ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 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: Elevate the extremity reduces swelling from infiltration. Restarting waits, catheter removal is assumed done, and compresses follow elevation.
Question 2 of 5
A nurse is caring for a client who has Graves' disease and is to start therapy with propylthiouracil. The nurse should expect which of the following outcomes?
Correct Answer: C
Rationale: Decreased heart rate is expected as propylthiouracil reduces thyroid hormone, slowing metabolism. Hct and blood pressure don't increase, and WBC decrease is a side effect, not an outcome.
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 3 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 client is most at risk for developing peptic ulcers due to their NSAID use with prednisone, both impairing stomach lining protection.
Extract:
Question 4 of 5
A nurse is collecting data from a client before administering a hepatitis B immunization. The nurse should withhold the immunization if the client is allergic to which of the following substances?
Correct Answer: A
Rationale: Baker's yeast is a contraindication as hepatitis B vaccine is produced with it, risking allergic reaction. Nuts, wheat, and egg yolk are unrelated to its production.
Question 5 of 5
A nurse is caring for a client who has chronic liver disease. Which of the following medications should the nurse recognize as appropriate for this client?
Correct Answer: D
Rationale: Hepatitis A vaccine protects liver health in chronic liver disease. Alprazolam risks accumulation, rotavirus vaccine is for infants, and niacin may worsen liver function.