ATI LPN Fundamentals Exam

Extract:

Client with prescription for digoxin 0.25 mg PO daily, available as 0.125 mg/tablet

Question 1 of 5

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A. 1B. 5C. 2D. 0.5

Correct Answer: C

Rationale: 0.25 mg Ã· 0.125 mg/tablet = 2 tablets (
C). 1 (
A), 5 (
B), and 0.5 (
D) miscalculate the dose.

Extract:

Newly licensed nurse learning about telephone prescriptions

Question 2 of 5

A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?

A. I will always repeat the prescription back to the provider after receiving it.'B. All telephone prescriptions must be directly transcribed into the nurse's notes.'C. I will ask the provider for clarification when I do not understand.'D. Telephone prescriptions should be signed by the provider as soon as possible.'

Correct Answer: B

Rationale: Transcribing to nurse's notes (
B) is incorrect; orders go to medical records. Repeating (
A), clarifying (
C), and signing (
D) are correct practices.

Extract:

Patient at risk for polypharmacy

Question 3 of 5

Which assessment finding indicates that the patient is at risk from polypharmacy? (Select all that apply.)?

A. The patient has weekly laboratory tests for warfarin dosing.B. The patient uses four different pharmacies to fill his 16 prescriptions.C. The patient is allergic to strawberries, latex, and penicillin antibiotics.D. The patient takes three different medications to treat hypertension.E. The patient's daughter administers the patient's eyedrops every evening.

Correct Answer: B,D

Rationale: Multiple pharmacies (
B) risk interactions, and three hypertension drugs (
D) increase polypharmacy risk. Warfarin tests (
A), allergies (
C), and eyedrops (E) don't contribute.

Extract:

Client with new prescription for simvastatin

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

A. Maintain a steady intake of green, leafy vegetablesB. Change positions slowly when rising from a chairC. Take this medication in the eveningD. Consume no more than 1 L/day of fluid

Correct Answer: C

Rationale: Evening dosing (
C) aligns with cholesterol production. Vegetables (
A) affect warfarin, position changes (
B) relate to hypotension, and fluid limits (
D) aren't needed.

Extract:

Question 5 of 5

A nursing is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report to the oncoming nurse?

A. Outside client's roomB. Client's bedsideC. Conference areaD. Nurse's lounge

Correct Answer: B

Rationale: Bedside reporting (
B) involves patients, enhancing safety and clarity. Outside rooms (
A) risks privacy, conference areas (
C) lack patient input, and lounges (
D) are inappropriate.

ATI LPN Fundamentals Exam | Nurselytic

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