ATI LPN
ATI PN Pharmacology 2023 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?
Correct Answer: D
Rationale: Chills indicate a febrile nonhemolytic reaction from donor leukocytes. Dyspnea, urticaria, and vomiting suggest other reactions.
Question 2 of 5
A nurse is reinforcing teaching about phenytoin with a client who had a tonic-clonic seizure. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. It does not lower potassium, ginkgo biloba has no significant interaction, and photosensitivity is less critical than hyperplasia.
Question 3 of 5
A nurse is caring for a client who has been taking epoetin alfa for 3 months. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: B
Rationale: Epoetin alfa increases hemoglobin by stimulating RBC production, indicating effectiveness. TA, AST, and troponin aren't relevant.
Question 4 of 5
A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Aging reduces renal function, slowing drug excretion and increasing toxicity risk. Brain receptor sensitivity varies, gastric emptying slows, and hepatic metabolism decreases.
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: A
Rationale: A scar-free site ensures accurate TST results. Massaging distorts results, the angle should be 5-15°, and the dose is 0.1 mL, not 0.3-0.5 mL.