ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports difficulty breathing during the administration of an intermittent IV bolus of nafcillin. After stopping the infusion and notifying the provider, the nurse should anticipate a prescription for which of the following medications?
Correct Answer: C
Rationale: Epinephrine treats anaphylaxis, indicated by breathing difficulty with nafcillin. Deferoxamine chelates iron, vitamin K reverses warfarin, and prednisone is slower-acting.
Question 2 of 5
A nurse is preparing to administer enoxaparin 5,000 units subcutaneous to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Insert the needle at a 45° or 90° angle is correct for subcutaneous enoxaparin based on tissue depth. Taut skin is wrong pinch instead, massaging risks bleeding, and 4 cm needle is too long.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. The nurse should instruct the client to monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Jaw pain may indicate osteonecrosis, a serious alendronate risk. Anorexia, insomnia, and bruising aren't typical.
Question 5 of 5
A nurse is collecting data from a client who has gout and is taking allopurinol. Which of the following adverse effects should the nurse identify as the priority to report to the provider?
Correct Answer: A
Rationale: Rash may signal Stevens-Johnson syndrome, a life-threatening reaction, making it priority. Diarrhea, nausea, and metallic taste are milder.