ATI LPN
PN ATI Capstone Pharmacology 1 Quiz
1. A nurse is caring for a group of patients. Which of the following clients should the nurse refer to a social worker?
- A. A patient who requests to secure an emergency notification system in the home.
- B. A client who requires placement in an assisted living facility.
- C. A patient who requests to get school assignments while hospitalized on a pediatric unit.
- D. A patient who is experiencing food insecurity.
Correct answer: B
Rationale: The correct answer is B because social workers are involved in arranging care services like placement in assisted living facilities. This client's need for placement in an assisted living facility requires the expertise and assistance of a social worker. Choices A, C, and D do not necessarily require the intervention of a social worker. Choice A can be addressed by a nurse or healthcare provider, choice C can be managed by hospital staff or educators, and choice D may involve a nutritionist or community outreach programs.
2. A nurse is supervising an LPN who is providing care to a patient who is postoperative. Which of the following statements by the patient requires the nurse to follow up with the LPN?
- A. “I am experiencing some pain, but it’s tolerable.”
- B. “The nurse checked my vital signs earlier.”
- C. “I have not received any of my medications today.”
- D. “I am scheduled for therapy later today.”
Correct answer: C
Rationale: If the patient states they have not received any medications, it requires immediate follow-up to prevent missed doses and complications. The other options do not pose an immediate risk to the patient. Option A indicates pain but is tolerable, which is a common postoperative experience. Option B states that vital signs were checked, indicating ongoing monitoring. Option D mentions therapy, which is a scheduled activity and not an urgent concern regarding medication administration.
3. A nurse is caring for a patient whose family member requests to view the patient’s medical record. What response should the nurse make?
- A. “The patient should provide permission to share the records with you.”
- B. “You can view the records if the provider approves it.”
- C. “I will allow you to see the chart if the patient is unable to give consent.”
- D. “You need to fill out a request form.”
Correct answer: A
Rationale: In this scenario, the nurse should respond by indicating that the patient needs to provide permission to share their medical records with the family member. Patient confidentiality is a fundamental principle in healthcare, and sharing medical records without the patient's consent is a violation of privacy. Choice B is incorrect because the provider's approval alone is not sufficient to share medical records, as patient consent is crucial. Choice C is incorrect because viewing the patient's chart without the patient's consent is not appropriate. Choice D is incorrect as filling out a request form does not address the issue of patient consent, which is essential for sharing medical information.
4. A school nurse is developing a teaching plan about testicular cancer for a group of adolescents. What information should the nurse include in the teaching?
- A. Expect pain in the testicles during self-examination.
- B. The testicles should be uniform in size and shape when examined.
- C. Expect testicles to be uniform in consistency when performing a testicular self-examination.
- D. The testicles will shrink if cancer is present.
Correct answer: C
Rationale: The correct answer is C because during a testicular self-examination, it is crucial to note a uniform consistency of the testicles. Any lumps, changes in size, or inconsistencies should be reported to a healthcare provider promptly. Choice A is incorrect because pain is not typically expected during a testicular self-examination. Choice B is incorrect as uniform size and shape are not as relevant as uniform consistency. Choice D is incorrect; testicular cancer usually causes enlargement rather than shrinking of the testicles.
5. A newly licensed nurse tells a charge nurse he is unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions?
- A. Nurse midwives
- B. Physical therapists
- C. Pharmacists
- D. Physician assistants
Correct answer: D
Rationale: Physician assistants are healthcare providers who are licensed to prescribe medications. They have the legal ability to give telephone orders for medications. Nurse midwives primarily focus on providing prenatal care and assisting during labor and delivery. Physical therapists specialize in rehabilitation services. Pharmacists dispense medications and provide medication counseling. Therefore, among the options provided, physician assistants are the correct choice for giving telephone medication prescriptions.
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