ATI LPN
ATI LPN Pharmacology Exam I Questions
Extract:
Question 1 of 5
Which of the following drug orders will provide the fastest pain relief for the patient?
Correct Answer: D
Rationale: Fentanyl transdermal releases slowly over hours; its onset of 12-24 hours is too delayed for rapid pain relief, suiting chronic, not acute, pain management. Oral morphine (assuming PO) takes 30-60 minutes for onset; its slower absorption via the gut delays relief compared to faster intravenous routes. Acetaminophen with oxycodone (PO) has a 30-60 minute onset; gastrointestinal absorption limits speed, making it less rapid than IV administration for acute pain. Hydromorphone IV acts within 5-10 minutes; direct bloodstream delivery bypasses digestion, providing the fastest opioid receptor activation for immediate pain relief.
Question 2 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: Checking with another nurse may occur, but it's not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately. Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations. Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely. Extra water is irrelevant to responsibility; it's a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.
Question 3 of 5
Before integrating humor in the care of an Asian patient, the nurse should:
Correct Answer: C
Rationale: Understanding jokes assumes comprehension but ignores cultural comfort; humor's acceptability varies, and this misses emotional readiness assessment. Jokes about staff may offend or confuse; without patient input, this risks cultural insensitivity, especially in Asian contexts valuing respect for authority. Asking feelings respects cultural norms; humor's therapeutic effect depends on patient receptivity, ensuring it aligns with individual and cultural preferences. Joking about conditions can distress; it's culturally inappropriate in many Asian settings, potentially worsening trust or emotional state without consent.
Question 4 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 5 of 5
See the syringe diagram, what part is #7? (Assuming #7 refers to a common syringe part; no diagram provided, so standard parts assumed.)
Correct Answer: B
Rationale: The barrel holds the medication; it's the main body, not typically #7, and its static role doesn't involve direct manipulation like other parts. The plunger, often numbered high in diagrams, moves to draw or inject; its dynamic function in volume control makes it a likely #7 candidate. The needle pierces tissue; usually a lower number, it's distinct from the syringe's operational core, less likely to be #7 in standard layouts. The tip connects the needle; a minor component, it's rarely highlighted as #7, overshadowed by the plunger or barrel in functional importance.