ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?
Correct Answer: B
Rationale: The correct answer is B - A client at 27 weeks of gestation. Pregnant individuals are contraindicated to receive live attenuated influenza vaccine due to theoretical risk to the fetus. This is because live vaccines are not recommended during pregnancy.
Choice A is incorrect as a recent tattoo does not contraindicate the vaccine.
Choice C is incorrect as travel plans do not affect the decision to administer the vaccine.
Choice D is incorrect as rhinitis is not a contraindication.
Question 2 of 5
A nurse is caring for a client who is receiving an oral solution of codeine to suppress a nonproductive cough. Which of the following is the nurse's data collection priority following administration of this medication?
Correct Answer: B
Rationale: The correct answer is B: Respiratory rate. Codeine is a central nervous system depressant that can cause respiratory depression as a side effect.
Therefore, monitoring the client's respiratory rate is crucial to detect any signs of respiratory distress or suppression. This should be the nurse's priority to ensure the client's safety.
A: Heart rate may be affected by codeine, but respiratory rate is a more direct indicator of respiratory depression.
C: Blood pressure is not typically affected by codeine in the context of suppressing a cough.
D: Level of consciousness is important, but respiratory rate takes precedence as it directly reflects potential respiratory depression.
Question 3 of 5
A nurse is preparing to administer an insulin injection for a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Insert the needle into the right thigh at a 90° angle. When administering insulin, the thigh is a recommended site for injection due to its larger muscle mass, which helps with consistent absorption. Inserting the needle at a 90° angle ensures proper depth for subcutaneous injection. This method also minimizes the risk of injecting into a blood vessel or reaching deeper tissues. Using the right thigh allows for rotation of injection sites, preventing lipodystrophy. Administering at a 90° angle promotes optimal absorption and minimizes discomfort for the client.
Choice A is incorrect because a tuberculin syringe is not typically used for insulin administration, and a 15° angle is too shallow for a subcutaneous injection.
Choice B is incorrect as a 20-gauge needle is too large for insulin injections, which are typically administered with smaller gauge needles.
Choice D is incorrect as the Z-track method is not used for insulin injections, and a slow
Question 4 of 5
A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: Nitroglycerin is a fast-acting medication used to relieve angina symptoms. Choosing option D shows understanding because nitroglycerin should provide relief within 5 minutes if the medication is effective. This rapid onset is crucial in managing acute angina attacks. Taking the medication every 10 minutes (
C) could lead to overdose and severe side effects. Slow heart rate (
A) is not a common side effect of nitroglycerin. Taking with food (
B) may delay absorption and reduce effectiveness.
Question 5 of 5
A nurse is evaluating the laboratory results of four clients. The nurse should report which of the following laboratory results to the provider?
Correct Answer: A
Rationale: The correct answer is A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds) should be reported to the provider because the aPTT result is significantly above the therapeutic range, indicating a potential risk of bleeding due to excessive anticoagulation. Heparin therapy requires close monitoring of aPTT levels to ensure the medication's efficacy and safety. Reporting this result promptly to the provider allows for timely adjustment of the heparin dosage to prevent complications.
Choices B, C, and D are incorrect because they fall within or close to the desired therapeutic ranges for the respective medications.
Therefore, they do not require immediate reporting to the provider as they suggest appropriate anticoagulation levels.