ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following herbal supplements should the nurse include as a contraindication for this medication?
Correct Answer: C
Rationale: St. John's wort increases digoxin metabolism, reducing efficacy. Glucosamine, garlic, and ginkgo don't significantly interact.
Question 3 of 5
A nurse is preparing to administer enoxaparin 5,000 units subcutaneous to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Insert the needle at a 45° or 90° angle is correct for subcutaneous enoxaparin based on tissue depth. Taut skin is wrong pinch instead, massaging risks bleeding, and 4 cm needle is too long.
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 4 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 5 of 5
A nurse is collecting a medication history from the parent of a preschooler who comes to the clinic for routine immunizations. For which of the following findings should the nurse withhold the varicella immunization?
Correct Answer: B
Rationale: Receiving treatment for leukemia contraindicates varicella vaccine, a live virus, due to immunosuppression. Pregnant parent, acetaminophen, and egg allergy aren't contraindications.