ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has cellulitis and is to begin antibiotic therapy. The client has a history of anaphylactic reaction to penicillin. Which of the following medications is contraindicated for this client?
Correct Answer: D
Rationale: Cephalexin risks cross-reactivity with penicillin allergy due to beta-lactam structure. Fluconazole is antifungal, tetracycline is safe, and acyclovir is antiviral.
Question 2 of 5
A nurse is caring for a client who is receiving filgrastim. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: C
Rationale: Bone pain is common with filgrastim due to marrow stimulation. Hypertension, fluid retention, and hypokalemia aren't typical.
Question 3 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.
Question 4 of 5
A nurse is preparing to administer morphine 0.1 mg/kg IM to a school-age child who weighs 66 lb. What is the dose that the nurse should administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3
Rationale: 66 lb ÷ 2.2 = 30 kg; 30 kg × 0.1 mg/kg = 3 mg.
Question 5 of 5
A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Administer the medication to the client is correct as erythromycin, a macrolide, has no cross-reactivity with penicillin. Premedication or changing route or medication isn't needed.