ATI LPN
ATI LPN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is evaluating the laboratory results of four clients. The nurse should report which of the following laboratory results to the provider?
Correct Answer: A
Rationale: The correct answer is A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds) should be reported to the provider because the aPTT result is significantly above the therapeutic range, indicating a potential risk of bleeding due to excessive anticoagulation. Heparin therapy requires close monitoring of aPTT levels to ensure the medication's efficacy and safety. Reporting this result promptly to the provider allows for timely adjustment of the heparin dosage to prevent complications.
Choices B, C, and D are incorrect because they fall within or close to the desired therapeutic ranges for the respective medications.
Therefore, they do not require immediate reporting to the provider as they suggest appropriate anticoagulation levels.
Question 2 of 5
A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?
Correct Answer: A
Rationale: The correct answer is A: Tinnitus. The nurse should monitor the client for tinnitus because gentamicin can cause ototoxicity, leading to hearing loss and tinnitus. Tachycardia (
B), polyuria (
C), and photophobia (
D) are not commonly associated with gentamicin use. Tachycardia may be a sign of other issues, polyuria could indicate kidney problems, and photophobia is sensitivity to light, which is not a typical side effect of gentamicin.
Therefore, the nurse should focus on monitoring for tinnitus as a potential adverse effect of gentamicin therapy.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will report a sore throat to my provider." This is the correct answer because prednisone can suppress the immune system, increasing the risk of infections like thrush or sore throat. Reporting these symptoms promptly is crucial to prevent complications.
Choice A is incorrect because prednisone can actually cause weight gain.
Choice B is incorrect because prednisone can lead to fluid retention, so increasing sodium intake is not recommended.
Choice C is incorrect because prednisone should be taken with food to reduce stomach upset.
Question 4 of 5
A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?
Correct Answer: D
Rationale: The correct answer is D: Fluid bolus. The client is experiencing symptoms of hypotension, a common side effect of ramipril. Administering a fluid bolus helps increase blood volume, improving blood pressure and alleviating dizziness and lightheadedness. It is important to address the underlying cause of the symptoms.
Choices A, B, and C are not appropriate in this situation as they do not address the hypotension caused by ramipril. Administering carbohydrates (
A) is irrelevant, naloxone (
B) is used for opioid overdose, and diphenhydramine (
C) is an antihistamine and not indicated for hypotension.
Question 5 of 5
A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale:
Correct
Answer: B - Select an injection site that is free of scar tissue.
Rationale: Selecting an injection site that is free of scar tissue is crucial for accurate tuberculin skin test results. Scar tissue can interfere with the test by affecting the absorption of the solution and potentially leading to false results. Choosing a site free of scar tissue ensures proper administration and interpretation of the test.
Incorrect
Choices:
A: Injecting 0.3 to 0.5 mL of the solution is not the key factor in ensuring accurate results. The volume to be injected may vary based on the specific test kit used, but the injection site's condition is more critical.
C: Holding the needle at a 30° angle is not a standard requirement for administering a tuberculin skin test. The angle of injection may vary based on the client's skin thickness and other factors.
D: Massaging the site following the injection is unnecessary and could potentially lead to inaccurate results. Massaging can alter the distribution