ATI PHARM PROCTORED LPN EXAM ACTUAL EXAM TEST BANK
250 QUESTIONS AND CORRECT DETAILED ANSWERS
phenobarbitol (seizures) dosage/why? - ANSWER: long half life: take once a day
when to do trough blood draw - ANSWER: immediately before next dose
when to do peak blood draw - ANSWER: IV - 30 minutes after completion
meds have to bind with... - ANSWER: receptors
med dosages meed to be decreased... - ANSWER: if in liver failure or
concurrent use of meds metabolized by the same pathway
eye drop administration technique - ANSWER: surgical aseptic technique
nurse legal responsibilites - ANSWER: skill competency
monitor adverse effects
safe guard meds
if patient refuses meds... - ANSWER: determine reason
provide info of the risks
notify MD
document
nurse notes MD has doubled previous dose - ANSWER: check w/MD
meds given on regular schedule - ANSWER: routine order
red line on affected extremity
palpable, hard mass or band on insertion site and pain at site indicates... - ANSWER:
phlebitis
catheter embolism is when - ANSWER: small portion of catheter breaks off and
enter venous system
how to minimize risk of catheter embolism - ANSWER: once in vein, never put stylet
back through the catheter
symptoms of fluid overload - ANSWER: shortness of breath
crackles in lungs
distended neck veins
concurrent use of coumadin and aspirin..... - ANSWER: increases risk of bleeding
, first dose of penicillin, client says rash developed last time they took it.... - ANSWER:
withhold and notify MD
when administering antihypertensives, teach the client... - ANSWER: change
positions slowly (orthostatic hypotension)
fewer protein-binding sites (infant) means... - ANSWER: medication effects will be
increase w/greater potential of toxicity
breastfeeding mom does not want to take antimicrobial medication because it may
harm her baby. Teach... - ANSWER: taking the medication immediately after
breastfeeding will mimize effects on the baby
reduced hepatic funtion... - ANSWER: prolongs half life of a medication and
increases length of response
antidote for benzodiazepine - ANSWER: Flumazinel (Romazicon)
effective teaching of benzodiapines... - ANSWER: I will not stop taking the drug
abruptly
Buspirone (Buspar) is unique because... - ANSWER: does not cause physical or
psychological dependence
a client taking Buspirone for 3 days calls and says not helping to sleep or w anxiety.
Nurse response... - ANSWER: initial response to Buspar takes 1 week. Several
weeks to reach therapeutic peak
client taking paroxitene complains of teeth grinding (Bruxism). Nurse response... -
ANSWER: add Buspirone
use a mouthguard
any SSRI caused bruxism, so change class
client taking phenelzine for depression should be monitored for... - ANSWER:
orthostatic hypotension (all MAOIs can cause orthostatic hypotension)
side effects of Amitriptyline - ANSWER: orthostatic hypotension
dry mouth
drug glass that interacts with tyramines - ANSWER: MAOIs
adverse affect of Fluoxetine - ANSWER: sexual dysfuntion
signs of seratonin sydrome - ANSWER: change in mental status, tremors,
hyperreflexia
lithium level - ANSWER: 0.4 - 1.0
250 QUESTIONS AND CORRECT DETAILED ANSWERS
phenobarbitol (seizures) dosage/why? - ANSWER: long half life: take once a day
when to do trough blood draw - ANSWER: immediately before next dose
when to do peak blood draw - ANSWER: IV - 30 minutes after completion
meds have to bind with... - ANSWER: receptors
med dosages meed to be decreased... - ANSWER: if in liver failure or
concurrent use of meds metabolized by the same pathway
eye drop administration technique - ANSWER: surgical aseptic technique
nurse legal responsibilites - ANSWER: skill competency
monitor adverse effects
safe guard meds
if patient refuses meds... - ANSWER: determine reason
provide info of the risks
notify MD
document
nurse notes MD has doubled previous dose - ANSWER: check w/MD
meds given on regular schedule - ANSWER: routine order
red line on affected extremity
palpable, hard mass or band on insertion site and pain at site indicates... - ANSWER:
phlebitis
catheter embolism is when - ANSWER: small portion of catheter breaks off and
enter venous system
how to minimize risk of catheter embolism - ANSWER: once in vein, never put stylet
back through the catheter
symptoms of fluid overload - ANSWER: shortness of breath
crackles in lungs
distended neck veins
concurrent use of coumadin and aspirin..... - ANSWER: increases risk of bleeding
, first dose of penicillin, client says rash developed last time they took it.... - ANSWER:
withhold and notify MD
when administering antihypertensives, teach the client... - ANSWER: change
positions slowly (orthostatic hypotension)
fewer protein-binding sites (infant) means... - ANSWER: medication effects will be
increase w/greater potential of toxicity
breastfeeding mom does not want to take antimicrobial medication because it may
harm her baby. Teach... - ANSWER: taking the medication immediately after
breastfeeding will mimize effects on the baby
reduced hepatic funtion... - ANSWER: prolongs half life of a medication and
increases length of response
antidote for benzodiazepine - ANSWER: Flumazinel (Romazicon)
effective teaching of benzodiapines... - ANSWER: I will not stop taking the drug
abruptly
Buspirone (Buspar) is unique because... - ANSWER: does not cause physical or
psychological dependence
a client taking Buspirone for 3 days calls and says not helping to sleep or w anxiety.
Nurse response... - ANSWER: initial response to Buspar takes 1 week. Several
weeks to reach therapeutic peak
client taking paroxitene complains of teeth grinding (Bruxism). Nurse response... -
ANSWER: add Buspirone
use a mouthguard
any SSRI caused bruxism, so change class
client taking phenelzine for depression should be monitored for... - ANSWER:
orthostatic hypotension (all MAOIs can cause orthostatic hypotension)
side effects of Amitriptyline - ANSWER: orthostatic hypotension
dry mouth
drug glass that interacts with tyramines - ANSWER: MAOIs
adverse affect of Fluoxetine - ANSWER: sexual dysfuntion
signs of seratonin sydrome - ANSWER: change in mental status, tremors,
hyperreflexia
lithium level - ANSWER: 0.4 - 1.0
