and holding the child in the lap (
Choice
C) is helpful for comfort but not directly related to administering the medication. Using chewable tablets if the child's teeth are loose (
Choice
D) may not be suitable for all medications and may not be the best approach in all cases.