ATI LPN
ATI PN Pharmacology 2023 Questions
Question 1 of 5
A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?
Correct Answer: A
Rationale:
Rationale: A sore throat is a potential adverse effect of carbamazepine due to its impact on the immune system. It can indicate a serious reaction and should be reported to the provider for further evaluation. Other options like gingivitis, urge incontinence, and increased salivation are not commonly associated with carbamazepine use. Reporting these symptoms may not be as urgent as a sore throat, which could be a sign of a more severe reaction.
Question 2 of 5
A nurse is preparing to administer regular and NPH insulin to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Withdraw the NPH insulin last. This is important to prevent contamination of the regular insulin with NPH insulin. NPH insulin is cloudy and should be gently mixed before withdrawal to ensure uniform suspension. Injecting air into the regular vial helps with withdrawing the correct amount without creating a vacuum, but it should be done after withdrawing NPH insulin. Mixing the medications in one syringe can alter their effectiveness. Administering in two separate syringes may lead to dosing errors.
Question 3 of 5
A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because the child will indeed receive another MMR immunization at 4 to 6 years of age as part of the standard immunization schedule. This ensures long-term protection.
Choice B is incorrect as the child does not need two more MMR immunizations over the next 2 years.
Choice C is incorrect because while the child may receive another MMR immunization at 3 years, there is no mention of hepatitis B immunization.
Choice D is incorrect as titers are not routinely done for MMR immunity assessment.
Question 4 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg PO every 6 hr to a toddler who weighs 26.4 lb. Available is acetaminophen 80 mg/0.8 mL liquid. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The correct answer is A: 1.2 mL.
To calculate the dosage, first convert the toddler's weight from pounds to kilograms (26.4 lb ÷ 2.2 kg/lb = 12 kg). Next, multiply the weight by the prescribed dose (10 mg/kg) to get the total dose (12 kg x 10 mg/kg = 120 mg).
Then, use the concentration of the liquid acetaminophen (80 mg/0.8 mL) to determine how many mL contain the total dose (120 mg ÷ 80 mg/mL = 1.5 mL). Round to the nearest tenth, so the nurse should administer 1.2 mL.
Choice B, C, D, E, F, and G are incorrect because they do not align with the calculated dosage based on the toddler's weight, the prescribed dose, and the concentration of the acetaminophen liquid. The correct dosage calculation requires converting the weight, determining the total
Extract:
Nurses Notes
0800-
Client reports frequent cough, wheezing, and tightness of chest. Bilateral breath sounds with scattered inspiratory and expiratory wheezes
1000
Reinforced teaching about newly prescribed medications
Question 5 of 5
Nurses Notes 0800- Client reports frequent cough, wheezing, and tightness of chest. Bilateral breath sounds with scattered inspiratory and expiratory wheezes 1000 Reinforced teaching about newly prescribed medications Exhibits Click to highlight the instructions the nurse should reinforce to the client.
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. A instructs the client to take albuterol when experiencing difficulty breathing, addressing immediate symptom relief. D emphasizes the importance of taking salmeterol twice daily for maintenance therapy. E reminds the client to rinse their mouth after taking fluticasone to prevent oral thrush, a common side effect.
Choices B, C, and F are incorrect. B's instruction to hold breath for 20 seconds is unnecessary and not standard practice. C's guidance on timing salmeterol and albuterol is inaccurate and could lead to incorrect dosing. F's advice to take fluticasone as needed for asthma attacks is incorrect as it is a maintenance medication, not a rescue inhaler.