ATI LPN
ATI PN Pharmacology 2020 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: D
Rationale: Creatinine 3.1 mg/dL indicates kidney damage, a serious vancomycin side effect requiring immediate reporting. Loose stools, slight WBC elevation, and tachycardia are less urgent.
Question 2 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: D
Rationale: Covering nitroglycerin ointment with plastic wrap enhances absorption. It's applied thinly over a 6-inch area, not 10 cm², and massaging or thick application is incorrect.
Question 3 of 5
A nurse is preparing to mix NPH insulin and regular insulin for administration. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Injecting air into each vial equalizes pressure for accurate withdrawal; regular insulin is drawn first, then NPH. Tuberculin syringes aren't standard, NPH isn't withdrawn first, and shaking regular insulin risks bubbles.
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: A
Rationale: Levalbuterol, a short-acting bronchodilator, provides rapid relief in acute asthma attacks. Cromolyn and budesonide are for prevention, and ipratropium is less commonly the first choice.
Question 5 of 5
A charge nurse is evaluating a newly licensed nurse caring for a client who is using a PCA device. Which of the following actions by the nurse requires intervention by the charge nurse?
Correct Answer: B
Rationale: PCA (Patient-Controlled Analgesia) requires the patient to self-administer doses; the nurse doing it risks overdose and requires intervention. Demonstrating, reassuring, and monitoring are appropriate.