ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse in a provider's office is collecting data from a client who continues to have a migraine headache after taking sumatriptan orally 2 hr ago. Which of the following findings is the priority for the nurse to report?
Correct Answer: B
Rationale: Hypertension is priority as sumatriptan's vasoconstriction can dangerously elevate blood pressure, risking stroke or infarction. Tingling, dizziness, and flushing are common but less urgent.
Extract:
History and Physical
Medication Administration Record
Vital Signs
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields. Diffuse, raised rash present on trunk. Abdomen soft. nontender.
A nurse in the emergency department is assisting in the care of a client.
Click to highlight the findings that require immediate follow-up. To deselect a finding click on the finding again.
Nurses Notes
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields, Diffuse, raised rash present on trunk. Abdomen soft, nontender
Vital Signs
1630:
Temperature 38.3°C (101°F)
Heart rate 110/min
Respiratory rate 30/min
Blood pressure 90/55 mmHg
Oxygen saturation 91% on room air
Question 2 of 5
Click to highlight the findings that require immediate follow-up.
| Client is short of breath |
| Intercostal retractions visible |
| Wheezing auscultated throughout lung fields |
| Diffuse, raised rash present on trunk |
| Respiratory rate 30/min |
| Blood pressure 90/55 mmHg |
| Oxygen saturation 91% on room air |
Correct Answer: A,B,C,D,E,F,G
Rationale: Shortness of breath, intercostal retractions, wheezing, rash, respiratory rate 30/min, blood pressure 90/55 mmHg, and oxygen saturation 91% indicate a severe allergic reaction or anaphylaxis requiring urgent intervention.
Extract:
Question 3 of 5
A nurse is administering phenytoin to a client. The nurse should monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Bleeding gums indicate gingival hyperplasia, a common phenytoin side effect. Tinnitus, jaundice, and DVT aren't typical.
Question 4 of 5
A nurse is preparing to administer phenobarbital 3 mg/kg/day PO in two divided doses to a client who weighs 145 lb. The amount available is phenobarbital 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1
Rationale: 145 lb = 65.9 kg; 65.9 kg × 3 mg/kg/day = 197.7 mg/day; 197.7 mg ÷ 2 doses = 98.85 mg/dose; 98.85 mg ÷ 100 mg/tablet ≈ 1 tablet per dose.
Question 5 of 5
A nurse is administering heparin subcutaneously to a client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Use a 25-gauge, 1/2-inch needle is correct for subcutaneous heparin to minimize trauma. Aspirating risks hematoma, near umbilicus increases bleeding, and massaging worsens bruising.