ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is checking the forearm of a client who received a tuberculin skin test 48 hr ago. Which of the following findings at the injection site should indicate to the nurse a positive result?
Correct Answer: B
Rationale: Firmness indicates induration, a positive TB test sign. Excoriation, ulceration, and bleeding aren't diagnostic.
Question 2 of 5
A nurse is administering phenytoin to a client. The nurse should monitor for which of the following adverse effects?
Correct Answer: B
Rationale: Bleeding gums indicate gingival hyperplasia, a common phenytoin side effect. Tinnitus, jaundice, and DVT aren't typical.
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 preparing to administer phenobarbital 3 mg/kg/day PO in two divided doses to a client who weighs 145 lb. The amount available is phenobarbital 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1
Rationale: 145 lb = 65.9 kg; 65.9 kg × 3 mg/kg/day = 197.7 mg/day; 197.7 mg ÷ 2 doses = 98.85 mg/dose; 98.85 mg ÷ 100 mg/tablet ≈ 1 tablet per dose.
Question 5 of 5
A nurse is planning care for a client who has angina and a new prescription for nitroglycerin ointment. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Cover the administration area with plastic wrap ensures absorption. Massaging risks rapid uptake, specific area isn't standard, and thick layer increases side effects.