ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
Correct Answer: D
Rationale:
Correct
Answer: D. The nurse administering a PCA dose for the client requires intervention. This is because only the client should be allowed to self-administer medication via a PCA device to ensure safety and prevent medication errors. Allowing the nurse to administer the dose goes against the principles of PCA therapy, which empowers the client to manage their pain relief within safe limits.
Choice A: Monitoring the client for oversedation is a standard nursing practice and does not require intervention.
Choice B: Reassuring the client about the PCA device is important for patient education but does not require immediate intervention.
Choice C: Asking the client to demonstrate dose delivery is a proactive approach to ensure the client understands how to use the device correctly and does not require intervention unless the client is unable to demonstrate understanding.
Question 2 of 5
A nurse is monitoring a client's response to receiving glipizide instead of guaifenesin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Offer the client a carbohydrate snack. Glipizide is an oral antidiabetic medication that can lower blood sugar levels by stimulating the release of insulin from the pancreas. If the client receives glipizide instead of guaifenesin (an expectorant), there is a risk of hypoglycemia due to the medication's blood sugar-lowering effects. Offering a carbohydrate snack can help prevent or treat hypoglycemia by quickly raising blood sugar levels. Lowering the head of the bed (
A), checking for urinary retention (
B), and testing deep-tendon reflexes (
D) are not directly related to the client's response to glipizide.
Question 3 of 5
A nurse is reviewing the medication administration record of a client who has a wound infection. The client has prescriptions for cefotetan and an NSAID. The nurse should monitor for which of the following medication interactions?
Correct Answer: A
Rationale: The correct answer is A: Bleeding. Cefotetan is a cephalosporin antibiotic that can increase the risk of bleeding when taken with NSAIDs due to their additive effects on platelet function. The combination can lead to gastrointestinal bleeding or bruising. Dysrhythmias (choice
B) are not typically associated with this drug combination. Dizziness (choice
C) and jaundice (choice
D) are not common interactions with cefotetan and NSAIDs.
Extract:
Vital Signs
History and Physical
Assessment
Laboratory Results
Provider Prescriptions
Yesterday:
Temperature 37.4° C (99.3° F)
Heart rate 92/min
Respiratory rate 18/min
Blood pressure 130/82 mm Hg
Oxygen saturation 97% on room air
Today:
Temperature 38.9° C (102° F) Heart rate 110/min
Respiratory rate 18/min
Blood pressure 138/88 mm Hg
Oxygen saturation 96% on room air
Question 4 of 5
The nurse has reviewed the client's electronic medical record (EMR). Which of the following findings should the nurse recommend withholding the ceftriaxone? Select all that apply.
Correct Answer: B,C
Rationale: The correct answers are B and C.
B: Withholding ceftriaxone is recommended if the client has an allergy to it to prevent an allergic reaction.
C: Gentamicin can interact with ceftriaxone, leading to potential adverse effects.
Incorrect choices:
A: Breastfeeding is not a contraindication for ceftriaxone use.
D and E: Hematocrit and hemoglobin levels are not directly related to the administration of ceftriaxone.
Extract:
Question 5 of 5
A nurse is preparing to administer morphine 0.1 mg/kg IM to a school-age child who weighs 66 lb. What is the dose that the nurse should administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3
Rationale: The correct answer is 3.
To calculate the dose, first convert the child's weight from lb to kg: 1 kg = 2.2 lb, so 66 lb ÷ 2.2 = 30 kg.
Then, multiply the weight (30 kg) by the dose (0.1 mg/kg): 30 kg x 0.1 mg/kg = 3 mg. Since the question asks for the dose rounded to the nearest whole number, the nurse should administer 3 mg of morphine.
Choice A, B, C, D, E, F, and G are incorrect because they do not follow the correct calculation process. The correct dose is determined by the weight of the child and the prescribed dosage of 0.1 mg/kg, which yields 3 mg in this case.