ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has prescriptions for spironolactone and lisinopril. The nurse should monitor for which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Hyperkalemia. Spironolactone is a potassium-sparing diuretic and can lead to an increase in potassium levels (hyperkalemia). Lisinopril, an ACE inhibitor, can also contribute to this effect. Monitoring for hyperkalemia is crucial as it can lead to serious cardiac complications.
A: Hypoglycemia is not typically associated with spironolactone or lisinopril.
C: Hyperglycemia is not a common adverse effect of spironolactone or lisinopril.
D: Hypokalemia is unlikely with spironolactone, as it tends to increase potassium levels.
In summary, monitoring for hyperkalemia is essential when a client is taking spironolactone and lisinopril due to the potential for adverse cardiac events.
Question 2 of 5
A nurse is caring for a client who is receiving a continuous IV infusion and reports pain at the IV insertion site. The nurse observes the arm is swollen and cool to touch. After discontinuing the infusion, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Elevate the extremity. By elevating the extremity, the nurse can help reduce swelling and improve blood flow to the area. This can help alleviate pain and prevent further complications. Removing the catheter (choice
C) is necessary but not the immediate next step. Restarting the infusion in another extremity (choice
A) can exacerbate the issue. Applying warm, moist compresses (choice
D) may not be appropriate if there is swelling. Make sure to monitor the client for any signs of infection or other complications.
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A, instruct the client's visitors not to operate the PCA pump. This is important to prevent unauthorized administration of medication by individuals who are not trained to use the PCA pump, ensuring patient safety. Checking the client's pain level every 8 hours (
B) is important but not the priority in monitoring PCA. Diarrhea is not a common adverse effect of morphine PCA (
C), and using morphine PCA does not inherently increase the client's risk of toxicity (
D) if used appropriately.
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 4 of 5
Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication (sumatriptan).
Correct Answer: A,B,C,E,F,G
Rationale: The correct statements are A, B, C, E, F, and G. A: Correct dose limit to prevent overdose. B: Advises on timing for second dose if needed. C: Important to stop if pregnancy is planned. E: Chest pressure is a potential side effect. F: Fatigue is a possible side effect. G: Expected time frame for headache relief. These statements cover dosage, timing, potential side effects, pregnancy precautions, and expected outcomes. Other options lack crucial information or provide incorrect guidance, such as D, which mentions a rash that is not a common side effect of sumatriptan.
Extract:
Nurses' Notes
Medication Reconciliation
Medicine Prescriptions
1 week ago:
Client who was diagnosed with asthma during childhood presents to the clinic with increased night-time coughing and shortness of breath during activities of daily living. The client reports increased use of their rescue inhaler. The client has a non-productive cough and inspiratory and expiratory wheezing heard during auscultation. Client prescribed prednisone and requested to follow up in 5 to 7 days.
Today:
The client reports their asthma symptoms have improved since beginning the prednisone. Lung sounds clear with occasional wheezing. The client has gained 1.36 kg (3 lb) since the last visit. The client states they received the "flu shot" 3 days ago to avoid getting sick. The client states they hurt their back while moving the couch 5 days ago and have been taking ibuprofen twice daily since then.
Question 5 of 5
Complete the following sentence by using the lists of options: The client is most at risk for developing ___ due to their ___.
| Cushing syndrome |
| influenza |
| peptic ulcers |
| NSAID use |
| recent immunization |
| weight gain |
Correct Answer: C,D
Rationale:
The correct answer is C,D because the client is at risk for developing peptic ulcers due to NSAID use. NSAIDs can cause irritation and damage to the stomach lining, leading to peptic ulcers. The other options, such as Cushing syndrome (
A), influenza (
B), recent immunization (E), and weight gain (F), are not directly related to the client's risk of developing peptic ulcers due to NSAID use.