ATI LPN
ATI PN Pharmacology 2020 Questions
Extract:
Question 1 of 5
A nurse administered ketorolac 30 mg IM to a client who is postoperative. Which of the following information should the nurse document?
Correct Answer: A,C,D,E
Rationale: Gauge/length, dose, site, and time are critical to document for tracking and safety. Expiration date is checked pre-administration but not typically recorded post-administration.
Question 2 of 5
A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?
Correct Answer: C
Rationale: Headache is a common adverse effect of the meningococcal conjugate vaccine. Blurred vision, tinnitus, and dry mouth are not typically associated with this vaccine.
Question 3 of 5
A nurse is preparing to administer gentamicin to a child who weighs 44 lb. The provider prescribes 6 mg/kg/day IV to be administered in three equal doses. Available is gentamicin 40 mg/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: 44 lb = 20 kg; 6 mg/kg/day = 120 mg/day; 120 mg / 3 doses = 40 mg/dose; 40 mg / 40 mg/mL = 1 mL/dose, rounded to 1 mL.
Question 4 of 5
A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
Correct Answer: A
Rationale: An IV fluid bolus can raise blood pressure and relieve dizziness/lightheadedness, common with ramipril's first dose due to vasodilation. Naloxone, diphenhydramine, and carbohydrates address unrelated issues (opioid overdose, allergies, hypoglycemia).
Question 5 of 5
A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Reviewing electrolyte levels is the priority before giving furosemide, a diuretic that can cause imbalances (e.g., hypokalemia), especially in heart failure patients. Other actions follow this safety check.