ATI LPN
ATI PN Pharmacology 2023 Questions
Question 1 of 5
A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?
Correct Answer: D
Rationale: The correct answer is D: Quadrivalent human papillomavirus vaccine. At 11 years old, the CDC recommends HPV vaccination for all children. HPV vaccine is crucial for preventing HPV-related cancers and diseases. Hepatitis B (choice
A) is usually given at birth, Rotavirus (choice
B) is typically administered in infancy, and Pneumococcal conjugate vaccine (choice
C) is given earlier in childhood. The Quadrivalent HPV vaccine (choice
D) is the appropriate vaccine for an 11-year-old child who is up to date on immunizations.
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 2 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.
Extract:
Question 3 of 5
A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?
Correct Answer: B
Rationale: The correct answer is B: Decreased uric acid. Allopurinol is a medication used to lower uric acid levels in the blood by inhibiting xanthine oxidase enzyme. Lowering uric acid levels is the primary goal of allopurinol therapy in patients with conditions such as gout or kidney stones. Monitoring uric acid levels helps assess the effectiveness of the medication in achieving this goal. Decreased triglycerides (
A) and increased albumin (
C) are not directly related to the action of allopurinol. Increased potassium (
D) is not a typical laboratory finding associated with allopurinol therapy.
Question 4 of 5
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Renal excretion time slows for medication. As people age, kidney function decreases, leading to a slower excretion of medications. This can result in medications accumulating in the body and potentially causing adverse effects.
Choice B is incorrect because aging typically leads to increased sensitivity to medications due to changes in metabolism and body composition.
Choice C is incorrect as gastric emptying rate tends to decrease with age, not increase.
Choice D is incorrect because hepatic enzymes actually process medications more slowly in older adults.
Question 5 of 5
A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Sedation. Oxycodone is a central nervous system depressant, leading to sedation as a common side effect. Tachycardia (
A) and tachypnea (
B) are more commonly seen with stimulants, not depressants like oxycodone. Dilated pupils (
D) are typically associated with stimulant or hallucinogenic drug use. In summary, sedation is the expected finding due to the depressant nature of oxycodone, making the other choices incorrect.