ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Excess morphine requires witnessed disposal due to controlled substance rules. Sharps , full dose , and saving are incorrect.
Question 2 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: D
Rationale: Acetylcysteine is the antidote for acetaminophen overdose, preventing liver damage. Naloxone , amylase/lipase , and x-ray aren't relevant.
Extract:
Nurses' Notes
0800:
Client reports frequent cough, wheezing, and tightness of chest. Bilateral breath sounds with scattered inspiratory and expiratory wheezes.
1000:
Reinforced teaching about newly prescribed medications.
Question 3 of 5
Click to highlight the instructions the nurse should reinforce to the client.
| Take your albuterol when you are having difficulty breathing. |
| Hold your breath for 20 seconds when taking your albuterol. |
| Take the salmeterol 5 minutes before the albuterol when you need both medications. |
| Take the salmeterol 2 times each day. |
| Rinse out your mouth after taking the fluticasone. |
| Take the fluticasone as needed for an asthma attack. |
Correct Answer: A,D,E
Rationale: Albuterol is for acute symptoms , salmeterol is twice daily , and rinsing after fluticasone prevents thrush (E). 20 seconds is too long, salmeterol isn't for acute use , and fluticasone isn't PRN (F).
Extract:
Question 4 of 5
A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?
Correct Answer: D
Rationale: Hydrochlorothiazide can cause electrolyte imbalances (e.g., hypokalemia), requiring monitoring. Others aren't directly affected.
Extract:
Vital Signs
Nurses' Notes
History and Physical
Initial visit:
Temperature 36.5° C (97.7° F)
Heart rate 68/min
Blood pressure 116/70 mm Hg
Respiratory rate 16/min
SpO2 98% on room air
Follow-up visit 2 weeks later:
Temperature 36.7° C (98.1° F)
Heart rate 86/min
Blood pressure 130/80 mm Hg
Respiratory rate 18/min.
SpO2 99% on room air
Question 5 of 5
Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication.
Correct Answer: A,B,C,D,E,F
Rationale: Triptans like sumatriptan relieve headaches within 1-2 hours , may cause chest pressure , have a 200 mg/day limit , allow a second dose after 2 hours , are Category C and unsafe in pregnancy (E), and commonly cause fatigue (F). Rash (G) isn't typical unless allergic.