ATI LPN
ATI LPN Pharmacology 2023 retake 1 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is taking dimenhydrinate to treat motion sickness. Which of the following findings is an adverse effect of this medication?
Correct Answer: A
Rationale: Drowsiness is a common antihistamine effect of dimenhydrinate. Hypertension, polyuria, and edema aren't typical.
Question 2 of 5
A nurse is collecting data from a client who received diphenhydramine 1 hr ago after developing an allergic reaction to trimethoprim-sulfamethoxazole. Which of the following statements by the client should indicate to the nurse that the medication is effective?
Correct Answer: C
Rationale: My voice is no longer hoarse.' indicates reduced airway swelling from the allergic reaction, a key sign of diphenhydramine's effectiveness. Appetite and headache aren't primary targets, and alertness contradicts its sedative effect.
Extract:
History and Physical
Medication Administration Record
Vital Signs
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields. Diffuse, raised rash present on trunk. Abdomen soft. nontender.
A nurse in the emergency department is assisting in the care of a client.
Click to highlight the findings that require immediate follow-up. To deselect a finding click on the finding again.
Nurses Notes
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields, Diffuse, raised rash present on trunk. Abdomen soft, nontender
Vital Signs
1630:
Temperature 38.3°C (101°F)
Heart rate 110/min
Respiratory rate 30/min
Blood pressure 90/55 mmHg
Oxygen saturation 91% on room air
Question 3 of 5
Click to highlight the findings that require immediate follow-up.
| Client is short of breath |
| Intercostal retractions visible |
| Wheezing auscultated throughout lung fields |
| Diffuse, raised rash present on trunk |
| Respiratory rate 30/min |
| Blood pressure 90/55 mmHg |
| Oxygen saturation 91% on room air |
Correct Answer: A,B,C,D,E,F,G
Rationale: Shortness of breath, intercostal retractions, wheezing, rash, respiratory rate 30/min, blood pressure 90/55 mmHg, and oxygen saturation 91% indicate a severe allergic reaction or anaphylaxis requiring urgent intervention.
Extract:
Question 4 of 5
A nurse is caring for a client who has chronic renal failure and is receiving epoetin alfa. To check for therapeutic effects, the nurse should monitor which of the following client laboratory tests?
Correct Answer: A
Rationale: Hemoglobin levels measure epoetin alfa's effect on red blood cell production. Iron supports it, but platelets and WBCs aren't affected.
Question 5 of 5
A nurse is reinforcing teaching with a client who has COPD and has been taking long-term high doses of prednisone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Measure your blood glucose levels periodically.' addresses prednisone's hyperglycemia risk. Potassium restriction is wrong, contrast dye doesn't require withholding, and empty stomach increases irritation.