ATI LPN
ATI PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?
Correct Answer: B
Rationale: The correct answer is B: Give acetylcysteine. Acetylcysteine is the antidote for acetaminophen overdose as it helps prevent liver damage. The nurse should anticipate implementing this prescription to counteract the toxic effects of acetaminophen on the liver. Monitoring amylase and lipase (
Choice
A) is not necessary for acetaminophen overdose. Obtaining a chest x-ray (
Choice
C) is not indicated for acetaminophen overdose. Administering naloxone (
Choice
D) is used for opioid overdose, not acetaminophen overdose.
Question 2 of 5
A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: B
Rationale: The correct answer is B: Hgb (Hemoglobin). Epoetin alfa is a medication used to stimulate red blood cell production. Monitoring the hemoglobin level is crucial to assess the effectiveness of the medication in increasing red blood cell count. An increase in hemoglobin indicates that the epoetin alfa is effectively stimulating red blood cell production. The other choices, such as A: ΤΑ (unknown abbreviation), C: AST (liver enzyme), and D: Troponin (cardiac marker), are not relevant for monitoring the effectiveness of epoetin alfa. Hemoglobin is the most appropriate parameter to monitor in this scenario.
Question 3 of 5
A nurse is preparing to administer a daily dose of warfarin to a client. Which of the following laboratory values should the nurse check prior to administration?
Correct Answer: D
Rationale: The correct answer is D: INR. The International Normalized Ratio (INR) is a crucial laboratory value to monitor when administering warfarin, an anticoagulant. INR measures the effectiveness of warfarin therapy in preventing blood clots. Monitoring INR levels helps ensure the client is receiving the appropriate dose to achieve the desired anticoagulant effect while minimizing the risk of bleeding. Checking platelets (
A) is important for assessing clotting ability but not specific to warfarin therapy. The activated partial thromboplastin time (APTT) (
B) is more relevant for monitoring heparin therapy. White blood cell count (
C) is not directly related to warfarin therapy.
Question 4 of 5
A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?
Correct Answer: D
Rationale: The correct answer is D: Absence of headache. Sumatriptan is commonly used to treat migraines by relieving headache symptoms. The absence of a headache indicates a therapeutic response to the medication.
A: Improved mood is not directly related to the therapeutic effect of sumatriptan.
B: Increased bone mass is not a known effect of sumatriptan.
C: Relief of chest pain is not a common indication for sumatriptan use.
Question 5 of 5
A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because the child will indeed receive another MMR immunization at 4 to 6 years of age as part of the standard immunization schedule. This ensures long-term protection.
Choice B is incorrect as the child does not need two more MMR immunizations over the next 2 years.
Choice C is incorrect because while the child may receive another MMR immunization at 3 years, there is no mention of hepatitis B immunization.
Choice D is incorrect as titers are not routinely done for MMR immunity assessment.