ATI LPN
ATI PN Pharmacology 2020 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment.
Question 2 of 5
A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Headache - Headache is a common side effect of aspirin and is not typically a cause for concern. BP 120/70 mm Hg - This blood pressure reading is within the normal range and is not a cause for concern related to aspirin. Hct 43% - Elevated hematocrit is not an adverse effect of aspirin. Rhinitis is a sign of hypersensitivity to aspirin and can indicate a risk of developing more severe reactions, such as bronchospasm or anaphylaxis. The nurse should report this finding to the provider and stop the medication.
Question 3 of 5
A nurse is preparing to administer somatropin 0.24 mg/kg/week subcutaneously to be divided into six daily doses to a school-age child who weighs 66 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.2
Rationale: 1. Convert weight from pounds to kilograms: Child's weight = 66 lb, Conversion factor: 1 kg = 2.2 lb, 66 lb ÷ 2.2 = 30 kg. 2. Calculate the total weekly dose: Prescribed dose = 0.24 mg/kg/week, 30 kg × 0.24 mg/kg = 7.2 mg/week. 3. Determine the daily dose: The dose is given six times per week, 7.2 mg ÷ 6 = 1.2 mg/day. The nurse should administer 1.2 mg of somatropin per dose subcutaneously to the child.
Question 4 of 5
A nurse is caring for a client who is experiencing an acute asthma attack. The nurse should expect to administer which of the following medications?
Correct Answer: D
Rationale: Budesonide is an inhaled corticosteroid used for long-term control of asthma and is not typically used for acute attacks. Cromolyn is a mast cell stabilizer used for the prevention of asthma symptoms and is not a rescue medication for acute attacks. Ipratropium is an anticholinergic bronchodilator used for maintenance treatment of bronchospasms and is not typically used for acute attacks. Levalbuterol is a short-acting beta-agonist bronchodilator and is commonly used as a rescue medication for acute asthma attacks.
Question 5 of 5
A nurse is reviewing data for a client who receives clonidine daily. Which of the following findings indicates the nurse should withhold the next dose?
Correct Answer: C
Rationale: Clonidine primarily affects blood pressure and not heart rate. Clonidine does not directly affect urine output. Clonidine is an antihypertensive medication, and a low blood pressure reading indicates the need to withhold the next dose. Clonidine does not typically affect blood glucose levels.